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Viagra may be used alone or with other medications. These are not all the possible side effects of Viagra. VIAGRA sildenafil citrate, an oral therapy for erectile dysfunction, is the citrate salt of sildenafil, a selective inhibitor of cyclic guanosine monophosphate cGMP -specific phosphodiesterase type 5 PDE5. Sildenafil citrate is a white to off-white crystalline powder with a solubility of 3. For most patients, the recommended dose is 50 mg taken, as needed, approximately 1 hour before sexual activity.

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