Erectile dysfunction medication: what works, how to use it, and what to watch for
Struggling with erectile dysfunction (ED) is more common than you think. You don’t have to guess which medicine to try first. This page pulls together real options, basic how‑they‑work info, safety checks, and simple buying tips so you can make smarter choices.
Common prescription meds
The most used medicines are PDE5 inhibitors. Names you’ll hear: sildenafil (Viagra), tadalafil (Cialis), and vardenafil (Levitra). They all boost blood flow to the penis so you can get and keep an erection when sexually aroused. Sildenafil and vardenafil act faster and are usually taken 30–60 minutes before sex. Tadalafil can work for up to 36 hours and also has a low‑dose daily option.
Typical side effects are headache, flushing, nasal congestion, and upset stomach. Rare but serious issues include sudden vision or hearing changes and painful, long erections. Never mix PDE5 inhibitors with nitrates (often used for chest pain) — that combo can dangerously lower blood pressure.
Dosage depends on the drug, your health, and other meds you take. Start low if you’re over 65, have liver or kidney problems, or take certain antibiotics or HIV meds. Talk to your doctor before changing dose or trying a different brand.
Other treatments and safety tips
If pills don’t work or aren’t suitable, there are other proven options. Injectable alprostadil is given into the penis and works quickly. A urethral suppository (alprostadil pellet) is another on‑demand option. Vacuum erection devices draw blood into the penis using a pump and a ring holds the erection. Surgical implants are a last resort but give reliable results for men who’ve tried everything else.
Lifestyle changes matter. Losing weight, quitting smoking, cutting back on alcohol, and treating sleep apnea or high blood pressure can improve erections and reduce the need for higher drug doses. For many men, small changes make a noticeable difference.
Be cautious with supplements advertised as “natural Viagra.” Many contain undisclosed prescription drugs or unsafe doses. If you buy meds online, use a reputable pharmacy, check for a prescription requirement, and avoid sites that sell without asking for a doctor’s approval. Our site includes reviews and buying tips to help you spot reliable vendors.
When to see a doctor: if ED is sudden, painful, or accompanied by chest pain, fainting, or major mood changes. Also check in if medicines stop working — that can signal a new health issue. A quick medical checkup can save time and avoid risky self‑treatment.
Want practical comparisons or alternatives? We cover Cialis alternatives, how Cialis Soft differs, and the Triple Trial Pack in other posts on this tag. Read those for dosing details, price tips, and real‑world pros and cons before you decide.