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Tadagra Prof 20 mg works by inhibiting the action of the enzyme phosphodiesterase type 5 (PDE5), which is responsible for the breakdown of cyclic GMP. Cyclic GMP is a molecule that helps relax the smooth muscles in the blood vessels of the penis, thereby promoting increased blood flow. By blocking PDE5, Tadagra helps maintain higher levels of cyclic GMP, leading to improved erectile function when sexually stimulated.