Can't or don't want to use Viagra? You have safe, effective alternatives—both drugs and non-drug choices. This guide explains the main options, how they differ, and quick tips for picking the right one.
Cialis (tadalafil) often fits people who want a longer window. It starts working in about 30 minutes and can last up to 36 hours, so it's good for spontaneity. Levitra (vardenafil) and Staxyn are similar to Viagra in effect but sometimes help men who respond poorly to sildenafil. Stendra (avanafil) acts faster—often in 15–30 minutes—and can suit men who need quicker onset. Side effects for all these drugs include headache, flushing, nasal congestion, and dizziness. Never mix any PDE5 inhibitor with nitrates; that can cause a dangerous drop in blood pressure.
If pills don't work or aren't safe for you, consider a vacuum erection device. It uses a pump to draw blood into the penis and a ring to keep it in place; many men find it reliable and drug-free. Penile injections with alprostadil can produce firm erections within 5–20 minutes; a doctor will teach you the dose and injection technique. There is also an intraurethral alprostadil suppository for men who prefer not to inject. For men with low testosterone, hormone therapy may improve libido and erectile function, but you need lab tests and medical follow-up.
Psychological causes matter. If anxiety, performance pressure, or relationship issues play a role, sex therapy or counseling can help. Combining therapy with medical treatment often boosts results.
Some men try herbal supplements like ginseng, L-arginine, or yohimbine. A few small studies show benefit, but supplements vary in quality and can interact with medicines. Only use them after checking with your clinician.
Which option fits you? Pick based on how fast you need results, how long you want effects to last, other health problems, and drug safety. For example, choose tadalafil for a long window, avanafil for speed, and vardenafil for a Viagra-like effect.
Shopping tips: buy prescription drugs from licensed pharmacies, check reviews, and avoid sites that don’t require a prescription. Our site covers safe online pharmacies and buying tips if you want more detail.
Talk with your doctor about heart disease, blood pressure meds, and nitrates before trying any treatment. Your doctor will help match the alternative to your needs and reduce risks.
Want a quick summary? Tadalafil = long duration; avanafil = fast start; vardenafil = Viagra-like; pumps and injections = non-oral choices; therapy and hormones = address root causes. Try one approach at a time and give it a proper trial under medical guidance.
Ready to explore options? Use this page as a starting point, then get a medical checkup to find the safest, most effective choice for you.
Small checks to run before trying anything: review current meds, note allergies, track erectile episodes for a week, and write questions for your doctor. Accurate info saves time and helps pick the treatment that fits your life and health. Today.
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