Nail Chagri, from Hoover, Alabama, illegally sold Viagra substitute drugs from imported from China. He was arrested after public officials discovered the substitute drug contained sildenafil. Sildenafil is can be very dangerous for men taking nitrates for diabetes, heart disease, and other ailments, because it can unhealthily lower a man’s blood pressure. Authorities stated, “Chagri would then deliver and sell the male enhancement products to various gas stations and wholesale distributors… who would in turn sell the products to retail outlets such as gas stations or convenience stores… for sale to final customers.”
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The class of drugs that Levitra, Viagra, Stendra, and Cialis belong to are called PDE5 inhibitors. They work by relaxing tight blood vessels, allowing more blood to surge into the penis and cause an erection, says Gregory Bales, M.D., an associate professor of urology at the University of Chicago.
The little pills do the trick for more than two-thirds of men with Viagra protects the heart (ED). They also work for guys who simply need them for a short time to get their “confidence back,” says Michael Eisenberg, M.D., director of male reproductive medicine and surgery at Stanford University.