Anyone who has purchased herbal Viagra knows that there are many different brands on the market. With so many alternatives it can be hard to know which is the best option for your needs. Below we review the top 3 herbal Viagra manufacturers and compare their features, prices, and guarantees so you can make an informed decision about which one is right for you.

Top 3 Herbal Viagra Choices

  • Cialis
  • Levitra
  • Viagra

What is Cialis?

Cialis is a treatment for male sexual dysfunction, commonly known as impotence (inability to achieve or maintain an erection). In clinical trials, 70% of men who took Cialis reported being able to achieve and maintain an erection sufficient for vaginal penetration.[1]

The active ingredient in Cialis is tadalafil, a phosphodiesterase (PDE) inhibitor. PDE inhibitors increase the level of cGMP in the corpus cavernosum, which consequently leads to improved blood flow into the penis and increased erectile function. By inhibiting the degradation of cGMP, PDE inhibitors may also prevent the breakdown of cGMP caused by nitric oxide synthase (NOS), which produces more NO and causes more relaxation of the smooth muscles in the vessels and blood vessels around the penis.[2]

Tadalafil has been proven to be more effective and longer-lasting than other PDE inhibitors currently on the market. Studies have shown that one dose of tadalafil before sexual activity can improve erectile function for up to 12 hours. Further studies are underway to determine whether continuous use of tadalafil would allow for once-daily dosing and enhanced efficacy compared to currently available PDE inhibitors like vardenafil and tadalafil. In men with type 2 diabetes, the combination of vardenafil and tadalafil has been proven in double-blind trials to be more effective and longer-lasting than either drug individually. This is likely because the two drugs work in synergy to increase blood flow into the penis and boost erectile function. The combination is effective for upto 24 hours and both drugs can be considered for chronic use in this population. [3, 4]

What is Levitra?

Levitra is an oral medication for erectile dysfunction that was approved by the FDA in 2004. It acts similarly to Viagra, by inhibiting the enzyme PDE5, which results in increased blood flow into the penis and an erection that lasts longer than five minutes. Like the other PDE5 inhibitors on this list, it can also be used for combination therapy with other ED medications or treatments. Further research is being conducted to fully understand Levitra’s side effects and efficacy as an individual drug therapy for erectile dysfunction. [5, 6]

What is Viagra?

Although most people think of Viagra when discussing herbal Viagra, it should be noted that there are several other brands that produce a similar product. Like Cialis and Levitra, Viagra is also an oral medication for erectile dysfunction that was approved by the FDA in 1997. It too inhibits PDE5, which results in increased blood flow into the penis and an erection that lasts longer than five minutes. The most common side effect of Viagra is headache, which occurs in about 6% of users. However, this percentage drops to about 2% when compared to men taking Cialis or Levitra. Severe headaches are also relatively uncommon and have only been reported in less than 1% of patients taking Viagra. Compared to other PDE5 inhibitors, Viagra has the advantage of being the only FDA-approved treatment for erectile dysfunction and has therefore built a strong base of clinical experience.

Which One Is Best For You?

Based on the above, it’s clear that there are many benefits to each of these medications. However, which one is best for you depends on several variables. First, decide whether or not you will be using the drug chronically or in emergencies. For instance, if you’re struggling to maintain an erection for intercourse, it would be best to take a look at the options for emergency treatment. This might involve trying one of the many natural impotence remedies discussed on this site, or seeing a doctor for a short-term prescription. In some instances, a surgical procedure might also be necessary. Second, consider what other medications or treatments you’re currently taking or have previously taken. Some men have found that when they’re already taking a PDE5 inhibitor for heart disease, prostate cancer, or pulmonary hypertension, it’s best to avoid combining the two treatments as they might cause serious harm to the patient. Third, determine how you will be administering the medication. Oral medications are preferred as they are the most convenient for patients. However, for those who have difficulty swallowing, sublingual administration might be necessary. It’s also worth noting that all the medications on this list are available in both oral and injectable forms.

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