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Which dose to start with If you haven't tried Viagra before then you'd normally start on 50mg of Viagra. This is a good dose for most men to see the effect they want while still having a low chance of Viagra side effects. In some cases, depending on your health or other medications, a doctor might only recommend 25mg, even to start with. This is because higher doses might not be as safe for you. How to switch doses If you've tried Viagra 50mg before and it didn't work then you might be able to increase your dose to 100mg, as long as you didn't get any side effects. 100mg of Viagra could work for you where 50mg didn't, but it also has a higher chance of giving you side effects. If you tried Viagra 50mg and you got side effects, but you're happy with the improvements to your erections, then you could move down to 25mg. If you've tried 100mg and it still doesn't work then you might need to look at alternative treatments If you've tried 25mg and you're still getting side effects you can't put up with, then you also might need to look at alternative treatments

Which dosage works the fastest On average across all three doses, Viagra takes 30 minutes to 1 hour to start working. Higher doses take slightly longer to reach their maximum strength inside your body, but this difference is fairly small. If you want a treatment that works noticeably faster than Viagra, you could try Spedra. Spedra gets to work as fast as 15mins after you take it. You could also try Cialis Daily which you take once a day instead of before sex. Since you take it every day it's always working so there's no time to wait before having sex.


Penile erection is caused by the engorgement of the penis with blood. Under normal conditions, sexual stimulation leads to the production and release of nitric oxide in the penis. Nitric oxide then activates the enzyme, guanylate cyclase, which causes the production of cyclic guanosine monophosphate (cGMP). It is the cGMP that is primarily responsible for the erection by affecting the amount of blood that the blood vessels deliver and remove from the penis. Cialis and Viagra inhibit an enzyme called phosphodiesterase-5 (PDE5) which destroys the cGMP. Thus, Cialis and Viagra prevent the destruction of cGMP and allows cGMP to accumulate and persist longer. The longer cGMP persists, the more prolonged the engorgement of the penis.