Comparison

How vardenafil works

Vardenafil is a PDE5 inhibitor, like sildenafil and tadalafil. It helps blood flow to the penis during sexual stimulation. It usually starts working within an hour, and a heavy, fatty meal can delay it. Its effect lasts about 4 to 5 hours, similar to sildenafil and much shorter than tadalafil.

Choosing a strength

• 10 mg is the usual starting dose.
• 20 mg is the maximum recommended dose, used when 10 mg is not enough.
• 5 mg may be used for older men or men taking certain other medicines.
• 40 mg and 60 mg are above the maximum approved dose of brand-name vardenafil. Use them only if a doctor has specifically prescribed them.

Other vardenafil brands

Zhewitra is not the only generic. Vilitra (Centurion Laboratories) and Valif (Ajanta Pharma) also contain vardenafil. You can compare all of them by form and price per tablet on our Vardenafil 20 mg comparison page, or see every Zhewitra strength on the Zhewitra page.

Side effects and safety

Common side effects include headache, flushing, a stuffy nose, indigestion and dizziness. Vardenafil can affect heart rhythm in some people, so tell your doctor if you have a heart condition or take medicines that affect heart rhythm. Never take it with nitrates, “poppers” or riociguat, and seek urgent help for an erection lasting more than 4 hours or sudden vision or hearing loss.

Frequently asked questions

Is Zhewitra 20 the same as Levitra 20?

Both contain 20 mg of vardenafil. They are made by different companies, but the medicine is the same.

Is vardenafil better than sildenafil?

They are similar in how quickly they work and how long they last. Some men respond better to one than the other; your doctor can help you decide.

Do I need a prescription?

Yes. Vardenafil is a prescription medicine. ERXCart asks you to upload a valid prescription at checkout and checks it before dispatch.

This article is general information and does not replace advice from your doctor or pharmacist.

Side-by-side comparison

Which lasts longer?

Tadalafil, by a wide margin. Its effect can last up to 36 hours, which is why it is sometimes called the “weekend pill”. Sildenafil’s effect usually lasts 4 to 6 hours. Neither medicine causes a continuous erection: both only help when there is sexual stimulation.

Which works faster?

They are similar. Sildenafil usually starts working within 30 to 60 minutes on an empty stomach. Tadalafil can start in about 30 minutes but may take up to 2 hours. A heavy, fatty meal can slow sildenafil down; it has little effect on tadalafil.

Which is better for you?

• Tadalafil may suit men who want more spontaneity, who prefer not to plan around meals, or who would like a daily low dose. 5 mg daily is also used for symptoms of an enlarged prostate (BPH).
• Sildenafil may suit men who only need it occasionally and prefer a shorter effect, or who get back pain or muscle aches with tadalafil.

Both are effective for most men. Your doctor will consider your health, other medicines and preferences.

Safety for both

• Never take either with nitrates (such as nitroglycerin), “poppers” or riociguat.
• Do not take both medicines together.
• Seek urgent help for an erection lasting more than 4 hours, chest pain, or sudden loss of vision or hearing.
• Tell your doctor about heart, liver or kidney problems and all medicines you take.

Compare brands and prices

Both ingredients are sold under many generic brand names, such as Vidalista and Tadalista for tadalafil, or Cenforce, Fildena and Kamagra for sildenafil. Compare them by price per tablet:

• Tadalafil 10 mg · Tadalafil 20 mg · Tadalafil 5 mg (daily)
• Sildenafil 50 mg · Sildenafil 100 mg

Frequently asked questions

Is tadalafil stronger than sildenafil?

Not stronger, just longer-lasting. At their usual doses both are effective; tadalafil gives a much longer window.

Can I switch from sildenafil to tadalafil?

Yes, but only with your doctor’s advice, and never take them on the same day.

Do I need a prescription?

Yes. Both are prescription medicines. ERXCart asks you to upload a valid prescription at checkout and checks it before dispatch.

This article is general information and does not replace advice from your doctor or pharmacist.

The short answer

At the same strength they contain the same medicine, so they work the same way. The differences are the manufacturer, the range of strengths and forms, the tablet appearance and the price.

