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Viagra (sildenafil) is a prescription drug that s used to treat erectile dysfunction (ED). The drug comes as an oral tablet. It s usually taken as needed about 1 hour before sexual activity. Sildenafil (Viagra) is taken by mouth to treat erectile dysfunction (ED).You take it only as needed, typically about an hour before sexual activity (but you can take it anywhere between 30 minutes to 4 hours before sex). Damit der in Viagra enthaltene Wirkstoff Sildenafil seine Wirkung entfalten kann, muss man sexuell erregt sein. Ist die sexuelle Erregung vorhanden und Viagra wirkt trotzdem nicht