Sildenafil for Erectile Dysfunction: A Complete Guide for Indian Men

They don’t offer chewable sildenafil on its own, but vardenafil is almost identical to sildenafil, just generally without the vision side effect that a small percentage of men experience with sildenafil.3 Here’s a quick look at which specific ED medications the top companies carry: Hims’ combination treatments have expanded to include drugs outside of the ED realm, as well.

• Age factors: Prevalence increases with age, but ED is not an inevitable part of aging.
• Young men: Can experience ED due to psychological factors or lifestyle choices.
• Middle-aged: Often a mix of physical and psychological causes.
• Elderly: More likely due to comorbidities and medication side effects.
• Early onset: ED in men under 40 warrants a thorough medical evaluation.
• Lifespan impact: Can affect sexual health at any adult age.

One such option combines tadalafil and finasteride, using a popular ED medication to stave off potential sexual side effects associated with a well-known hair loss treatment.

Drug	Contraindications	Precautions	Interactions	Special Notes
Sildenafil	Nitrate use, certain cardiac conditions	Hypotension risk	Nitrates, alpha-blockers	Use with caution in heart disease
Tadalafil	Nitrate use, eye disorders	Long duration may cause priapism	Same as sildenafil, antihypertensives	Dose adjustment needed
Vardenafil	Nitrate use	Allergies to PDE5 inhibitors	Similar to sildenafil	Avoid high-fat meals
Avanafil	Nitrate use	Liver impairment	CYP3A4 inhibitors	Fast onset, fewer side effects

Another combines tadalafil with fluoxetine (generic for Prozac), a prescription SSRI that’s been shown to work for PE.25 No other company currently offers a comparable combination therapy.

• Ed tablets have revolutionized treatment for male sexual dysfunction.
• They are often covered by health insurance if prescribed.
• Ed tablets can improve confidence and quality of life when used properly.
• They do not cause permanent cures; effects last as long as the drug is active.
• Ed tablets may interact with certain medications, such as antibiotics.
• Sexual arousal is necessary for Ed tablets to be effective.
• Users should avoid heavy meals before taking Ed tablets to enhance absorption.
• Some individuals may experience mild side effects that subside quickly.

Men looking for a more holistic approach to treating their ED will want to look elsewhere.

More men than ever before use erectile dysfunction medication to give their sex life a boost. But do you use it the right way?

The absence of warnings or other information for a particular medication does not imply that the medication or medication combination is appropriate for all patients or for all possible purposes. No man wants to suffer from erectile dysfunction, but ED affects about 1/3 of men worldwide.1 The good news is that safe and effective treatments have emerged over the past couple of decades to help men reliably achieve and maintain erections. As a comprehensive online men’s health platform, Hims rose to prominence with libido booster for women their erectile dysfunction and hair loss treatments. Their telemedical processes are speedy and straightforward, taking much of the awkwardness out of seeking ED medications in person. Hims ED customers regularly receive shipments of their pills and other products in secure, discreet packaging.

Urethral suppository (Muse)

But Hims isn’t the only option of this nature. Find out if they’re the right choice for you. Hims’ ED offerings include effective treatments in generic and brand-name forms. They’re the only major telehealth provider currently prescribing the generic Viagra made by Pfizer — the company that makes original, branded Viagra. Men can also use Hims to find treatments for hair loss and premature ejaculation, which is quite convenient.

Can a penis pump (vacuum device) help erectile dysfunction?

Pricing is competitive, but navigating costs and billing options can be confusing (if you can find accurate price lists in the first place). Medications as low as $1.07/dose Treatments are FDA-approved to fight ED Chewable versions of some medications are available Some novel drug combinations can’t be found elsewhere Doctor’s consultation and follow-ups are free Medical data is encrypted and never shared Help center is bilingual (English and Spanish) Some competitors boast lower prices for certain drugs At Innerbody Research, we extensively test each health service we review whenever possible, including telemedical services like Hims. All told, our team has collectively spent over 860 hours researching erectile dysfunction, its various treatments, and the companies offering them online. To better understand what it’s like to use Hims, members of our team met with Hims doctors and went through the entire intake process, from sign-up to medication shipment and delivery. Beyond ED services, we’ve also tested Hims’ hair loss treatments, hair care and skincare products, PE treatments, primary care services (discontinued), and some mental health care. While Hims does offer non-prescription and supplemental treatments for hair loss and skin care, all of their approaches to treating ED are prescription drugs.

