The use of Viagra and organic nitrates in any form, at any time, is contraindicated. However, for certain patients, the drug can be used to successfully treat impotence.

For best results, Viagra offers patients convenient dosing. 50mg is the recommended initial starting dose; however, patients can be safely titrated up to 100 mg for increased success or decreased to 25 mg due to tolerability. Patients should not exceed 1 dose per day with a maximum dose of 100 mg.

Viagra works in as fast as 30 minutes, and remains active for up to 4 hours, allowing patients time for spontaneity and intimacy. The drug works with the body's response system, so patients should know that they will only see the effect if they are sexually stimulated. High-fat meals consumed before dose administration may slow down the effects of Viagra, and it is recommended that patients keep their physicians informed about their results. Best results may occur after the second or third attempt and some patients may have positive results with an increased dosage of 100mg.


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