Interest in Viagra is worldwide, however scientists in Argentina have proposed probably the most unusual risk. Clinical trials have demonstrated improved exercise tolerance with few unwanted side effects. Each produces higher results at increased doses, but the highest doses are additionally extra likely to trigger unwanted side effects. Today, although the word "Viagra" can nonetheless summon a range of concepts as different as they were in 1998, prescriptions are down more than 20% since 2012, per the Washington Post. Depending on the person's response and tolerability, the dose may be adjusted up or down. But the tissues of the penis also produce PDE-5, the enzyme that breaks down cGMP. The mechanism of Viagra (sildenafil) in the body involves the protection of cyclic guanosine monophosphate (cGMP) from degradation by cGMP-particular phosphodiesterase kind 5 (PDE5) within the corpus cavernosum of the male penis. Because penile erection is a hydraulic effect of blood rushing into the penis and retained in sponge-like pores, erectile dysfunction is trigger by circulatory mishap. Viagra, for instance, is a triple threat -- it's most commonly used to treat erectile dysfunction and is FDA-accepted to treat pulmonary hypertension, nevertheless it can also be used to extend blood circulation as a way to avoid amputations.