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However, by far the most effective way of looking as young and sexy and beautiful as possible is to depend on the internal strategy. However, since both drugs work basically the same way and accomplish the same result, there is a question about what the actual difference is. Sildenafil citrate is used to make lot of other drugs used for the same purpose. The medical science also has run through a lot of new inventions. It is called the age of science and technology. YES -It is no mystery that many men over the age of 60 experience erectile dysfunction and need to buy Viagra or generic Viagra. The generic Levitra compound is better focused than Viagra, which means that the maximum safe dosage of Levitra - twenty milligrams - is considerably smaller than that for Viagra, one hundred milligrams. Off label prescribing means that they are prescribing a drug for an un-approved indication (as odd as that is in the situation). 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