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Maintenance: 25 to 100 mg orally once a day, as needed, 1 hour prior to sexual activity. Usual Geriatric Dose for Erectile Dysfunction: Initial dose: 25 mg orally once a day 1 hour prior to sexual activity. What other drugs will affect Viagra. Do not take Viagra with similar medications such as avanafil (Stendra), tadalafil (Cialis) or vardenafil (Levitra). Tell your doctor about all other medications you use for erectile dysfunction.

Grapefruit and grapefruit juice may interact with sildenafil and lead to unwanted side effects. Avoid the use of grapefruit products while taking Viagra.]