{"id":17988,"date":"2021-01-13T13:54:35","date_gmt":"2021-01-13T18:54:35","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=17988"},"modified":"2025-10-08T17:54:24","modified_gmt":"2025-10-08T21:54:24","slug":"safest-drug-for-erectile-dysfunction","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/safest-drug-for-erectile-dysfunction\/","title":{"rendered":"What is the safest erectile dysfunction pill?"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Erectile dysfunction (ED) is the inability to get or keep an erection that\u2019s firm enough for sexual intercourse. For many men, erectile dysfunction is difficult and stressful to deal with both physically and emotionally. ED medications have been the saving grace for millions of men worldwide, but it can be overwhelming to find the <\/span><i><span style=\"font-weight: 400;\">safest<\/span><\/i><span style=\"font-weight: 400;\"> erectile dysfunction pill. The most popular ED medications are Viagra, Cialis, Levitra, and Stendra. Let\u2019s take a look at these popular brand names to answer: What is the safest drug for erectile dysfunction?<\/span><\/p>\n<p><span data-sheets-root=\"1\" data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;&quot;}\" data-sheets-userformat=\"{&quot;2&quot;:6849,&quot;3&quot;:{&quot;1&quot;:0},&quot;9&quot;:1,&quot;10&quot;:2,&quot;12&quot;:0,&quot;14&quot;:{&quot;1&quot;:2,&quot;2&quot;:0},&quot;15&quot;:&quot;Arial&quot;}\" data-sheets-formula=\"=CONCATENATE(R[0]C[-2],R[0]C[-3],R[0]C[-1])\"><\/span><\/p>\n<h2><span style=\"font-weight: 400;\">How does ED medication work?\u00a0\u00a0<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Erectile dysfunction affects as many as <\/span><a href=\"https:\/\/www.urologyhealth.org\/urology-a-z\/e\/erectile-dysfunction-(ed)\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">30 million men<\/span><\/a><span style=\"font-weight: 400;\"> in the United States, and it\u2019s usually caused by a combination of psychological and physical issues that affect the brain, hormones, muscles, blood vessels, and nerves. Erectile dysfunction medications help improve erectile function by enhancing the effects of nitric oxide, a chemical in the body that relaxes penile muscles. This in turn increases blood flow to the penis, which allows men to get and maintain an erection that\u2019s firm enough for sex. If used correctly by healthy individuals, ED medications are safe to use and can help men feel happier with their sex lives.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/span><\/p>\n<h3>Dosage<\/h3>\n<p><span style=\"font-weight: 400;\">The main differences between the most popular ED medications\u2014<\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/viagra\"><span style=\"font-weight: 400;\">Viagra<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/cialis\"><span style=\"font-weight: 400;\">Cialis<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/levitra\"><span style=\"font-weight: 400;\">Levitra<\/span><\/a><span style=\"font-weight: 400;\">, and Stendra\u2014are how much each drug costs, how they\u2019re taken, how long they last, and their side effects. For example, Viagra typically only stays in the body for about four to five hours before it wears off completely. Cialis, on the other hand, stays in the body for up to 36 hours and can help men get erections anytime during that time frame.\u00a0<\/span><\/p>\n<p><strong>RELATED: <a href=\"https:\/\/www.singlecare.com\/blog\/cheap-cialis-without-insurance\/\">How much does Cialis cost without insurance?<\/a><\/strong><\/p>\n<p><span style=\"font-weight: 400;\">When comparing how fast the different medications start working, both Viagra and Cialis take about 30 minutes to start working, whereas Levitra and Stendra may start working as soon as 15 minutes after ingestion. It\u2019s important to note that when treating erectile dysfunction with ED pills, sexual stimulation is needed to help the pills do their job. It\u2019s not enough to simply take a pill.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Some of the ED treatment medications can be taken daily instead of on an as-needed basis. Cialis is popular for this reason\u2014it allows men to have sex <\/span><a href=\"https:\/\/www.health.harvard.edu\/mens-health\/should-you-take-a-daily-erectile-dysfunction-pill\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">anytime<\/span><\/a><span style=\"font-weight: 400;\"> because it continuously circulates in the bloodstream. On the opposite end of the spectrum, Viagra must be taken one to four hours before sexual activity and is taken at a much higher dose.\u00a0<\/span><\/p>\n<h3>Cost<\/h3>\n<p><span style=\"font-weight: 400;\">The cost of each medication is also something to consider; erectile dysfunction medications aren\u2019t known for being cheap. Brand-name Viagra is quite expensive at about <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/generic-viagra-online\"><span style=\"font-weight: 400;\">$70<\/span><\/a><span style=\"font-weight: 400;\"> per pill, while the generic form is only around $40 per pill. Cialis costs about $12 per pill or <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/cheap-cialis-without-insurance\/\"><span style=\"font-weight: 400;\">$360<\/span><\/a><span style=\"font-weight: 400;\"> for a month&#8217;s supply, and Levitra has an average cost of $111 per pill. Even though ED pills are expensive, many companies like SingleCare offer coupons for ED medications online.