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Erectile Dysfunction (ED)

Problems with erection are getting younger every year. According to the statistics, only 27% of men between the age of 40 and 50 have no problems with erection. The cause of early impotence lies in different factors:

  • Poor health (chronic illnesses);
  • Lack of physical activity;
  • Wrong eating habits (overeating, fast food, low quality food);
  • Smoking and alcohol consumption;
  • Stress, psychological issues (depression);
  • Endocrine diseases (e.g. diabetes);
  • Neurological problems (Alzheimer’s disease, multiple sclerosis);
  • Drugs and the intake of some medicines.

Some people think that impotence may develop because of age. It’s a wrong judgment because age doesn’t cause ED it only adds to the probability of its development.

Erectile dysfunction, also called impotence, is a disorder, which is characterized as a disability to get and maintain erection firm enough for sexual intercourse. If there are only very rare cases of failure in bed, it is not obligatory the sign of ED.

However, if you cannot perform well in bed quite often, it’s anobvious reason to turn for medical help.

Luckily, this disheartening problem has a simple solution. Any therapist can prescribe you drugs that will help you to cope with this issue. There are several preparations,which can return your sexual life to the norm.

Drugs that can help your problem

The choice of ED drugs is rather wide: Viagra, Cialis, Levitra, Staxyn, Stendra and others. All these ED medications relax the muscles of the blood vessels in the penis. It enhances the blood flow to the organ making it possible to achieve strong and lasting erection.

There are certain states and conditions that make the intake of ED pills potentially dangerous. These are:

  • Malformations of thegenitals (e.g. Peyronie’s disease);
  • Serious cardiovascular issues (arrhythmia, angina, high blood pressure);
  • A stroke or a heart surgery in history;
  • Concomitant use of nitrate drugs or riociguat (Adempas);
  • Problems with vision;
  • Diseases of liver and kidneys.

You may also be allergic to some ED meds. To get to know about all possibly dangerous conditions and interactions, you should consult your health care provider.

If you don’t have any contraindications to erectile dysfunction drugs, you are unlikely to experience any serious or severe side effects. Nevertheless, you should be aware of some side effects that might manifest themselves during ED meds intake.

  • Nasal congestion;
  • Back pain;
  • Headache;
  • Nervousness;
  • Dizziness, nausea, vomiting.

To avoid adverse reactions take the lowest dose that works for you. In addition, try not to take alcohol or reduce its amount to prevent the emergence of unwanted reactions. Besides, grapefruit and grapefruit juice may also lead to some side effects.

Certain erectile dysfunction medications may also help those, who have problems with bladder or prostate. Men, who suffer from premature ejaculation also have chances to forget about this issue or at least make it possible to have several sexual intercourses in a row.

The pills may not make them longer but the overall time of your sexual pleasures will increase.

What is the difference between all these pills?

To find out which erectile dysfunction pills to choose, we have to know more about them. Let’s have a detailed look at each medicament and then compare them.


It is probably the most known ED medication. Its active ingredient is Sildenafil citrate. Viagra is taken only when you are going to have sex but not more than once a day. The average effective dose is 50 mg. Nevertheless, you can reduce it to 25 mg or increase to the max of 100 mg.

The preparation starts its action in an hour after the intake though it depends on the patient. A fatty meal postpones the start of the action of Viagra for about an hour. Usually, the medicine works for 3-5 hours. One should pay attention that the erection appears only when being sexually stimulated.


Its generic name is Tadalafil. This medication starts working in 16 minutes after the intake in case there is sexual arousal. The pills work for incredible 36 hours! Besides, you can take the medicine regardless of meals.

Cialis can be taken daily at 2.5mg dose or 5mg depending on the patient’s tolerance to the drug. If taken only when needed Cialis average dose is 10mg. It can be reduced to 5mg a day or increasedbut not more than 20mg for a dose.


Levira is a brand name of Vardenafil. It must be taken prior to the anticipated sexual intercourse. The recommended starting dose is 10mg/day with or without meal. Taking into consideration the age of the patient and his tolerance to the drug it may be reduced to 5mg/day.

The maximal dosage is 20mg of Levitra. The preparation should be taken 25-60 minutes before sex. Nevertheless, its effect will be still present after 4-5 hours after the intake. Remember that it works only if you are stimulated.


The active ingredient of this preparation is Vardenafil, the same as of Levitra. Staxyn comes in orally disintegrating tablets. Do not chew the pills and don’t drink anything some time after the intake! Otherwise, the effect might be lost.

Staxyn can be taken once per 24 hours regardless of food. The lowest effective dose is 5mg. It can be increased to 10mg but not more than 20mg per intake. Being sexually stimulated, you can feel the effect in an hour.


Stendra (Avanafil) is recommended to be taken once a day approximately 15 – 30 minutes before planned sexual intercourse. Meal doesn’t influence the effect of the drug.The recommended dose of the preparation is 100 mg once a day.

Doses and Uses

Depending on the patient’s tolerance to the drug, the dosage may be increased to 200 mg or reduced to 50mg/day. There is no need to change the dose for the aged patients. The man should be sexually stimulated to get the erection.

Now as we know the peculiarities of each medicine let’s compare them to know which one suits your needs best.At first you may say that they are all the same, but actually they are not. The main ingredient in all but two ED pills differs.

Depending on the composition of the drug, the time between the intake and the start of the action varies. Viagra, Staxyn and Levitra need around an hour to start acting while with Cialis and Stendra it takes only 15 minutes or so.

All pills but Viagra can be taken regardless of food. Therefore, if you plan sex after a substantial dinner, you’d better not choose Viagra. Besides, you shouldn’t drink at least half an hour after Staxyn intake to get a strong erection.

Another important criterion is the duration of action. Here we have an indisputable leader – Cialis, which lasts for 36 hours. Next comes Stendra with 6 hours, Levitra and Staxyn with 5 hours and finally Viagra, which works for 4 hours.

Besides, Cialis can be taken on the regular basis while the rest of the pills should be taken only on occasion. So if you have an active sexual life, Cialis might be the best for you.

As you can see, erectile dysfunction has a variety of treatments. There are medications for any user. Everyone can pick the pill, with the characteristics that are important for him.

It may happen so, that the drug you’ve selected failed to help you or you may feel some negative reactions. In this case you can just switch to some other option. There is always a way out!