Choosing the Right Pill to Treat ED

Treating Erectile Dysfunction
other ED treatments
How should I take Viagra?
Comparing Which Works Faster

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. Do not stop taking sildenafil without talking to your doctor. Ask your pharmacist or doctor for a copy of the manufacturer's information for the patient. This medication is sometimes prescribed for other uses; ask your doctor or pharmacist for more information.

Viagra Professional: Higher dosage options, for severe ED, under medical supervision, may have more pronounced effects.
Viagra Soft Tabs: Faster dissolving tablets, designed for quick onset, enhance spontaneity, but should be used responsibly.
Sildenafil Plus: Over-the-counter options with added vitamins, intended to improve blood flow, consult a healthcare provider.

tell your doctor and pharmacist if you are allergic to sildenafil, any other medications, or any of the ingredients in sildenafil tablet or suspension. Ask your pharmacist for a list of the ingredients. Some medications should not be taken with sildenafil. 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. tell your doctor if you are taking street drugs containing nitrates ('poppers') such as amyl nitrate, amyl nitrite, or butyl nitrate while taking sildenafil.

Defining "Best": The most effective treatment is the one that is safe, effective, and suitable for *you*.
Individual Biology: Responses vary greatly; a drug that works for one man may not for another.
Holistic Approach: Combining medical treatment with lifestyle optimization yields the best long-term results.
Professional Guidance Is Key: Self-diagnosis and treatment can be dangerous; see a healthcare provider.
Hope and Options: Virtually every case of ED has a management strategy; effective help is available.

Your doctor will tell you not to take sildenafil if you are taking street drugs containing nitrates. tell your doctor and pharmacist what prescription and nonprescription medications, vitamins, and nutritional supplements you are taking or plan to take.

Treating Erectile Dysfunction

Effect of Tongkat Ali on stress hormones and psychological mood state in moderately stressed subjects. Journal of the International Society of Sports Nutrition, 10(1), 28. An investigation into the stress-relieving and pharmacological actions of an ashwagandha (Withania somnifera) extract: A randomized, double-blind, placebo-controlled study. A Randomized, Double-Blind, Placebo-Controlled, Crossover Study Examining the Hormonal and Vitality Effects of Ashwagandha ( Withania somnifera) in Aging, Overweight Males. American Journal of Men's Health, 13(2), 1557988319835985.

Red ginseng

Effect of standardized root extract of ashwagandha (Withania somnifera) on well-being and sexual performance in adult males: A randomized controlled trial. Subjective effects of Lepidium meyenii (Maca) extract on well-being and sexual performances in patients with mild erectile dysfunction: a randomised, double-blind clinical trial. Comprehensive Intersystemic Assessment Approach to Relieve Psychogenic Erectile Dysfunction: A Review. Open Access Macedonian Journal of Medical Sciences, 9(F), 189–196. Erectogenic and neurotrophic effects of icariin, a purified extract of horny goat weed (Epimedium spp.) in vitro and in vivo. Your doctor may need to change the doses of your medications or monitor you carefully for side effects.

Product	Dosage	Quantity + Bonus	Price
Viagra Generic	200mg	180 + 10 Pills	277.56€ 264.34€
Viagra Original	100mg	8 Pills	59.84€ 56.99€
Viagra Generic	50mg	30 + 4 Pills	54.26€ 51.68€
Viagra Original	100mg	22 + 2 Pills	120.71€ 114.96€
Viagra Generic	200mg	360 + 10 Pills	481.98€ 459.03€
Viagra Professional	100mg	30 Pills	88.92€ 84.69€
Viagra Soft Tabs	100mg	20 Pills	62.99€ 59.99€
Viagra Generic	150mg	120 + 8 Pills	177.58€ 169.12€
Viagra Super Active	100mg	270 + 30 Pills	390.61€ 372.01€
Viagra Soft Tabs	100mg	60 + 6 Pills	152.94€ 145.66€
Viagra Generic	50mg	180 + 8 Pills	158.82€ 151.26€
Viagra Generic	25mg	10 Pills	25.19€ 23.99€
Viagra Oral Jelly	100mg	30 + 5 Sachets	115.76€ 110.25€
Viagra Generic	50mg	10 Pills	26.87€ 25.59€
Viagra Original	100mg	76 + 4 Pills	306.59€ 291.99€
Viagra Generic	25mg	360 + 10 Pills	213.68€ 203.50€

you should know that sildenafil is available under the brand names Liqrev, Revatio, and Viagra. You should only be treated with one of these products at a time. The following nonprescription or herbal products may interact with sildenafil: cimetidine (Tagamet HB), St. John's wort.

other ED treatments

If you are taking sildenafil to treat PAH, you will probably take sildenafil three times a day with or without food. Take sildenafil at around the same times every day. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Do not take more or less of it or take it more often than prescribed by your doctor. Shake the liquid well for 10 seconds before each use to mix the medication evenly.

