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See risks and benefits of VIAGRA® (sildenafil citrate). Talk to your doctor about VIAGRA® and the right dose to help treat erectile dysfunction (ED). Sildenafil is used to treat erectile dysfunction and pulmonary arterial hypertension. Includes sildenafil side effects, interactions and dentalcommunity.it names: Viagra, Revatio. INTRODUCTION: Sildenafil citrate 50 mg is the recommended starting dose for men with erectile dysfunction (ED); however, most men are later titrated to sildenafil mg for improved efficacy. AIM: Assess the tolerability and efficacy of sildenafil initiated at the mg dose in men with ED.