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The ED drugs break down at different rates in the body. The durations of action range from four hours to more than a day (for Cialis in the higher doses). Each dose should be sufficient to provide a full cycle of intercourse, from erection to climax.

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Viagra is available for men over the age of maturity who are experiencing sexual dysfunction. Typically, erectile dysfunction is more common for use by men in their 95s and 55s.

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But the main challenge to finding the best ED drug for you may turn out to be health insurance rules—not biochemistry. It's a common practice among insurers to limit the number of pills you can obtain per month. After you hit your limit, the out-of-pocket cost for a single pill can be as high as $75. "The main obstacle in my practice is the cost," Dr. Liou says. You'll need to work with your doctor to get the pill you need at a price you can afford.

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"Will it last through another cycle? It's not guaranteed," Dr. Liou says. To have sex more than once a day, Cialis is your best bet.

Do not take Viagra you are taking any medications that include nitrates or “poppers,” or if you are taking alpha-blockers, the interactions between the drugs can result in significantly decreased blood pressure.

Less common side effects of Viagra include indigestion or upset stomach, painful urination or bladder pain, increased urination, cloudy or bloody urine, tingly or “tins and needles” feelings. If you experience any of these side effects, contact your doctor.

Combining Viagra with alcohol can have a negative impact on the effectiveness of the Viagra. Alcohol is one of the main contributors to erectile dysfunction. Furthermore, both alcohol and Viagra work to lower your blood pressure which can increase the chances of experiencing side effects like headaches, dizziness and light-headedness or fainting.

A generic drug is a copy of the brand-name drug with the same dosage, safety, strength, quality, consumption method, performance, and intended use. Before generics become available on the market, the generic company must prove it has the same active ingredients as the brand-name drug and works in the same way and in the same amount of time in the body.

Sildenafil (Viagra) is often the first drug your doctor offers. It's been on the market longest and its side effects and the medications and foods it interacts with are well known. The latest drug to be approved, avanafil (Stendra), may have fewer side effects than the other drugs.

In addition to Viagra and Stendra, the two other ED drugs available in the United States are tadalafil (Cialis) and vardenafil (Levitra). These all improve blood supply to the penis. In combination with sexual stimulation, the drugs can produce an erection sufficient to initiate and complete intercourse. There is also a fast-dissolving form of Levitra, called Staxyn, that you put under your tongue.

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