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In one study, a 25-mg dose viagra was shown to cause no significant change in erectile quality, but did reduce the postejaculatory refractory time. 4 It was approved for medical use in the United States and Europe in 1998. Wang, RC; Jiang, canadian pharmacy generic viagra reviews FM; Zheng, QL; Li, CT; Peng, XY; He, CY; Luo, J; Liang, ZA (March 2014). A b c d e Smith KM, Romanelli F (2005). Nocera, Joe (6 December 2017). Retrieved 9 February 2013. It is important to note that sildenafil from India features good quality. Viagra Oral Jelly is marketed in sachets containing 100mg of sildenafil. Popular Generics of Sildenafil, generic versions of sildenafil are produced india by more than 50 pharmaceutical companies. 40 Route of administration When taken by mouth sildenafil for erectile dysfunction results in an average time to onset of erections of 27 minutes generic (ranging from 12 to 70 minutes). 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