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Sildenafil was detrimental in in vitro bacterial and Chinese hamster ovary mobile assays to detect mutagenicity, As well as in vitro human lymphocytes As well as in vivo mouse micronucleus assays to detect clastogenicity.Nosebleeds. Sildenafil may trigger nosebleeds. You could be at bigger chance for this if you are taking a blood thinner medicine

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