Viagra alternatives: find what works for you

If Viagra isn't giving you the results you want or causes side effects, you're not out of options. There are other prescription pills, devices, therapies, and simple lifestyle steps that often work better for different situations. Below I cut straight to practical choices, safety points, and quick tips so you can talk to your doctor with clear questions.

Other prescription pills — how they differ

Three common alternatives to sildenafil (Viagra) are tadalafil (Cialis), vardenafil (Levitra/Staxyn), and avanafil (Stendra). Tadalafil lasts the longest — up to 36 hours — so it’s ideal if you prefer spontaneity. Avanafil can act fastest, sometimes within 15–30 minutes, which helps if timing is tight. Vardenafil is similar to sildenafil but may suit some men better for side effects or tolerance. All work by improving blood flow to the penis and share common side effects: headache, flushing, nasal congestion, and dizziness.

Big safety note: never combine any PDE5 inhibitor with nitrates (meds for chest pain). That mix can dangerously lower blood pressure. Tell your prescriber about heart meds, alpha-blockers, and major health issues before taking these pills.

Non-pill options and other treatments

If pills aren’t safe or effective, try a vacuum erection device (a pump), penile injections (alprostadil), or urethral suppositories. These work for many men who don’t respond to oral meds. They need a short training session from a clinician, but they’re reliable and fast.

For men with low testosterone, hormone therapy after proper testing can improve libido and erectile function. Psychological causes are common, too — stress, anxiety, or relationship issues. Sex therapy or counseling often helps and pairs well with medical treatments.

Lifestyle changes matter more than people expect. Losing weight, quitting smoking, cutting back on alcohol, improving sleep, and exercising regularly can boost blood flow and reduce ED. Try one small habit change for a month, like walking 30 minutes most days — it often improves stamina and confidence.

Be careful with supplements. Ingredients like L-arginine, beetroot, and yohimbine show mixed benefits and can carry risks or interact with meds. Over-the-counter pills sometimes hide prescription drugs. If you try a supplement, pick products that use third-party testing and tell your doctor.

Buying meds online? Use licensed pharmacies that require a prescription and list contact details. Avoid sites that sell prescription drugs without a prescription — those are often unsafe or fake.

Quick checklist: choose a treatment that fits your timing (fast-acting vs long-lasting), check drug interactions, understand common side effects, and use reputable pharmacies. If you’re stuck, ask your GP or a urologist for a short consult — basic tests can point to the safest, most effective option for you.