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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 where To Buy Sildenafil Citrate No Prescription 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? It should be taken 30?60 minutes before sex, and it reaches peak blood levels in 60 minutes on average.

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How Long Does Viagra Last? Can Viagra Have Permanent Effects? Viagra does not have permanent effects on the body once it is broken down. It is only effective for as long as it is in the body.

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