\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">All this to say that even though ED medications work to help men get and maintain an erection, they differ mostly in how they work and how much they cost. If you\u2019re interested in learning more about the specifics of how ED medications work or want to find the most cost-effective way to include ED pills in your life, it\u2019s best to talk with a medical professional.\u00a0\u00a0\u00a0\u00a0\u00a0<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Which ED medication has the least side effects?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Even though ED medications are effective and help millions of men worldwide, they still have the potential to cause side effects. Some of the ED medications will cause different side effects than others. The following table lists the most common side effects of each of the most popular ED medications:<\/span><\/p>\n<table class=\"singlecare-table\">\n<thead>\n<tr>\n<th><span class=\"title\">Side effects of ED pills<\/span><\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr class=\"header-row\">\n<td style=\"text-align: center;\"><b>Viagra (sildenafil citrate)\u00a0<\/b><\/td>\n<td style=\"text-align: center;\"><b>Cialis (tadalafil)\u00a0<\/b><\/td>\n<td style=\"text-align: center;\"><b>Levitra (vardenafil)\u00a0<\/b><\/td>\n<td style=\"text-align: center;\"><b>Stendra (avanafil)\u00a0<\/b><\/td>\n<\/tr>\n<tr>\n<td>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Nausea<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Headache<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Flushing<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Stuffy nose<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Runny nose<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Blurred vision<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Muscle pain<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Indigestion\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Back pain<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Dizziness\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Rash\u00a0<\/span><\/li>\n<\/ul>\n<\/td>\n<td>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Headache<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Indigestion<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Flushing<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Back pain<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Dizziness<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Nasal congestion<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Muscle aches\u00a0<\/span><\/li>\n<\/ul>\n<\/td>\n<td>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Headache<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Flushing<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Stuffy nose<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Runny nose<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Dizziness<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Vision changes<\/span><\/li>\n<\/ul>\n<\/td>\n<td>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Headache<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Dizziness<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Flushing<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Upset stomach<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Back pain<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Constipation\u00a0<\/span><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><span style=\"font-weight: 400;\"><strong>Levitra has the least potential for causing side effects because a lower dose is needed to cause an erection<\/strong>, according to the <a href=\"https:\/\/www.bumc.bu.edu\/sexualmedicine\/informationsessions\/choosing-the-right-pill-to-treat-ed\/\" target=\"_blank\" rel=\"noopener noreferrer\">Boston University School of Sexual Medicine<\/a>. This doesn\u2019t necessarily mean that it won\u2019t cause side effects though. Each person\u2019s body will react to medication in a different way. It\u2019s possible for one person to have no side effects at all, and for another person to experience multiple side effects. It\u2019s also possible for one person to get side effects from one type of ED medication but not from another.<\/span><\/p>\n<h3>Permanent ED<\/h3>\n<p><span style=\"font-weight: 400;\">One of the biggest concerns about ED drugs is whether or not they can cause permanent erectile dysfunction. It\u2019s very rare that this happens, although it is possible for some men to develop a dependency on ED medications that will make getting an erection without them more difficult. In some cases, ED medications can cause prolonged erections that last longer than four hours, which can be painful and cause long-term damage if left untreated. If you\u2019re taking an ED pill like Viagra and have an erection that lasts longer than four hours (a condition known as priapism), it\u2019s best to seek medical help as soon as possible due to the risk of permanent penile damage.