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Sildenafil 200 black pill is one of the most popular and widely used medications to treat erectile dysfunction. To use Sildenafil 200, it is best to take the tablet with a full glass of water, approximately one hour before you plan to engage in sexual intercourse. 200mg can take up to thirty minutes to start working, so it is important to take it ahead of time so that it can start working when needed. It is also advisable to not eat anything for at least one hour before taking Sildenafil 200mg so that it can start working faster.