Which Erectile Dysfunction Medication Should You Choose?

Erectile dysfunction is an extremely common problem and the likelihood of developing the condition increases with age. Indeed, it is estimated that half of all men between 40 and 70 years will experience signs of male impotence to some degree. It should be noted that any man, at any age can suffer the symptoms at some point, however, this is generally normal and is only when the problem persists or worsens in severity will it be considered to be erectile dysfunction. Indeed, should you experience the symptoms of male impotence for longer than a few weeks it may be time to consult a doctor who will be able to assess your health and subsequently recommend a suitable treatment for the symptoms of this condition.

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psychological-webThere are many other causes of erectile dysfunction other than age and generally speaking, these causes can be subdivided into either physical or psychological in nature. Physical causes of erectile dysfunction include conditions such as diabetes, high blood pressure and high cholesterol, which result in narrowing of the blood vessels to the penis. Sometimes the medicines associated with these conditions can also induce symptoms. In addition, the psychological causes of erectile dysfunction include anxiety, depression and stress. These psychological problems can alter our brain chemistry meaning that the signals which are sent to the penis to induce an erection are altered. It is less likely that erectile dysfunction is attributed to a reduced level of testosterone, the male sex hormone but this can also be a cause.
If your symptoms of erectile dysfunction are sporadic in that they only occur in certain situations (such as being able to get an erection during masturbation but not with a sexual partner) then it is likely that the problems of erectile dysfunction are of a psychological origin, whereas, if sufferers are unable to achieve an erection under any condition then it is likely that it underlying reason is physical in nature.
As mentioned above, if the signs and symptoms of erectile dysfunction are persisting for more than a few weeks it is important to get it checked out by your doctor as sometimes this may indicate the first sign of more serious health conditions such as heart disease.
Obviously, erectile dysfunction can be very distressing and may lead to feelings of embarrassment, low self-esteem and perhaps even result in conflict within a relationship. Unfortunately, only around a quarter of the men who are suffering from erectile dysfunction ever actually seek help.
Below is a list of the most common medicines used to treat this condition as well as other methods including alterations in diet. Hopefully, upon reading you will be convinced of the wide and varied range of successful medications and be a part of the number of men who harden up and treat male impotence.


Starting firstly with the conventional route of treatment which is erectile dysfunction medicines. There are several important drugs to mention here, all of which are currently licensed in the UK and have passed all the necessary health and safety checks.

prescription-webGenerally speaking, all of these medicines work in the same way and are all classified as phosphodiesterase 5 (PDE-5) inhibitors. These medicines work by maintaining levels of cyclic guanosine monophosphate in the body. Guanosine monophosphate is a chemical in the body which is responsible for the relaxation of smooth muscle throughout the body. This action is important for allowing a penis to become hard during an erection. This is because during an erection signals are sent to the body to increase blood flow to the genital area which is what actually causes a penis to become hard. All of these medicines are prescription only medication and so a doctor must be consulted prior to purchase (at Assured Pharmacy GMC registered UK doctors will assess your medical condition via a discreet online questionnaire). Viagra, Cialis, Levitra and Spedra are the most common types of PDE-5 inhibitors. It is also important to realise that these medicines only work when a man is sexually stimulated.

Which Erectile Dysfunction Medication Should You Choose?

  • Viagra:
    Viagra is the original ‘little blue wonder pill’ and is one of the most popular medicines available as it was the first to come to market. Typically Viagra works within one hour and is best taken on an empty stomach. Effects of this drug typically last around four to five hours but this can vary depending on the individual. Viagra contains the active drug ingredient Sildenafil Citrate. This is the ‘generic’ form and you can be confident that generic forms of this drug are exactly the same as long as they are bought from a reputable source such as Assured Pharmacy.
  • Cialis:
    Cialis usually has a faster onset of action than Viagra as effects can be observed as quickly as thirty minutes. This medicine can last as long as thirty-six hours meaning it lasts for a longer duration of time as well. Cialis can be taken as a ‘when required’ tablet (10mg or 20mg) or also as a lower once a day dose (2.5mg or 5mg). The once-daily dose regimen is recommended for men who anticipate sex more than twice a week and want to be ‘ready’ for intercourse at any time without waiting to take a tablet. Cialis contains the active drug ingredient Tadalafil.
  • Levitra:
    Similarly to Viagra, Levitra usually begins to work within just over thirty minutes. Its effects can last as long as five hours. Levitra contains the active drug substance Vardenafil. Significantly, Levitra has shown to be effective in men with diabetes; however, this does not mean that Levitra is the only erectile dysfunction medicine suitable or effective for men also suffering from diabetes.
  • Spedra:
    Spedra contains the drug Avanafil and it usually begins to work within half an hour making it similar to Viagra but with a quicker onset of action. Spedra is a relatively new product and was officially released in October 2013.


