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Forzest 20 mg is a medication used primarily to treat erectile dysfunction (ED) in men. The active ingredient in Forzest 20 mg is Tadalafil, which is a PDE5 inhibitor. PDE5 inhibitors work by increasing blood flow to the penis, helping men achieve and maintain an erection during sexual activity. Tadalafil works by inhibiting the action of the PDE5 enzyme (phosphodiesterase type 5) in the body. PDE5 is responsible for breaking down cyclic guanosine monophosphate (cGMP), a substance that helps relax the muscles in the blood vessels of the penis.