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Milman HA, Arnold SB "Neurologic, psychological, and aggressive disturbances with sildenafil. " Ann Pharmacother 36 (2002): 1129-34. Goldmeier D, Lamba H "Prolonged erections produced by dihydrocodeine and sildenafil.

It has been available in the markets since then. In a clinical trial on 3000 patients, Viagra was found effective for sustaining erection in 60 to 80 of the patients. Viagra has received approval from the Food and Drug Administration of USA in March 1998.

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