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Usually, men begin the treatment with a 50mg tablet. Erectile problems in young men are usually due to psychological factors, rather than a physical cause. Therefore younger men may wish to try the 25mg dosage first, as it is likely to be sufficient to boost their confidence and help them enjoy sex. More senior men may also need to use a lower dosage, as they may not tolerate the side effects of a higher dose.

This may lead to decreased vision or permanent loss of vision in some cases. If you notice a sudden decrease in vision or loss of vision in one or both eyes, contact your doctor right away. Sudden decreases in hearing and loss of hearing have been reported in some patients who have taken Viagra. Sometimes they also noticed ringing in the ears or dizziness.]