Long-Lasting vs Fast-Acting Options

Since it lasts long, you don’t need to worry about timing your dose. Side effects may stick around longer than other medications. Vardenafil (Levitra) is similar to sildenafil, but its effects last slightly longer, providing relief from ED for up to six hours.

• Roman, Hims, Keeps: Online telehealth platforms offering consultations and discreet delivery.
• BlueChew: Subscription service for chewable sildenafil or tadalafil.
• Lemonaid Health, Rory: Telemedicine options for ED treatment.
• Local pharmacy pickup with a traditional prescription from your doctor.
• International online pharmacies require extreme caution due to regulatory differences.
• Compounding pharmacies can create custom dosages or combination topical formulations.
• Big box store pharmacies (Costco, Walmart) often have lower cash prices for generics.
• Always verify a pharmacy's legitimacy through VIPPS or similar accreditation seals.

It might be a better option for you if you usually take your ED medication with or after dinner, since food is less likely to mess with its absorption. Common side effects of vardenafil include headaches, nasal congestion, flushing, and indigestion—similar to other ED pills. Avanafil, sold under the brand name Stendra, is a newer ED medication with several benefits over other prescription pills: Avanafil starts to work in as little as 15 minutes so that you can take it closer to sex than other ED medications. Avanafil starts to work in as little as 15 minutes so that you can take it closer to sex than other ED medications. Like vardenafil, you can take avanafil with meals without slowing the onset. Stendra is less likely to cause side effects than other ED medications.

Product Name	Suitable Age Group	Key Benefits	Side Effects	Price Range
MaleExtra	18-40	Increased libido, firmness	Mild headache, flushing	$50-$70
VigRX	18-40	Improved stamina, erection quality	Digestive issues	$60-$80
Toniiq Horny Goat Weed	18-40	Boosts energy and libido	Minor dizziness	$25-$45

Want to learn more about this ED medication? ED isn’t the only sexual health issue that can mess with your sex life. Research in the Indian Journal of Urology concluded that up to 39 percent of men may experience premature ejaculation at some point in their lives. Looking to tackle PE and boost your sexual confidence and stamina? You’ve got some solid options, including some of the prescription antidepressants and topical products outlined below. Sertraline (generic Zoloft®) is a selective serotonin reuptake inhibitor (SSRI) that healthcare professionals typically prescribe to treat major depressive disorder. They may also prescribe it off-label to help with increasing ejaculation latency, which is a clinical term for the time it takes before you reach orgasm and ejaculate. You can take it daily or just when you need it for PE. Thanks to its long-lasting effects, you can easily time your dose before getting intimate for the best results. There’s also a link between the other SSRIs and better sexual stamina, including: Research shows that all of these SSRIs may improve ejaculation time, with only mild side effects. Sprays, creams, and wipes might not be sex pills, but they can help treat premature ejaculation. Take our Clockstopper Benzocaine Wipes and Clockstopper Climax Delay Condoms, for example.

Can I Use Insurance?

National Institute of Diabetes and Digestive and Kidney Diseases. Tribulus terrestris versus placebo in the treatment of erectile dysfunction: A prospective, randomized, double blind study. Erectogenic and Neurotrophic Effects of Icariin, a Purified Extract of Horny Goat Weed (Epimedium spp.) In Vitro and In Vivo. Which of available selective serotonin reuptake inhibitors (SSRIs) is more effective in treatment of premature ejaculation? Effect of sildenafil on erectile dysfunction and improvement in the quality of sexual life in China: A multi-center study. They contain the topical anesthetic benzocaine that can reduce penis sensitivity. Just apply these products 10 to 15 minutes before sexual activity. You’ll last longer without feeling numb or uncomfortable.

