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Some drugs used to treat BPH can cause difficulty in maintaining an erection. Men who take alpha blockers, which relax bladder and prostate muscle cells, may experience decreased ejaculation.

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Usually Viagra can cause some amount of dizziness. There can also be some problems with urination. In a small minority, there have been vision related problems or even rashes on the skin.

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The World Health Organization describes counterfeit drugs as a widespread problem, but it occurs most often in developing countries.]