If you are taking sildenafil for erectile dysfunction, your doctor will probably start you on an average dose of sildenafil and increase or decrease your dose depending on your response to the medication.
Tell your doctor if sildenafil is not working well or if you are experiencing side effects. If you are taking sildenafil for PAH, you should know that sildenafil controls PAH but does not cure it. Continue to take sildenafil even if you feel well.
Although very uncommon, ED medications may also cause priapism — prolonged, painful erections for longer than four hours that can damage the tissue of your penis. Seek medical help as soon as you can if you develop a persistent or painful erection. Before you use any type of ED medication, talk to your provider about any medications you currently use, as well as any medical conditions you have. Our guides to sildenafil interactions, tadalafil interactions, and avanafil side effects discuss these serious side effects and risks in more detail and explain how to use ED medication safely. Since ED symptoms can differ from person to person and everyone’s needs are unique, there isn’t a “best” erectile dysfunction pill for every man.
Each sex pill offers a slightly different experience and benefits, from a longer duration of action to a reduced risk of side effects. If you’re considering ED medication and don’t know which pill is the best treatment for you, keep the following in mind: Sildenafil (Viagra) and vardenafil (Levitra) are short-acting. These “one-night” ED medications are both available as generics, making them affordable medications to try first. This is a good option if you prefer all-day relief from erectile dysfunction. Like sildenafil, it’s considered one of the best ED pills.
If you’re looking for the best medicine for erectile dysfunction with fewer side effects, this one comes close. It kicks in fast and doesn’t cause as many adverse reactions as older ED pills, but it does cost more per tablet. Chewable ED meds are a fresh way to treat ED. They can be taken as needed or daily. Plus, they come in discreet packaging best erection pills and are personalized to meet your exact needs. Do not stop taking sildenafil without talking vardenafil canada to your doctor.
| Drug Name | Typical Starting Dose | Maximum Dose | Onset Time | Duration of Effect | Food Interactions | Special Notes |
|---|---|---|---|---|---|---|
| Viagra | 50 mg | 100 mg | 30-60 min | Up to 4-6 hours | Food delays onset | Avoid high-fat meals |
| Cialis | 10 mg | 20 mg | 30 min | Up to 36 hours | Food does not affect | Can be taken daily at lower doses |
| Levitra | 10 mg | 20 mg | 25-60 min | 4-5 hours | Less affected by food | Take on an empty stomach for faster action |
This medication is sometimes prescribed for other uses; ask your doctor or pharmacist for more information.
| Product | Dosage | Quantity + Bonus | Price | |
|---|---|---|---|---|
| Viagra Generic | 25mg | 10 Pills | 25.19€ 23.99€ | |
| Viagra Generic | 150mg | 20 Pills | 55.02€ 52.40€ | |
| Levitra Generic | 10mg | 360 + 10 Pills | 407.94€ 388.51€ | |
| Viagra Generic | 150mg | 30 + 2 Pills | 72.32€ 68.88€ | |
| Levitra Generic | 60mg | 90 + 6 Pills | 291.82€ 277.92€ | |
| Levitra Generic | 10mg | 180 + 10 Pills | 246.74€ 234.99€ | |
| Viagra Original | 100mg | 14 + 2 Pills | 89.03€ 84.79€ | |
| Cialis Generic | 60mg | 10 Pills | 41.22€ 39.26€ | |
| Viagra Generic | 50mg | 270 + 8 Pills | 198.48€ 189.03€ | |
| Kamagra Oral Jelly | 100 mg | 110 + 9 Sachets | 334.87€ 318.92€ | |
| Kamagra Polo | 100mg | 272 + 12 Pills | 622.94€ 593.28€ | |
| Levitra Generic | 60mg | 10 Pills | 47.42€ 45.16€ |
tell your doctor and pharmacist if you are allergic to sildenafil, any other medications, or any of the ingredients in sildenafil tablet or suspension. Some medications should not be taken with sildenafil.
We consider these drugs to be among the top ED pills, but there are many other ways to treat erectile dysfunction, depending on what’s causing it, including alprostadil injections, penile implants, and medication for low testosterone. Therapy for mental health issues may also help ED, as well as lifestyle changes to support sexual health, like following a healthy diet, exercising, and cutting back on alcohol. Above all, you’ll want to provide your healthcare provider with as much information as possible about your symptoms. And closely follow their medical advice to get the best results from any ED medication. When used right, ED pills can do more than just give you firmer erections — they can also boost your self-confidence in bed.
Explore a range of FDA-approved medications for ED and premature ejaculation (PE) following a virtual consultation with a healthcare professional specializing in urology, who’ll determine if a prescription is appropriate. Avanafil for treatment of erectile dysfunction: review of its potential. A comparison of the available phosphodiesterase-5 inhibitors in the treatment of erectile dysfunction: a focus on avanafil. Efficacy of avanafil 15 minutes after dosing in men with erectile dysfunction: a randomized, double-blind, placebo controlled study. Efficacy and safety of avanafil as compared with sildenafil in the treatment of erectile dysfunction: a randomized, double blind, multicenter clinical trial.
Doctor of Medicine - Ludwig-Maximilians-University, 2014 Doctor of Medicine - Ludwig-Maximilians-University, 2014 Board Certified Medical Affairs Specialist - Accreditation Council for Medical Affairs, 2024 Board Certified Medical Affairs Specialist - Accreditation Council for Medical Affairs, 2024 Dr. Gussone has contributed widely to consumer health news media, including NBC News TODAY and NBC Nightly News, and has written about his own weight loss journey for CNN. Dr. Gussone has contributed widely to consumer health news media, including NBC News TODAY and NBC Nightly News, and has written about his own weight loss journey for CNN. Dr. Make sure you have discussed any other medications you are currently taking or plan to take before starting sildenafil with your doctor and pharmacist.
