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Understanding how to take Viagra properly and recognise potential side effects is essential for safe, effective treatment. This comprehensive guide covers proper dosage, timing, and what to expect when using Viagra (sildenafil) for erectile dysfunction. EverydayMeds offers both branded Viagra and generic sildenafil options, allowing patients to choose the most suitable treatment during their consultation.
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When PDE5 is suppressed, blood is able to flow more freely through the body—including to the (you guessed it) penis.

More blood flow to the penis means harder, more satisfying erections once you're sexually stimulated.
The recommended starting dose for Viagra is 50mg, taken approximately one hour before sexual activity. Your prescriber may adjust this to 25mg if you experience side effects, or increase to 100mg if the lower dose proves insufficient. Never exceed one tablet in 24 hours, regardless of strength.
Viagra should be taken 30-60 minutes before anticipated sexual activity. Taking it on an empty stomach may improve effectiveness, as fatty meals can delay absorption and reduce the medication's impact. The effects typically last 4-6 hours, though this doesn't mean you'll maintain an erection for this duration.
Most men tolerate Viagra well, but some may experience mild side effects. The most frequently reported include headaches (affecting up to 16% of users), facial flushing, nasal congestion, and indigestion. These effects are usually temporary and resolve within a few hours as the medication clears your system.
Whilst rare, some side effects require immediate medical intervention. Priapism (erection lasting over 4 hours) affects fewer than 1 in 1,000 men but requires emergency treatment to prevent permanent damage. Sudden vision or hearing loss, though extremely uncommon, warrants immediate medical consultation.
If you experience headaches, staying hydrated and taking paracetamol may help. For nasal congestion, avoid decongestant medications and allow symptoms to resolve naturally. Should side effects persist or worsen, consult your prescriber about adjusting your dose or exploring alternative treatments.
Never combine Viagra with nitrate medications (such as GTN spray) as this can cause dangerous blood pressure drops. Inform your prescriber about all medications, particularly alpha-blockers, blood pressure medications, and HIV treatments. Excessive alcohol consumption may increase side effect risk and reduce effectiveness.
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