\u00a0\u00a0<\/span><\/p>\n<h3>Vision changes<\/h3>\n<p><span style=\"font-weight: 400;\">One of the more serious potential side effects of ED pills like Viagra and Levitra are vision changes. <\/span><span style=\"font-weight: 400;\">According to Viagra\u2019s official website, taking the medication can sometimes cause sudden <\/span><a href=\"https:\/\/www.viagra.com\/faqs\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">vision loss<\/span><\/a><span style=\"font-weight: 400;\"> in one or both eyes. This may be a sign of a serious eye problem called non-arteritic anterior ischemic optic neuropathy (NAION). People who are taking ED medications and notice vision changes should seek medical advice as soon as possible to avoid potential eye damage or loss of vision.\u00a0\u00a0\u00a0\u00a0<\/span><\/p>\n<h3>Heart attack and stroke<\/h3>\n<p><span style=\"font-weight: 400;\">The rarest and most serious side effects of ED medications like Viagra are heart attacks and strokes. People with underlying heart problems like heart disease are the most at risk for having a heart attack or stroke from taking these medications, which is why they aren\u2019t recommended for these groups of people.\u00a0<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">What is the safest ED medication?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">The safest ED pill is the one prescribed by your doctor. Doctors take many factors into consideration before prescribing medications and may recommend one ED pill over another for you based on your age, weight, or medical history.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Some ED pills are more popular than others, but this doesn\u2019t necessarily mean that one works better or is safer than the others. For example, Viagra isn\u2019t considered safer than Cialis or vise versa, but each pill may cause different types of side effects.\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Viagra is probably the most popular ED pill, and Cialis and Levitra are close seconds. When considering ED pills, it\u2019s always a good idea to be aware of any warnings or restrictions that a medication might have. All erectile dysfunction pills, for example, shouldn\u2019t be taken with nitrates, such as prescription nitroglycerin or street drugs known as poppers (amyl nitrate, amyl nitrite or butyl nitrate), because this combination can cause serious drops in blood pressure.\u00a0\u00a0<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">How to take ED pills safely<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">An important part of taking ED pills is knowing how to take them safely. When taken properly, ED medication can be very effective, and doctors and researchers know how much medication is needed to be effective. The following table lists the standard doses of the most popular ED medications, as well as how to take them safely and how long they take to work.\u00a0\u00a0\u00a0<\/span><\/p>\n<table class=\"singlecare-table\">\n<thead>\n<tr>\n<th><span class=\"title\">Standard dosages of ED pills<\/span><\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr class=\"header-row\">\n<td><\/td>\n<td style=\"text-align: center;\"><b>Viagra (sildenafil)\u00a0<\/b><\/td>\n<td style=\"text-align: center;\"><b>Cialis (tadalafil)\u00a0<\/b><\/td>\n<td style=\"text-align: center;\"><b>Levitra (vardenafil)\u00a0<\/b><\/td>\n<td style=\"text-align: center;\"><b>Stendra (avanafil)\u00a0<\/b><\/td>\n<\/tr>\n<tr>\n<td><b>Dose<\/b><\/td>\n<td><span style=\"font-weight: 400;\">50 mg<\/span><\/td>\n<td><span style=\"font-weight: 400;\">10 mg<\/span><\/td>\n<td><span style=\"font-weight: 400;\">10 mg<\/span><\/td>\n<td><span style=\"font-weight: 400;\">100 mg<\/span><\/td>\n<\/tr>\n<tr>\n<td><b>How long does it take to work?<\/b><\/td>\n<td><span style=\"font-weight: 400;\">30 minutes-several hours<\/span><\/td>\n<td><span style=\"font-weight: 400;\">30 minutes-several hours<\/span><\/td>\n<td><span style=\"font-weight: 400;\">30 minutes-several hours<\/span><\/td>\n<td><span style=\"font-weight: 400;\">15-30 minutes<\/span><\/td>\n<\/tr>\n<tr>\n<td><b>Instructions for taking<\/b><\/td>\n<td><span style=\"font-weight: 400;\">Taken on an empty stomach 1-4 hours before sexual activity<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Taken at least 30 minutes before sexual activity<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Taken 1 hour before sexual activity<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Taken as early as 15 minutes before sexual activity<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><span style=\"font-weight: 400;\">If an ED pill isn\u2019t working for you, it\u2019s important to realize that taking more than one dose or taking it more often than needed won\u2019t increase the effectiveness of the drug. This can actually lead to side effects or cause allergic reactions that could be life-threatening.