Side-by-side comparison

Does one work better?

There is no good evidence that one brand works better than the other at the same strength. Both contain the same amount of the same ingredient. Some men report feeling a difference, which may come from timing, food, alcohol or simply expectation. If one brand suits you, there is no medical reason to switch, but switching between them at the same strength is not a change of medicine.

Choosing a strength

• 50 mg is the usual starting dose of sildenafil.
• 25 mg is often used for older men, men with liver or kidney problems, or men who get side effects.
• 100 mg is the maximum recommended dose, used when 50 mg is not enough.
• 120 to 200 mg are above the maximum dose approved for brand-name sildenafil. Use them only if a doctor has specifically prescribed them.

Safety

Common side effects include headache, flushing, indigestion, a stuffy nose and changes in colour vision. A heavy, fatty meal can delay the effect. Never take sildenafil with nitrates, “poppers” or riociguat. Seek urgent help for an erection lasting more than 4 hours or sudden vision or hearing loss.

Compare prices

Prices per tablet differ more between brands and pack sizes than effects do. You can compare every sildenafil brand we carry, including Cenforce, Fildena, Kamagra, Malegra, Sildigra and Suhagra, by price per tablet:

• Sildenafil 50 mg: all brands compared
• Sildenafil 100 mg: all brands compared
• Sildenafil 200 mg: all brands compared

Or see every strength of each brand on the Cenforce page and the Fildena page.

Frequently asked questions

Is Cenforce 100 the same as Fildena 100?

Both contain 100 mg of sildenafil. They are made by different companies and look different, but the medicine is the same.

Is Cenforce or Fildena the same as Viagra?

They contain the same active ingredient as Viagra (sildenafil) but are made by Indian manufacturers and are not the Pfizer brand.

Do I need a prescription?

Yes. Sildenafil is a prescription medicine. ERXCart asks you to upload a valid prescription at checkout and checks it before dispatch.

This article is general information and does not replace advice from your doctor or pharmacist.

Short answer

• When to take it: 1 to 3 hours before sexual activity
• When it peaks: about 1 to 1.5 hours after a dose
• How long it works: the main effect lasts a few hours after the peak, because most of the medicine leaves the blood quickly
• How often: no more than once every 24 hours

Why dapoxetine is short-acting

Dapoxetine belongs to the SSRI family, like some antidepressants, but it was designed to act fast and clear quickly. Its levels in the blood rise within about an hour and then fall quickly. That is why it is taken only when needed, not every day, and why timing your dose 1 to 3 hours before sex matters.

Duratia 30 mg vs 60 mg

In countries where dapoxetine is approved, treatment usually starts at 30 mg. A doctor may increase it to 60 mg after reviewing how you respond. Dapoxetine is not approved in the US.

Side effects and how to reduce them

Common side effects include nausea, dizziness, headache, diarrhoea and trouble sleeping. Some people feel light-headed or faint, especially when standing up quickly. To lower the risk:

• Swallow the tablet whole with a full glass of water.
• Avoid alcohol, which increases dizziness and fainting.
• If you feel light-headed, sit or lie down until it passes.
• Do not drive or use machinery if you feel dizzy or drowsy.

Who should not take dapoxetine

Do not take dapoxetine without medical advice if you have heart problems, a history of fainting, mania or severe depression, or liver problems. Do not combine it with other SSRIs or SNRIs, MAO inhibitors, thioridazine, some antifungals and HIV medicines, or recreational drugs. Tell your doctor about every medicine and supplement you take.

Can dapoxetine be combined with ED medicine?

Some products combine dapoxetine with sildenafil or tadalafil for men who have both PE and ED, for example Cenforce D or Super Vidalista. These combinations are stronger and carry the side effects of both medicines. Use them only if a doctor has prescribed them.

Frequently asked questions

Does Duratia work the first time?

Many men notice an effect from the first dose, but results can improve over the first few uses. Discuss your response with your doctor after a few attempts rather than increasing the dose yourself.

Can I take Duratia every day?

It is meant to be taken only when needed, and never more than once every 24 hours.

Do I need a prescription?

Yes. Dapoxetine is a prescription medicine. ERXCart asks you to upload a valid prescription at checkout and checks it before dispatch.

