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So at about 2 hours, talk to your doctor about a course of treatment to help you cope and learn to control the panic or anxiety disorder. Cialis comes as a tablet that you swallow. Its believed that Cialis works by relaxing muscles in your bladder. Generic medications like sildenafil undergo the same rigorous quality testing and standards that brand name medications like Viagra. Cialis is the only medication used to treat erectile dysfunction that has been shown to work for up to 36 hours. It works to treat ED by blocking PDE5. And often have better results, you should stop any sexual activity and see a doctor as soon as possible.