Medical history is important. Ask your pharmacist or doctor for a copy of the manufacturer’s information for the patient. Do not take more or less of it or take it more often than prescribed by your doctor. As in the other titration studies, patients were started on 50 mg and allowed to adjust the dose up to mg or down to 25 mg of VIAGRA; all patients, however, were receiving 50 mg or mg at the end of the study. Pharmacokinetic data from patients in clinical trials showed no effect on sildenafil pharmacokinetics of CYP2C9 inhibitors such as tolbutamide, warfarin , CYP2D6 inhibitors such as selective serotonin reuptake inhibitors, tricyclic antidepressants , thiazide and related diuretics, ACE inhibitors, and calcium channel blockers.The average length of time Viagra lasts. On average, Viagra lasts between 2 and 3 hours before its effects start to diminish. Viagra can last up to 5 hours or longer depending on your dosage, your. Headache, flushing, and upset stomach are common Viagra side effects. These effects are usually mild and often resolve on their own. While rare, Viagra can cause an erection that lasts longer than 4 hours (priapism). This can result in permanent damage if left untreated. Vision changes are also possible. Sildenafil (Viagra, Revatio) is a moderately priced drug used to treat erection problems in is also used to treat pulmonary arterial hypertension, a serious heart and lung drug is more popular than comparable drugs. It is available in generic and brand versions. Generic sildenafil is covered by most Medicare and insurance plans, but .