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One study compared the effects of erectile dysfunction medications (including sildenafil) when taken alone to the same medications when taken with the following: Daily tadalafil (also sold as Cialis Daily) Low-intensity shockwave therapy A vacuum erectile device Evidence suggests that when treated with PDE5 inhibitors, such as Viagra, and one of the above methods, there were additional improvements in erectile function, compared to when using the medication alone.Combination therapy might have potential as a first-line treatment for cases of ED that are difficult to treat

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These conditions are irreversible and often fatal