Product	Dosage	Quantity + Bonus	Price
Cialis Professional	40mg	20 Pills	110.24€ 104.99€	Buy
Levitra Original	20mg	22 + 2 Pills	138.55€ 131.95€	Buy
Viagra Generic	25mg	270 + 8 Pills	184.26€ 175.49€	Buy
Kamagra Gold	100 mg	360 + 6 Pills	839.95€ 799.95€	Buy
Levitra Original	20mg	14 + 2 Pills	102.27€ 97.40€	Buy
Viagra Oral Jelly	100mg	21 Sachets	78.66€ 74.91€	Buy
Kamagra Gold	50 mg	360 + 6 Pills	713.95€ 679.95€	Buy
Kamagra Polo	100mg	272 + 12 Pills	622.94€ 593.28€	Buy
Cialis Generic	2.5mg	60 + 4 Pills	83.43€ 79.46€	Buy
Viagra Generic	50mg	90 + 6 Pills	107.37€ 102.26€	Buy
Levitra Generic	10mg	180 + 10 Pills	246.74€ 234.99€	Buy
Viagra Soft Tabs	100mg	20 Pills	62.99€ 59.99€	Buy
Cialis Professional	40mg	90 + 2 Pills	348.59€ 331.99€	Buy
Kamagra Oral Jelly	100 mg	30 + 5 Sachets	136.20€ 129.71€	Buy
Cialis Generic	10mg	20 Pills	48.23€ 45.93€	Buy

However, most non-prescription supplements targeted at ED can only boast studies that rely on much larger doses than the supplement manufacturers typically provide. It’s also not unusual for a telehealth company offering ED meds not to stock any supplemental alternatives, so we don’t count it against Hims.

Recent Posts

Our team read through over 190 clinical studies related to erectile dysfunction and ED treatments. We did not consume the prescription ED medications from Hims, but decades of research and market viability demonstrate a high level of efficacy for the treatments Hims offers. To round out our research, we interviewed men who do rely on Hims’ ED products and others whose partners require these treatments. Additionally, like all health-related content on this website, this guide was thoroughly vetted by one or more members of our Medical Review Board for accuracy and will continue to be monitored for updates by our editorial team. We evaluated Hims ED based on the quality and cost of available treatments and the convenience and privacy of the consultation process.

How do healthcare professionals diagnose erectile dysfunction?

Our testing team experienced as much of the Hims ED process as possible, going through the entire sign-up and intake process, as well as receiving medications sent to several different addresses. Ultimately, we found Hims to be one of the best places to look online for ED medication. This is even truer for men who are already using Hims to treat hair loss or premature ejaculation or who need to start such treatment. Let’s take a closer look at the most important factors in our Hims evaluation: In their catalog of options, Hims offers the two most popular treatments for ED on the market: Viagra and Cialis. They also have generic versions of both and an authorized generic Viagra (made by the original manufacturer or an approved partner). From a safety perspective, there isn’t much to dislike about Hims’ ED offerings.

When oral medications might not be safe

You should take it two hours before you have sex. Vardenafil is the active ingredient in Levitra, a prescription-only ED medication that lasts for up to 4 hours. It works by relaxing the arteries in the penis to enhance the blood flow and help you get hard. Vardenafil can be taken 20 to 60 minutes before sex. While erectile dysfunction medicine is low risk when taken correctly, there are side effects to be aware of.

FYI on ED

Some men may experience back pain or nausea; others may be more susceptible to body aches or an upset stomach. If youhave an existing illness you must disclose this information to our doctors and they will determine the correct medication for you. Many of the medicines used to treat chest pains and high blood pressure are similar to those used to treat ED. By doubling your dose you could see your blood pressure fall to dangerous levels. The impact of this can be nausea, dizziness or fainting.

Study of Dose–Response, Efficacy, and Safety

Never take ED medication with nitrates, beta-blockers or blood-thinning medicines unless advised. There’s no standout drug for ED because all are safe when taken correctly. Speak to our doctors for advice on dosage and what strength to take as these will differ per medication. Remember to avoid nitrates and other blood-thinners. Erectile dysfunction can be cured by finding the underlying problem causing your ED, but that’s not always the case. They deal in the most well-researched prescription ED medications on the market, and they network with pharmacies around the U.S.

other ED treatments

A person with type 2 diabetes may never be cured of their ED, but someone experiencing trauma or psychological illness may overcome ED. Sildenafil or any of the ED tablets mentioned above, are mainly used to treat symptoms. The main benefit of tadalafil is that it can last up to 36 hours. In comparison, sildenafil can last up to four hours depending on the strength or dosage. Our doctors will assess your medical history to determine which medication will be best for you.

