Medically reviewed by Thomas Fischer (Pharmacist). This article was written according to medical standards. More Info

Medically reviewed by Thomas Fischer (Pharmacist)More Info

It has long been accepted that as men grow older, sexual problems are typical. These days though, they tend to be more open about the issues. Modern medical advances have brought some solutions to the table to treat the conditions. The new treatments have made it possible for men to continue to be sexually active longer. Several medical problems can affect sexual health. Erectile dysfunction is one of the most common conditions that affect guys at some point in their lives.

How prevalent is erectile dysfunction in American men? It can happen at any age, but it indeed becomes a more common problem due to age. The University of Wisconsin says that 5% of men over the age of 40 experience complete erectile dysfunction. That increases to 15% for those over the age of 70.

Cialis, Viagra and Levitra are the most known treatments  of erectile dysfunction (ED). What is the difference between them? Which medication is better? Taking a closer look at three drugs may resolve all these important questions.

What is Erectile Dysfunction?

Erectile dysfunction (ED) is the inability to reach and maintain an erection firm enough to engage in sexual activity. While very common, it can cause emotional stress, affect a man’s self-confidence, and contribute to problems in their relationships. It is a very complex activity that involves the muscles, nerves, hormones, brain, and blood circulation to all work together to achieve an erection.

The components for men to function sexually are:

Erectile dysfunction happens when one or all of those components are affected. The ability to attain and keep an erection is most commonly affected. Treatment options are offered based on which part is affected and how the medication will fit within the lifestyle you lead.

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Causes of Erectile Dysfunction

Physical Causes:

Psychological Causes:

Environmental Causes:

What are Viagra, Cialis, and Levitra?

Viagra, Cialis, and Levitra are medications that are used to treat erectile dysfunctions. These drugs do not work on their own. Men need to engage in sexual activity to activate the medication.

Viagra Levitra Cialis

These three drugs are similar in that they are all in a drug classification called phosphodiesterase type 5 inhibitors (PDE5). They block the enzyme PDE5 and boost the nitric oxide in your body, allowing the muscles in the penis to relax. When that is combined with sexual activity, blood flow to the penis is improved, and an erection can develop.

What Are the Differences Between Viagra, Cialis, and Levitra?

While Viagra, Calis, and Levitra are all PDE5 inhibitors, they all work differently. The first difference is that they all have separate active ingredients. Another contrast is that they have different onset periods and stay in the body for diverse lengths of time. This can affect how long sexual activity can last or how other medications work in your body.

Drug Name

Active Ingredient

Uses

Viagra

Sildenafil

Treats erectile dysfunction and pulmonary arterial hypertension.

Levitra

Vardenafil

Treats erectile dysfunction and can also treat premature ejaculation

Cialis

Tadalafil 

Treats erectile dysfunction, pulmonary arterial hypertension, benign prostatic hyperplasia

Similarities

  • All PDE5 Inhibitors
  • All Oral tablets
  • Stored similarly
  • There are generic versions of each kind
  • Should not be used by those who need to take nitrate medications

Differences

  • Active ingredients/chemical makeup
  • How long the effects of the medication last
  • Dosages are different
  • When the medication should be taken
  • Different effects with food and alcohol consumption
  • How they work with medications for other health conditions
  • Side effects
  • Some can be used to treat other health conditions besides erectile dysfunction

Which Drug Is More Effective?

To determine which ED treatment is best, a man needs to discuss his symptoms with his physician. They are all effective and safe to use. The most effective isn’t dependent on the drug; it is about the person. What may be the best for one man isn’t the same for another. The most likely deciding factor between the three medications will be other health conditions you may have, your lifestyle needs, and the cost of the medicines.

Levitra was found to be more potent than Viagra, and both were effective in treating erectile dysfunction. Viagra seems to work better when erectile dysfunction is associated with psychological issues; and men who have diabetes or prostate cancer. Men with coronary artery disease can take Viagra if they do not use nitrate-based medications to treat coronary artery disease.

Cialis effects last longer than Levitra or Viagra. Levitra does not have the side effect of altering color perception, as can happen with Viagra. Cialis seems to have fewer side effects than either Viagra or Levitra.

Viagra vs. Cialis vs. Levitra: Which Drug Is Cheaper?

The cost of each medication will be different depending on whether or not you have health insurance coverage, what your coverage is, and the dosage. Without insurance coverage, Viagra will cost about $60/pill, Cialis can range from $12-$44/pill, Levitra can cost up to $60/pill.

To lower costs when insurance coverage is not possible, some companies offer savings coupons or pricing for low-income patients. Some companies partner with drug companies and negotiate lower prices for medications. There are websites and mobile apps that track medication prices and can offer discounts and coupons.

