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Viagra Connect is an efficacious treatment for erection problems at the recommended 50 mg OTC dose. The efficacy of sildenafil has been demonstrated extensively in numerous clinical trials involving more than 23,000 men.

In fixed-dose studies, the proportions of patients reporting that treatment improved their erections were 74% (50 mg).

In some patients, 50 mg may not be efficacious, and a referral to the GP is required as the dose may need to be increased to 100 mg. Patients who have renal or hepatic impairment, concomitant medication such as CYP3A4 inhibitors or alpha-blockers or who have issues with tolerability should also be referred to their doctor as a 25 mg dose may be appropriate. The 25 mg and 100 mg doses are only available on prescription.

Some patients may not see results upon first use, so it’s important to communicate this. They may need to take Viagra Connect a number of times on different occasions (max one 50mg tablet daily). If no result is seen after several attempts ( up to max 8 times) on different dosing occasions, they should be advised to see a doctor.