ED Medications: Cialis, Levitra, Viagra

The outlook for ED is good and it’s a very treatable condition. Though there aren’t cures for some causes of ED, many treatment options can help you get and maintain an erection hard enough for sexual intercourse. Certain lifestyle changes can help lower your risk of developing erectile dysfunction, including: Being more physically active, especially doing cardiovascular exercises like running, jogging or bicycling. Eating healthy foods with low saturated fats, such as fruits, vegetables and whole grains. Talk to a primary care physician or a urologist if you suspect you have erectile dysfunction. They can help diagnose ED, identify its cause and recommend the best treatment option for you. A urologist is a healthcare provider who specializes in diagnosing and treating conditions that affect your reproductive system and urinary system. Go to your nearest emergency room if you’re taking medication for erectile dysfunction and have a painful erection that lasts longer than two to four hours. This may be a sign of priapism, which can cause permanent damage to your penis without treatment. Is it normal to have erectile dysfunction? How do you know I have man up pills erectile dysfunction?

• Injection therapy involves alprostadil directly into the penis.
• Vacuum erection devices can be used with or without medication.
• Counseling may help if ED has psychological causes.
• Lifestyle changes like weight loss can improve ED.
• ED can be an early sign of cardiovascular issues.
• Regular check-ups improve safety for ED medication users.
• Some men may experience flushing or dizziness.
• Combining ED meds with nitrate medications is dangerous.
• ED medications do not increase sexual desire, only function.
• Use of ED medications is contraindicated in severe liver impairment.

What ED treatment option do you recommend? Can erectile dysfunction cause other conditions that affect my sexual health? Can you recommend a support group for people who have erectile dysfunction? Am I a candidate for a penile implant procedure? Erectile dysfunction can cause you to feel many different emotions. You may feel embarrassed, frustrated, guilty, ashamed, angry or “less than.” This can lead to more serious long-term emotions, like anxiety and depression.

Are ED drugs safe?

Cardiovascular exercises may include brisk walking, jogging, swimming, bicycling and jumping rope. For men with mild ED, quitting smoking can lead to improvement after several months. Oral medications that help increase blood flow to your penis, including sildenafil (Viagra®), vardenafil (Levitra®), tadalafil (Cialis®) or avanafil (Stendra®). Oral medications start to work within an hour. Penile low-intensity focused shockwave therapy (LiSWT). But you don’t have to live with these feelings. ED is common, and it doesn’t reflect your worth as a person.

• Hormone Blood Tests: To check testosterone, prolactin, and other hormone levels.
• Nocturnal Penile Tumescence (NPT) Test: Measures nighttime erections.
• Doppler Ultrasound: Assesses blood flow into the penis.
• Psychological Screening: Questionnaires to identify psychological causes.
• Physical Exam: To check for anatomical issues, nerve function, and pulses.
• Intracavernosal Injection Test: Injecting medication to test erectile response.
• Medical History: Detailed discussion of health, medications, and lifestyle.

Erectile dysfunction is a sensitive topic for many people. The following tips can help you support your partner if they have erectile dysfunction: Tell your partner you care about their feelings and well-being. Find appropriate times to talk to your partner that won’t make them feel vulnerable.

Product	Dosage	Quantity + Bonus	Price
Levitra Generic	40mg	360 + 10 Pills	704.99€ 671.42€	Buy
Cialis Generic	10mg	180 + 8 Pills	236.88€ 225.60€	Buy
Viagra Professional	100mg	10 Pills	44.09€ 41.99€	Buy
Cialis Black	80mg	30 + 2 Pills	89.11€ 84.87€	Buy
Cialis Soft Tabs	20mg	120 + 6 Pills	248.64€ 236.80€	Buy
Kamagra Soft Tabs	100 mg	12 Pills	57.55€ 54.81€	Buy
Viagra Generic	50mg	90 + 6 Pills	107.37€ 102.26€	Buy
Cialis Generic	40mg	120 + 8 Pills	206.98€ 197.12€	Buy
Cialis Generic	2.5mg	60 + 4 Pills	83.43€ 79.46€	Buy
Viagra Oral Jelly	100mg	30 + 5 Sachets	115.76€ 110.25€	Buy
Priligy Generic Dapoxetine	60mg	120 + 10 Pills	341.26€ 325.01€	Buy
Kamagra Effervescent Tablets	100 mg	14 Pills	51.61€ 49.15€	Buy
Levitra Generic	60mg	10 Pills	47.42€ 45.16€	Buy
Kamagra Gold	50 mg	120 + 6 Pills	281.13€ 267.74€	Buy
Cialis Black	80mg	270 + 10 Pills	502.88€ 478.93€	Buy
Cialis Black	80mg	360 + 20 Pills	639.78€ 609.31€	Buy
Viagra Super Active	100mg	120 + 16 Pills	198.37€ 188.92€	Buy

