SPRING PROMO: FREE ONLINE VISIT. START FREE VISIT

Do ED Pills Work? The Science Behind ED Pills

Reading time -
7
min

Being skeptical is very modern, and with everything we read on the internet, a healthy amount of questioning is genuinely quite acceptable. When you know that the world is constantly trying to sell you on things for its own gain, you may even begin to question medications. 

But we're here to explain to you exactly how erectile dysfunction (ED) pills work, the variety available, and whether you can trust their effectiveness. So, grab your cup of coffee, sit back, and let's have a frank discussion about ED pills.

The Science Behind ED Pills: A Deeper Dive

To better understand the science behind ED pills, we must first explore the physiological process of achieving an erection. 

Erections occur when the brain sends signals to the nerves in the penis, causing the smooth muscle tissue to relax. This relaxation allows blood to flow into the penile arteries, filling the two chambers known as the corpora cavernosa. As the blood fills these chambers, the penis expands and becomes rigid, resulting in an erection.

ED pills target this process by focusing on the chemical messengers involved in the erection process. 

Nitric oxide, a vital molecule, plays a key role in this process. When sexual stimulation occurs, nitric oxide is released in the penis, causing the production of a molecule called cyclic guanosine monophosphate (cGMP). cGMP is responsible for relaxing the smooth muscle tissue and dilating the blood vessels, ultimately allowing for increased blood flow and an erection.

However, the enzyme phosphodiesterase type 5 (PDE5) works to break down cGMP, which can prevent or reduce the quality of an erection. This is where ED pills come into play. By inhibiting the PDE5 enzyme, these medications effectively increase the levels of cGMP in the penis, leading to enhanced blood flow and stronger, more sustained erections.

Now that we understand the mechanics, let's take a closer look at each type of ED pill and how they differ from one another.

Sildenafil (Viagra)

Sildenafil, the active ingredient in Viagra, is a selective PDE5 inhibitor. Its molecular structure is specifically designed to target PDE5, allowing for enhanced blood flow to the penis. One noteworthy aspect of Viagra is its rapid absorption and relatively short half-life, making it ideal for men who desire a fast-acting solution.

Tadalafil (Cialis)

Tadalafil, the main component of Cialis, is another selective PDE5 inhibitor. While it shares a similar mechanism of action with Viagra, its molecular structure differs slightly. This difference results in a longer half-life, allowing for an extended window of effectiveness. Cialis is often referred to as the "weekend pill" due to its prolonged duration of action.

Vardenafil (Levitra)

Vardenafil is the active ingredient in Levitra and is another selective PDE5 inhibitor. Its molecular structure is closely related to that of sildenafil, providing a similar onset and duration of action. However, some studies suggest that vardenafil may be more effective for men with certain underlying health conditions, such as diabetes.

Avanafil (Stendra)

Avanafil, the primary component of Stendra, is the newest PDE5 inhibitor on the market. While it shares the same mechanism of action as the other ED pills, its molecular structure is designed to allow for faster absorption and onset of action. This makes Stendra an attractive option for men who desire a more rapid response.

In summary, the science behind ED pills revolves around their ability to inhibit the PDE5 enzyme and increase cGMP levels in the penis. This ultimately leads to improved blood flow and more robust, longer-lasting erections. Although each ED pill employs a similar mechanism of action, subtle differences in their molecular structures result in varying onset times, durations of action, and potential suitability for individuals with specific health conditions.

How Much Do Erectile Dysfunction Pills Cost?

The cost of erectile dysfunction (ED) pills can vary depending on several factors, including the specific medication, dosage, brand, generic vs. brand-name options, your geographic location, and the pharmacy or online retailer you choose. It is important to note that prices may change over time.

Here's a general overview of the approximate cost per pill for some of the most commonly prescribed ED medications:

Sildenafil (Viagra): The cost of brand-name Viagra can range on the expensive side depending on the dosage. However, generic sildenafil is much more affordable, typically ranging from $1 to $5 per pill.

Tadalafil (Cialis): Brand-name Cialis can cost a pretty penny depending on the dosage. Generic tadalafil is more cost-effective, with prices ranging from $1 to $15 per pill.

