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They can also sometimes contain more active ingredients than they say they do, or other chemicals or trace amounts of medications that haven t been properly tested to make sure it s safe. At the recommended dose, sildenafil does not produce an erection directly. Use only the brand of this medicine that your doctor prescribed. The available data support the recommendation that adults should do 30 minutes of moderate intensity aerobic activity most days of the week110. A review of the patient s medications might reveal some drugs that are well known to have erectile dysfunction as an adverse effect.