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Tazzle 20 mg works by inhibiting the enzyme phosphodiesterase type 5 (PDE5), which is responsible for breaking down a substance called cyclic guanosine monophosphate (cGMP). cGMP plays a crucial role in relaxing the blood vessels in the penis, which allows increased blood flow and results in an erection. By inhibiting PDE5, Tazzle 20 mg helps maintain the levels of cGMP, improving erectile function.