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Viagra, once primarily associated with older men or those experiencing late-onset erectile dysfunction, is increasingly being used by a younger demographic, often for reasons unrelated to medical necessity. The growing trend has raised concerns among healthcare professionals about potential risks and side effects. Dr Ganji Bhaskar, a leading general physician from Wanaparthy, explained the realities behind the popular erectile dysfunction drug to Local18. “Viagra contains Sildenafil Citrate, a type of phosphodiesterase type 5 (PDE5) inhibitor. It works by increasing blood flow to the penis during sexual arousal, making it easier to achieve and maintain an erection,” he said. From Medical Aid to Recreational Use According to Dr Bhaskar, many individuals are now using Viagra not because they have erectile dysfunction, but to enhance sexual performance, reduce anxiety about premature ejaculation, or simply out of curiosity. “The drug is effective for those with genuine erectile issues. But its recreational use is concerning because it can cause complications when taken unnecessarily,” he added. Safety Concerns and Side Effects Medical experts caution that PDE5 inhibitors like Viagra can interact dangerously with other medications. People already taking drugs for blood pressure, including nitroglycerin or isosorbide, may face serious health risks if they combine them with Viagra. Side effects, though generally mild, can include headaches, facial flushing, muscle pain, nasal congestion, and temporary vision changes. In rare cases, an erection may last longer than four hours, a condition known as priapism, which requires immediate medical attention. Dr Bhaskar emphasised the importance of consulting a doctor before taking such medications. “Self-prescribing Viagra without proper evaluation can be harmful. Decisions about sexual health drugs should always be guided by a medical professional,” he said. As recreational use rises, physicians warn that awareness of potential side effects and proper medical guidance remain crucial to prevent avoidable complications.