Product	Dosage	Quantity + Bonus	Price
Cialis Generic	20mg	180 + 10 Pills	254.09€ 241.99€	Buy
Levitra Original	20mg	34 + 2 Pills	188.51€ 179.53€	Buy
Cialis Generic	60mg	270 + 10 Pills	443.96€ 422.82€	Buy
Levitra Generic	60mg	180 + 10 Pills	501.43€ 477.55€	Buy
Cialis Black	80mg	120 + 8 Pills	264.77€ 252.16€	Buy
Levitra Original	20mg	14 + 2 Pills	102.27€ 97.40€	Buy
Viagra Soft Tabs	100mg	20 Pills	62.99€ 59.99€	Buy
Viagra Generic	50mg	20 Pills	40.52€ 38.59€	Buy
Levitra Professional	20mg	20 Pills	101.00€ 96.19€	Buy
Levitra Soft Tabs	20mg	30 + 2 Pills	99.17€ 94.45€	Buy
Kamagra Soft Tabs	100 mg	20 Pills	79.79€ 75.99€	Buy
Levitra Professional	20mg	270 + 6 Pills	738.98€ 703.79€	Buy
Levitra Generic	10mg	120 + 10 Pills	178.59€ 170.09€	Buy

Looking for a sex pill with natural ingredients? You might be considering dietary supplements like ashwagandha, ginseng, or horny goat weed, which claim to improve sexual function by either amping up your sexual desire or triggering an erection. Some of these products even claim to assist with penis enlargement. Though they promise a lot, they’re not backed by much scientific evidence. Most of the studies supporting these claims involve animals, not humans, or have other problems.

What Tests Will a Urologist Do if I Have ED?

They may also prescribe it off-label to help with increasing ejaculation latency, which is a clinical term for the time it takes before you reach orgasm and ejaculate. You can take it daily or just when you need it for PE. Thanks to its long-lasting effects, you can easily time your dose before getting intimate for the best results. There’s also a link between the other SSRIs and better sexual stamina, including: Research shows that all of these SSRIs may improve ejaculation time, with only mild side effects. Sprays, creams, and wipes might not be sex pills, but they can help treat premature ejaculation.

Why gas station and over-the-counter pills are riskier

Take our Clockstopper Benzocaine Wipes and Clockstopper Climax Delay Condoms, for example. They contain the topical anesthetic benzocaine that can reduce penis sensitivity. Just apply these products 10 to 15 minutes before sexual activity. You’ll last longer without feeling numb or uncomfortable. Looking for a sex pill with natural ingredients?

Learn More about Medications for Erectile Dysfunction

You might be considering dietary supplements like ashwagandha, ginseng, or horny goat weed, which claim to improve sexual function by either amping up your sexual desire or triggering an erection. Some of these products even claim to assist with penis enlargement. Though they promise a lot, they’re not backed by much scientific evidence. Most of the studies supporting these claims involve animals, not humans, or have other problems. Here’s a breakdown of what the research says about natural remedies for ED and PE: Studies show that ashwagandha can increase testosterone levels, but its effects on sex drive and male sexual health may not be much better than a placebo. Here’s a breakdown of what the research says about natural remedies for ED and PE: Studies show that ashwagandha can increase testosterone levels, but its effects on sex drive and male sexual health may not be much better than a placebo. Studies show that ashwagandha can increase testosterone levels, but its effects on sex drive and male sexual health may not be much better than a placebo.

• Viagra (Sildenafil): The most well-known ED pill that increases blood flow to the penis for reliable erections.
• Cialis (Tadalafil): Offers long-lasting effects up to 36 hours, suitable for spontaneous sexual activity.
• Levitra (Vardenafil): Works quickly and lasts around 4-5 hours, effective for men with diabetes-related ED.
• Stendra (Avanafil): Rapid onset within 15 minutes, with fewer side effects, ideal for on-demand use.
• Kamagra: An affordable alternative to branded pills, containing Sildenafil, but quality varies.
• Spedra: Fast-acting ED medication with quick relief, effective for those needing urgent results.
• Cenforce: Generic Sildenafil option, often at a lower price, with similar effectiveness.
• Vidalista (Tadalafil): Suitable for daily or as-needed use, with extended duration.
• Malegra: Generic Sildenafil-based pills, popular for affordability and effectiveness.
• Tadalista: Tadalafil-based, used for ED and prostate issues, with long duration effects.
• Eriacta: Generic Sildenafil tablets, trusted as a cost-effective ED solution.

