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Adults 65 years of age and older 25 mg as a single dose no more than once a day, 1 hour before sexual intercourse. Alternatively, the medicine may be taken 30 minutes to 4 hours before sexual intercourse. Your doctor may adjust your dose if needed. Children Use is not recommended. For treatment of pulmonary arterial hypertension: Sildenafil citrate is a white to off-white crystalline powder with a solubility of 3.5 mg/mL in water and a molecular weight of 666.7. VIAGRA is formulated as blue, film-coated rounded-diamond-shaped tablets equivalent to 25 mg, 50 mg, and 100 mg of sildenafil for oral administration. fildena 25 vs viagra VIAGRA is available by prescription only in 25 mg, 50 mg, and 100 mg tablets. Patients should always ask their doctors for medical advice about adverse events. You are encouraged to report adverse events related to Viatris products by calling (U.S. only). Viagra (sildenafil) is a prescription medication used to treat erectile dysfunction. Headache, flushing, and upset stomach are common Viagra side effects. These effects are usually mild and often resolve on their own. While rare, Viagra can cause an erection that lasts longer than 4 hours (priapism). 4.1 Nitrates. Consistent with its known effects on the nitric oxide/cGMP pathway [see Clinical Pharmacology (12.1, 12.2)], VIAGRA was shown to potentiate the hypotensive effects of nitrates, and its administration to patients who are using nitric oxide donors such as organic nitrates or organic nitrites in any form either regularly and/or intermittently is therefore contraindicated.