See all strengths on the Duratia page or browse the Dapoxetine category.

This article is general information and does not replace advice from your doctor or pharmacist.

Quick comparison

Does 40 mg last longer than 20 mg?

Not in any meaningful way. Tadalafil’s long effect comes from how slowly the body clears it (its half-life is about 17.5 hours), not from the size of the dose. Both strengths can support erections for up to 36 hours after a dose. Doubling the dose mainly raises the amount of medicine in the blood, and with it the chance of side effects.

Why 20 mg is the usual maximum

For as-needed use, the usual starting dose of tadalafil is 10 mg, and the maximum recommended dose is 20 mg once a day. In clinical studies, 20 mg gave the best balance of effect and side effects for most men. Brand-name tadalafil is not approved at 40 mg in the US, UK or EU. Some Indian brands, including Vidalista 40, make higher strengths, but they should only be used if a doctor has decided that is right for you.

Side effects to know about

The most common tadalafil side effects are headache, indigestion, back pain, muscle aches, flushing and a stuffy nose. They tend to be more likely and stronger at higher doses. Seek urgent medical help for:

• An erection lasting more than 4 hours
• Chest pain, fainting or severe dizziness
• Sudden loss of vision or hearing

Never take tadalafil with nitrates (such as nitroglycerin), recreational “poppers” or riociguat, because the combination can cause a dangerous drop in blood pressure.

Which one should you choose?

For most men who need tadalafil as needed, the choice is between 10 mg and 20 mg, and your doctor will decide. If 20 mg does not work well, talk to your doctor before trying a higher strength. Timing, alcohol, other medicines and underlying conditions such as diabetes or heart disease can all affect results, and a higher dose is not always the answer.

If you take tadalafil often, ask your doctor about a low daily dose of 2.5 mg or 5 mg instead of a high as-needed dose.

Comparing prices

Vidalista is one of several tadalafil brands. Tadalista, Tadacip, Tadagra, Tastylia and Toptada contain the same active ingredient. You can compare every brand side by side, by form and price per tablet, on our Tadalafil 20 mg comparison page and Tadalafil 40 mg comparison page. You can also see all Vidalista strengths on the Vidalista page.

Frequently asked questions

Is Vidalista 40 twice as strong as Vidalista 20?

It contains twice as much tadalafil, but it does not work twice as well or last twice as long. The main difference is a higher risk of side effects.

Can I split a Vidalista 40 tablet?

Do not split tablets unless your doctor or pharmacist says it is suitable for that product. Ask for the strength you have been prescribed instead.

Do I need a prescription?

Yes. Tadalafil is a prescription medicine. ERXCart asks you to upload a valid prescription at checkout and checks it before dispatch.

This article is general information and does not replace advice from your doctor or pharmacist.

1. Lose Extra Weight

Being overweight or obese increases the risk for ED. Excess fat affects hormones like testosterone needed for optimal sexual function. Losing weight can help restore hormone levels and blood flow needed for better erections. Aim to reach and maintain a healthy body mass index (BMI) between 18.5 and 24.9.

2. Exercise Regularly

Lack of physical activity leads to poor cardiovascular health, which is strongly linked to ED. Exercise improves blood flow and oxygen throughout the body, reducing the risk of ED. Aim for at least 30 minutes per day of moderate exercise like walking, swimming, or biking.

3. Follow a Nutritious Diet

A nutritious whole foods diet is vital for sexual health. Focus on heart-healthy foods like fruits, vegetables, whole grains, legumes, fish, and healthy fats. Limit saturated fats, trans fats, sodium, sugary foods, and processed meats. A healthy diet provides the nutrients needed for optimal sexual functioning.

4. Reduce Stress

Chronic stress and anxiety strongly contribute to sexual dysfunction. Stress management techniques like meditation, yoga, deep breathing, and spending time outdoors can help lower stress hormone levels and ED risk. Consider mental health counseling if stress or anxiety persists.

5. Limit Alcohol Intake

Drinking too much alcohol can impair sexual functioning in both the short- and long-term. Limit alcohol to 1-2 drinks per day, spacing drinks out over time. Binge drinking is especially harmful to sexual health.