Some research shows that taking Asian ginseng may improve sexual function in men with ED, but it’s unclear how safe the herb is for long-term use. This natural ingredient contains icariin, a mild PDE5 inhibitor, which works similarly to prescription ED meds. However, most research on the herb has been conducted on animals. More research on humans is needed to understand its effects on male sexual health.

UK DOCTORS AND CLINICIANS

Hims & Hers has strict sourcing guidelines to ensure our content is accurate and current. We rely on peer-reviewed studies, academic research institutions, and medical associations. We strive to use primary sources and refrain from using tertiary references. Full Name: Lynn Marie Morski, MD, JD Full Name: Lynn Marie Morski, MD, JD Current Role at Hims & Hers: Medical Advisor Current Role at Hims & Hers: Medical Advisor Education: Juris Doctor - Thomas Jefferson School of Law, 2014 Doctor of Medicine - Saint Louis University School of Medicine, 2005 Juris Doctor - Thomas Jefferson School of Law, 2014 Juris Doctor - Thomas Jefferson School of Law, 2014 Doctor of Medicine - Saint Louis University School of Medicine, 2005 Doctor of Medicine - Saint Louis University School of Medicine, 2005 Training: Primary Care Sports Medicine Fellowship - University of Arizona, 2009 Family Medicine Residency - Mayo Clinic - 2008 Primary Care Sports Medicine Fellowship - University of Arizona, 2009 Primary Care Sports Medicine Fellowship - University of Arizona, 2009 Specialties & Areas of Focus: Mental Health, Primary Care, Psychedelic Medicine Previous Work Experience: Physician & Subinvestigator/Clinician Rater - Kadima Neuropsychiatry Institute, January 2025– Investigator - Elite Clinical Network, June 2024– Physician - Veterans Administration, 2010–2019 Physician & Subinvestigator/Clinician Rater - Kadima Neuropsychiatry Institute, January 2025– Physician & Subinvestigator/Clinician Rater - Kadima Neuropsychiatry Institute, January 2025– Invited Commentary on Psychedelic Therapy: A Primer for Primary Care Clinicians. You can learn more about herbs, vitamins, and other men’s sexual health supplements in our guide to natural home remedies for ED. The aforementioned PDE5 inhibitors boost blood flow to your penis by blocking the PDE5 enzyme. Since erections are all about healthy blood vardenafil vilitra 60 mg flow, these drugs make it easier for you to get and stay hard when you’re in the mood for sex. As a reminder, FDA-approved PDE5 inhibitors include: Avanafil (a newer medication sold as Stendra®) Avanafil (a newer medication sold as Stendra®) Unlike gas station sex pills that overpromise and underdeliver, genuine ED treatments actually work. For instance, a study revealed that 98.4 percent of men with erectile dysfunction who took sildenafil reported better erections. ED and PE medications work well on their own, but they’re more effective when combined with a healthy lifestyle. Simple habits like staying active can support healthy blood vessels and improve blood flow to your penis, helping you get and stay hard.

