Erectile Dysfunction

Viagra (Sildenafil)Viagra (Sildenafil)

Containing the active ingredient sildenafil, Viagra is a prescription-only treatment for erectile dysfunction. It can help men to get and maintain an erection during arousal.

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Sildenafil is the active ingredient of Viagra and is now available as a generic drug. It is medically equivalent to Viagra but more affordable.

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Cialis (tadalafil) is a treatment for erectile dysfunction. It works in a similar way to Viagra, but it can take effect more quickly and last for longer.

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The erectile dysfunction treatment Levitra (vardenafil) has similar effects to Viagra, but it is often recommended for men with diabetes.

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Spedra (avanafil) is used to treat erectile dysfunction. It works in a similar way to other ED drugs, like Viagra, but is more targeted and can be faster acting.

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As well as the difficulty in maintaining or getting an erection, erectile dysfunction (ED) can also result in a lowering of desire for sexual intercourse, premature ejaculation, delayed ejaculation or the inability to achieve an orgasm despite stimulation.

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Comparing Erectile Dysfunction Medications

Viagra/Sildenafil Cialis Daily Cialis 36-Hour Levitra Spedra
Active Ingredient Sildenafil (citrate) Tadalafil Tadalafil Vardenafil Avanafil
Available Strengths 25, 50, 100 mg 2.5, 5 mg 10, 20 mg 5, 10, 20 mg 50, 100, 200 mg
How long to take effect? 30 - 60 minutes Immediately 15 - 30 minutes 30-60 minutes 15 - 30 minutes
How long effects last? 4- 5 hours All day Up to 36 hours 4-5 hours 4-5 hours

What is erectile dysfunction?

Erectile dysfunction (ED), which is also commonly referred to as impotence, is characterised by an inability to get and sustain an erection that is sufficient for sexual intercourse. It is a common condition, with estimates suggesting that around half of men aged between 40 and 70 have it to some extent. The problem can be very distressing for sufferers, affecting their confidence, stopping them from enjoying a full sex life and potentially harming their relationships.

What causes it?

ED can have a range of causes, both physical and psychological. The most common physiological triggers are health problems that result in a narrowing of the blood vessels that lead to the penis. For example, diabetes, high blood pressure and raised cholesterol can all increase men’s chances of developing ED. Other physical risk factors include hormonal imbalances, injury and surgery. Psychological causes can include low self-esteem, relationship difficulties, stress, anxiety and depression.

If ED persists for more than a few weeks, it is important to book an appointment with a doctor. This is because erectile problems can be the first indication of more serious underlying medical issues, so they are not something that should be ignored.

How does treatment work?

Impotence treatments focus on addressing the cause of the problem. For example, tackling health problems such as diabetes or heart disease can resolve ED. Similarly, if the condition has a psychological trigger, counselling sessions or cognitive behavioural therapy may help. There are also now a range of targeted ED medicines available that can prove highly effective. Most of these contain PDE5 inhibitors, which work by temporarily raising blood flow to the penis. Examples including sildenafil, which is better known under the brand name Viagra, tadalafil (sold as Cialis), avanafil (sold as Spedra) and vardenafil (sold as Levitra).

These treatments work by allowing for the relaxation of the muscles in the veins that supply blood to the penis. Contrary to popular belief, they don’t automatically cause erections. Rather, they make it easier for men to get erections if they are sexually aroused.

We offer Viagra, generic Sildenafil, Cialis, Spedra and Levitra. You can find more information about each of these treatments on our website. Meanwhile, if you have any questions about the medications, or you would like to get advice about ED more generally, you can contact your doctor or speak to our healthcare experts. You can get in touch with us by phone or email and we will be on hand to answer your questions.