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It can also affect a man s erectile function since an erection essentially starts within the brain. If blood does not stay in the penis, a man cannot keep an erection. Therefore, men taking these medications should not take more than 10 mg of tadalafil and should not take tadalafil more frequently than every 72 hours. In contrast, an Italian study from 2001 Ponchietti, Mondaini, Bonaf , Di Loro, Biscioni, Masieri found an inverse relationship.