Viagra / Kamagra
Take between 30 and 60 minutes (and up to 4 hours) before sex; works for about 4 hours. Recommended dose for most men is 50mgs; after that, dosage may go to as high as 100mg, or as low as 25mg, which may be prescribed for men over 65. Quickly absorbed by the body, less effective after a high-fat meal, and best taken on an empty stomach.
Levitra / Vardenafil HCL
Take 1 hour before sex; works for 4 to 5 hours, and may be slightly more effective than Viagra. Starting dose for most men is 10mgs a day, but men over 65 often start on the 5mg pill. Can be taken with or without food, although slightly less effective after a high-fat meal. Avoid anything containing grapefruit juice; it may make side effects worse.
Cialis / Tadafil
Comes in two forms. The daily pill stays effective in between doses, but may take 4 to 5 days before it begins working. The “weekender” version of Cialis can start working in as little as 30 minutes for men who take the highest dose of the drug (20mgs); it stays effective in the body for up for 36 hours. Daily pill comes in both a 2.5mg and 5mg tablet; most men start with the lower dose. The use-as-needed, “weekender” pill comes in 5, 10 and 20mg strengths; recommended starting dose is 10mg, Can be taken with or without food. Avoid heavy drinking (5 glasses of wine or 5 shots of whiskey); when combined with Cialis, it can lead to headaches, dizziness, an increase in heart rate, and a drop in blood pressure.
Stendra / Avanafil
Prescribing information now recommends taking it 30 minutes before sex. Some men, however, report results in as little as 10 to 12 minutes, depending on the dose. Starting dose is 100mgs for most men, but the 50mg tablet is recommended for men taking alpha-blocker drugs, like those used for high blood pressure and prostate problems.
May be taken with or without food, and with a moderate amount of alcohol (3 drinks). Drinking more than that can increase the chances of side effects like rapid heart rate, low blood pressure, dizziness and headaches.
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