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It usually takes 30 to 60 minutes for sildenafil to work for erectile dysfunction. You can take it up to 4 hours before you want to have sex. Taking sildenafil alone will not cause an erection. You need to be sexually excited for it to work. The most common side effects are headaches, feeling sick, indigestion and dizziness. Many people have no side effects or only mild ones. It can be dangerous to take sildenafil if you also take medicines called nitrates (often given for chest pain). The combination can cause a dangerous fall in your blood pressure. If you're not sure if you're taking a nitrate, ask your doctor or pharmacist. Do not drink grapefruit juice if you're taking sildenafil (Revatio) for pulmonary hypertension. It affects the way the medicine works.

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