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Viagra (sildenafil) is used for the treatment of even the most severe cases of erectile dysfunction, also known as male impotence. Viagra should be taken when needed before you are planning to have sex. Do not take another dose of Viagra within the next 24 hours. Some medical conditions that you have may prevent you from taking Viagra even that often – but you need to discuss your treatment with your health care provider anyway before taking this medicine. Report to your health care provider the fact of taking any other products recommended by a doctor or anybody else, especially St. John’s wort that, in combination with Viagra, may cause breakthrough bleeding. Make sure you keep Viagra out of the reach of children. Do not share this drug with other people suffering from the same condition, as a doctor’s examination is required before anyone can start taking this medicine.