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The Cochrane Database of Systematic Reviews 1: Sildenafil is available as a generic drug in the United States, labelled for pulmonary arterial hypertension. In clinical trials , the most common adverse effects of sildenafil use included headache , flushing , indigestion , nasal congestion , and impaired vision, including photophobia and blurred vision.

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Retrieved 5 April In one study, a mg dose was shown to cause no significant change in erectile quality, but did reduce the postejaculatory refractory time. In , Viagra Connect, a particular formulation of Sildenafil marketed by Pfizer, became available for sale without a prescription in the UK [75] , in an attempt to widen availability and reduce demand for counterfeit products.

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