Here’s a quick comparison of some of our top choices.
| Supplement Name | Main Ingredient | Reported Benefit | Notes |
|---|---|---|---|
| Ginseng | Panax Ginseng | Improved erectile function | Varies in effectiveness |
| L-Arginine | Amino acid | Nitric oxide production boost | Often combined with other treatments |
| Maca Root | Peruvian root plant | Increased libido | Limited scientific evidence |
Medications are intended for as-needed use unless otherwise stipulated: Hims tadalafil 2.5mg and 5mg (daily) Each of the treatments we cover in this guide will work for most men with ED.24 Some men may need higher doses than others, and it might take some time to arrive at the dose that maximizes efficacy while maintaining a low risk of side effects.
We focus here on what most men would need to consider before investing in ED medication.
When you look at what these medications offer and how you need to take them, dose timing becomes an important factor.
Psychological factors can contribute to ED and make it difficult for a consulting physician to pinpoint the cause. You should still respond well to ED medications, but if you’ve exhausted possible physical causes, you may want to speak with a counselor to rule out psychological conditions like depression or anxiety.9 Diabetes mellitus can cause ED.7 Thankfully, those with diabetes-induced ED (DMED) tend to respond very well to ED treatments. If you have prediabetes or your family has a history of diabetes, this is something you should bring up in your consultation. People who take nitrates for cardiovascular conditions may not be suitable candidates for PDE5 inhibitor ED treatments. In this case, you will likely have to pursue alternative ED treatments.
A consultation with a doctor will help you determine whether you can safely take ED medications, which can affect blood pressure and interact dangerously with certain heart medications.8 If you already have low blood pressure or are being treated for high blood pressure, there’s a possibility that ED treatments could lead to hypotension, which is a serious risk. The doctor will be able to advise you on safe treatment options. You will need recent blood pressure results to acquire a prescription for PDE5-inhibiting ED medications. Certain behaviors can make it harder to maintain an erection for men who don’t have ED. These include sleep patterns, stress management, a lack of exercise, and the use of alcohol, tobacco, or drugs.1 Try to keep track of your sleep, exercise, and other habits for at least a week leading up to your consultation. It’s less a matter of better or worse and more a matter of preference, but there is one type that’s likely to please more users than others, and research supports this position. Combined with cost, safety, privacy, and medication format, we have a set of fundamental factors that form our overall value assessment of each medication type.
| Product | Dosage | Quantity + Bonus | Price | |
|---|---|---|---|---|
| Levitra Professional | 20mg | 20 Pills | 101.00€ 96.19€ | |
| Levitra Original | 20mg | 4 Pills | 45.87€ 43.69€ | |
| Kamagra Polo | 100mg | 60 + 4 Pills | 189.39€ 180.37€ | |
| Kamagra Polo | 100 mg | 60 + 4 Pills | 189.39€ 180.37€ | |
| Levitra Generic | 10mg | 60 + 6 Pills | 112.98€ 107.60€ | |
| Kamagra Gold | 100 mg | 60 + 4 Pills | 201.34€ 191.75€ | |
| Levitra Generic | 40mg | 30 + 2 Pills | 93.58€ 89.12€ | |
| Viagra Soft Tabs | 100mg | 120 + 8 Pills | 232.21€ 221.15€ | |
| Cialis Generic | 60mg | 60 + 4 Pills | 145.06€ 138.15€ | |
| Viagra Generic | 100mg | 60 + 4 Pills | 96.36€ 91.77€ | |
| Kamagra | 100mg | 84 + 6 Pills | 264.44€ 251.85€ | |
| Viagra Generic | 200mg | 270 + 10 Pills | 379.76€ 361.68€ | |
| Levitra Soft Tabs | 20mg | 360 + 20 Pills | 682.21€ 649.72€ | |
| Viagra Generic | 25mg | 20 Pills | 37.74€ 35.94€ | |
| Kamagra Gold | 50 mg | 180 + 6 Pills | 371.27€ 353.59€ |
All of these prescription ED pills are highly effective, but there are some caveats, and one medicine might work better for you than another. While sildenafil often works out to be the least expensive option in terms of per-month cost, that doesn’t automatically make it the best choice for men.
Because there are many possible causes of ED, your erection difficulties might signal an underlying condition that requires medical attention. Our top recommendations for the best ED treatment include complimentary consultations with a physician who can help you. This is an incredible value for anyone without insurance, for whom a simple doctor’s visit might be prohibitively expensive. Here are some topics that you might discuss during a consultation. ED is a common health condition with many possible underlying causes.
One of these potential causes happens to be low testosterone. A premature ejaculation pills testosterone test can help you determine if this is what’s behind your ED. Thankfully, these days, you have the option of testing your testosterone at home without a lab order or waiting in a medical office. We recommend you check out the high-quality at-home Testosterone Test from LetsGetChecked, as well as our guide to the best testosterone tests. And if you’re in need of testosterone support, supplements can help; visit our guide to the best testosterone boosters. Consider tadalafil, for instance — its available doses are similarly flexible to sildenafil’s, but the dose timing (taking it as needed and having it work for up to 36 hours) is preferable for many men who’d rather not try to predict precisely when sex will happen.
