*An off-label use of a medication is a use that is not FDA-approved. Prescribers can decide to use a medication off-label because, in their professional judgment, they believe it may offer a benefit to someone.
Alternatives to Viagra are available for treating erectile dysfunction (ED). Options include prescription medications like Cialis, Levitra, Stendra, and Edex. Lifestyle modifications, such as regular exercise, a balanced diet, and stress management, can also aid in ED management. There are also natural and herbal remedies like DHEA, L-arginine, ginseng, propionyl L-carnitine, and Yohimbe that claim to have benefits in ED. Individual responses may vary, necessitating guidance from your healthcare providers for safety and effectiveness.1,2,3
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Types of Viagra Alternative Medications
Viagra, an FDA-approved medication for erectile dysfunction (ED). Beyond Viagra, there are additional prescription alternatives available to address ED. These include Cialis (tadalafil), Levitra (vardenafil), and Stendra (avanafil), which are oral medications that work by enhancing blood flow to the penis.
Testosterone replacement therapy (TRT) may be considered for those with low testosterone levels, while Edex (alprostadil), an injection option, also stimulates blood flow to the penis. Your doctor or pharmacist can guide you in choosing the most suitable alternative based on your unique needs and preferences.1,2,3,4,5,6,7
How to Get a Prescription for Viagra Alternative Medications
To obtain a prescription for alternative Viagra medication to treat erectile dysfunction (ED), you’ll need to consult a healthcare provider, such as your primary care physician or a urologist. These healthcare providers are trained to assess your condition and recommend the most appropriate treatment. During the evaluation, you should discuss your medical history, ED symptoms, and any underlying health issues.
Your provider may also perform a physical examination and may order some simple tests like blood pressure measurements or blood tests. These help determine the cause of your ED and if prescription medication, like Cialis, Levitra, or Stendra, is a suitable option. Be open and honest during the conversation, as it helps your healthcare provider make the best treatment recommendation for your specific situation. Remember, ED medications are available by prescription only to ensure safe and effective use.1,2,3,4,5,6,7
What Are the Common Side Effects of Medication Viagra Alternatives?
Common side effects of Viagra alternatives (e.g. Cialis, Levitra, Stendra, Edex, and testosterone) can include mild headaches, flushing, a stuffy or runny nose, upset stomach, and occasional muscle aches. These side effects often occur as your body adapts to the medication and may diminish after a few weeks of use. It is important to remember that some medication side effects can persist for as long as you continue taking the medication.
If you experience severe or persistent discomfort, or if these side effects significantly interfere with your daily life, consult your doctor or pharmacist. They can help adjust your treatment plan or recommend alternative options to ensure your comfort and well-being while managing your erectile dysfunction. Always follow your healthcare provider’s guidance and report any unusual or concerning symptoms promptly. 1,2,3,4,5,6,7
The table below compares ED medication alternatives to Viagra:* 1,2,3,4,5,6,7
Medication Form | Common side effects | |
---|---|---|
Cialis (tadalafil) | Tablets | Flushing Nausea Throat irritation Nose irritation Back pain Muscle pain Common cold symptoms Painful extremities |
Levitra (vardenafil) | Tablets | Dizziness or headache Flushing Runny or stuffy nose Upset stomach Back pain |
Stendra (avanafil) | Tablets | Flushing Headache Sore throat Back pain Runny or stuffy nose |
Edex (alprostadil) | Self-injection | Penile pain Warm or burning feeling in the urethra Aching in the penis, testicles, legs, or in the area between the penis and rectum |
Testosterone | Injections, gels, patches, implants, or buccal tablets | Acne Diarrhea Heartburn Burping Emotional instability Loss of strength and energy Trouble sleeping Sore throat Change in taste Bad taste Back pain Application site irritation |
*All medications can cause side effects which can be mild or serious. This is not a comprehensive list of all possible side effects. You should talk with your doctor or pharmacist about any questions you have and understand the potential side effects and benefits of any medication.
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Over-the-Counter Viagra Alternatives
There are a few over-the-counter (OTC) alternatives to Viagra that claim to help erectile dysfunction symptoms. These typically include dietary supplements and herbal remedies, like L-arginine, ginseng, and DHEA, which may help improve blood flow and boost sexual performance. Yohimbe, an OTC supplement, is also thought to help with ED.
OTC medication effectiveness can vary widely, may interact with other medications you are currently taking, or have severe side effects associated with them. It’s advisable to consult with your doctor or pharmacist before trying any OTC alternatives for ED.8,9,10,11
How Effective Are Over-the-Counter Alternatives to Viagra?
The effectiveness of over-the-counter alternatives compared to Viagra for ED can vary from person to person. Some individuals may find relief and improvement in their sexual performance with OTC supplements like L-arginine, ginseng, or DHEA. It is important to understand that these options are not as rigorously tested or regulated as prescription medications, so results may be less predictable.
Additionally, OTC supplements can interact with other medications or have side effects, so it is advisable to consult with your doctor or pharmacist before trying them. For a more comprehensive evaluation and guidance on the most effective approach to managing erectile dysfunction, discussing your options with your doctor or pharmacist is recommended.8,9,10,11
Herbal Remedies & Supplements as Viagra Alternatives
Herbal remedies and supplements are often considered as alternatives to Viagra for managing erectile dysfunction symptoms. Some natural options, such as ginseng, L-arginine, and DHEA, have been studied for their potential benefits in improving blood flow and sexual function. Panax ginseng, in particular, has a long history of use for enhancing sexual performance. While some individuals may find relief with these herbal remedies and supplements, it’s important to note that their effectiveness can vary from person to person, and scientific evidence supporting their use is limited compared to prescription medications.
