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21 The reasons behind such use include the belief that the drug increases libido, improves sexual performance, 21 or permanently increases penis size. 22 Studies on the effects of viagra when used recreationally are limited, but suggest that it has little effect when used by those not suffering from erectile dysfunction. In one study, a 25 mg dose was shown to cause no significant change in erectile quality, but did reduce the post-ejaculatory refractory time.

If you have an erection that lasts longer than four hours, call your doctor right away. Each drug comes with the chance of drug interactions. Since PDE-5 inhibitors work on the body in similar ways, Cialis, Levitra, and Viagra come with similar interactions.]