Viagra (sildenafil citrate) could be made use of to address male impotence, impotence being a much more exact term for the condition. Viagra should be taken 40-60 minutes before planned sex and is expected to offer up to 5 hours of effectiveness. The outcome will be much better if you attempt having sex right when Viagra came to be effective (after 45-60 minutes). Never incorporate Viagra with isosorbide mononitrate, nitrates and isosorbide dinitrate, as this might cause an abrupt drop in blood tension, If you are not sure whether the drugs you are taking are or are not from those teams, consult your physician or your pharmacologist. Any sort of health care conditions you have actually or utilized to have actually are expected to be mentioned to your healthcare supplier prior to you start using Viagra, particularly any of the following ones: leukemia, liver disease, hemophilia, heart attack, coronary canal condition, multiple myeloma, tummy lesion, very high or low blood pressure, heart rhythm troubles, disorder of examination, sickle cell anemia, renal disease, a recent record of a heart strike or stroke, and physical deformity of the penis.