"הסם הזה מנמיך את לחץ הדם."
Translation:This drug lowers the blood pressure.
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There is סם רפואי tho, which declares a drug medical. Anyway, I think when the context is medical, one can infer סם refers to a medicine, however expresses the meaning of a strong drug for pain-killing, anesthesia, and the like - not a medicine. Otherwise, סם refers to cocaine/hero.