6. Quit Smoking

Smoking restricts blood vessels, negatively impacting blood flow to the penis. This can make it more difficult to achieve and maintain an erection. Quitting improves overall vascular health and sexual function.

7. Get More Sleep

Not getting 7-9 hours of quality sleep per night has been linked with lowered testosterone levels and higher ED risk. Prioritize regular bedtimes and make your bedroom conducive to restful sleep. Address any sleep disorders for optimal rest.

Making positive lifestyle changes can often reverse ED without the need for medications. Talk to your doctor about implementing these tips and whether underlying health issues need to be addressed. Be patient, as it can take 2-3 months to see improvements through natural ED treatments.

8. Consider Medications or Supplements

If lifestyle changes alone don’t improve ED, talk to your doctor about medications or natural supplements that can help. Phosphodiesterase-5 (PDE5) inhibitors like Viagra, Cialis, and Levitra can help relax smooth muscles to improve blood flow for erections. Testosterone replacement therapy can help if low testosterone is causing ED. Some natural supplements like L-citrulline, Panax ginseng, and horny goat weed may also aid erectile function. Avoid over-the-counter sexual enhancement supplements, as these are largely untested.

conclusion

Erectile dysfunction can significantly impact a man’s quality of life and relationships. The good news is many lifestyle changes like eating a nutritious diet, exercising regularly, limiting alcohol, quitting smoking, and reducing stress have been shown to help improve ED symptoms. For some men, medications or supplements may also be helpful alongside lifestyle changes. Be patient when implementing lifestyle changes, as it can take up to a few months to start seeing results. Partner with your healthcare provider to find the optimal treatment plan for improving your erectile function and regaining intimacy and confidence in the bedroom. Don’t accept ED as an inevitable part of aging – make your health a priority and take proactive steps to regain sexual function.

Even if you have erectile dysfunction or just want to avoid it and follow these techniques to cure it for better health and better sex life.

Mostly prescribed Erectile Dysfunction treatments include:

1. Exercise In An Active ED Treatment:

Several different lifestyle adjustments can help with erectile dysfunction, but exercise is the only ED treatment that can make a huge difference in everyone’s life. Exercise helps to prevent the onset of Erectile Dysfunction to reverse it once it has developed into a problem on multiple levels.

Exercise improves blood circulation, which is important for a strong erection and increases blood pressure by raising nitric oxide production in blood vessels. Weight-bearing exercise can enhance testosterone production, which is useful for erectile strength and sexual vitality. Alternatively, you can take any Viagra tablet.

2. Sleep Is A Natural Erectile Dysfunction Treatment:

Erectile Dysfunction can be caused by a lack of sleep. One study in the journal Brain Research focused on the link between testosterone, sexual function, and sleep, stating that higher testosterone levels are connected with better sleep that decreased testosterone levels are connected with sexual dysfunction. The body’s internal clock regulates hormone secretion, and sleep patterns may enable the definition of when certain hormones must be released.

3. Monitor Your Medications To End Erectile Dysfunction:

ED can occur as a side effect of a medicine used to treat another health condition. Some diuretics, beta-blockers, heart medicines, cholesterol pills, antipsychotic drugs, hormone drugs, corticosteroids, and many medications for male pattern baldness are common culprits.

Consult a doctor if you doubt your medicine is causing ED, but don’t stop taking it on your own. Some tablets must be taken out under the supervision of a doctor.

4. Can Herbal Medication Help Or Hurt Erectile Dysfunction?

Many herbal remedies claim to improve erection function. However, the majority has no impact, and many have negative side effects. Red ginseng and fruit juice are two natural erectile dysfunction treatments that have been demonstrated to be effective.

Ginseng is thought to increase your synthesis of nitric oxide, which improves blood flow. Pomegranate juice is a powerful antioxidant that may aid in the prevention of atherosclerosis. Before taking any supplements, check with your doctor to see if they’ll interact with any other prescription medications.

There were herbal “cures,” rituals, and incantations, but it was a hit-or-miss situation until the introduction of modern medicine, which gives a clear, scientific understanding of how an erection works.

