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Sildenafil, sold under the brand name Viagra, among others, is a medication used to treat erectile dysfunction and pulmonary arterial hypertension. It is also sometimes used off-label for the treatment of certain symptoms in secondary Raynaud’s phenomenon. It is unclear if it is effective for treating sexual dysfunction in females. Viagra dosage for erectile dysfunction (ED) is usually milligrams (mg), but those over 65 may start at 25 mg. Your doctor will also need to consider possible drug interactions.