Remind your partner that they’re not alone. ED is common, and treatment is available. Therapists and support groups can help your partner process their feelings. Focus on the benefits of regular exercise, healthy foods and cutting back on substances that may cause ED.

Side Effect	Commonality	Severity	Associated Medication(s)
Headache	Common	Mild	Sildenafil, Tadalafil, Vardenafil
Flushing	Common	Mild	Sildenafil, Vardenafil
Nasal Congestion	Common	Mild	Tadalafil, Vardenafil
Dizziness	Less common	Moderate	Sildenafil, Avanafil
Back Pain	Less common	Mild	Tadalafil

Your partner will feel supported if you have accurate, up-to-date information on erectile dysfunction and its treatment options.

What Our Patients Say

Are you currently taking any medications, including prescription drugs, over-the-counter drugs, herbal supplements, dietary supplements and nonmedical drugs? Has a healthcare provider ever diagnosed you with depression or anxiety? How often are you able to get erections? How long are you able to maintain an erection? Do you lose your erection because you ejaculate sooner than you would like?

Care & Services

When did you first notice symptoms of erectile dysfunction? What exactly happened when you first had erectile dysfunction symptoms? Do or did you experience erections at night or during the morning? What sexual positions do you regularly engage in? The provider may also ask to talk with your sexual partner. Offer to go with your partner to their appointments. You can help your partner ask questions, take notes and relay information to a healthcare provider that can help them in making a diagnosis. Respect their privacy if they prefer to see a provider alone. Sexual intercourse isn’t the only way to increase intimacy between partners. You can show your partner you care through physical contact such as holding hands or back rubs, spending time with them, kissing, writing notes, being patient and being a good listener. Erectile dysfunction (ED) is common, especially as you get older. It can cause embarrassment, low self-esteem and other more serious psychological conditions. But you shouldn’t feel ashamed or embarrassed to have ED.

Vision Problems

Your partner may be able to offer additional insight on potential causes. The provider may order tests to confirm their diagnosis and determine the cause of your ED. It depends on what your healthcare provider suspects is causing erectile dysfunction. Tests that measure if the nerves in your penis respond to vibrations (penile biothesiometry). Drugs that temporarily make your penis erect (vasoactive injection).

Watch out for side effects

Before testing, your provider will explain what’s involved with a test and answer any questions you have. If you don’t feel comfortable, you can decide not to do the test at any time. The first step in treating erectile dysfunction is identifying the underlying cause. A healthcare provider will help determine the best treatment for you. Vigorous cardiovascular exercise for at least 45 minutes three times per week may help reverse some cases of mild ED. It may be your body’s way of telling you that something isn’t right. It’s important to have an open conversation with a healthcare provider about your symptoms and how they affect your quality of life.

Seek care right away

Common medications that list ED as a potential side effect include: Substances that have addiction potential may cause ED, including: These substances can affect and suppress your central nervous system. They can also cause severe damage to your blood vessels, which may lead to permanent erectile dysfunction. Fear of sexual intercourse or intimacy (genophobia). Conditions that affect your body’s ability to deliver blood to your penis are the most common cause of ED. You may have a greater risk of getting ED if you: Have a body mass index (BMI) over 25.

