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Aziona attraverso l'aumento di rilassamento dei muscoli lisci usando l'ossido nitrico, un componente chimico prodotto normalmente in risposta alla stimolazione sessuale. Questo rilassamento dei muscoli lisci permette che un flusso aumentato della sangue passe a alcune zone del pene causando erezione. El principio activo de Viagra es Sildenafil.El Sildenafil controla la respuesta a la estimulación sexual. Actúa aumentando la relajación del músculo liso por medio del óxido nítrico, una sustancia química que se emite normalmente como respuesta a la estimulación sexual. La relajación del músculo liso deja el aumento de circulación de la sangre en lugares específicos en el pene lo que contribuye a la erección. 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