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Viagra is a tablet treatment for ED you take around an hour before sex. Its active ingredient, sildenafil, works by helping blood flow more easily to your penis. You need to be aroused for Viagra to work, but the effects of the pill can last for up to four hours. Find out why drugs you buy on the internet for erectile dysfunction (ED) may have fake ingredients that are harmful or the wrong dosages of real medicine. Generic Viagra is the same as the brand-name version, as both contain sildenafil and require a prescription. Learn about where to buy it and more. IMPORTANT SAFETY INFORMATION Do not take VIAGRA if you: take any medicines called nitrates, often prescribed for chest pain, or guanylate cyclase stimulators like Adempas ® (riociguat) for pulmonary hypertension. 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