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Sildenafil (Revatio) contains the same active ingredient as Viagra, which is used for male erectile dysfunction (ED). Do not take sildenafil (Revatio) together with Viagra or any other treatments for erectile dysfunction (PDE-5 inhibitors) as this raises your risk of serious side effects. sildenafil is used for Sildenafil is a medication used in the management and treatment of erectile dysfunction and pulmonary arterial hypertension. It is in the phosphodiesterase-5 inhibitor (PDE5-I) class of medications. This activity describes the indications, actions, adverse effects, and contraindications of sildenafil as an agent in the clinical setting. Adults 65 years of age and older25 mg as a single dose no more than once a day, 1 hour before sexual intercourse. Alternatively, the medicine may be taken 30 minutes to 4 hours before sexual intercourse. Your doctor may adjust your dose if needed. ChildrenUse is not recommended.