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Which pill works best varies from person to person. That said some of the most commonly used and effective ED medications are: Viagra (sildenafil) and Cialis (tadalafil). If our online doctors find that you may benefit from Viagra they will electronically send a prescription for it to the pharmacy of your choice. When you run out of medication, they can prescribe a generic viagra wholesale refill. If the doctor finds that a Cialis prescription may help with your ED they will electronically send a prescription to the pharmacy of your choice. There are over the counter ED treatments available however, they are proven to be less effective generic viagra pills online than prescription medications such as Viagra, Cialis and Levitra. It’s important to speak with a doctor to make sure an underlying medical condition, such as heart disease, is not causing your ED. Some common causes of ED are: aging, medical conditions, obesity, medication side effects, psychological conditions, drug or alcohol use, tobacco use, injuries. The average man stays erect for approximately 5.5 minutes during sex, according to the Journal of Sexual Medicine. The “normal” length of time for an erection ranges from a few minutes to several hours. Studies show ED medication is effective for about 7 out of 10 men. Visit with a doctor on your smartphone or computer. We can send prescriptions to any local pharmacy or by mail. Your doctor will work with you on a treatment plan, which may include lifestyle changes and medication such as: Who Cannot Take ED Medication. In fact some medical conditions make taking oral ED medication extremely dangerous. ED medication should not be mixed with the following conditions and/or medications: People taking nitrates, including isosorbide dinitrate & isosorbide mononitrate. People who have had a heart attack or stroke in the past 6 months. This is not a complete list of conditions and it is extremely important to disclose your entire medical history and prescription history to your doctor before being prescribed ED medication. An FDA investigation showed that medications and supplements bought online without prescriptions aren’t always what they seem. For example, Viagra samples bought online without a prescription contained only 10% of the advertised strength. With PlushCare, you’re getting prescribed by a doctor and picking up certified ED medications from a trusted pharmacy. You don’t have to put your health or your partners health at risk, to get your sex life back. Spedra - works in 15mins, lasts up to 4hrs Sildenafil - works in 1hr, lasts up to 4hrs Cialis - works in 30mins, lasts up to 36hrs. Some treatments contain the same active ingredient but are sold under different names. If the active ingredient and the dosage are the same, the treatments will have the same effect and work in the same way. Sildenafil: one tablet 1hr before sex – lasts up to 4 hours. Cialis: one tablet at least 30mins before sex - lasts up to 36hrs. Spedra: one tablet 15-30mins before sex – lasts up to 4 hours. Avoid taking any of the treatments with more than 1 or 2 units of alcohol as this can limit its effectiveness. Grapefruit juice should be avoided for 24hrs prior to taking Spedra. Full usage instructions will be provided for each treatment. These treatments work by increasing blood flow to the penis. They can improve your erection if you are sexually aroused. These treatments will not resolve the underlying physical cause of your ED or increase your sexual desire. Side effects are uncommon but can include nausea, vomiting, diarrhoea and an allergic rash. Other side effects include facial flushing, headache, light-heartedness, a stuffy nose, blurred vision, palpitations (racing heartbeat), and indigestion. Please always read the patient leaflets for the treatment you're using. These treatments have varying degrees of effectiveness reported following clinical trials. If one does not work for you, a different treatment might have the desired effect. The treatments in this combo pack are a standard strength or dose. These are the doses that work for the majority of people. Depending on your age, height and weight, the cause and the severity of your ED, a lower or higher dose of these ED treatments may suit you better. Dosage does not affect how quickly or