• Try resting in a dark, quiet room, stay hydrated, and consider taking over-the-counter pain relief if needed.
  • Headaches are a common side effect because Sildenafil, the active ingredient in Viagra, relaxes blood vessels, which can temporarily increase blood flow to the head.
  • Headaches are usually temporary and resolve after a few hours.

If you experience very severe headaches, vision changes, or chest pain after taking Viagra, get medical attention immediately.

Headaches are one of the most common side effects experienced by men taking Viagra (Sildenafil).

Understanding why this happens, and how to reduce the risk, can help you continue treatment comfortably and safely.

Why does Viagra give me a headache?

Viagra headaches are caused by the way the medication works. The active ingredient, Sildenafil, helps men with erectile dysfunction by widening blood vessels to improve blood flow.

However, this effect is not limited to the penis, it also affects blood vessels in the head, which can change pressure and trigger pain or a throbbing sensation.

Some people are more sensitive to Viagra-related headaches due to factors such as blood pressure, hydration levels, or interactions with other medicines.

These headaches usually occur a few hours after taking Viagra, when the medication’s effects are at their peak.

How to prevent a “Viagra headache”

Headaches from Viagra are usually mild and short-lived, but they can still be uncomfortable.  

Here are a few simple ways to help ease the pain once a Sildenafil headache has set in and manage the symptoms if they occur:  

Tip How It Helps
Use over the counter pain relief It is safe for most men to take paracetamol or ibuprofen if needed, as these don’t interact with Viagra. Always check with a medical professional and follow the recommended dose.
Use a lower dose The higher the dose of ED medication, the greater the chance of getting a headache. Many men find that 25mg or 50mg of Viagra works just as well.
Have a light meal beforehand Most ED medications work best on an empty stomach, but this can sometimes increase the risk of headaches. Taking them after a light meal may help reduce headache intensity. With Viagra, avoid high-fat foods, as these can slow absorption and delay the effect.
Stay hydrated Dehydration is a common cause of headaches and can sometimes happen after taking your medication. Drink plenty of water to avoid headaches.
Consider switching ED medications Although Viagra alternatives belong to the same class of drugs, your body may react differently to them. Tadalafil lasts the longest, which can sometimes make headaches more frequent or intense. However, the lower-dose daily version may reduce side effects and is often better tolerated.

Further reading: Sildenafil vs Tadalafil.

Use a hot or cold compress Applying a warm or cold compress to the painful area can help calm discomfort and may shorten how long the headache lasts.
Keep the lights low Dimming the lights or lowering screen brightness can make you more comfortable and help you rest while the headache passes.
Have a caffeinated drink (in moderation) A small amount of caffeine, such as in tea or coffee, can help ease headache pain. Since caffeine can cause dehydration, drink some water afterwards to stay hydrated.
Avoid alcohol Sildenafil and alcohol do not mix well. Alcohol intensifies side effects of Sildenafil such as headaches and dizziness.

 

How long does a Viagra headache last?

Mild Viagra headaches usually fade within one to three hours and are rarely serious. In some cases, the headache may linger while the medication is still in your system, even after its effects on erections have worn off.

Once most of the Viagra has left your body, the headache typically resolves. It is uncommon to experience a Viagra-related headache the next day.

Many men find that their bodies adjust over time; as they continue using Viagra, headaches often become less frequent and less intense.

Is it safe to take paracetamol?

Yes, it is generally safe to take paracetamol if you develop a headache after using Viagra (Sildenafil).

There are no known interactions between the two medicines, so you can take the usual recommended dose to help relieve discomfort.

If you find that headaches occur frequently after taking Viagra, speak to your pharmacist or doctor. They can review your dosage of Sildenafil, or advise on timing adjustments to help reduce side effects, rather than relying on pain relief each time you use the medication.

The Bottom Line

Most Viagra headaches are not a cause for concern and often become less frequent as your body adjusts to the medication, usually within the first week of use.

Like other erectile dysfunction treatments, Viagra can trigger headaches, particularly at higher doses, when dehydrated, after drinking alcohol, or in people prone to migraines or cluster headaches.

To reduce your risk, use the lowest effective dose, stay hydrated, avoid alcohol around the time of use, and never combine Viagra with nitrate medications.

You should contact a healthcare professional immediately if:

  • Headaches are severe or persistent
  • The headache is accompanied by symptoms such as sudden speech, movement, or balance changes, or feels like “the worst headache of your life”
  • You experience a prolonged or painful erection lasting more than 4 hours
  • You notice sudden changes in vision or hearing

  1. NHS, About sildenafil (Viagra), NHS website, reviewed 2 March 2022. (Accessed: 13 November 2025). From: https://www.nhs.uk/medicines/sildenafil-viagra/about-sildenafil-viagra/

Whilst all of our content is written and reviewed by healthcare professionals, it is not intended to be substituted for or used as medical advice. If you have any questions or concerns about your health, please speak to your doctor.

Share