How should I take Viagra?

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.

Missed Dose

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. 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).

Underlying Health Conditions: Diabetes, hypertension, and high cholesterol are major contributors.
Neurological Disorders: Multiple sclerosis, Parkinson's disease, and spinal injuries can cause ED.
Peyronie's Disease: Scar tissue causing curved, painful erections that may require treatment.
Post-Prostatectomy ED: Common after prostate cancer surgery; nerve-sparing techniques help.
Low Testosterone: Can reduce libido and erectile quality; requires diagnosis via blood test.

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. Also tell your doctor if you or any of your family members have or have ever had an eye disease such as retinitis pigmentosa (an inherited eye condition that causes loss of vision) or if you have ever had sudden severe vision loss, especially if you were told that the vision loss was caused by a blockage of blood flow to the nerves that help you see. if you are a woman and you are taking sildenafil to treat PAH, tell your doctor if you are pregnant, plan to become pregnant, or are breastfeeding.

Comparing Which Works Faster

The Journal of Sexual Medicine, 7(4 Pt 1), 1518–1528. Oxytocin in the Treatment of Psychiatric Disorders. Efficacy and safety of fixed-dose oral sildenafil in the treatment of erectile dysfunction of various etiologies. Efficacy and safety of avanafil for treating erectile dysfunction: results of a multicentre, randomized, double-blind, placebo-controlled trial. Sildenafil (Viagra) is used to treat erectile dysfunction (impotence; inability to get or keep an erection) in men.

Contraindications to Viagra

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 liquid viagra blood flow to the penis during sexual stimulation. This increased blood flow can cause an erection. Sildenafil treats PAH by relaxing the blood vessels in the lungs to allow blood to flow easily. If you become pregnant while taking sildenafil, call your doctor. if you are having surgery, including dental surgery, tell your doctor or dentist that you are taking sildenafil. if you are taking sildenafil to treat erectile dysfunction, tell your doctor if you have ever been advised by a healthcare professional to avoid sexual activity for medical reasons or if you have ever experienced chest viagra connect form pain during sexual activity. Sexual activity may be a strain on your heart, especially if you have heart disease. If you experience chest pain, dizziness, or nausea during sexual activity, call your doctor immediately and avoid sexual activity until your doctor tells you otherwise.

Brand Name	Alcohol Interaction	Food Interaction	Best Time to Take	Tips
Viagra	Moderate interaction	High-fat meals delay onset	1 hour before activity	Maximize effectiveness
Kamagra	Similar to Viagra	Less affected by food	30-60 min before	Avoid excessive alcohol
Caverta	Moderate interaction	Best taken on empty stomach	30 min beforehand	Check for food effects
Revatio	Similar to Viagra	No significant food interaction	1 hour prior	Monitor alcohol intake

tell all your healthcare providers that you are taking sildenafil. If you ever need emergency medical treatment for a heart problem, the healthcare providers who treat you will need to know when you last took sildenafil. Talk to your doctor about eating grapefruit and drinking grapefruit juice while taking this medicine. If you are taking sildenafil for erectile dysfunction, you are unlikely to miss a dose since this medication is taken as needed, not on a regular dosing schedule. If you are taking sildenafil for PAH, take the missed dose as soon as you remember it. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not take a double dose to make up for a missed one. numbness, burning, or tingling in the arms, hands, feet, or legs pain in muscles, back, arms, or legs changes in color vision (seeing a blue tinge on objects or having difficulty telling the difference between blue and green) sudden severe loss of vision (see below for more information) erection that is painful or lasts longer than 4 hours rash; itching; hives; difficulty breathing or swallowing; swelling of the eyes, face, throat, tongue, or lips Some patients experienced a sudden loss of some or all of their vision after they took sildenafil or other medications that are similar to sildenafil. The vision loss was permanent in some cases.

Vidalista (Tadalafil): Offers longer duration, up to 36 hours, useful for daily or on-demand use, requires medical assessment.
Adcirca (Tadalafil): Also for pulmonary hypertension, has similar effects, consult doctor before use for ED.
Tadalista: Generic tadalafil, affordable, effective, with a long-lasting effect suitable for daily use.

It is not known if the vision loss was caused by the medication.

Brand Name	Onset Time (min)	Duration (hours)	Food Interaction	Notes
Viagra	30-60	4-6	Delayed with high-fat meals	Commonly used for ED
Kamagra	30-45	4-6	Less affected by food	Cheaper alternative
Caverta	30-60	4-6	Take on empty stomach	Available in generic
Revatio	40-60	4-6	Similar to Viagra	Prescribed for pulmonary hypertension