Viagra (sildenafil) is a drug used to treat erectile dysfunction and pulmonary arterial hypertension. Viagra is the best selling ED medication in the world.
Viagra affects the response to sexual stimulation. It acts by enhancing smooth muscle relaxation using nitric oxide, a chemical that is normally released in response to sexual stimulation. This smooth muscle relaxation allows increased blood flow into certain areas of the penis, which leads to an erection.
Considerations:
- Viagra is not a daily medication. Viagra does not cause an erection without sexual stimulation. Patients who are taking nitrate for chest pain cannot take Viagra.
- Viagra is to be taken 30 minutes to 1 hour before sexual activity. You may take it up to 4 hours before sexual activity. Take viagra by mouth with a glass of water.
- Do not take Viagra with similar medications such as Cialis (tadalafil) or Levitra (vardenafil).

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