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We offer four main tablets for treating erectile dysfunction, and they are Sildenafil, Tadalafil, Avanafil, and Vardenafil.

Erectile dysfunction (ED) can also be referred to as impotence. ED is a condition that affects men and is the inability to achieve and maintain a satisfactory erection for sexual intercourse, or in response to sexual stimulation.

Erections are caused when a man becomes sexually excited. This arousal causes the brain to send signals to the nerves in the penis. Upon receiving these signals the nerves increase the blood flow to the penis, causing it to enlarge and harden. If anything interrupts this process then erectile dysfunction can occur. This interruption may be physical, psychological, or medicinal.

What treatments are available for erectile dysfunction?

Treatment for erectile dysfunction has improved significantly in recent years with most sufferers being able to resume normal sexual activity as a result. Treatment is normally a combination of medicines, lifestyle changes, and resolving any psychological causes.

There are four main tablets for erectile dysfunction, these are Sildenafil (Viagra & generic sildenafil), Tadalafil (Cialis & generic Cialis), Avanafil (Spedra), and Vardenafil (Levitra & generic Vardenafil).

Ultimately, these treatment options all do the same job, however, there are small but important differences between them that we will summarise. Choosing the one that is right for you will depend on a variety of factors, like your health and whether you are taking any other medicines. It also comes down to personal preference.

Viagra / Sildenafil:

25mg, 50mg & 100mg tablets

Should be taken an hour before sex and the effects should last between 4-5 hours.
Any food can potentially slow down the action of Sildenafil. As a precaution, it is best to leave a couple of hours in between eating and taking the dose.

Cialis / Tadalafil:

2.5mg, 5mg (once daily tablets)10mg & 20mg tablets (when required tablets)
Should be taken 30 minutes before sex and the effects last for around 36 hours.
Is not affected by food so no restrictions apply.

Levitra (vardenafil):

5mg, 10mg & 20mg tablets

Should be taken 25 minutes – 1 hour before sex and the effects last for 4-5 hours.
Heavy meals or food high in fat can affect its action so it is advised to avoid such foods prior to use.

Spedra (avanafil):

50mg, 100mg & 200mg tablets

Can take effect in as little as 15 minutes and the effects last for 4-6 hours.

As with all four types of ED tablets, Viagra (Sildenafil), Cialis, Spedra, and Levitra, the right strength for you won’t relate to the size of an individual or their blood pressure. It is recommended that new patients start on the middle strength, so in the case of Sildenafil and Viagra, 50mg. For Levitra, the starting dose is 10mg, Spedra is 100mg and for Cialis, the lower strength of the ‘when required’ dose is 10mg, which will be the entry-level dose.

This initial trial should be attempted at least four times before it is judged whether that dose is effective or whether it needs to be altered to a higher or lower strength. In some cases, if one drug is proving completely ineffective then trying one of the other drugs may be a more prudent option rather than attempting a higher strength.

Viagra, Sildenafil, Cialis, Spedra, and Levitra all need to be taken before sex. Their effect should remain viable for several hours after taking. There is a slight variation between them with regards to how long before and for how long these effects last.

For clarity, stating ‘effects last for 4-5 hours’, does not mean the erection will remain constant for this time. The penis will still require stimulation or sexual arousal to maintain an erection.

If you need to ask some more questions concerning the choice of ED pills, please contact our expert for free.