Dr.
The big four
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. 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.
How to use Cialis:
Your doctor then instructs you on how to safely inject the medication, which is supplied in vials with syringes, for use at home. 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. Singh founded Apex Men’s Health Clinic after recognizing that many men were not receiving the research-backed, results-driven treatments they deserve.
| Product | Dosage | Quantity + Bonus | Price | |
|---|---|---|---|---|
| Cialis Super Active | 20mg | 270 + 30 Pills | 661.49€ 629.99€ | |
| Levitra Generic | 10mg | 120 + 10 Pills | 178.59€ 170.09€ | |
| Cialis Generic | 60mg | 180 + 10 Pills | 313.11€ 298.20€ | |
| Levitra Generic | 60mg | 30 + 2 Pills | 109.43€ 104.22€ | |
| Cialis Generic | 5mg | 30 + 4 Pills | 53.56€ 51.01€ | |
| Kamagra Oral Jelly | 100 mg | 110 + 9 Sachets | 334.87€ 318.92€ | |
| Cialis Professional | 40mg | 10 Pills | 65.09€ 61.99€ | |
| Cialis Original | 20mg | 4 Pills | 41.99€ 39.99€ | |
| Cialis Generic | 40mg | 20 Pills | 59.47€ 56.64€ | |
| Cialis Professional | 40mg | 120 + 4 Pills | 436.68€ 415.89€ | |
| Apcalis SX Oral Jelly | 20mg | 120 + 13 Sachets | 280.38€ 267.03€ | |
| Tadalista Super Active | 20mg | 120 + 16 Pills | 382.15€ 363.95€ |
His mission is simple — to empower men to look, feel, and perform at their best through science-based therapies that deliver real results. Our team of trusted experts is here to assist you with any questions or concerns you might have. Please do not hesitate to reach out to us if you're looking for more information. With the approval of avanafil (Stendra), a fourth drug has joined the pack in the battle against erectile dysfunction (ED) alongside sildenafil (Viagra), tadalafil (Cialis), and vardenafil (Levitra).
| Side Effect | Commonality | Severity | Associated Medication(s) |
|---|---|---|---|
| Headache | Common | Mild | Sildenafil, Tadalafil, Vardenafil |
| Flushing | Common | Mild | Sildenafil, Vardenafil |
| Nasal Congestion | Common | Mild | Tadalafil, Vardenafil |
| Dizziness | Less common | Moderate | Sildenafil, Avanafil |
| Back Pain | Less common | Mild | Tadalafil |
So it’s a good time to take a look at how effective and safe these drugs are and whether they’re right for you.
How can I prevent ED?
Erectile dysfunction pills could not be simpler. 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. 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.
Vitamins and supplements for ED
Address your erectile dysfunction symptoms with the oral medications we offer at Apex Men’s Health. 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. They all work by inhibiting an enzyme called phosphodiesterase type-5 (PDE5). Blocking this enzyme causes the blood vessels in the penis responsible for achieving and maintaining an erection to dilate. However, no erection will occur without an environmental or psychological trigger to stimulate sexual arousal. It’s important to distinguish between ED and other types of sexual dysfunction, such as decreased libido or abnormal ejaculation. ED refers specifically to the inability to acquire or maintain an erection, either occasionally or consistently. Age – The incidence rises from less than 10 percent in men aged 20 to 30 to more than 35 percent in men over 70.
How effective are these drugs?
Learn about our support services and find information to help you before, during, and after your visit. Learn more about our 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.