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Spedra is one of the newest treatments on the market for erectile dysfunction and differentiates itself by being quicker acting than Viagra.

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Product Description

About Spedra

Spedra is one of a group of drugs similar to Viagra known as phosphodiesterase 5 inhibitors (PDE-5).  They work by relaxing the blood vessels in the penis which results in more blood flowing to the penis when you are sexually excited.

Spedra is one of the newest treatments on the market for erectile dysfunction and differentiates itself by being quicker acting than Viagra. Spedra can take as little as 15-30 minutes to take effect whereas Viagra can take up to one hour.

How do I take it?

You should take Spedra approximately 15-30 minutes before you are planning to have intercourse. Spedra will last in your system for around 6 hours so when sexually aroused you will be able to have intercourse during this window of time.  Tablets are swallowed whole with a glass of water.  You must be sexually excited for the drug to work- Spedra treats the physical element of erectile dysfunction and will not increase sexual desire.  


Spedra comes in three different strength tablets; 50mg, 100mg and 200mg.

100mg tablets are the standard dose and we recommend you try these first. If you experience side effects, you can reduce your dose to 50mg or if you find you require a stronger effect, you can try 200mg.

We do not recommend that you split tablets in half as you cannot guarantee that the bioavailability of active ingredient will be the same in both halves of the tablet (e.g. you may split a 200mg tablet but receive 150mg of active ingredient in one half and 50mg in the other).  

If you have any questions about the dose or directions for use, please contact us in the pharmacy on 01625 460621 to speak to our pharmacist or doctor in confidence. You can also email [email protected]



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All of these PDE-5 medicines have the same general side effects which are often rare and where present, are mild in nature. The most common side effects of these medicines include a headache and facial flushing.

Trial-&-Error-WebIn terms of choosing which medicine is right for you, it may be a case of trial and error. Indeed, after trying a few of these drugs men can discover which product best suits their individual needs. As mentioned, the general starting point is usually Sildenafil Citrate which is found in Viagra, which is the first line choice for prescribing doctors. Therefore, keep calm don’t be disillusioned if one medicine doesn’t work, persevere and try another; there is plenty of choices. In general, more than two-thirds of men report having improved erections after taking one of these medications.

Some other methods of treating erectile dysfunction include cognitive behavioural therapy. This is perhaps only significant for individuals who suffer the symptoms of erectile dysfunction as a result of a psychological problem. Cognitive behavioural therapy involves talking to a professional about the root cause of the problem and understanding how it is affecting you. Unfortunately, this can be a costly process; however, it has been shown that cognitive behavioural therapy is very useful in treating a range of problems.

Another popular method of treatment includes alternations in lifestyle. Examples of this would include a healthy diet, exercise, reduction in alcohol consumption and where applicable; weight loss. Another major modifier of lifestyle which may improve the symptoms of erectile dysfunction includes stopping smoking. Consult your healthcare provider or call us in the pharmacy for further hints and tips on how to improve your overall health.

In conclusion, it is clear to see that when treating erectile dysfunction the choices are plentiful. What’s more is that now these medicines are even more accessible. At Assured Pharmacy, you can relax in the knowledge your medicines are safe and effective. Delivery is also discreet and convenient.
So if in the past you have been let down now is the time to try something new, the choice is yours.


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  1. http://www.nhs.uk/conditions/Erectile-dysfunction/Pages/Introduction.aspx
  2. http://www.healthline.com/health/erectile-dysfunction
  3. http://www.nhs.uk/Conditions/Erectile-dysfunction/Pages/Treatment.aspx


Assured Pharmacy is not liable for the currency or accuracy of the information contained in this blog post. For specific information about your personal medical condition, please contact our doctors or pharmacists for advice on [email protected].