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Many events were reported to occur during or shortly after sexual intercourse and a few were reported to occur shortly after the use of VIAGRA without sexual activity. It is not possible to determine whether these events are related directly to these factors or to other factors. Your doctor may prescribe a different dosage of Viagra for you depending on several factors. These factors may include having liver or kidney problems, taking certain other medications, and being 65 years or older. If any of these factors apply to you, your starting dose might be 25 mg, which is lower than the typical recommended dose.
VIAGRA is supplied as blue, film-coated, rounded-diamond-shaped tablets containing sildenafil citrate equivalent to 25 mg, 50 mg, or 100 mg of sildenafil. Tablets are debossed with PFIZER on one side and VGR25, VGR50 or VGR100 on the other to indicate the dosage strengths. Based on effectiveness and toleration, the dose may be increased to a maximum recommended dose of 100 mg or decreased to 25 mg. Sildenafil is a phosphodiesterase type 5 (PDE-5) inhibitor. It blocks the action of the enzyme PDE-5, which destroys cyclic guanosine monophosphate (cGMP). An increase in cGMP levels leads to relaxation of the smooth muscles in the penis and increased blood flow, which contributes to an erection.
It’s recommended you take Viagra 1 hour before you want to have sex. So, it is recommended you take it around 1 hour before you want to have sex. Viagra takes approximately 30 to 60 minutes to work, so you should take it about 1 hour before you plan to have sex. Taking Viagra more than 4 to 6 hours before you want to have sex may mean your Viagra will have no effect and you will need to wait until the next day to try again. Viagra is likely to be less effective if you take it with alcohol. Alcohol makes it more difficult to get an erection even if you don’t have erectile dysfunction.
Remember, higher-strength tablets won't work faster or last longer. They are more likely to help when lower strengths haven't been effective. But remember, the exact duration can vary based on factors such as whether you take it before or after a meal, your metabolism, weight, and dosage. 100mg is the higher dose of sildenafil that may be more effective for men who do not respond to 50mg.
It has an advantage over sildenafil as it works in as little as 30 minutes, and has a longer duration of 
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