This is not as straightforward as it sounds, and science and medicine have several options for more stubborn cases of erectile dysfunction:

1. Oral Medications: It is a successful erectile dysfunction treatment for many men. They include;

• Sildenafil (Viagra)
• Tadalafil (Cialis)
• Vardenafil (Levitra)
• Avanafil

The muscles in your penis must relax in order to achieve an erection. As a result, blood might flow into the corpora cavernous, causing the organ to stiffen. The drugs listed above function by blocking an enzyme called phosphodiesterase Type 5, which is responsible for deactivating a chemical called cGMP, which causes blood vessels to relax.

2. Self-injections: While oral medication does not really work, one or more chemicals might be injected directly into the penis to achieve an erection. Alprostadil, palavering, and phentolamine are the most common medications injected into the side or base of the penis.
3. Testosterone replacement: Before oral medications like Viagra, testosterone, which is important in the male sexual response, such as sex interest and the method of obtaining an erectile dysfunction, was commonly used to treat erectile dysfunction. Orally, through an injection, a skin patch, or a subcutaneous pellet, testosterone can be delivered in a variety of ways.
4. Penile Implants: It might help men who are not even getting the right dose of their ED medication. This standard includes surgical implant devices on both sides of the penis. Inflatable or semi-rigid rods can be used as implants. The erection is caused while inflatable cylinders in the penis are filled by a pump from a reservoir in the abdomen area. This means that an erection can be had when and for as long as desired.

5. Psychological Counseling: Fear, anxiety, depression, sex attitudes, and mental blocks are some of the psychological causes of erectile dysfunction. Men with severe depression are more likely to have ED. And, in most situations, depression must be addressed before ED treatment can be successful. If your relationship is impacted by psychiatric problems, your doctor may suggest that one or both of you see such a psychologist or counselor.

6. Lifestyle Changes: According to NHS Choices Erectile Dysfunction can often be improved by making changes to your lifestyle for example:

• Losing weight if you are overweight
• Quitting smoking
• Cutting down on alcohol
• Staying away from drugs
• Getting enough exercise
• Reducing your stress levels

What is Viagra: Viagra can treat erectile dysfunction, also known as impotence. It is a drug you can buy easily with a doctor’s prescription from any of the online pharmacies or local pharmacy stores. During sexual intercourse, Viagra stimulates blood flow to the penis, which can aid in the maintenance of an erection. However, consuming more than one tablet a day is not recommended.

How do you know that you need Viagra: Having difficulty getting an erection doesn’t always mean that you are suffering with erectile dysfunction? Sometimes, the reason for not being able to obtain and maintain an erection could be psychological. If you don’t have the desire to be seated with your partner or if you are suffering from depression, that could be the reason for your ED. In such a situation, talk to your counselor or see a therapist to resolve the issues.

How to use Viagra: Take Viagra pills just as you have been prescribed by your doctor. Make sure to pay attention to the product description to be certain that you are not allergic to any of its ingredients. Do not take Viagra with any other medicine as it may cause unwanted side effects. Let your doctor know about each and every medication you are currently taking. Seek emergency medical treatment if your erection is painful and lasts longer than 4 hours. It can be taken with or without food, but it is advised to take it on an empty stomach for best results. Avoid high-fat meat if you plan to consume Viagra.

Side effects of Viagra: Viagra, like any other medication have some side effects.

That includes:

• Flushing
• Lightheadedness
• Headache
• A runny or stuffy nose
• Change in Vision, etc.

How to buy Viagra online: Yes! You can get Viagra from any online pharmacy or telehealth company. Isn’t it just fantastic?

This medicine, meanwhile, can only be taken with a prescription from a medical professional. If you do not already have a prescription, several online pharmacies and telehealth firms offer online consultations with doctors through video chat or phone call. After that, the doctor will write you a prescription that the pharmacist will fill.

It is not advised to purchase Viagra from companies that do not require a prescription. According to a 2012 study, sites that do not require a prescription sell 90 per cent of Viagra online.

There are several online pharmacies and telehealth companies that sell Viagra at a lower cost than local pharmacies and drug stores, which is preferable if you don’t want to spend too much money on medications.