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Viagra (sildenafil) is an oral medication that treats erectile dysfunction (ED). It works by causing more blood flow to the penis. This helps you to achieve and maintain an erection. You can take Viagra 30 minutes to 4 hours before sexual activity. But it shouldn t be taken more than once daily. For most men, Viagra begins to work within an hour. If you re prescribed Viagra or generic Viagra, it s natural to have some questions. For instance, you may be curious if the brand and generic versions work the same way. Or what side effects you should be aware of. Knowing some basics about Viagra can help you get the most out of your prescription. 1. There are multiple generic Viagra is viagra safe to use Viagra is a drug that helps treat erectile dysfunction. It improves blood flow to the penis, and its effects can last for up to 4 hours, although the effect will likely be stronger after 2 hours. Key facts. Sildenafil (Viagra) is a medicine used to treat erectile dysfunction (ED, also called impotence). Sildenafil works by helping to relax the blood vessels in the penis, allowing more blood to flow in and cause an erection. If you take an alpha blocker and you need Viagra, your doctor may need to lower the dose of the alpha blocker or lower the dose of Viagra; Another type of drug that lowers blood pressure is a nitrate drug. Nitrate drugs are used in people with heart disease to relieve chest pain called angina. You should not use Viagra if you use a nitrate drug.