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The Roman Pharmacy Network is able to fill prescriptions for sildenafil 20 mg tablets that are issued by generic Ampicillin Roman-affiliated Sildenafil citrate For Sale In Usa. Does Roman Offer Genuine Viagra? 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?
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Erotic stimulation by physical touch, erotic thoughts, Sildenafil citrates For Sale In Usa, 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.
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Sildenafil citrate is the chemical name of the active ingredient in Viagra®. Sildenafil citrate is also sold in 20 mg tablets as the generic version of a drug called Revatio®, which is FDA approved for treating pulmonary hypertension.
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This patent was published in 2002 and will expire in 2019. Teva sued to have the latter patent invalidated, but Pfizer prevailed in an August federal district court case.