Erectile Dysfunction Meds: What Works, What Doesn't, and Which One Fits You

When it comes to erectile dysfunction meds, oral medications that help men achieve and maintain an erection by improving blood flow to the penis. Also known as PDE5 inhibitors, they're the most common treatment for ED and have helped millions get back to normal sexual function. But not all of them are the same. Some work faster, some last longer, and some come with side effects that make them a bad fit for certain people. You don’t need to take the first pill your doctor suggests—you need to know what’s actually out there.

Take Sildamax, a brand of sildenafil citrate used to treat erectile dysfunction, often sold as a more affordable alternative to branded Viagra. It’s essentially the same active ingredient as Viagra, but priced lower. Then there’s Fildena, another generic sildenafil product popular in online pharmacies, known for quick onset and consistent results. And let’s not forget the original: Viagra, the first FDA-approved ED medication, still widely recognized but often more expensive than generics. These aren’t just names—they’re different options with real differences in how fast they kick in, how long they last, and how they interact with your body.

Some men try these pills and feel great. Others get headaches, flushing, or upset stomachs and wonder if it’s even worth it. That’s why comparing them matters. One person might need something that works in 15 minutes. Another might want a pill that lasts 36 hours so they don’t have to plan sex around a schedule. And if you’re on heart medication or have liver issues, some of these can be dangerous. The goal isn’t to take the most popular one—it’s to find the one that works for you, without surprises.

Below, you’ll find detailed comparisons of the most common ED meds, including how they stack up against each other in speed, duration, cost, and safety. You’ll see real-world insights from people who’ve tried them, side-by-side breakdowns of ingredients, and tips on what to watch out for. No fluff. No marketing. Just what you need to decide confidently.