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This makes the arteries bigger and thus allows more blood to flow into the penis. However, the drug will not give patients an erection without sexual stimulation. When a man becomes aroused the brain sends a signal to the cells in the penis to release nitric oxide, which turns on the production of cGMP. Without the stimulation to produce nitric oxide, there is no cGMP build-up and no erection. For the treatment of high blood pressure, the tablets also come in a 20 milligram dose.

When used to treat erectile dysfunction, patients are directed to take the drug once per day, 30 minutes to one hour before their planned sexual activity. The effects of the drug will take longer to kick in if it is taken with food. One in ten patients will experience the common side effects of Viagra. Side effects include the development of a rash, diarrhoea and an increased susceptibility to urinary tract infections.

A less common side effect is abnormal vision. Higher doses increase the chance of a patient experiencing abnormal vision. Viagra is one of the most counterfeited medicines in the world. There are numerous risks in taking counterfeit Viagra. Fake tablets can contain no Viagra or too much Viagra. Look for the writing stamped into the tablets.

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