ED Prescriptions for $1-2 Per Pill

A healthcare provider can diagnose ED and determine its cause. They’ll review your medical history and perform a physical exam. They’ll also ask you questions about your personal and sexual history. These questions may make you feel embarrassed or awkward. But it’s important to be honest with the provider in order to quickly determine the cause. They can diagnose ED, determine its cause and recommend the most appropriate treatment for you. Sign up for our Health Essentials emails for expert guidance on nutrition, fitness, sleep, skin care and more. Learn more about the Health Library and our editorial process. Cleveland Clinic’s health articles are based on evidence-backed information and review by medical professionals to ensure accuracy, reliability and up-to-date clinical standards. What Is Erectile Dysfunction ( Updated 6/2018. Erectile Dysfunction (Impotence) ( Updated 8/26/2020. National Institute of Diabetes and Digestive and Kidney Diseases (U.S.) Definition & Facts for Erectile Dysfunction ( Updated 7/2017. At Cleveland Clinic, we offer specialty care that’s focused on you. When seeing a urologist for erectile dysfunction (ED), many men ask about oral medications (pills that can be taken by mouth).

Review Date 1/1/2025

This noninvasive treatment improves blood flow by using sound waves. It can take two months to see improvement. Medications you inject directly into your penis to create an erection, including alprostadil (Caverject®), papaverine (Papacon®), phentolamine (Regitine®) or a combination of multiple medications. Injectable medications start to work within 10 minutes. Penis pumps start to work almost immediately. These drugs have been a major force in erectile dysfunction treatment for over two decades. Sildenafil (brand name Viagra®) was the first to be approved by the U.S.

Dr. Amrinder Singh

Your penis also relies on a series of valves to close when it fills with blood — in some cases, these valves stop working as they should. Your nervous system includes your brain, spinal cord and nerves. They work together to send electrical impulses that help your body move and feel, including your penis. Your endocrine system includes the glands that create and release hormones. Hormones help tell your body to perform certain functions.

5. Penile implant

Testosterone may help open up (vasodilate) your blood vessels, which helps blood flow to your penis. Injuries (trauma) to your penis and surrounding areas can also cause ED. Injuries to your pelvis bones (hip bones, sacrum and tailbone), bladder, prostate and spinal cord. Pelvic surgery, including prostate, colon or bladder cancer surgery. Erectile dysfunction is a common side effect of many prescription drugs. Food and Drug Administration (FDA) in 1998. Tadalafil (Cialis®) and vardenafil (Levitra®) followed; both drugs were approved in 2003. The FDA approved the fourth ED drug, avanafil (Stendra®) in 2012.

How do these drugs work?

Testosterone replacement therapy, which is available as a gel, injection, patches and pellets. Testosterone replacement therapy starts to work within four weeks. A penile implant is a procedure in which a surgeon places a device into your penis to make it hard. The device doesn’t affect sensation, peeing or orgasm. ED will not likely go away on its own without changes to your lifestyle or some kind of treatment. All of the drugs are classified as phosphodiesterase type 5 (PDE5) inhibitors, and they work in similar ways. Many men find them effective and convenient. Still, they’re not right for every man, and there are differences among them that men should be aware of. For a man to get an erection, muscles in the penis need to relax so that blood can flow in during sexual stimulation.

• Initial Hope: The introduction of Viagra was a monumental breakthrough.
• Quality of Life: Focus shifted from just procreation to sexual satisfaction.
• Mainstream Acceptance: ED became a recognized medical condition, not a joke.
• Research Funding: Increased investment in men's sexual health research.
• Holistic Approach: Treatment now considers psychological and physical factors.
• Patient Empowerment: Men are more proactive in seeking solutions.
• Ongoing Evolution: Continual improvement in treatments and access continues.

As the penis fills with blood, it becomes firm and erect. A chemical called nitric oxide, which is naturally produced by the body, helps this process along.

• Definition: Inability to achieve or maintain an erection sufficient for sex.
• Prevalence: Affects millions of men, with incidence increasing with age.
• Treatability: The vast majority of ED cases are treatable.
• Not Inevitable: While common with age, ED is not an inevitable part of aging.
• Primary vs. Secondary: Primary (lifelong) is rare; secondary (acquired) is common.
• Situational ED: Occurs only in certain situations, often psychological.
• General ED: Occurs across all situations, often organic or mixed causes.

The four oral ED drugs help nitric oxide do its job so that the penis muscles can relax and let the blood in. ED drugs do not create an erection automatically, however. A man still needs sexual stimulation to achieve an erection.