Most Asked Questions

Start an online consultation today and our doctors will determine if it is medically appropriate for you to take ED medication. If approved your prescription plan will be sent to you within two hours. All of our ED meds are packed in discreet packaging. Remember, you’re not alone in what you’re going through. Men can experience ED at any age, however most men go on to successfully manage their situation and lead happy sex lives.

Pseudoephedrine HCl (Sudafed)

So, while you may think an erection is out of reach you’ll be surprised how far medicine has come over the years. NowPatient has taken all reasonable steps to ensure that all material is factually accurate, complete, and current. However, the knowledge and experience of a qualified healthcare professional should always be sought after instead of using the information on this page. Before taking any drug, you should always speak to your doctor or another qualified healthcare provider. The information provided here about medications is subject to change and is not meant to include all uses, precautions, warnings, directions, drug interactions, allergic reactions, or negative effects. to ensure the distribution of legitimate products.

• Overuse of Ed tablets can lead to priapism, a prolonged erection needing medical attention.
• Ed tablets come in various dosages; follow prescribed amounts closely.
• Fake or counterfeit Ed tablets are common online; purchase from reputable sources.
• Ed tablets should not be mixed with nitrates, as it can cause dangerous drops in blood pressure.
• Some Ed tablets are designed for specific medical conditions like prostate issues.
• Generic versions of Ed tablets are typically less expensive but equally effective.
• Ed tablets are sometimes used off-label for other medical purposes.
• Proper hydration and a healthy lifestyle can improve their effectiveness.

Their rating is bolstered further compared to some of their competition, including purveyors of supplemental ED treatments and other prescription alternatives.

Drug	Absorption Time	Peak Plasma Levels	Bioavailability	Metabolism	Elimination Half-life
Sildenafil	30-120 min	1 hour	41%	Liver (CYP3A4)	~4 hours
Tadalafil	30-120 min	2 hours	36%	Liver (CYP3A4)	~17.5 hours
Vardenafil	30-60 min	1 hour	15%	Liver (CYP3A4)	~4-5 hours
Avanafil	15-30 min	30 minutes	13%	Liver (CYP3A4)	~6 hours

For example, Rugiet is a company that offers a sublingual lozenge drug combining sildenafil, tadalafil, and a third drug called apomorphine.

• Ed tablets can be used in combination with other therapies for better results.
• They are not a cure but manage symptoms effectively.
• Regular health checks help monitor for potential side effects.
• The availability of generic options makes them accessible worldwide.
• Ed tablets are a significant medical advancement for men's health.
• Misuse or overdose can lead to serious health complications.
• They do not provide protection against sexual transmitted infections.
• Proper use and medical supervision maximize benefits and safety.

There is some evidence to suggest that combining therapies can increase efficacy without much extra risk, and Hims certainly offers combinations of its own.

Virtual Healthcare Disclaimers

That not only helps men without insurance to afford the drugs, but it also increases the odds that insurance companies will pick up the tab for men who have coverage. Some insurers will only cover the costs of generics, while others prefer brand-name medications (and Hims doesn’t work with insurers of any kind directly; you’d have to apply for a reimbursement). Hims also carries Stendra, which has a similar side effect profile to Viagra but has less of an effect on blood pressure, which can be a crucial consideration for some men.2 Unfortunately for some insured patients and anyone uninsured, Hims does not offer Stendra’s generic equivalent, avanafil. Hims also recently began offering chewable versions of some of their medications, as companies like BlueChew have revealed a real demand for the convenience of chewable ED meds. Hims currently offers chewable forms of tadalafil, vardenafil, and a combination of tadalafil and sildenafil or vardenafil. But Rugiet does so with exceptionally high doses that can increase risk factors more than many men would like.

Country	Approved Brands	Over-the-counter Availability	Prescription Needed	Market Share (%) (approximate)	Notes
USA	Viagra, Cialis, Levitra	No	Yes	70%	Widely prescribed, high brand recognition
Europe	Viagra, Cialis, Levitra	No	Yes	65%	Various generics available
India	Generic versions available	Yes	Varies	40%	Increased OTC options
Australia	Viagra, Cialis	No	Yes	55%	Strict prescription controls

And the addition of apomorphine — which works differently than PDE-5 inhibitors — further complicates the side effects picture.