\u00a0\u00a0<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Who should <\/span><i><span style=\"font-weight: 400;\">not<\/span><\/i><span style=\"font-weight: 400;\"> take ED medication?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Erectile dysfunction medications aren\u2019t right for everyone, says <\/span><span style=\"font-weight: 400;\">Lev Elterman, MD, head of urology at <a href=\"https:\/\/www.weisshospital.com\/\">Weiss Memorial Hospital<\/a> in Chicago and owner of <\/span><a href=\"https:\/\/sites.google.com\/site\/levelterman\/home\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">Elterman Center for Women\u2019s and Men\u2019s Health<\/span><\/a><span style=\"font-weight: 400;\">. According to Dr. Elterman, the following groups of people should not take ED medications:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">People who take nitroglycerin or any form of medication that contains nitroglycerin such as Imdur or Nitropaste.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">People who cannot do physical activity without shortness of breath such as walking up two flights of stairs or a similar level of physical activity.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Patients with cardiovascular history whose cardiovascular performance status is unknown and should be evaluated (it should be evaluated with a stress test).\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Those who are allergic or intolerant of oral ED medications.\u00a0<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">In addition, people with low blood pressure, high blood pressure, coronary artery disease, arrhythmias, or those who have had heart attacks or strokes should talk to their doctor about whether or not erectile dysfunction pills are right for them.\u00a0\u00a0\u00a0<\/span><\/p>\n<h3>Drug interactions<\/h3>\n<p><span style=\"font-weight: 400;\">When considering taking erectile dysfunction pills like Viagra, it\u2019s also important to note that they shouldn\u2019t be taken at the same time as certain medications because of the potential for <\/span><a href=\"https:\/\/dailymed.nlm.nih.gov\/dailymed\/drugInfo.cfm?setid=0b0be196-0c62-461c-94f4-9a35339b4501\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">drug interactions<\/span><\/a><span style=\"font-weight: 400;\">. Here\u2019s a list of medications that shouldn\u2019t be taken with Viagra:\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Alpha-blockers\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Pulmonary arterial hypertension drugs<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Recreational drugs (poppers) that contain nitrites\u00a0\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Ritonavir<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Amlodipine<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Amyl nitrate\u00a0\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Saquinavir\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Doxazosin<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Riociguat<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Ketoconazole<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Itraconazole<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Isosorbide\u00a0\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Erythromycin\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Levitra (vardenafil)\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Cialis (tadalafil)\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Nitroglycerin (common prescription drug for people with angina, heart failure, or high blood pressure)\u00a0<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">If you\u2019re not sure whether or not you should be taking erectile dysfunction drugs, it\u2019s always best to stay on the safe side and talk with a healthcare professional. Your doctor can recommend the right medication for you based on your individual symptoms and medical history.\u00a0\u00a0\u00a0\u00a0<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Erectile dysfunction (ED) is the inability to get or keep an erection that\u2019s firm enough for sexual intercourse. For many men, erectile dysfunction is difficult and stressful to deal with both physically and emotionally. ED medications have been the saving grace for millions of men worldwide, but it can be overwhelming to find the safest [&hellip;]<\/p>\n","protected":false},"author":15,"featured_media":18006,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[8029],"tags":[8922],"coauthors":[8861],"class_list":["post-17988","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health-education","tag-erectile-dysfunction","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.8 (Yoast SEO v27.8) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>What is the safest drug for erectile dysfunction (ED)?<\/title>\n<meta name=\"description\" content=\"Viagra, Cialis, Levitra, and Stendra are some of the most popular ED medications\u2014but what&#039;s the safest erectile dysfunction pill? 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