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Viagra (sildenafil) is a prescription medicine intended for the treatment of erectile dysfunction. Follow the directions of your health care provider when taking Viagra. Make sure you take this medicine exactly as recommended – usually it’s 30-60 minutes before having sex. After that you can count on up to 5 hours of efficiency. Make sure you observe the dosage prescribed by your health care provider. You may be started on a lower dose of this medicine to see if it will work for you, and if you did not experience the effects desired, the dosage may then be adjusted. Taking any medicines besides Viagra must be reported to your doctor before you ask him for a prescription. It’s a good idea to make a list of drugs you are taking at the moment – this way your doctor will know which dosage it will be better to start you on. The following medicines must be reported if you are currently using them to treat any other conditions you have been diagnosed with: rifabutin, phenobarbital, phenytoin, tamsulosin, erythromycin, efavirenz, amlodipine, bosentan, cimetidine, nevirapine, alpha blockers (doxazosin, prazosin, rifampin, alfuzosin) or carbamazepine, HIV protease inhibitors, barbiturates, beta blockers, high blood pressure medications, anticoagulants, medicines for seizures, antifungals or any other erectile dysfunction treatment drugs. In case of having a surgery, even a minor one, you should tell your surgeon that you are taking Viagra as this may affect the combination of drugs that will be used during the operation.