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Sildenafil is a medication used in the treatment of men suffering from erectile dysfunction. Similar to avanafil Stendra, tadalafil Cialis, and vardenafil Levitra, sildenafil is used for treating erectile dysfunction in men, sildenafil is thought to work by improving the effect of a molecule known as nitric oxide NO in the penis during arousal. Sildenafil medication does this by inhibiting an enzyme known as phosphodiesterase type 5. By helping to sustain nitric oxide levels in the penis during arousal, sildenafil medication helps improve blood flow to tissues in the penis which helps with maintaining an erection. The sildenafil dosage may be lowered to sildenafil 20 mg or increased to sildenafil mg depending on the health needs of the patient and the judgement of the prescribing medical provider. Regardless, sildenafil should not be taken more than once in a 24 hour period.

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