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Pfizer Viagra Sildenafil Citrate Tablet 50mg Keratin Botox From its development at DrThe usual first starting dose of Viagra is one 50mg tablet, for men who have not used it before, although men over the age of 65 years would normally start on the lowest dose tablet (25mg). Viagra works 30 to 60 minutes after it is taken and usually remains active for 4 hours. If 50mg strength of tablet is highly effective subsequent doses may be reduced down to one 25mg tablet. If a 50mg tablet is ineffective, or the duration of activity is less than