ED medication: simple, practical guide

Erectile dysfunction (ED) medicines help most men get and keep an erection by improving blood flow or hormone levels. If you're wondering which treatment fits you, this page breaks down common options, safety rules, and how to get meds the smart way.

Types of ED medication

First-line drugs are PDE5 inhibitors: sildenafil (Viagra), tadalafil (Cialis), vardenafil (Levitra), and avanafil (Spedra). Sildenafil usually works in 30–60 minutes and lasts four to six hours; tadalafil can last up to thirty-six hours and is often used as a daily low dose. Vardenafil and avanafil may start faster for some men and can be useful if you need a quick effect. Typical starting doses are sildenafil 25–50 mg, tadalafil 5–10 mg, vardenafil 5–10 mg, and avanafil 50 mg, but your doctor will adjust based on age, other drugs, and kidney or liver function. If oral pills fail, options include penile injections with alprostadil, urethral suppositories, vacuum erection devices, and surgical implants as a last resort. Low testosterone is another cause of ED; if tests show low levels, hormone replacement can improve libido and response to other treatments. Choose treatments based on how often you have sex, convenience, side effects, and underlying health.

Safety, interactions, and buying tips

Never take PDE5 inhibitors with nitrates, including nitroglycerin or isosorbide, because this combination can dangerously lower blood pressure. Also be cautious with alpha blockers, some blood pressure meds, and strong grapefruit juice which can raise drug levels. Common side effects include headache, flushing, nasal congestion, upset stomach, and muscle or back pain with tadalafil. Older adults and men with heart disease need a medical check before starting therapy.

Buying ED meds online can save money but comes with risks. Use licensed pharmacies that require a real prescription, show a physical address, and offer pharmacist contact. Look for accreditation like VIPPS or PharmacyChecker on the site, and read reviews outside the seller's page. Avoid products marketed as 'herbal Viagra' or pills from sites that skip prescriptions—those often contain unknown or unsafe ingredients.

Practical next steps

Talk to a healthcare provider first. Expect a quick medical history, blood pressure check, and possibly blood tests for glucose, cholesterol, and testosterone. Try a prescribed dose for several attempts; response can vary. Combine medication with lifestyle changes: quit smoking, limit alcohol, lose extra weight, and manage stress. If pills don't work or you have complex health issues, a specialist in urology can walk you through injections, devices, or surgery. With the right approach, most men find an effective, safe solution.

Timing matters: take sildenafil or vardenafil about an hour before sex, avanafil may work in 15–30 minutes, and tadalafil can be taken daily or before sex depending on dose. Don't mix with heavy alcohol—sex plus lots of drinks reduces response. Store pills in original packaging; check expiration dates. If you suspect a fake product—odd color, missing leaflet, or low price—stop using it and consult a pharmacist. Talk openly with your partner; planning reduces anxiety and improves results.