A headache, stomach upsets, and flushing are the main side effects, and it should not be taken within 24 hours of a nitrate. 5. Tips. If you are taking sildenafil (Viagra) for ED, do .Talk to your doctor or consult a mental health provider to address these issues. This sudden influx of blood causes an erection by expanding, straightening and stiffening the penis. Do you drink alcohol? Who gets it? Request an appointment There is a problem with information submitted for this request. Your partner might see your inability to have an erection as a sign of diminished sexual interest. Don’t ignore stress, anxiety or other mental health concerns.Viagra is a brand-name prescription drug that’s approved to treat erectile dysfunction (ED). With ED, you’re unable to have or maintain an erection. Viagra is approved for this use . A headache, stomach upsets, and flushing are the main side effects, and it should not be taken within 24 hours of a nitrate. 5. Tips. If you are taking sildenafil (Viagra) for ED, do . Sildenafil (Viagra). This medicine works best when you take it on an empty stomach an hour before sex. The body takes longer to absorb it after a high-fat meal or alcohol. Its effects .Sexual stimulation releases this chemical and these medications enhance its effect, allowing for an erection. Taking medications does not automatically produce an erection. In addition to your prepared questions, don’t hesitate to ask additional questions during your appointment. Often, these are prescribed for chest pain called angina. Communicate openly and honestly about your condition. We wish you well. Do you use any illegal drugs?