You may also have some say in the dose you use to start. BlueChew’s catalog is more expansive than many competitors and also a little more limited in scope than Hims, but it offers competitive long-term prices on some compelling products — including its new flagship product, BlueChew Gold, which is a potent combination treatment that comprises sildenafil, tadalafil, apomorphine, and oxytocin in a single chewable or dissolvable tablet. The fact that you can get a deep discount or even a free trial for some of its treatments using the code INNERBODY is a big part of what makes this the best place to start if you’re wholly new to ED treatments and you want an inexpensive way to see if the most reliable medical approach (PDE5 inhibitors) might help you as much as it has helped many men with ED. Wherever you start, it’s important to remember that these medications don’t automatically give you an erection. Appropriate sexual stimulation is still required; PDE5 inhibitors merely create the physiological conditions for arousal to cause an erection. Let’s delve into the factors that will help you determine what your preferences might be.
When it comes to readily available ED medications, you have several options to consider. Believe it or not, nearly all of these medications work by achieving the same effect: they are PDE5 inhibitors (PDE5i), supporting or enhancing the effects of nitric oxide in our bodies. However, they each have specific onset times and durations that may make one a better option for your lifestyle than the others. Scientific research suggests that many men prefer the convenience of tadalafil (generic for Cialis). In a meta-analysis of numerous studies, couples preferred tadalafil to sildenafil — and it wasn’t very close.3 In one study, nearly 80% of women preferred their sexual partners to use tadalafil, compared to 15% for sildenafil.4 Therefore, the chances are pretty good that tadalafil will be ideal for you, too.
Sildenafil (generic for Viagra) is a reliable and long-studied treatment option, as well. Many doctors recommend and prescribe it to great efficacy. Vardenafil is nearly identical to sildenafil and makes a good choice for the few men who don’t have success with the latter. Ultimately, what works best for you — and what dose you take — depends on what the consulting physician determines is suitable. They’ll make that determination based on your medical background, how you tolerate the medication when you begin using it, and your own routines and preferences. Some ED treatments require a short wait before they become effective and are effective within a specific time window.
| Medication | Success Rate (%) | Average Onset (minutes) | Duration (hours) |
|---|---|---|---|
| Sildenafil | 70 | 30-60 | 4-6 |
| Tadalafil | 75 | 30 | Up to 36 |
| Vardenafil | 68 | 25-60 | 4-5 |
| Avanafil | 80 | 15-30 | 6-12 |
Others give you more leeway to forget about timing altogether.
Are you somebody who will be irritated by a certain amount of planning for sex? For some people, this can be a mood-killer, while other men don’t mind, especially those who don’t like the idea of taking a daily pill for occasional sex.
Ultimately, we prefer tadalafil for dose timing because you can take a daily dose to ensure you’re ready at any time or take one pill within 24-36 hours of any anticipated intercourse.
And the best place to start treatment is not necessarily the best place to continue it over the long haul. Experienced users, as well as men just fine taking traditional ED pills instead of chewables, often save more money in the short and fildena tablet long term by switching to another provider like Hims. Hims offers a wide range of PDE5i medications and has a simple interface that quickly leads you through the consultation process to get your prescription sent to you expediently. They don't offer a free trial or deep starter discounts, but they deal in everything from traditional ED pills in various doses to novel drug combinations in pill or chewable form. The traditional pills in particular are available at excellent prices. Also, as Dr.
Various studies indicate that anywhere from one-third to one-half of all men deal with ED at some point.6 And incidences of ED increase steadily with age. There are numerous potential causes of ED. Though it occurs more frequently as men age, it isn’t a condition that’s a natural part of the aging process, nor is it something that men or their partners should just accept or something that should be a source of shame or embarrassment. ED is a common condition, and many roads may lead to it, including: Use of alcohol, tobacco, or drugs (recreational or prescription) It would be wise to speak with your doctor to rule out any of these potential causes before taking a prescription for ED, as each of those listed ailments can have far-reaching consequences beyond sexual health. Dealing with the greater issue should alleviate most (if not all) ED symptoms, but if it doesn’t, you can still reach for an ED prescription.
For example, Dr. Isabel Urdaneta, a urologist and member of our Medical Review Board, tells us: “Prostatitis is a very common cause. Once you eradicate it, the ED will disappear.” It’s always a good idea to talk with a healthcare provider before you embark on an ED treatment journey. If you hope to use any prescription ED treatments, you’ll have to get the prescription from a doctor who will review your medical history and current health to determine if one of these medicines is suitable for you. But even if a prescription treatment isn’t the best course of action, it’s still wise to consult with a healthcare provider. Urdaneta points out, “In my practice, I often use the daily dose of 5mg of tadalafil, whether or not the intention of sex exists, since it favors circulation of the corpus cavernosum, improving its elasticity and response to future erections.” So, if you don’t want to take a daily pill but have a date at night, you can take tadalafil sometime that day and see reliable effects well into the next day.
| Medication Type | Interaction Effect | Risk Level |
|---|---|---|
| Nitrates | Severe hypotension | High |
| Alpha-blockers | Additive blood pressure lowering effect | Moderate |
| CYP3A4 Inhibitors | Increased blood levels of ED drugs | Moderate to high |