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NHS GPs can prescribe sildenafil, although usually do so in limited quantities (1 per week) and will not prescribe branded Pfizer Viagra due to cost.
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Viagra is the very first drug in the world proven to be effective against erectile dysfunction (ED). Drug companies usually take out more than one patent on new active ingredients, and may hold patents on slight chemical variations in the active ingredients.
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This article explores what Cialis is in more detail and lists some companies that offer this drug.