Which treatment for Erectile Dysfunction to choose?

Which treatment for Erectile Dysfunction to choose?

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Erectile Dysfunction- which treatment to choose?

Authored by Dr Weng Tak Poon on 05.02.2017
Medically Reviewed by Dr Richard Bennett
Last updated on 12.06.2019

Treatment for Erectile Dysfunction (E.D)- which to choose?

There are several medications on the market for Erectile Dysfunction (ED), and it can be difficult to know which one to choose.  Most men have heard of Viagra (Sildenafil), but there are a number of other options such as Cialis (Tadalafil), Levitra (Vardenafil) and the most recent addition to the Australian market, Spedra (Avanafil). There are several differences between these medications, which may influence which of them a man may prefer to use.

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  • The most common type of treatment for Erectile Dysfunction is a group of drugs known as phosphodiesterase inhibitors- these increase blood flow to the penis.
  • The first of these to become well-known was Viagra (Sildenafil).
  • But there are a few alternatives to Viagra-including Cialis (Tadalafil), Levitra (Vardenafil) and Spedra (Avanafil)
  • These are all widely available, though a prescription from a doctor is required in all cases.

All four of the above medications increase the effects of nitric oxide, a natural chemical produced in the body that relaxes muscles in the penis and increases blood flow to the area. This can improve a man’s ability to get an erection when sexual stimulation occurs. It is important to realise that taking these medications doesn’t automatically lead to an erection- sexual stimulation still needs to happen first.

Differences between Viagra, Levitra, Cialis and Spedra:

The main differences relate to how fast the medication starts to work, and how long it lasts for. Viagra is the most well-known treatment for Erectile Dysfunction- it can take up to 40 minutes to work and may only last up to 4 hours. If more rapid action is preferred, Levitra may be quicker than Viagra- taking effect in 20 minutes (faster if the orodispersible tablet is used). The effects of Viagra, Cialis & Levitra can last up to 12 hours. Cialis can take up to 30 minutes to work, however it is said that its effect may last a bit longer- for up to 36 hours. The newest of these medications to become available in Australia is Spedra (Avanafil)- it may take as little as 15 minutes to work.

Potential side effects of these medications include flushing, headache, nasal congestion, visual changes, stomach upset and backache.

Another approach to treatment for Erectile Dysfunction for those having more regular sex, (more than twice per week), is to take a daily dose of medication, rather than using it when required. Cialis is licensed at a lower dose (2.5mg to 5mg) for daily use and can be effective after 4-5 days (Viagra and Levitra are not licensed for use in this daily way).

treatment for erectile dysfunction- viagra, cialis, levitra and spedra

How about non-drug treatment for Erectile Dysfunction?

Treatment for Erectile Dysfunction can involve some other approaches:

  • There is evidence that regular Kegel Exercises for men may help symptoms.
  • It’s also advised to increase your aerobic fitness if possible.

Before starting treatment for Erectile Dysfunction, it’s important to visit a doctor to see if there is an underlying cause, or any other relevant health issues.

If you have concerns or questions about Erectile Dysfunction, speak to your GP or pharmacist.

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2019-06-12T23:50:42+00:00 By wengtak|Erectile Dysfunction, Men's Health, E.D, Impotence|

About the Author:

Weng Tak Poon
Dr Weng-Tak Poon originates from Scotland. He studied medicine at the University of Edinburgh, receiving the Vellupillai Ophthalmology prize in 2005. He completed vocational training in General Practice and worked in Queen’s medical centre, Nottingham and at Manchester Royal Infirmary. He was a medical examiner for the University of Manchester. For the past 5 years, he has been based in Melbourne, where he works as a GP in a busy medical practice. As a member of the Qoctor team, he is involved in developing innovative new technology to deliver healthcare online. He has a special interest in men's health including erectile dysfunction and sexual health, and is a regular contributor to the Qoctor Health Library on these topics.

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