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Common side effects include headaches, heartburn, and flushed skin. Sildenafil acts by blocking phosphodiesterase 5 PDE 5, an enzyme that promotes breakdown of cGMP, which regulates blood flow in the penis.

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This chapter deals with the legislation surrounding the sale, supply and use of medicinal products and the prescribing of medicines by members of the health care professions. The Medicines Act areas relevant to health care professionals and including specific exemptions for health care professionals. The Medicines Act divides all medicinal products into three categories: general sale list. The Act sets out legal requirements associated with viagra canada pharmacy category of medicine and the administration of medicines to patients, including the use of patient specific directions and patient group directions. The history and development of non-medical prescribing is explained together with consideration of the different forms this can take, for example supplementary and independent prescribing. The current situation regarding access, supply and prescription of medicines by physiotherapists, radiographers and podiatrists is discussed.

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Teratogenesis and carcinogenesis can be considered as viagra canada pharmacy reactions to drugs. Teratogenesis is the occurrence of foetal developmental abnormalities caused by drugs being taken during pregnancy, usually in the first trimester. Most drugs cross the placenta to some extent and should be avoided during pregnancy. Known teratogens include alcohol, anticancer drugs, warfarin, anticonvulsants and tetracyclines. Carcinogenesis is the occurrence of drug-induced tumours.


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