The tablet is usually taken <strong data-start="2161" data-end="2204">15 to 30 minutes before sexual activity, which is significantly faster than some other ED treatments. The 200mg dosage is the highest strength available and should only be used when prescribed or recommended. Taking more than one tablet within 24 hours is not advised. Spedra can be taken with water and works whether or not food is consumed, though lighter meals may help it act faster. The effects typically last several hours, offering flexibility without continuous dosing. Side effects reported are usually mild, such as nasal congestion or headache. Proper timing and responsible use play a major role in achieving optimal results.