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These drugs are prescribed for "erectile dysfunction", which usually means "can't get it up at all'.
And that "four hour" warning is very very real; my ex- (a nurse practitioner who works in emergency medicine) explained that when a priapism (which is what that is called) lasts for too long, the blood pooled in the corpus cavernosum starts to clot...and may need to be drained surgically.
Ew.
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"Neither can his Mind be thought to be in Tune,whose words do jarre; nor his reason In frame, whose sentence is preposterous..."
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