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Hormonal Imbalances? If you find that your libido has all but vanished, it's possible that hormonal imbalances are responsible. The Surprising Connection Between Oral Hygiene and Erection Health. While Viagra is still a top seller for the treatment of erectile dysfunction (ED), it is also competing against other ED drugs, particularly Cialis. Combining nitrates with Viagra can be incredibly dangerous-even deadly. Sildenafil and tadalafil require a prescription for the drug that you can take to your local pharmacy in person. The hope with the OTC release is that men in their 50s, 60s, and 70s who weren't sexually active were more likely to have erectile dysfunction. In that report, the cabinet department said that its spending on impotence drugs had nearly tripled over a six-year period. Misuse and recreational use of prescription medications isn't unheard of.

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