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Since 2007Viagra’s labeling in the United States has included a warning of the potential risk of sudden hearing loss.
The physiologic mechanism of erection of the penis involves release of nitric oxideNOin the corpus cavernosum during sexual stimulationNO then activates the enzyme guanylate cyclasewhich results in increased levels of cyclic guanosine monophosphatecGMPproducing smooth muscle relaxation in the corpus cavernosum and allowing inflow of blood.
Sildenafil was negative in in vitro bacterial and Chinese hamster ovary cell assays to detect mutagenicityand in vitro human lymphocytes and in vivo mouse micronucleus assays to detect clastogenicity.
It is not known if VIAGRA is safe and effective in women or children under 18 years of age.
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