for how long the treatment works. Your consultation responses will help us prescribe you the most suitable treatment and strength. You will not be suitable for these ED treatments if you are taking nicorandil or nitrates such as GTN spray or isosorbide mononitrate tablets to treat angina. If you are taking alpha-blockers (such as doxazosin or tamsulosin), our GPs will not be able to prescribe the combo pack as you cannot take these with Cialis. You could try Sildenafil, Spedra or Vardenafil, which are safe to take 6 hours after taking alpha-blockers. It is important that you let us know which prescription, over-the-counter medicines and recreational drugs you are taking so that we can prescribe ED combo pack safely. Some men find counselling helpful as a means of exploring and treating psychological causes for ED. If the treatments in the ED combo pack do not work for you, contact us via your Patient Record so that we can discuss your treatment options. To reorder ED combo pack, go to your Patient Record and select ‘reorder’. You will be required to fill in the online questionnaire each time you reorder. Erectile dysfunction is when men are unable to get or keep an erection suitable for sex. You can buy medication from Dr Fox Pharmacy by completing a short health assessment online. Read medical information and answer medical questions to buy treatment online. Treatment and prices Medical information Buy treatment. Viagra (sildenafil) 25mg, 50mg, 100mg from ?5 per tablet. Sildenafil (generic Viagra) 25mg, 50mg, 100mg from 95p per tablet. Cialis (tadalafil) 2.5mg, 5mg, 10mg, 20mg from ?2.29 per tablet. Tadalafil (generic Cialis) 2.5mg, 5mg, 10mg, 20mg from 71p per tablet. Levitra (vardenafil) 5mg, 10mg, 20mg from ?3.75 per tablet. Vardenafil (generic Levitra) 5mg, 10mg, 20mg from ?2.97 per tablet. Spedra (avanafil) 50mg, 100mg, 200mg from ?3.10 per tablet. Prescriptions are issued by our doctors online and sent electronically to our pharmacy. Order value Prescription fee up to ?10 ?1.00 up to ?20 ?2.00 up to ?40 ?3.00 over ?40 ?4.00. UK delivery only: ?2.90 per consultation via Royal Mail 24 Signed For (1-3 working days with tracking). Returns and refunds - unwanted items can be returned within 14 working days for a full refund. Over the last decade medications have revolutionised the treatment of erectile dysfunction. These medications work by enhancing the natural reaction to stimulation, opening up the blood flow needed for erections. Other treatments for ED include topical applications, injections into the penis, surgical devices, and counselling. Seven different erectile dysfunction medications are available to buy online from Dr Fox pharmacy: Viagra tablets (25mg, 50mg, 100mg) Viagra Connect tablets (50mg only) Sildenafil tablets: low cost generic Viagra (25mg, 50mg, 100mg) Cialis tablets (2.5mg, 5mg, 10mg, 20mg) Tadalafil tablets: low cost generic Cialis (2.5mg, 5mg, 10mg, 20mg) Levitra tablets (5mg, 10mg, 20mg) Levitra orodispersible tablets (10mg) Vardenafil tablets (5mg, 10mg, 20mg) Spedra tablets (50mg, 100mg, 200mg) Each tablet has a different duration of action and side effects – see tablet differences below. You should always tell your regular doctor if you are having problems with erections. Erectile dysfunction can be a symptom of conditions such as diabetes, high blood pressure, high cholesterol, or narrowing of the arteries. A face-to-face assessment with a doctor is particularly important if symptoms develop over a period of weeks or months, or even suddenly, without an emotional event to set them off. Erectile dysfunction can be a complication of previous operations or a side effect of some prescribed medication. It is best to start with a lower strength tablet and build up as needed (see how to start treatment). One type of tablet sometimes works better than another. You may like to try out different tablets to see which ones suit you best. Sexual stimulation is required for tablets to work. You can request more than one type of tablet at a time. Erectile dysfunction can be distressing and lead to relationship difficulties, anxiety, and depression. This may help resolve the cause of erectile dysfunction. In some cases a problem of performance anxiety can be overcome by breaking the cycle of failure with tablet treatments. Compare erectile dysfunction drugs Sildenafil Tadalafil