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Understanding the Four Main ED Medications

Updated on November 28, 2016

There are 30 million men in the USA suffering from some sort of ED disorder. In some cases, it is simply bad- the guy simply cannot have sex. Others, it limps out over time decreasing the all important friction between partners. Still, others, some have premature ejaculation long before the woman is reaching climax. In all the scenarios, it is embarrassing for both partners and over time, can destroy the love in the relationship and some start to have resentments, however wrong they are.

So, for most men, they obtain an ED drug. There are four main players that produce ED pills. Whatever the common shelf name (Cialis, Viagra etc.), the actual drug name is different. These will be Sildenafil, Tadalafil, Avanafil, or Vardenafil.

Because they have similar properties in many respects, men may try any of them to see what works best with them. Different drugs interact differently and Cialis may work better for one man, while others have a different success rate. Thus, if one pill is not to your liking, try a different brand.

Sildenafil (Viagra), Tadalafil (Cialis), and Vardenafil (Levitra) are first generation drugs and have been the staple used to address the ED issue. They are usually 70% effective for most ED issues men have, it does vary because some ED issues are not biological related by psychological. If the latter, these drugs may not help. Differences include the onset, duration of action, and the side-effect profile. Sildenafil and Vardenafil have similar onsets and duration of action, and both demonstrate a decreased potency with the intake of high-fat foods. These may impact your blood pressure, while Tadalafil, may help those with high blood pressure. Side effects with all of them are really minimal for most men, If you do have blurred vision, dizziness, try a different ED pill or decrease the amount used. Side effects are usually minimal and not more than 12% of men have them.

Most men do not know how the ED pill works. Without getting into chemical weeds, all ED medications except Tadalafil (Cialis) create a physical reaction within 30-60 minutes. Meaning, most men will have an erection without any external stimuli- it will just happen because of chemical interactions. Avanafil, a second generation ED pill, is fastest - only 15-30 minutes. Cialis (Tadalafil) works with external stimuli, usually, physical contact triggers the drug and the man has the erection. Usually, the hardness continues for considerable time allowing for multiple sex, however, multiple organisms for the man may be limited but for the woman, it could be very satisfying.

While Viagra and Levita last up to 12 hours after swallowed, the potency drops 50% after 4 hours, and gone after 12 hrs. Stendra lasts only 6 hours, but and erection happens within 15-30 min. Cialis' appeal is that it is effective up to 36 hours to a lesser degree and potency drops 50% after 17 hours. This means the man takes one pill every 24 hrs. and not have to worry about an erection (hopefully). The other brands, a man can take two pills. This remains true whether the dosage of the pill is 10 mg, 20 mg, or 100 mg. Cialis tends to have some residual impact.

You can also buy Cialis in liquid form if you want to get the drug into your system way faster. Usually, under the tongue it the method.

All the drugs increase blood flow and nitric oxide relaxes the penis muscle to do this. There are many companies in India, under license, also producing pills using Tadalafil and Sildenafil under different names. Their potency seem to as good as those buying Cialis or Viagra.

Since all the ED pills are similar, it really comes down to personal choice and what works best.


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