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Being natural in their production, these pills take time to show results but once benefited the effects are long lasting. Initiation of sildenafil at a dose of 25 mg should be considered see section 42. Although sildenafil doesn t cure erectile dysfunction, it does make it easier to get and maintain an erection. In patients in whom the half life of sildenafil may be prolonged , a more extended period of time from sildenafil administration to nitrate administration may be required.