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These include whether you take sildenafil on an empty stomach or after a meal, your metabolism, your weight, and the dose you take. Other factors such as your age, other medication you take, your general health and your state of mind can also affect how long the effects of sildenafil last. Some of the more common side effects linked to sildenafil include headache, facial flushing, a stuffy nose, visual changes or dizziness. If you experience mild side effects, you may feel that the benefits outweigh the cons. However, should you experience a more serious side effect, such as a prolonged erection (priapism) or vision loss, then you need to seek immediate medical attention. A risk management plan has been developed to ensure that Viagra is used as safely as possible.

Yes, age is something doctors keep in mind when deciding on the appropriate sildenafil dosage. Older people are generally prescribed Viagra at a lower dose because of their reduced kidney and liver function. As a result, drug metabolism slows down with age