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    Understandably, this may concern pregnant women, who are worried about the safety of medications they're using during pregnancy. While the reasons for deaths aren't clear, pregnant women included in the study already had a "significant likelihood of fetal/neonatal death". That is, their babies were already at very high risk of death due to growth restriction in-utero and being born prematurely. This study was part of a new wave of research investigating whether novel drugs, such as sildenafil – which is sold under the brand name Viagra – can improve outcomes for babies who are very sick in utero. Studies investigating the uses of medicines for mum's health during pregnancy are much-needed. But equally, studies investigating new uses of select medicines in pregnancy for severe conditions affecting the baby are vital – particularly if there are no other effective treatment options. Testing treatments for sick babies in utero While sildenafil (Viagra) is generally used to treat erectile dysfunction in men, there is growing evidence that it may be used in select situations during pregnancy. The term ‘Viagra’ has become so ingrained in public discourse that it is a term given to just about anything which increases erectile potency. Natural remedies are referred to as ‘Herbal Viagra’ and, worryingly, cut-price and unregulated medications have obtained the moniker ‘Cheap Viagra’. In recent years, the black market has become flooded with either illegal or unlicensed imitations of the popular drug, some of which are offered at a discount or a reduced price, or even as a free sample. This drug, which is available to buy without a prescription in India, cannot legally be sold in the UK. Counterfeit versions or fake Viagra are also a problem in the UK. Sometimes labelled as cheap Viagra, they are often offered at a discount or as a free sample. Manufactured in uncontrolled conditions, these versions often contain potentially harmful substances, have not been subjected to appropriate testing, and are obviously illegal. Below, we’ve provided some pictures to give you an insight into how to spot counterfeit products.

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