Vardenafil (Levitra): Brand-name Levitra is also much more expensive than its generic version, depending on the dosage. Generic vardenafil is available at a lower price, ranging from $1 to $15 per pill.

Avanafil (Stendra): As a newer medication, Stendra is currently available only as a brand-name drug. The cost per pill ranges from $40 to $50, depending on the dosage.

Keep in mind that these prices are approximate and may not reflect the current rates. It is also worth mentioning that many insurance plans do not cover ED medications, or they may cover only a limited number of pills per month. You should check with your insurance provider to understand your specific coverage for ED medications.

The Side Effects and Interactions Explained

While ED pills have been proven effective for many men, it is essential to be aware of potential side effects and drug interactions. Although most side effects are mild and temporary, some can be more serious, and it is crucial to consult with a healthcare professional if you experience any severe or persistent side effects.

Common side effects of ED pills include:

  • Headache
  • Flushing (warmth, redness, or tingling in the face, neck, or chest)
  • Nasal congestion
  • Upset stomach or indigestion
  • Back pain
  • Dizziness
  • Vision changes, such as blurred vision, changes in color vision, or sensitivity to light

Less common but more serious side effects may include:

  • An erection that lasts longer than 4 hours (priapism), which can cause permanent damage to the penis if not treated promptly.
  • Sudden hearing loss or ringing in the ears (tinnitus).
  • Sudden vision loss or decreased vision in one or both eyes, which may be a sign of a serious eye condition called non-arteritic anterior ischemic optic neuropathy (NAION).

If you experience any of these severe side effects, seek medical attention immediately.

Drug Interactions

It is also crucial to be aware of potential drug interactions when taking ED pills. Some medications and substances can interact with ED pills, increasing the risk of side effects or reducing the effectiveness of the ED medication. Notable interactions include:

Nitrates: Medications used to treat chest pain (angina) or other heart conditions, such as nitroglycerin, isosorbide dinitrate, and isosorbide mononitrate. Combining ED pills with nitrates can cause a dangerous drop in blood pressure.

Alpha-blockers: Medications used to treat high blood pressure or an enlarged prostate, such as doxazosin, prazosin, or terazosin. Taking ED pills with alpha-blockers can also result in a significant drop in blood pressure.

Certain antifungal medications, such as ketoconazole or itraconazole, which can increase the levels of ED pills in your bloodstream, potentially leading to an increased risk of side effects.

Certain antibiotics, such as erythromycin or clarithromycin, which can also increase the levels of ED pills in your bloodstream.

Medications used to treat HIV, such as ritonavir, saquinavir, or atazanavir, which can interact with ED pills and increase the risk of side effects.

Grapefruit and grapefruit juice: These can interfere with the way your body metabolizes ED pills, leading to increased levels of the medication in your bloodstream and an increased risk of side effects.

It is essential to discuss your medical history, current medications, and supplements with your healthcare provider before taking any ED medication.

Administration Guidelines

Sildenafil (Viagra): 

  • Take 1–2 hours post-meal.
  • Avoid fatty foods.
  • Initial effects in roughly 10 minutes.
  • Full effect in 1 hour.
  • Start with 50 mg, can be raised to 100 mg.

Tadalafil (Cialis)

  • Take as needed or daily.
  • Effective in about 15 minutes, maximum impact in 2 hours.
  • 10–20 mg for intermittent use; standard daily dose is 2.5 mg.

Vardenafil (Levitra): 

  • Do not consume with food, wait 1–2 hours after eating. 
  • Begins working in approximately 15 minutes.
  • Peak effect in 45 minutes.
  • Initial dose of 10 mg, can be adjusted to 5 mg or 20 mg.

Avanafil (Stendra): 

  • Take with or without food, do not exceed one dose per day.
  • Quickest-acting, starts in as little as 15 minutes.
  • Start with 100 mg, can be increased to 200 mg.

So The Science is Clear On Prescription ED Medications

It really isn't a question of if ED medications work, as long as you're using a prescription drug that has been prescribed to you. There are numerous clinical trials and years of real-world experience that demonstrate the effectiveness of these prescription ED medications for a significant percentage of men experiencing erectile dysfunction. 

However, it is essential to remember that individual results may vary, and what works for one person may not work for another.

