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Over the counter purchases require a doctor visit, physical, tests and a prescription.

Detailed information

To treat erectile dysfunction-ED, take this drug by mouth as directed by your doctor, usually as needed. Take sildenafil at least 30 minutes, but no more than 4 hours, before sexual activity (1 hour before is the most effective).

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This could happen even when you are not having sex. If this is not treated right away, it could lead to permanent sexual problems such as impotence. Contact your doctor right away if you have an erection that lasts more than 4 hours. Viagra does not stop the spread of HIV or other sexually transmitted diseases (STDs) to others through sexual contact.]