When you make the appointment, be sure to ask if there’s anything you need to do in advance. Involve your sexual partner. Most online providers require a picture of a valid ID, a selfie showing your face, and a recent blood pressure reading taken with a home blood pressure monitor or by a medical provider. Sildenafil usually should not be taken more than once every 24 hours. Your health information should remain between your provider and yourself. Those with a history of blood pressure or heart issues, hormonal imbalances, mental health issues, and diabetes should consult their doctor before trying PDE5 inhibitors. Shake the liquid well for 10 seconds before each use to mix the medication evenly.Medically reviewed by Alex Brewer, PharmD, MBA Updated on October 12, Viagra (sildenafil) is a brand-name prescription drug that’s used to treat erectile dysfunction (ED). Learn about side. Best subscription service for Viagra and generic Viagra: Rex MD Viagra Although erectile dysfunction (ED) may be an upsetting diagnosis for some, many people find their condition is treatable. Sildenafil (Viagra). Tadalafil (Cialis). Vardenafil. These medicines are called PDE5 inhibitors. They enhance the effects of a chemical the body makes that relaxes muscles in the penis, called nitric oxide. This boosts blood flow and helps you get an erection from sexual activity.