Our tip: How to buy ED treatments with online prescription

Online Prescription & Doctor Services offer patients a safe and discreet option to ordering ED treatments with online prescription. You just need to answer a few questions in the online questionnaire which is checked by the virtual doctor. After determining the suitability of your treatment, the online prescription is issued and the medication is sent to your desired address.
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Can I Take Viagra, Cialis, and Levitra Together?

It is unlikely that a physician will prescribe all three medications for you to use at the same time. You should never use medicines that have not been prescribed to you. Talk to your doctor if you feel the dosage should be adjusted or the drug just isn’t working for you. 

The danger of combining them is that they can make your blood pressure lower dangerously. If the current medicines you are using is not working, talk to your doctor about using another erectile dysfunction medication. It’s entirely possible your doctor will recommend switching to another one of the three, but never to combine them.

Which Medication Has the Fastest Reaction?

When using Viagra, it should be taken between 30 to 60 minutes before sex. With stimulation, the drug should begin to react in another 30 minutes. Levitra should also be taken about an hour before sex. Generally, though, it tends to kick-in a little earlier than Viagra. 

sildenafil working

Cialis can be used in two different ways. It can be taken daily in small doses, which means an erection can be achieved with some sexual stimulation. If Cialis is consumed on an “as needed” basis, it should also be taken about 30 minutes before sex and start to work 30 minutes later. The dose used for an as-needed basis is higher than the daily dose.

Viagra vs. Cialis vs. Levitra: Comparing Hardness

The main difference between the 3 drugs is the amount of time they stay in the body. Both Levitra and Viagra tend to remain for around 4-5 hours. It’s possible to have sex an additional time during this window. Cialis is the exception. For patients choosing the as-needed option, it can remain in the body for up to 36 hours. For those taking the daily dose, sexual encounters can be successful at any time as it is always present in the bloodstream.

As for hardness, none of the drugs have been reported to be better than the other. Once the active ingredient begins, in most cases, the penis can successfully generate a satisfactory erection.

Side Effects In Comparison

The 3 medications share a number of the same side effects, and all have their own unique ones, this table clearly summarizes it:

Side Effect

Levitra

Viagra

Cialis

Headache

Stuffy or Runny nose

Stomach Upset

Flushing

Dizziness

 

Back pain

Nausea

 

 

Muscle pain

 

Color vision changes

 

 

Rash

 

 

Flu-like symptoms

  

Memory problems

  

Diarrhea

  

Limb pain

  

Contraindications in Comparison

With any medication, there are always contraindications. These are factors that can cause harm to a person if they use the drug while having certain medical conditions. There are several conditions that all three medicines do not work well with. With all three of these ED medications, there are the same significant contraindications that they have.

Men who take nitrate drugs to treat chest pain should not take erectile dysfunction medicines. Some of these medications are isosorbide dinitrate, isosorbide mononitrate, and riociguat. Nitrates can cause a drop in blood pressure severe enough to cause death.

Men who have a health history of heart attack or stroke in the previous six months should not take erectile dysfunction medications. The drug can cause blood clots to form, and it can be dangerous for people who have a risk of stroke or heart disease.

Men who have a history of high blood pressure should not use Viagra, Levitra, or Cialis. ED medications can cause a life-threatening drop in blood pressure.

If you suffer from any of the following conditions, inform the physician before taking Viagra, Cialis, or Levitra:

Cialis Has Additional Contraindications With These Conditions:

Levitra Should Not Be Used With Individuals Who Have This Additional Contraindication:

Medication Interactions

There can be interactions with other medications you may take as well. Make sure your physician knows if you take any of these medications. Some of those drug interactions are:

Food Interactions

Even foods can cause medication interactions. Foods and drinks to avoid while taking these medications are:

How To Buy Your Erectile Dysfunction Medicine With An Online Prescription

Because all of the ED medications are available by prescription only, a patient must consult their physician before using them. Virtual pharmacies offer convenience, good accessibility, especially for people who live in rural areas and can have lower costs. A patient may feel more comfortable ordering sexual health medications from website pharmacies rather than at their regular drug store.

An excellent web-based pharmacy will have a licensed pharmacist who is willing to answer any questions you may have. Check with your usual drug store; many have online patient portals where you can fill and manage your prescriptions online. If that is not available, then you can use other telehealth services.

It should have a physical address in the US, but not a post office box only. Look for a US-based phone number to contact them. They should also have policies put in place to protect your financial and personal information.

The doctor will review your medical history to decide which drug will be most useful to treat ED. Tell the doctor about your concerns, lifestyle, existing medical conditions, and ask any questions you have about any treatments that they suggest. 

You’ll need to have a phone or video consultation with them. Then, if the physician feels that a prescription for either 3 drugs is appropriate, you can fill it either at your regularly used pharmacy or as part of the online transaction. 

Article Sources

We at Cialis-Online-Prescription.com only use accredited sources and references for content creation. Read our editorial guidelines to learn more about how we determine medical facts and prepare our content in a technically correct, reliable and trustworthy manner.
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