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Roman also offers sildenafil in 20 mg tablets, which can be prescribed by doctors off-label to treat ED in doses ranging cheap Vermox 20 mg and 100 mg if they can You Buy Generic Sildenafil Citrate In The Usa it medically appropriate to do so. How Does Viagra Work? Erotic stimulation by physical touch, erotic thoughts, smells, etc causes the local tissues to release nitric oxide NO, which increases the amount of a chemical called cyclic guanosine monophosphate cGMP. At the same time veins that drain blood from the penis get compressed causing the increased blood to be trapped in the penis causing an erection. An enzyme called phosphodiesterase-5 breaks down cGMP leading the penis to return to its flaccid state. How Should I Take Viagra?

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Serious side effects that are rare include an erection that will not resolve even after 3—4 hours priapism, hearing loss, which can be sudden, and vision loss in one or both eyes.

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