What side effects can this medication cause? Viagra had no effect on saquinavir pharmacokinetics. Other warning signs of an unsafe online pharmacy include outdated medication, no customer service, or suspiciously low prices. Such patients must not apply any out-of-pocket expenses incurred using this Savings Offer toward any government insurance benefit out-of-pocket spending calculations, such as Medicare Part D true out-of-pocket TrOOP costs You are responsible for reporting use of this Savings Offer to any private insurer, health plan, or other third party who pays for or reimburses any part of the prescription filled using this Savings Offer, as may be required. This medicine usually begins to work for erectile dysfunction within 30 minutes after taking it. · The effects may be increased because of slower removal of the medicine from the body. Leukemia (blood related cancer) or. Multiple myeloma (blood related cancer) or. Sickle-cell anemia (blood disorder)—Sildenafil should be used with caution in these patients as problems with prolonged erection of the penis may occur. Generic Viagra (sildenafil) is an alternative to the branded Viagra drug that can be used for treating erectile dysfunction (ED). It’s now sold by many manufacturers, including online pharmacies. VIAGRA is supplied as blue, film-coated, rounded-diamond-shaped tablets containing sildenafil citrate equivalent to 25 mg, 50 mg, or mg of sildenafil. Tablets are debossed with PFIZER on one side and VGR25, VGR50 or VGR on the other to indicate the dosage strengths. Close.