Product Name	Average Cost per Dose	Over-the-Counter Option	Prescription Required	Price Range (USD)
Viagra	$30-$50	No	Yes	$30-$50
Cialis	$35-$70	No	Yes	$35-$70
Herbal Supplements	$20-$60	Yes	No	$20-$60

To get the best results from ED pills, try incorporating the following habits into your routine: Exercise multiple times a week to reduce your risk of developing diabetes, which is a major risk factor for ED Exercise multiple times a week to reduce your risk of developing diabetes, which is a major risk factor for ED Eat a balanced diet that’s high in complex carbs, lean proteins, and fibrous vegetables Eat a balanced diet that’s high in complex carbs, lean proteins, and fibrous vegetables Limit foods that can impact heart health and blood pressure, like those high in saturated fat Limit foods that can impact heart health and blood pressure, like those high in saturated fat Quit smoking, which can damage your heart, lungs, and blood vessels, affecting your sexual performance Quit smoking, which can damage your heart, lungs, and blood vessels, affecting your sexual performance Limit your alcohol intake, which can cause “whiskey dick,” a non-clinical term for the negative effects of alcohol on healthy erections Limit your alcohol intake, which can cause “whiskey dick,” a non-clinical term for the negative effects of alcohol on healthy erections You can learn more about maintaining a better lifestyle for your sexual health in our full guide to maintaining an erection naturally. Around 30 to 50 million men in the United States deal with some level of erectile dysfunction. Fortunately, there are many FDA-approved prescription medications that treat ED and other sexual health issues like premature ejaculation. Let’s recap what you should know about sex pills for men: “Sex pills” and penis enlargement pills are readily available, but they’re not all effective. Over-the-counter pills and supplements for sex aren’t backed by the same research as prescription medications.

What Are Over-the-Counter ED Pills?

Since it lasts long, you don’t need to worry about timing your dose. Side effects may stick around longer than other medications. Vardenafil (Levitra) is similar to sildenafil, but its effects last slightly longer, providing relief from ED for up to six hours. It might be a better option for you if you usually take your ED medication with or after dinner, since food is less likely to mess with its absorption. Common side effects of vardenafil include headaches, nasal congestion, flushing, and indigestion—similar to other ED pills.

Is daily tadalafil safer than as needed options?

Avanafil, sold under the brand name Stendra, is a newer ED medication with several benefits over other prescription pills: Avanafil starts to work in as little as 15 minutes so that you can take it closer to sex than other ED medications. Avanafil starts to work in as little as 15 minutes so that you can take it closer to sex than other ED medications. Like vardenafil, you can take avanafil with meals without slowing the onset. Stendra is less likely to cause side effects than other ED medications. Want to learn more about this ED medication?

Battery-powered penis pump for erectile dysfunction

ED isn’t the only sexual health issue that can mess with your sex life. Research in the Indian Journal of Urology concluded that up to 39 percent of men may experience premature ejaculation at some point in their lives. Looking to tackle PE and boost your sexual confidence and stamina? You’ve got some solid options, including some of the prescription antidepressants and topical products outlined below. Sertraline (generic Zoloft®) is a selective serotonin reuptake inhibitor (SSRI) that healthcare professionals typically prescribe to treat major depressive disorder. “Sex pills” and penis enlargement pills are readily available, but they’re not all effective.

How are oral ED drugs different?

Studies show that ashwagandha can increase testosterone levels, but its effects on sex drive and male sexual health may not be much better than a placebo. Some research shows that taking Asian ginseng may improve sexual function in men with ED, but it’s unclear how safe the herb is for long-term use. This natural ingredient contains icariin, a mild PDE5 inhibitor, which works similarly to prescription ED meds. However, most research on the herb has been conducted on animals. More research on humans is needed to understand its effects on male sexual health.

ED overview

You can learn more about herbs, vitamins, and other men’s sexual health supplements in our guide to natural home remedies for ED. The aforementioned PDE5 inhibitors boost blood flow to your penis by blocking the PDE5 enzyme. Since erections are all about healthy blood vardenafil vilitra 60 mg flow, these drugs make it easier for you to get and stay hard when you’re in the mood for sex. As a reminder, FDA-approved PDE5 inhibitors include: Avanafil (a newer medication sold as Stendra®) Avanafil (a newer medication sold as Stendra®) Unlike gas station sex pills that overpromise and underdeliver, genuine ED treatments actually work. For instance, a study revealed that 98.4 percent of men with erectile dysfunction who took sildenafil reported better erections.

