Oral Medications for Erectile Dysfunction
We can help you find a doctor. Call 646-929-7800 or browse our specialists. Erectile dysfunction (ED) can significantly affect your confidence and lead to low self-esteem, but with the help of medications, you can get back your confidence and improve your overall well-being. At Apex Men’s Health, we’ll help you discover the right medication and help you on your journey to live your best life.
Myth 4: Natural supplements are a safer alternative to ED medications.
Learn more about our vardenafil tablets visiting hours and policies and how we maintain a safe environment for all. NYU Langone was one of the original investigative sites for the development and testing of Viagra®, which is perhaps the best-known medication among several that have revolutionized the treatment of erectile dysfunction. Typically, medication is the first treatment recommended to those with erectile dysfunction. Many men experience relief of symptoms after using medication. Our doctors use the results of diagnostic tests to determine which medication is best suited for you.
Which Medication Will Work Best for My ED?
The first treatment usually offered to men with erectile dysfunction is a prescription medication, such as sildenafil (Viagra®), tadalafil (Cialis®), or vardenafil (Levitra®). Generally taken 30 to 60 minutes before sexual activity, these medications work by improving blood flow to the penis during arousal. Erectile dysfunction medications like Viagra® should not be used by men who take nitrate medications to treat the symptoms of heart disease. Erectile dysfunction medications can cause a drop in blood pressure. When combined with nitrates, which dilate or open up the arteries to the heart to increase blood flow, there is the potential for a severe drop in blood pressure.
Be physically active
Some 35 percent of men do not respond to oral medications for erectile dysfunction. A smaller percentage of men may experience uncomfortable side effects, such as flushing or feeling suddenly ed treatment drugs warm, changes in vision, upset stomach, or heartburn. If, after several months, you have not seen an improvement in these side effects, your doctor may offer other medical treatment options. Intraurethral medication is often used as an alternative in men who don’t respond well to oral medications for erectile dysfunction. This is a suppository inserted through the opening in the penis. Erectile dysfunction oral medication (also called PDE5 inhibitors or ED pills) is exactly what it sounds like. These oral ED treatments help address erectile dysfunction. The most common prescriptions are sildenafil (Viagra) cenforce tablets and tadalafil (Cialis). They work to temporarily improve blood flow to the penis, which makes it easier to maintain an erection during sexual intercourse.
| Product | Dosage | Quantity + Bonus | Price | |
|---|---|---|---|---|
| Super Kamagra | 160 mg | 60 + 4 Pills | 342.71€ 326.39€ | |
| Tadalista Super Active | 20mg | 270 + 30 Pills | 661.49€ 629.99€ | |
| Levitra Generic | 60mg | 180 + 10 Pills | 501.43€ 477.55€ | |
| Cialis Professional | 20mg | 120 + 4 Pills | 291.68€ 277.79€ | |
| Viagra Professional | 100mg | 270 + 6 Pills | 456.97€ 435.21€ | |
| Cialis Generic | 20mg | 20 Pills | 54.72€ 52.11€ | |
| Kamagra Gold | 100 mg | 180 + 6 Pills | 436.79€ 415.99€ | |
| Cialis Generic | 10mg | 360 + 10 Pills | 388.49€ 369.99€ | |
| Levitra Generic | 40mg | 360 + 10 Pills | 704.99€ 671.42€ | |
| Levitra Original | 20mg | 76 + 4 Pills | 344.39€ 327.99€ |
The medication relaxes blood vessels and improves blood circulation over a period of time. ED drugs are usually the first type of treatment used to help men who are struggling with getting or keeping an erection. Generally, they work quite well and come with very few side effects. Some of the benefits you can expect from oral medications for erectile dysfunction with Apex Men’s Health include: Work quickly: ED oral medications typically don’t take that long to go into effect.
How are oral ED drugs different?
Typically, a man injects the medication into the shaft of the penis 10 to 20 minutes before sexual activity to achieve an erection. Side effects can include an aching sensation in the penis, which generally goes away in a few hours. In some men, medical treatments for erectile dysfunction may occasionally cause a prolonged erection. If an erection lasts for more than four hours, you should seek care at an emergency room, where doctors can administer a medication to reverse this effect. Learn more about our research and professional education opportunities. Usually, patients see results in 30-60 minutes. Take them about a half hour before sexual activity.
| Innovation | Description | Potential Benefits | Current Status |
|---|---|---|---|
| Soluble Film Formulations | Medications in dissolvable film strips | Faster onset, easier administration | In development |
| Combination Therapies | Using PDE5 inhibitors with other agents | Improved efficacy in refractory cases | Clinical trials ongoing |
| Gene Therapy | Experimental approach targeting underlying causes | Potential long-term cure | Early research stage |
| Nanoparticle Delivery Systems | Enhanced targeted drug delivery | Reduced side effects, increased effectiveness | Preclinical studies |
Work quickly: ED oral medications typically don’t take that long to go into effect.
| Age Group | Expected Efficacy | Safety Considerations | Notes |
|---|---|---|---|
| 40-50 years | High | Generally safe, monitor comorbidities | Regular health check, dose adjustments possible |
| 51-65 years | Moderate to high | Increased risk of cardiovascular issues | Screening recommended before therapy |
| Over 65 years | Variable | Higher likelihood of side effects | Careful evaluation, start with lower doses |
Improve sexual pleasure: The increase in blood flow can do much more than help you maintain your erection.
Health History and Lifestyle
Campbell N, Clark JP, Stecher VJ, Goldstein I. Internet-ordered Viagra (sildenafil citrate) is rarely genuine. Sildenafil citrate ingestion in a pediatric patient. Adulterated sexual enhancement supplements: more than mojo. Wills BK, Albinson C, Wahl M, Clifton J.
