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ED caused by physical injury or an underlying condition, may improve with focused treatment, or lifestyle changes such as weight loss and exercise. The effects of Sildenafil 100mg do not last longer than the 50mg dosage, but they tend to be stronger. This means that side effects can be more pronounced as well. You should never alter the dosage of your Sildenafil without talking to your doctor. If Viagra isn't working as it should—and you've followed all of your provider’s recommendations—they may prescribe a higher dose or switch you to a different medication. No, you should not take Viagra with other oral or topical medications.

Sildenafil 50mg is the standard dose for most men with erectile dysfunction (ED). It is effective and well tolerated for most men and has a lower risk of side effects than sildenafil 100mg. For physical causes or underlying health conditions, specific medical treatment or lifestyle changes like quitting smoking, reducing alcohol intake, and exercising regularly might be more effective.

On average across all three doses, Viagra takes 30 minutes to 1 hour to start working. Higher doses take slightly longer to reach their maximum strength inside your body, but this difference is fairly small. However, the dose can be increased to 100mg or lowered to 25mg based on how it works for you. Take Sildenafil about 4 hours before having sex for best results. If after eight attempts Sildenafil 50mg still doesn't provide the desired results, consult your doctor about adjusting the dosage or exploring alternative medications like Tadalafil (Cialis). Always consult your doctor before making any changes to your treatment.

When your brain sends pyschosexual signals down your spinal cord, this encourages an erection. The penis retains the increased blood within it and stays temporarily stiff. Sildenafil acts on the enzymes responsible for muscle contraction within the blood vessels