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Viagra is remarkably well tolerated and free from significant side effects in the vast majority of men who take it. Viagra increases blood flow which can have adverse effects on other parts of the body, although these are usually mild. Most men who experience side effects carry on treatment regardless. One study found that up to 77% of sildenafil sold online may be counterfeit.

If you have diabetes or heart conditions like atherosclerosis (fat buildup in blood vessels), do expect Viagra to be less effective and last for a shorter duration. If possible, limit alcohol consumption or smoking before taking Viagra as they decrease blood flow to the penis, thereby reducing the Viagra’s overall effectiveness. Certain medications (such as those including nitrates or alpha-blockers) can interact with Viagra, affecting how long the Viagra lasts in your system. In such cases, you might require different dosages of Viagra for better results. However, the duration of Viagra’s effects depend on various external factors such as your body’s metabolism rate. For most men, Viagra lasts between 2 to 3 hours before its effects start decreasing.

If you have to take it close to eating, make sure you avoid high-fat meals. Never take more than one tablet at a time or take more than one in a 24-hour period. Bear in mind that Sildenafil, and all other ED tablets, will only work if you become sexually aroused