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    A doctor has been jailed for three years for his role in a multi-million pound plot to sell fake medicines. Dr George Patino, supposedly known online as the "King of Viagra", sold thousands of counterfeit impotence tablets to customers via the web. He pleaded guilty at Kingston Crown Court and was described a "disgrace to his profession" by the judge. Patino, 48, who is a Mexican national with a US passport, was also ordered to pay costs and had money confiscated. The fake Viagra tablets were mostly sold through the internet, with as many as 200 orders being placed everyday. Last year he had stood trial alongside other members of a gang who were convicted of smuggling copies of Viagra and medicines to treat baldness from illegal factories in China, Pakistan and Asia. 'Headaches and nausea' The jury could not reach a verdict on Patino and he was due to appear for a retrial, but last week entered a guilty plea to one charge. If you’re looking for a less costly Viagra, you might want to ask your doctor about sildenafil. It's the active ingredient in both branded Viagra and the drug Revatio, which is a lower dose than Viagra and approved to treat pulmonary arterial hypertension. The important difference: Generic Revatio is available for a fraction of the cost. "Generic Revatio is considerably less expensive, and it is the same drug as Viagra with the same safety and effectiveness," says Bradley Anawalt, M. D., an endocrinologist and professor of medicine at the University of Washington in Seattle who chairs the Endocrine Society's Hormone Health Network. At a lower dose, sildenafil is approved to treat pulmonary arterial hypertension—the higher dose is reserved for treating erectile dysfunction (ED). Anawalt explains that there's a chance your insurance might not cover it to treat ED.

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