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It belongs to a group of medicines called phosphodiesterase type 5 (PDE5) inhibitors and works by relaxing the blood vessels in the penis. It does this by reducing the effect of PDE5, which is an enzyme that is released after ejaculation and causes cGMP to break down, leading to the loss of an erection. Viagra stops cGMP from being broken down, meaning that the arteries in the penis stay relaxed, thereby increasing blood flow to the penis. Smokers are at higher risk than non-smokers of experiencing erectile dysfunction.
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