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Sildenafil at recommended doses has no effect in the absence of sexual stimulation. In fixed-dose studies, the incidence of some adverse reactions increased with dose. The type of adverse reactions in flexible-dose studies, which reflect the recommended dosage regimen, was similar to that for fixed-dose studies. At doses above the recommended dose range, adverse reactions were similar to those detailed in Table 1 below but generally were reported more frequently.

If you take it sooner, the amount of sildenafil circulating in your bloodstream may not be enough to make an impact. On the other hand, taking Viagra more than two hours before sex may reduce its effectiveness. Although&nbsp