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Instead of seeking to gain market share by cutting prices, the pharma companies played “follow the leader. Instead of seeking to gain market share by cutting prices, the pharma companies played “follow the leader. Cialis is mainly used to treat erectile dysfunction, while Adcirca is prescribed for hypertension. Cialis belongs to a group of medicines called phosphodiesterase type 5 inhibitors. One last reason why Cialis and other brand name drugs are so expensive is because they have a monopoly within the 20 year patent period. Cialis® helps you get and maintain your erections with a simple, once-a-day dosage. ”. Cialis dosage when to take; plavix bile acid. The medicines creator Eli Lilly long held the patent for Cialis meaning they were the only company that could create and sell Cialis. Following sexual stimulation, Cialis works by helping blood vessels in the penis to relax. 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