Low-intensity shockwave treatment (LISWT)
Our doctors use the results of diagnostic tests to determine which medication is best suited for you. 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. Lifestyle – Smoking, inactivity, and obesity can lead to ED. Underlying diseases – Diabetes, cardiovascular disease, and sleep apnea increase your risk. Drugs – Some drugs, particularly antidepressants, can cause ED.
| Contraindication | Explanation | Usually applies to | Alternative approach |
|---|---|---|---|
| Use of Nitrates | Can cause severe hypotension | Heart patients on nitrate therapy | Psychological counseling, vacuum devices |
| Severe Liver Impairment | Reduced drug metabolism increases risk | Patients with hepatic failure | Dose adjustment, alternative therapies |
| Severe Cardiac Conditions | Risk of heart attack or arrhythmias | Unstable angina, recent MI | Medical evaluation, lifestyle changes |
| Hypotension | May worsen low blood pressure | Systolic BP <90 mm Hg | Non-pharmacological options |
Finally, it is important to recognize that many men without any of these risk factors can have ED. Psychosocial stress may play a role, and while low testosterone won’t necessarily cause ED, some men with low testosterone levels do find that testosterone replacement therapy can improve erectile function. Studies have shown that 60 to 70 percent of men with ED see positive results. They’re what doctors sometimes call “me-too” drugs–drugs that are largely interchangeable.
We're here for you
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. Usually, patients see results sex tablet women in 30-60 minutes. Take them about a half hour before sexual activity.
5. Penile implant
Work quickly: ED oral medications typically don’t take that long to go into effect. Improve sexual pleasure: The increase in blood flow can do much more than help you maintain your erection. It can also increase sensitivity and sexual pleasure. Boost confidence: Many men notice a boost in confidence after they start oral medications for ED. By improving your sexual performance, you will feel more confident in the bedroom and every aspect of your life. However, some men may benefit from one and not another for reasons that aren’t fully understood. Cialis has a longer time until onset–45 minutes, compared to 30 minutes for Viagra and Levitra, and even less than 30 minutes with Stendra. Cialis lasts much longer–up to 36 hours compared to 4 hours with the other agents.
Myth 5: CBD gummies are a proven treatment for ED.
Learn more about our research and professional education opportunities. 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.
Lifestyle changes
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) and tadalafil (Cialis). They work to temporarily improve blood flow to the penis, which makes it easier to maintain an erection during sexual intercourse. The medication relaxes blood vessels and improves blood circulation over a period of time. High-fat meals can delay absorption and the onset of action of all but Cialis. Side effect profiles are similar and most commonly include flushing, headache, runny nose, dizziness, and upset stomach. Less common side effects include priapism (a prolonged erection), visual effects (notably “blue vision”), and transient hearing loss. Cialis can be taken daily, so it’s best for men with consistent ED. All these drugs (including Cialis in a higher dose) can be used on an as-needed basis. These drugs can dangerously lower blood pressure and lead to a potential heart attack if you’re taking nitroglycerin.
- Daily low-dose tadalafil can provide spontaneity.
- Side effects may include back pain or muscle aches (especially with tadalafil).
- Men should be aware of interactions with other prescriptions.
- ED can have physical and psychological causes.
- Men with certain eye conditions should avoid specific ED meds.
- Ed medications do not protect against sexually transmitted infections.
- Regular exercise can improve overall vascular health.
- Combining medication with therapy can be more effective.
- Some men experience no response to initial ED treatments.
- Always follow healthcare provider instructions for safe use.
That also means you should be careful when combining them with other blood pressure-lowering substances like alcohol, some antihypertensives, and alpha-blockers, which are often used to treat prostatic hypertrophy and hypertension. Several of these drugs are metabolized by the liver or kidneys, so anyone with liver or kidney problems should avoid them.
How do these drugs work?
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. 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 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.
Can I get an ED prescription online safely?
This is a suppository inserted through the opening in the penis. 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. Always be sure to talk to your doctor about any drugs you’re taking or any other medical conditions you have.
- Cardiovascular Exercise: Improves blood vessel health and nitric oxide production.
- Pelvic Floor Exercises (Kegels): Can improve erectile rigidity and control.
- Weight Management: Obesity is a major risk factor for erectile dysfunction.
- Limiting Alcohol: Excessive consumption can contribute to ED.
- Quitting Smoking: Nicotine damages blood vessels, impairing erectile function.
- Stress Management: Techniques like meditation can reduce performance anxiety.
- Sleep: Ensuring adequate, quality sleep supports hormonal balance and health.