Vardenafil Avanafil Brand names Viagra, Viagra Connect Cialis Levitra Spedra Available generically Yes Yes Yes No Starting dose 50mg 10mg 10mg 100mg Time taken to start working 30-60 minutes 30-60 minutes (2.5mg and 5mg tablets can be taken daily) 25-60 minutes - faster for orodispersible tablets 15-30 mins on empty stomach, 1.5 hours on full stomach How long effects last 4 hours 36 hours 4-5 hours 4 hours Warnings and cautions Warning Sildenafil Tadalafil Vardenafil Avanafil Do not take Allergic to ingredients, low or high blood pressure, severe heart or liver problems, loss of vision due to NAION , recent stroke or heart attack Rare inherited eye diseases Kidney dialysis, rare inherited eye diseases Liver or kidney problems, rare inherited eye diseases Exclusions - talk to your doctor first Sickle cell anaemia, multiple myeloma, leukaemia, deformity of the penis, problems with your heart, stomach ulcer or bleeding problems Drug interactions Any nitrate-based medication, usually to treat angina (important) ; 'poppers'; nitric oxide donors, medicines for HIV , AIDS , or fungal infections; riociguat; alpha-blockers; other ED medicines Common side effects (% occurrence) Adverse event Sildenafil Tadalafil Vardenafil Avanafil Headache 12.8% 14.5% 16% 9.3% Flushing 10.4% 4.1% 12% 3.7% Dyspepsia (indigestion) 4.6% 12.3% 4% uncommon Nasal congestion 1.1% 4.3% 10% 1.9% Dizziness 1.2% 2.3% 2% 0.6% Abnormal vision 1.9% Tony Steele Last updated 28 July 2020. ED can affect men of all ages, but needn't impact your quality of life. We'll help you find the right treatment and strength to help support a fulfilling sex life and improve your erectile performance. ED can affect men of all ages, but needn't impact your quality of life. We'll help you find the right treatment and strength to help support a fulfilling sex life and improve your erectile performance. ED is when a man is unable to get an erection or maintain it, making penetrative sex difficult or impossible. It can affect relationships and confidence, but ED is treatable. ED can have both physical and psychological causes. In most cases it is due to a reduced blood flow to the penis. Anxiety, stress and depression can also cause erectile problems. Treatment works in 50-80% of cases, increasing blood flow to the penis and enabling an erection when aroused. Side effects vary, but may include nausea, back pain or indigestion. Complete your consultation questionnaire and we will recommend a treatment and dose suitable for you. These are available for either discreet collection or delivery. Sildenafil 50mg vs 100mg How long does Viagra take to work? Sildenafil vs Tadalafil What's the difference between Viagra Connect, Viagra and Sildenafil? The blue pill Erectile dysfunction causes Erectile dysfunction young men What is Cialis Daily 5mg? Orders placed before 4pm Monday-Friday, and before 12pm on Sundays will be delivered the next working day. Order before 4pm Monday-Friday to collect in pharmacy the same day. Collect from one of our 1,500 LloydsPharmacy stores, including selected Sainsbury's. Face coverings To ensure that everyone in our pharmacies feel safe and protected from COVID-19, we ask that our customers and patients follow the new mandatory government advice that face coverings are compulsory in shops and supermarkets from Friday 24th July in England. Bigger and Better: How Pfizer Redefined Erectile Dysfunction. In the pursuit of profits, pharmaceutical companies are continuously looking to expand the market for their products. This article examines how Pfizer transformed Viagra from an effective product for erectile dysfunction (ED) due to medical problems, such as diabetes and spinal cord damage, into a drug that “normal” men can use to enhance their ability to achieve an erection and to maintain it (in a “harder” state) for a longer period of time. An important emerging issue in health care is the availability of medications to treat what until recently have been regarded as the natural results of aging or as part of the normal range of human emotions. Thus, we now see treatments widely advertised for male pattern baldness and shyness. Deviating even further, drug therapy is moving out of treating diseases to providing enhancements to what had hitherto been seen as normal functioning.
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