The key to success with prescription ED medications lies in open communication with your healthcare provider. By discussing your symptoms, medical history, and any current medications or supplements, they can help determine the most suitable ED medication and dosage for your specific situation. 

It may take some trial and error to find the right medication and dosage, but with patience and professional guidance, many men find relief from erectile dysfunction through prescription ED pills.

The science supporting prescription ED medications is robust and well-established. If you have been prescribed an ED pill by a healthcare professional and follow their guidance, there is a high likelihood that you will experience a positive outcome in treating your erectile dysfunction. 

However, always remember the importance of individualized treatment and open communication with your healthcare provider to achieve the best possible results.

What ED Methods Have Anecdotal Evidence?

While prescription ED medications have strong scientific backing, there are several methods with anecdotal evidence that some men claim have helped them manage erectile dysfunction. 

Keep in mind that these methods may not work for everyone, and the effectiveness can vary greatly from person to person. Consulting with a healthcare professional before trying any alternative treatments is always recommended.

Herbal supplements: Some men turn to herbal supplements, such as ginseng, L-arginine, yohimbe, or horny goat weed, claiming that these have helped improve their erectile function. However, the evidence supporting these supplements is limited, and their safety and efficacy have not been well-established.

Acupuncture: Some men have reported improvements in their erectile function after undergoing acupuncture treatments. While the evidence for acupuncture as a treatment for ED is limited and mixed, some studies suggest that it may help by improving blood flow and reducing stress.

Lifestyle changes: Making certain lifestyle changes, such as losing weight, exercising regularly, quitting smoking, and reducing alcohol intake, has been reported to help improve erectile function in some men. These changes can improve overall health, which may, in turn, contribute to better sexual health.

Pelvic floor exercises: Some men have reported that performing Kegel exercises, which target the muscles of the pelvic floor, has helped them achieve better erections. These exercises are thought to strengthen the muscles responsible for maintaining erections and may help improve blood flow to the area.

Vacuum erection devices (VEDs): Also known as penis pumps, VEDs work by creating a vacuum around the penis to draw blood into the area, resulting in an erection. Although VEDs are not based solely on anecdotal evidence and have some scientific support, many men report positive experiences with these devices.

Psychological interventions: Addressing the psychological aspects of erectile dysfunction, such as stress, anxiety, or relationship issues, can be helpful for some men. Techniques like mindfulness, meditation, or therapy with a mental health professional have been anecdotally reported to improve erectile function in certain cases.

It is crucial to approach alternative or anecdotal treatments with caution and skepticism. While some men may find relief from these methods, it is essential to discuss any alternative treatments with a healthcare professional before trying them, as they may have potential risks or interactions with other medications or conditions.

The Verdict: Do ED Pills Work?

In conclusion, the verdict on erectile dysfunction pills, specifically prescription medications such as sildenafil (Viagra), tadalafil (Cialis), vardenafil (Levitra), and avanafil (Stendra), is clear. These medications have been extensively studied and proven effective in treating erectile dysfunction for a significant percentage of men. However, individual results may vary, and finding the right treatment may require some trial and error under the guidance of a healthcare professional.

How To Easily Get Them

Going to the doctor takes time, and it can be an awkward conversation to have. Thankfully, telehealth has revolutionized healthcare, and you can now get an erectile dysfunction prescription from home. 

Phoenix makes it even easier than just a telehealth visit. Our virtual visits don’t even need to be done over a call, you can use a simple text-chat. Further, you don’t need to turn on your camera for a physical evaluation when chatting with your doctor. 

This may sound too good to be true, but it isn’t. You can get medication for your ED that actually works, and you skip all the awkward parts of the process. Are you ready to rise again? You can get your first visit free here, today, now!

Hair Loss?
No problem

Let’s help you Rise Again
Start Your Assessment

Got ED?
No problem

Let’s help you Rise Again
Start Your Assessment
This blog post is for educational purposes only and does not constitute medical or other professional advice. Your specific circumstances should be discussed with a healthcare provider. All statements of opinion represent the writers' judgement at the time of publication and are subject to change. Phoenix and its affiliates provide no express or implied endorsements of third parties or their advice, opinions, information, products, or services.

Subscribe to our newsletter

Receive a weekly newsletters with insightful tips and resources

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.