Before starting, stopping, or changing any medications while taking sildenafil, please get the advice of your doctor or pharmacist.
Take sildenafil at around the same times every day. Shake the liquid well for 10 seconds before each use to mix the medication evenly. Use the oral syringe provided with your medication to measure and take your dose. Follow the manufacturer's directions to use and clean the oral syringe. Do not mix the liquid with other medications or add anything to flavor the medication. tell your doctor if you are taking street drugs containing nitrates ('poppers') such as amyl nitrate, amyl nitrite, or butyl nitrate while taking sildenafil.
Your doctor will tell you not to take sildenafil if you are taking street drugs containing nitrates.
Sildenafil (Liqrev, Revatio) is used to improve the ability to exercise in adults (Liqrev, Revatio) and children 1 year of age and older (Revatio) with pulmonary arterial hypertension (PAH; high blood pressure in the vessels carrying blood to the lungs, causing shortness of breath, dizziness, and tiredness). Sildenafil is in a class of medications called phosphodiesterase (PDE) inhibitors. Sildenafil treats erectile dysfunction by increasing blood flow to the penis during sexual stimulation. Sildenafil treats PAH by relaxing the blood vessels in the lungs to allow blood to flow easily. If you are taking sildenafil to treat erectile dysfunction, you should know that it does not cure erectile dysfunction or increase sexual desire.
Sildenafil does not prevent pregnancy or the spread of sexually transmitted diseases such as human immunodeficiency virus (HIV). Sildenafil comes as a tablet and suspension (liquid) to take by mouth. If you are taking sildenafil to treat erectile dysfunction, follow your doctor's directions and the guidelines in this paragraph. Take sildenafil as needed before sexual activity. The best time to take sildenafil is about 1 hour before sexual activity, but you can take the medication any time from 4 hours to 30 minutes before sexual activity.
Sildenafil usually should not be taken more than once every 24 hours. If you have certain health conditions or are taking certain medications, your doctor may tell you to take sildenafil less often. You can take sildenafil with or without food. However, if you take sildenafil with a high-fat meal, it will take longer for the medication to start to work. If you are taking sildenafil to treat PAH, you will probably take sildenafil three times a day with or without food. tell your doctor and pharmacist what prescription and nonprescription medications, vitamins, and nutritional supplements you are taking or plan to take. you should know that sildenafil is available under the brand names Liqrev, Revatio, and Viagra.
| Brand Name | Active Ingredient | Typical Dosage | Onset of Action | Duration | Common Side Effects | Approved Countries |
|---|---|---|---|---|---|---|
| Viagra | Sildenafil | 50 mg, 100 mg | 30-60 minutes | 4-6 hours | Headache, flushing | US, UK, EU, Canada |
| Cialis | Tadalafil | 10 mg, 20 mg | 30-60 minutes | Up to 36 hours | Muscle pain, headache | US, UK, Australia |
| Levitra | Vardenafil | 10 mg, 20 mg | 25-60 minutes | 4-5 hours | Nasal congestion, flushing | US, EU, Japan |
The following nonprescription or herbal products may interact with sildenafil: cimetidine (Tagamet HB), St.
John's wort.
| Medication | Common Side Effects | Serious Side Effects | Frequency | Notes |
|---|---|---|---|---|
| Sildenafil | Headache, flushing, nasal congestion | Vision changes, priapism | Common | Usually reversible |
| Tadalafil | Muscle aches, indigestion | Sudden vision loss | Less common | Longer duration of action |
| Vardenafil | Dizziness, flushing | Allergic reactions | Moderate | Take with caution in sensitive individuals |
Be sure to let your doctor and pharmacist know that you are taking these medications before you start taking sildenafil. Do not start these medications while taking sildenafil without discussing it with your healthcare provider. tell your doctor if you smoke, if you have had heart surgery within the last 6 months, if you have ever had an erection that lasted for more than 4 hours, and if you have recently lost a large amount of body fluids (dehydration). This can happen if you are sick with fever, diarrhea, or vomiting; sweat a lot; or do not drink enough liquids. Also tell your doctor if you have or have ever had pulmonary veno-occlusive disease (PVOD; blockage of veins in the lungs); a stomach ulcer; heart, kidney, or liver disease; a heart attack; heart failure; angina (chest pain); an irregular heartbeat; a stroke; chest pain; high or low blood pressure; high cholesterol; a bleeding disorder; blood circulation problems; blood cell problems such as sickle cell anemia (a disease of the red blood cells), multiple myeloma (cancer of the plasma cells), or leukemia (cancer of the white blood cells); conditions affecting the shape of the penis (e.g., angulation, cavernosal fibrosis, or Peyronie's disease); or diabetes.
Gussone discovered his passion for creating medical content and educating the public about health while working with CNN’s Dr. Sanjay Gupta. He realized that the media could deliver essential health information to millions, surpassing the reach of one-on-one care in a clinical setting. Scuba diving, traveling, cinema, and perfume making Scuba diving, traveling, cinema, and perfume making Erectile dysfunction is a condition in which you have trouble getting or keeping an erection firm enough for satisfying sex. This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.
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Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries. Sildenafil (Viagra) is used to treat erectile dysfunction (impotence; inability to get or keep an erection) in men.