Watch out for side effects
Sildenafil citrate ingestion and prolonged priapism and tachycardia in a pediatric patient. Please wait while loading the accessibility menu. Care & ServicesWe offer the highest quality of care and expertise in all specialty care areas.Explore Our ServicesSpecialty CareImaging ServicesOur radiology experts offer imaging services from CT and MRI scans to ultrasound and X-ray throughout the New York City area. Learn about our imaging services and how to schedule an appointment. We offer the highest quality of care and expertise in all specialty care areas.
ED drugs are not safe for all men.
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- Oral ED medications increase blood flow to the penis.
- Viagra was the first FDA-approved ED drug in 1998.
- Tadalafil lasts up to 36 hours, longer than other ED meds.
- Vardenafil is effective for up to 4-5 hours.
- Avanafil has rapid onset, within 15 minutes.
- PDE5 inhibitors are the most common ED treatments.
- These medications require sexual stimulation to work.
- Some ED drugs have contraindications with nitrates.
- Side effects may include headaches, flushing, or nasal congestion.
- Age and health condition affect medication choice.
To start, you’ll have a consultation with a member of our team at Apex Men’s Health. During this appointment, we’ll ask about your symptoms, review your medical history, and answer any questions you have.
The Need for More ED Care Options
Because Viagra® is a brand name prescription medication, it is only manufactured by one drug company, requires a valid prescription, and can only be obtained from a legitimate pharmacy. Researchers in one study purchased products claimed to be Viagra® from 22 internet sites and discovered that 77% of the products were counterfeit. Many of the counterfeit medications were shipped from outside the United States, but even some of the products shipped from within the United States were counterfeit. The amount of medication was only 30-50% of what was stated. Also concerning was the fact that the internet sites did not require a prescription.
Alprostadil / Papaverine HCL / Phentolamine Mesylate (TriMix)
The process of getting a prescription from your healthcare provider and purchasing the medication from your usual pharmacy has built-in safety mechanisms. Also available from internet sites and on some store shelves are herbal or "natural" ED remedies. These products are often sold as dietary supplements and have not been tested for safety or effectiveness. Many of these products have been found to contain contaminants (unintended impurities) or adulterants (deliberately added substances) that can be dangerous. Some of these ED supplements have been found to contain prescription medications that do not treat ED.
The mental side of sex
For example, one of the most concerning adulterants found in a "natural" sex supplement was glyburide, which is a medication used to treat diabetes. Even very small amounts of glyburide can cause dangerously low blood sugar. Using "natural sex supplements" can be dangerous and does not enhance the sexual experience. If you think someone might have swallowed an ED drug, use the webPOISONCONTROL® online tool to get help, or call your poison center at 1-800-222-1222. Whether online or by phone, expert guidance is always free, confidential, and available 24 hours a day. With all that information, we’ll determine if oral medications are right for you, and if so, which one is most appropriate. We’ll then write a prescription for the proper dosage and give you instructions on when to take them, how often, and what side effects you might expect. Address your erectile dysfunction symptoms with the oral medications we offer at Apex Men’s Health.
Comparison Chart: Oral vs. Injectable ED Therapies
Using a narrow, prefilled plastic applicator, the man inserts the medicine directly into the urethra 5 to 10 minutes prior to sexual intercourse. The medication causes the muscles of the penis to relax and the arteries to widen, enabling adequate blood flow for an erection. Some men experience side effects from intraurethral medications, such as dizziness, a burning sensation in the urethra, or an aching feeling in the penis, legs, and pelvis. These generally go away when the medication leaves the body. Because some men experience dizziness and, rarely, fainting, within an hour of using these medications, your doctor may recommend that you refrain from driving or operating heavy machinery.
Board-certified family medicine physician, medical director & Co-Owner
Penile self-injections were the first medication approved by the U.S. Food and Drug Administration for the treatment of erectile dysfunction. These are prescribed for men who don’t respond well to oral medications. An NYU Langone urologist performs the first injection in the doctor’s office, in order to determine the dose of medication needed. Your doctor then instructs you on how to safely inject the medication, which is supplied in vials with syringes, for use at home. Say goodbye to shame and confidence issues today! Call our office or message us via our online contact form to schedule a consultation. With over 10 years of experience in clinical medicine and healthcare leadership, Dr. Singh is passionate about helping men reclaim their vitality and achieve lasting wellness through evidence-based, personalized care.
- Cultural Attitudes: Vary significantly across different societies and age groups.
- Media Influence: Direct-to-consumer advertising has increased awareness.
- Open Discussion: Becoming less taboo, encouraging men to seek help.
- Aging Population: Increasing prevalence as the global population ages.
- Economic Impact: A multi-billion dollar global market for medications.
- Accessibility: Still a major issue in many developing countries.
- Educational Efforts: Campaigns by healthcare providers to reduce stigma.
Dr.
- Vascular Health: ED can be an early warning sign of heart disease.
- Diabetes: A leading cause of ED due to nerve and blood vessel damage.
- Neurological Disorders: MS, Parkinson's, and spinal injuries can cause ED.
- Metabolic Syndrome: A cluster of conditions that increases ED risk.
- Prostate Cancer Treatment: Surgery and radiation often cause temporary or permanent ED.
- Depression: Both a cause and a consequence of erectile dysfunction.
- Medications: Antidepressants, antihypertensives can cause ED as a side effect.
Singh founded Apex Men’s Health Clinic after recognizing that many men were not receiving the research-backed, results-driven treatments they deserve.