Generic Viagra (sildenafil) is an alternative to the branded Viagra drug that can be used for treating erectile dysfunction (ED). It’s now sold by many manufacturers, including online.If you have certain health conditions or are taking certain medications, your doctor may tell you to take sildenafil less often. The information provided is for educational purposes only and is not intended to replace discussions with a healthcare provider. Make sure you tell your doctor if you have any other medical problems, especially: Abnormal penis, including a curved penis or birth defects of the penis—Chance of problems occurring may be increased and this medicine should be used with caution in these patients. It continues to work for up to 4 hours, although its action is usually less after 2 hours. Slowly pull back the plunger until the required dose.On this page Highlights for sildenafil Sildenafil oral tablet is available as a brand-name drug and as a generic drug. Brand names: Viagra, Revatio. Sildenafil comes in three forms: an oral. Viagra Dosage and Use Tips for First-Timers. Viagra dosage for erectile dysfunction (ED) is usually milligrams (mg), but those over 65 may start at 25 mg. Your doctor will also need to. Sildenafil (Viagra) is a phosphodiesterase-5 (PDE-5) inhibitor. PDE-5 is a protein in your body that breaks down the molecules that normally cause an erection. When it blocks PDE-5, sildenafil (Viagra) helps an erection occur by allowing certain muscles in the penis to relax and the penis to fill with blood.To provide you with the most relevant and helpful information, and understand which information is beneficial, we may combine your email and site usage information with other information we have about you. If we combine this information with your protected health information, we will treat all of that information as protected health information and will only use or disclose that information as set forth in our notice of privacy practices. Ask your healthcare professional how you should dispose of any medicine you do not use. John’s wort. Remove the cap by pushing it down and twisting it counter-clockwise.