What you can do

ED and PE medications work well on their own, but they’re more effective when combined with a healthy lifestyle. Simple habits like staying active can support healthy blood vessels and improve blood flow to your penis, helping you get and stay hard. To get the best results from ED pills, try incorporating the following habits into your routine: Exercise multiple times a week to reduce your risk of developing diabetes, which is a major risk factor for ED Exercise multiple times a week to reduce your risk of developing diabetes, which is a major risk factor for ED Eat a balanced diet that’s high in complex carbs, lean proteins, and fibrous vegetables Eat a balanced diet that’s high in complex carbs, lean proteins, and fibrous vegetables Limit foods that can impact heart health and blood pressure, like those high in saturated fat Limit foods that can impact heart health and blood pressure, like those high in saturated fat Quit smoking, which can damage your heart, lungs, and blood vessels, affecting your sexual performance Quit smoking, which can damage your heart, lungs, and blood vessels, affecting your sexual performance Limit your alcohol intake, which can cause “whiskey dick,” a non-clinical term for the negative effects of alcohol on healthy erections Limit your alcohol intake, which can cause “whiskey dick,” a non-clinical term for the negative effects of alcohol on healthy erections You can learn more about maintaining a better lifestyle for your sexual health in our full guide to maintaining an erection naturally. Around 30 to 50 million men in the United States deal with some level of erectile dysfunction. Fortunately, there are many FDA-approved prescription medications that treat ED and other sexual health issues like premature ejaculation. Some OTC options could actually be unsafe. FDA investigations have found that many sex pills for men contain hidden ingredients, including some that can result in dangerous drug interactions and other health problems.

Brand Name	Main Ingredients	Effect Duration	Notes	Age Restrictions
VigRX Plus	Horny goat weed, Muira Puama	4-6 hours	Herbal supplement	18+
Max Performer	L-Arginine, ginseng	2-3 hours	Natural ingredients	18+
ProSolution	Tribulus terrestris	4-5 hours	Available online	18+

FDA-approved medications are your best bet for treating ED. Evidence-based PDE5 inhibitors like sildenafil and tadalafil can help with sexual health issues. They’re also available as chewable ED medications, which contain the same ingredients as Viagra and Cialis in personalized dosages. While they’re not approved for ED or PE, doctors sometimes prescribe SSRIs off-label for sexual dysfunction. Ultimately, there’s no one-size-fits-all pill for sex. You’ll get the best results by using a treatment option that’s right for your needs.

Surgery for Erectile Dysfunction

Let’s recap what you should know about sex pills for men: “Sex pills” and penis enlargement pills are readily available, but they’re not all effective. Over-the-counter pills and supplements for sex aren’t backed by the same research as prescription medications. “Sex pills” and penis enlargement pills are readily available, but they’re not all effective. Some OTC options could actually be unsafe. FDA investigations have found that many sex pills for men contain hidden ingredients, including some that can result in dangerous drug interactions and other health problems.

Reduce stress

FDA-approved medications are your best bet for treating ED. Evidence-based PDE5 inhibitors like sildenafil and tadalafil can help with sexual health issues. They’re also available as chewable ED medications, which contain the same ingredients as Viagra and Cialis in personalized dosages. While they’re not approved for ED or PE, doctors sometimes prescribe SSRIs off-label for sexual dysfunction. Ultimately, there’s no one-size-fits-all pill for sex.

Heart health and erectile dysfunction

You’ll get the best results by using a treatment option that’s right for your needs. Curious about your options for improving your sex life? Get advice from a healthcare provider at Hims today. A Randomized, Double-Blind, Placebo-Controlled, Crossover Study Examining the Hormonal and Vitality Effects of Ashwagandha (Withania somnifera) in Aging, Overweight Males. National Center for Complementary and Integrative Health. Curious about your options for improving your sex life?

