If you will be taking this medicine for pulmonary arterial hypertension, your doctor will want to check your progress at regular visits. Children—Use is not recommended. During 3 to 6 months of double-blind treatment or longer-term 1 year , open-label studies, few patients withdrew from active treatment for any reason, including lack of effectiveness. Efficacy Results from Controlled Clinical Studies The effect on one of the major end points, maintenance of erections after penetration, is shown in Figure 6, for the pooled results of 5 fixed-dose, dose-response studies of greater than one month duration, showing response according to baseline function. Medicines that you take by mouth are called oral medicines.Sildenafil citrate is a white to off-white crystalline powder with a solubility of mg/mL in water and a molecular weight of VIAGRA is formulated as blue, film-coated rounded-diamond-shaped tablets equivalent to 25 mg, 50 mg and mg of sildenafil for oral administration. Sildenafil tablets for erectile dysfunction come in different strengths ranging from 25mg to mg. The usual dose is 50mg, when you need it. Do not take it more than once a day. The dose can be increased to mg or decreased to 25mg depending on its effect. Take sildenafil up to 4 hours before you want to have sex. Cialis lasts up to 36 hours in the body, while Viagra lasts 4–6 hours in the body. Both are taken 30 minutes before sex. Cialis can cause limb pain, while Viagra can cause vision change, rash.