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As a result they all have the exact same effect during treatment. The only difference is branding. Sildenafil was invented first, by accident - sildenafil citrate the active ingredient in all 3 medications was discovered as a treatment for ED by accident. The researchers who discovered it were originally testing new treatments for high blood pressure hypertension. The patent for sildenafil medication was created by - Viagra was born from the discovery of sildenafil as an ED treatment. This was until the patent expired and Sildenafil could be sold as a cheaper generic medication.

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