One of the messengers released when you’re aroused is called cyclic GMP. Very common side effects affect more than 1 in 10 people Headache Common side effects affect between 1 in 10 and 1 in people Dizziness Visual disturbances, such as blurred vision, blue tinge to vision Flushing. People taking the medicine riociguat, or any form of nitrate medication, eg glyceryl trinitrate or amyl nitrite “poppers”. Once you have taken sildenafil, it starts to work within 30 to 60 minutes and will remain active for up to four hours. How does Viagra work? What you need to know about Viagra Everything you should know about this erectile dysfunction treatment. And Viagra is no exception. · Viagra Connect is a medicine that treats ED symptoms such as getting an erection, the hardness of an erection, and maintaining an erection in men aged 18 years and older. The treatment is not suitable: For women. For men who do not have ED symptoms. When other health problems might cause issues. Viagra dosage. Most men start by taking one Viagra 50 mg tablet. (This is the strength of over-the-counter Viagra Connect tablets.) Some men will need to start with a lower dose of 25mg prescribed. Viagra Connect is indicated in adult men with erectile dysfunction, which is the inability to achieve or maintain a penile erection sufficient for satisfactory sexual performance. In order for Viagra Connect to be effective, sexual stimulation is required.