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Tazzle 20 FM is a medication that contains the active ingredient tadalafil. It is primarily used to treat a condition known as pulmonary arterial hypertension (PAH) in adult patients. PAH is a rare and serious condition in which there is high blood pressure in the arteries that supply blood to the lungs. Tazzle 20 FM works by relaxing and widening the blood vessels in the lungs, which helps reduce the strain on the heart and improve blood flow.