Erectile dysfunction treatments
we prescribe

Viagra® / Galotam / Sildenafil / Bandol®

All these contain the same active ingredient: Sildenafil. Viagra® and Sildenafil are tablets, while Bandol® is an oral spray that you spray on your tongue.
Effect: typically starts 30 to 60 minutes after taking the medication.
Duration of effect: Lasts around 4 hours.
Food: It's recommended not to eat within 3 hours before taking the medication as Its effectiveness can be affected by heavy meals.
Dosages: There are three different dosages available for the tablets (25mg, 50mg, and 100mg), allowing individuals to find the optimal dose. The dosage for Bandol® is determined by the number of times the spray is used on the tongue, providing the same doses as the tablets.
Taken on demand, only when needed before sexual activity, maximum once per day.

Cialis ® / Tadalafil

Effect: usually starts being effective within 30 minutes after taking it, with a maximum effect at around 2 hours.
Duration of effect: Can last up to 36 hours.
Food: The absorption is not delayed by food, so it can be taken with or without meals.
Dosages: There are three available dosages in Spain: 10mg and 20mg for on-demand use (maximum one tablet per day) before sexual activity, and 5mg for daily use.
Taking Cialis 5mg allows individuals to separate the timing of the medication from sexual activity and is particularly recommended for those engaging in sexual activity more than 3 times a week.

Levitra ® / Vardenafil

Effect: should be taken about 30 minutes before sexual activity.
Duration of effect: Its effectiveness can last up to 6 hours after ingestion.
Food: like Sildenafil, its effect is affected by heavy meals, so it's best not to take it with food.
Dosages: Levitra® (Vardenafil) is also available in three different dosages (5mg, 10mg, and 20mg) .
Should be taken on demand (maximum one tablet per day)
There's an orodispersible version that is dissolved within seconds after placing it over the tongue.

Spedra ®

Effect: Its effect may begin sooner (15 to 30 minutes after taking the tablet).
Duration of effect: can last 6 to 17 hours.
Food: Its effect may be delayed by food, but it can be taken with or without meals.
Dosages: In Spain, Spedra is available in three dosages: 50mg, 100mg, and 200mg.
Spedra® should also be taken on demand before sexual activity, with no more than one tablet per day.

Virirec ®

This is an alprostadil cream that is applied directly to the penis, at the level of the urethra (the orifice through which urine and semen exit).
Effect: Its effect may begin 5 to 30 minutes after application.
Duration of effect: can last 1 to 2 hours.
Application: It is important to apply the treatment correctly to ensure its efficacy and reduce the risk of side effects.
In case of having sexual intercourse with a woman of childbearing potential, pregnant, or lactating, latex condoms should be used.
Virirec® is used on demand, only when an erection is desired.

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Possible side effects

Viagra®, Cialis®, Levitra®, Spedra® and similar treatments

Side effects are typically mild and temporary, varying depending on the medication. The most common side effects include:

Headache
Facial flushing
Indigestion
Nasal congestion
Dizziness
Mild and transient visual disturbances (seeing "blue" with Sildenafil, increased light perception, or blurry vision)

In some cases, serious side effects may occur. It's important to seek immediate medical attention for:

Signs of an allergic reaction: difficulty breathing, itchy rash, or swelling of the lips, tongue, or face
Chest pain
Prolonged and painful erection (priapism)
Loss or change in vision
Seizures
Severe skin reaction, including blisters in the mouth, genital, and eye area, and severe skin peeling and swelling

Vivirec ®

Side effects are usually mild and temporary, and tend to disappear within 1 or 2 hours. The most common side effects include:

Local pain (at the level of the penis), stinging and/or redness of the penis
Rash
Genital itching
Tingling sensation in the penis
In the female partner, it may cause slight vaginal itching or stinging

In some cases, serious side effects may occur. It's important to seek immediate medical attention for:

Signs of an allergic reaction: difficulty breathing, itchy rash, or swelling of the lips, tongue, or face
Significant dizziness, fainting, and/or a drop in your blood pressure
Prolonged and painful erection (priapism)

Choosing the right treatment

Regarding effectiveness, all the inhibitors of Phosphodiesterase 5 (iPDE5) such as Viagra®, Cialis®, Spedra®, Levitra® and their generics have shown to be effective in around 80% for users and are considered the first choice to treat erectile dysfunction if there aren't any contraindications. Virirec® (alprostadil cream) is also effective to treat erectile dysfunction and can be considered in cases where iPDE5 cannot be used, or when user prefers not to take tablets.

Side effects, as mentioned earlier, are generally mild and temporary. The frequency of each side effect may vary between medications, so it's important to discuss this with the doctor to consider changing treatments if needed.

All iPDE5 share contraindications. If one treatment cannot be taken due to contraindications, none of them should be taken. On the other hand, if there are no contraindications, any of them can be used. Virirec® can be considered in some cases where iPDE5 cannot be used, so it can be a good alternative.

Since these medications have different onset times and durations of effect, user preferences play an important role here.

For example, Cialis is effective up to 36 hours, making it a suitable option for individuals who prefer not to coordinate their sexual activity with medication intake. For those engaging in sexual activity more than 3 times a week, Cialis 5mg may be a good option.

On the other hand, those who don't want to take a pill daily or have more sporadic sexual activity can opt for one of the other treatments.

And for those that prefer not to take tablets, Virirec® could be a good option.

In the end, it's about finding the option that best suits each one. If you're not sure which to choose, do your consultation with us, and our doctors will help you decide which one to try.