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For most patients, the recommended dose is 50 mg taken, as needed, approximately 1 hour before sexual activity. However, VIAGRA may be taken anywhere from 30 minutes to 4 hours before sexual activity.

The maximum recommended dosing frequency is once per day.

Based on effectiveness and toleration, the dose may be increased to a maximum recommended dose of 100 mg or decreased to 25 mg

Viagra gets the blood flowing, but your brain has to be in the mood as well. "The biggest misperception is that it changes your psychology and makes you want sex," says the editor, which claims to document the experiences of real people who take Viagra. "But if you're sitting talking to Grandma and you pop a Viagra, unless you have issues, nothing's going to happen."

Viagra takes about 30 minutes to kick in. Men who don't normally have problems, or who have only mild dysfunction, say it takes only a minor stimulus -- such as the brush of a hand that wouldn't cause arousal under normal circumstances -- to trigger an erection.

For men who have serious erectile dysfunction, getting things going may still require extra effort, partly because of nervousness or embarrassment about unsuccessful past attempts at intercourse.

Because Viagra doesn't increase desire, it's not prescribed for men with desire disorders, such as a low sex drive. However, if the man has lost interest in sex because he has had problems with erections in the past, Viagra may help

The effects of Viagra will vary from person to person. As a general rule, Viagra is thought to start working in most people from around 30 minutes after taking the drug.

It is important to understand that taking Viagra tablets alone will not cause an erection. Viagra must be taken in combination with some form of sexual stimulation (visual, tactile or otherwise) in order for an erection to occur.