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Viagra (sildenafil citrate) is a popular ED treatment medication. ED stands for erectile dysfunction and is used to describe a condition when the patient is unable to get a firm erection. You must not start taking this medicine if you are allergic to any of its active or inactive ingredients (your pharmacist can provide the full list of ingredients), if you are taking medicines for the treatment of chest pain (nitrates), or your doctor recommended you to refrain from sexual activity not to put strain on your heart. Older patients may be more sensitive to the effects of Viagra and may require the lowest dosage – 25mg. Your doctor will assess your health condition and take into consideration this and other factors that can influence your dosage. If you become dizzy or nauseated while having sex, or you experience tingling, numbness or pain in your jaw, neck, chest or rams call your doctor as soon as possible as you may be having a serious side effect of taking Viagra.