• Journaling to track erections, medication effects, and emotional states can help your doctor.
• Setting realistic, step-by-step goals (e.g., achieving erection with aid) builds confidence.
• Creating a relaxed, non-pressured environment for sexual activity.
• Exploring sensual touch and foreplay without immediate focus on penetration.
• Using erotic material or fantasies if acceptable to both partners to enhance arousal.
• Practicing mindfulness to stay present and reduce distracting thoughts.
• Celebrating small successes in the treatment journey.
• Remembering that ED is a health issue, not a personal failure.

Get advice from a healthcare provider at Hims today. A Randomized, Double-Blind, Placebo-Controlled, Crossover Study Examining the Hormonal and Vitality Effects of Ashwagandha (Withania somnifera) in Aging, Overweight Males.

• Prescription Supplements: Medications prescribed by doctors for safe ED treatment.
• Over-the-counter Pills: Accessible options for mild ED, without prescription.
• Natural Remedies: Herbal and dietary supplements claiming to support erectile health.
• Male Enhancement Pills: Broad spectrum supplements aimed at improving sexual performance.
• Libido Boosters: Focused on increasing desire and arousal levels.
• Erectile Strength Supplements: Designed to improve firmness and duration.
• Premature Ejaculation Pills: Aimed at extending stamina during intercourse.
• Hormonal Supplements: To balance testosterone levels impacting ED.
• Topical Enhancers: Creams and gels applied directly for quick effect.
• Pump Devices: Mechanical tools to temporarily improve erection quality.
• Pelvic Floor Exercises: Non-drug method to enhance erectile function naturally.

National Center for Complementary and Integrative Health. National Institute of Diabetes and Digestive and Kidney Diseases. Tribulus terrestris versus placebo in the treatment of erectile dysfunction: A prospective, randomized, double blind study. Erectogenic and Neurotrophic Effects of Icariin, a Purified Extract of Horny Goat Weed (Epimedium spp.) In Vitro and In Vivo. Which of available selective serotonin reuptake inhibitors (SSRIs) is more effective in treatment of premature ejaculation? Effect of sildenafil on erectile dysfunction and improvement in the quality of sexual life in China: A multi-center study. Hims & Hers has strict sourcing guidelines to ensure our content is accurate and current. We rely on peer-reviewed studies, academic research institutions, and medical associations. We strive to use primary sources and refrain from using tertiary references. Full Name: Lynn Marie Morski, MD, JD Full Name: Lynn Marie Morski, MD, JD Current Role at Hims & Hers: Medical Advisor Current Role at Hims & Hers: Medical Advisor Education: Juris Doctor - Thomas Jefferson School of Law, 2014 Doctor of Medicine - Saint Louis University School of Medicine, 2005 Juris Doctor - Thomas Jefferson School of Law, 2014 Juris Doctor - Thomas Jefferson School of Law, 2014 Doctor of Medicine - Saint Louis University School of Medicine, 2005 Doctor of Medicine - Saint Louis University School of Medicine, 2005 Training: Primary Care Sports Medicine Fellowship - University of Arizona, 2009 Family Medicine Residency - Mayo Clinic - 2008 Primary Care Sports Medicine Fellowship - University of Arizona, 2009 Primary Care Sports Medicine Fellowship - University of Arizona, 2009 Specialties & Areas of Focus: Mental Health, Primary Care, Psychedelic Medicine Previous Work Experience: Physician & Subinvestigator/Clinician Rater - Kadima Neuropsychiatry Institute, January 2025– Investigator - Elite Clinical Network, June 2024– Physician - Veterans Administration, 2010–2019 Physician & Subinvestigator/Clinician Rater - Kadima Neuropsychiatry Institute, January 2025– Physician & Subinvestigator/Clinician Rater - Kadima Neuropsychiatry Institute, January 2025– Invited Commentary on Psychedelic Therapy: A Primer for Primary Care Clinicians.