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When sexual stimulation occursnitric oxide is released by the nervous system in the erectile tissue of the penisNitric oxide stimulates an enzyme that produces messenger cyclic guanosine monophosphatecGMP

Do not take Viagra with similar medications such as avanafilStendratadalafilCialisor vardenafilLevitraTell your doctor about all other medications you use for erectile dysfunction.

Erection is painful or lasts longer than 4 hoursprolonged erection can damage the penis

VIAGRA should be used with caution in patients with anatomical deformation of the penissuch as angulationcavernosal fibrosis or Peyronie’s diseaseor in patients who have conditions which may predispose them to priapismsuch as sickle cell anemiamultiple myelomaor leukemiaHoweverthere are no controlled clinical data on the safety or efficacy of VIAGRA in patients with sickle cell or related anemias.

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