top 4 pills for ED  the first line of treatment for erectile dysfunction. For most men who have difficulty maintaining an erection solid enough for intercourse  these drugs work well and cause few side effects.

Sildenafil (Viagra), vardenafil (Levitra, Staxyn), tadalafil (Cialis) and avanafil (Stendra) are oral medications that reverse erectile dysfunction by enhancing the effects of nitric oxide, a natural chemical produced by your body that relaxes the muscles of the penis This increases blood flow and allows for an erection in response to s*xual stimulation.

How oral medications differ
Although they work in a similar way, each oral drug has a Natural treatment of ED different chemical composition. These small differences affect how each drug works, how fast it works and wears off, and possible side effects. Your doctor will consider these factors, as well as other conditions you have and possible interactions with other medications you take.

Sildenafil  This drug is most effective when taken on an empty stomach one hour before s*xual intercourse. It is effective for four to five hours or more if you have mild to moderate erectile dysfunction.

Best ED Pills  This drug is also most effective when taken one hour before intercourse and can be taken with or without food. A high-fat meal may prevent it from being absorbed more quickly.

Vardenafil is effective for 4-5 hours or more if you have mild to moderate erectile dysfunction. A new form of the drug that dissolves on the tongue may work faster than the ingested pill.Tadalafil Health Blog This drug is taken with or without food an hour or two before s*xual intercourse. It is effective for up to 36 hours. It can be taken in a small daily dose or in a larger dose as needed.

Avanafil (Stendra). This drug is taken with or without food  Generic Viagra work  before s*xual intercourse, depending on the dose. It lasts up to six hours.
Because these drugs are equally effective, the American College of Physicians recommends that the choice be based on your preferences, including cost, ease of use, duration of drug effects, and side effects. Generic versions of sildenafil, vardenafil and tadalafil are available.