How effective is Sildenafil for erectile dysfunction and what are its common side effects?

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Sildenafil is a prostaglandin inhibitor. Its primary function is constriction of the venous outflow in the penis and maintains the erection. It has few side effects and should be used consciously with angina (cardiac pain due to vascular spasm) and patients who take nitrates for angina. It is not advisable for people with an ejection fraction of less than 30 percent on an echocardiogram. The common side effects are flushing, headache, and dizziness. On the other hand, it benefits people with difficulty passing urine and organic erectile dysfunction. It should be taken on an empty stomach or at least 30 minutes before sex. Erection is not automatic after taking the tablet; sexual stimulation is required.

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