If you ever need emergency medical treatment for a heart problem, the healthcare providers who treat you will need to know when you last took sildenafil. It works for up to 36 hours. It is important to tell your doctor about any heart problems you have now or may have had in the past. Before taking sildenafil, tell your doctor and pharmacist if you are allergic to sildenafil, any other medications, or any of the ingredients in sildenafil tablet or suspension. Angina severe chest pain , unstable or Arrhythmia irregular heartbeat, within the last 6 months or Blood vessel problems eg, aortic stenosis, idiopathic subaortic stenosis or Heart attack within the last 6 months or Heart failure or Hypertension high blood pressure or Hypotension low blood pressure or Retinal disorders eye problem or Retinitis pigmentosa an inherited eye disorder or Stroke within the last 6 months —Should not be used in patients with these conditions. Ask your healthcare professional how you should dispose of any medicine you do not use.Sildenafil (Viagra) is used to treat erectile dysfunction (impotence; inability to get or keep an erection) in men. Sildenafil (Liqrev, Revatio) is used to improve the ability to exercise in adults (Liqrev, Revatio) and children 1 year of age and older (Revatio) with pulmonary arterial hypertension (PAH; high blood pressure in the vessels carrying blood to the . This means that 4 hours after you take a dose, your body has cleared half of the dose. In most cases, it takes about 5 half-lives for your body to completely remove a drug from your system. So. · The effects may be increased because of slower removal of the medicine from the body. Leukemia (blood related cancer) or. Multiple myeloma (blood related cancer) or. Sickle-cell anemia (blood disorder)—Sildenafil should be used with caution in these patients as problems with prolonged erection of the penis may occur.