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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 between 20 mg and 100 mg if they find it medically appropriate to do so. How Does Viagra Work? Erotic stimulation by Sildenafil citrate For Sale Online 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 Sildenafil citrate For Sale Online 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.

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