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Avoid excessive amounts of alcohol when using this medicine in the elderly. It may not be appropriate. Caution is advised when using this medicine in the elderly because they may be more sensitive to the side effects of Viagra. Viagra has been a proved veteran in the treatment of erectile dysfunction and are finding new and better treatments. Testosterone levels in men. Some side effects to this medication and some persons for whom it may not be appropriate. Prostate cancer is the reason that men should have a prostate examination every year beginning at the age of fifty years old.