Before trying herbal remedies or supplements, consult your doctor or pharmacist to ensure safety and discuss the best approach to address your specific erectile dysfunction concerns. Remember that combining herbal remedies with a healthy lifestyle, including regular exercise and a balanced diet, can also contribute to improved sexual health. 1,8,9,10,11
Herbal remedies and supplement alternatives to Viagra for erectile dysfunction include:1,8,9,10,11
- L-arginine: L-arginine is an amino acid in the body that assists in relaxing blood vessels, potentially improving blood flow to the penis. Some research studies suggest it may help with erectile dysfunction, but its effectiveness varies among individuals, and more research is needed for conclusive evidence.
- Red ginseng: Red ginseng is a specially processed form of ginseng that has been used to potentially improve sexual performance. Some studies suggest it may help with erectile dysfunction (ED) by enhancing blood flow in the body. However, its effectiveness varies among individuals, and further research is needed for conclusive evidence.
- DHEA (dehydroepiandrosterone): DHEA is a natural hormone that can be converted into both estrogen and testosterone in the body. Some studies suggest that DHEA supplements may help improve erectile dysfunction, particularly in men with low DHEA levels, though more research is needed for conclusive evidence.
- Propionyl L-carnitine: This amino acid derivative has shown promise in improving erectile function, especially in men with underlying heart issues. It may enhance blood flow to the genital area, supporting better erections, though more research is needed for conclusive evidence.
- Yohimbe: Yohimbe is an herbal supplement derived from the bark of the African yohimbe tree. It has been used as a natural remedy for erectile dysfunction, as it may increase blood flow to the penis, though more research is needed for conclusive evidence. However, it can have side effects and should be used with caution.
- Horny goat weed: Horny goat weed is an herb that may help erectile functioning by relaxing muscles and enhancing blood flow in the genital area.
How Effective Are Herbal Remedies & Supplement Alternatives to Viagra?
The effectiveness of herbal remedies and supplements as alternatives to Viagra for managing erectile dysfunction can vary from person to person. Some individuals may find relief with options like L-arginine, ginseng, or DHEA, experiencing improved blood flow and sexual function. However, it’s important to understand that scientific evidence supporting their use is limited compared to prescription medications like Viagra, which are rigorously tested.
These herbal remedies and supplements may not work for everyone, and their safety and effectiveness can depend on various factors. Consulting with a doctor or pharmacist is advisable to discuss the best approach for your specific erectile dysfunction concerns and to ensure your well-being and safety.1,8,9,10,11
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Lifestyle Changes as Viagra Alternatives
Lifestyle changes can serve as alternatives to Viagra for improving erectile dysfunction symptoms. A healthy diet rich in fruits, vegetables, whole grains, and lean proteins can support overall heart health and promote better blood flow, which is crucial for a strong erection. Regular exercise, such as brisk walking or swimming, helps improve circulation, reduce stress, and maintain a healthy weight, all of which contribute to better sexual function.
Acupuncture, an ancient Chinese practice, has also shown promise in some studies for enhancing erectile function by stimulating specific points in the body. Stress management techniques like meditation, deep breathing, or yoga can reduce anxiety, a common contributor to ED. Combining lifestyle changes with open communication and emotional intimacy with your partner can have a positive impact on your sexual health. Remember to consult with a healthcare provider for personalized guidance on integrating these changes into your routine and addressing any underlying health concerns that may contribute to erectile dysfunction.1,2
How Effective Are Lifestyle Changes as an Alternative to Viagra?
Lifestyle changes can be highly effective alternatives to Viagra for improving erectile dysfunction, especially when the condition is related to factors like diet, exercise, stress, or weight. Maintaining a healthy lifestyle that includes a balanced diet, regular physical activity, stress management, and good communication with your partner can enhance blood flow, reduce anxiety, and boost overall sexual function. While results may vary among individuals, these changes can significantly improve erectile dysfunction symptoms and overall well-being. It is essential to consult with a healthcare provider to address any underlying health issues and receive personalized guidance on the most effective lifestyle adjustments for your specific needs.1,2
Questions to Ask Your Healthcare Team About Viagra Alternatives
Questions to ask your care team about Viagra alternatives include:1,2,3,4,5,6,7,8,9,10,11
- Is it safe to take ED medication with my other medications?
- Am I at risk for side effects from ED medications or supplements if I am already taking other medications, such as antidepressants or anxiety medications?
- What ED medications should I consider for fewer side effects?
- Will my ED symptoms get better without medication?
- What are the potential causes of my erectile dysfunction?
- Are there any lifestyle changes I can make to improve my condition?
- Are prescription medications like Cialis or Levitra suitable for me?
- Should I consider testosterone replacement therapy?
- Are there any natural remedies or supplements like L-arginine or ginseng that I can try safely?
- What are the potential side effects and risks of these ED treatments?
- How long should I continue a specific treatment before assessing its effectiveness?
- What stress management techniques do you recommend?
- Are there any underlying mental health concerns contributing to my ED that I should address with a psychiatrist or therapist?
- Should I explore acupuncture as a complementary therapy?
- Are there any potential interactions between these treatments and my current medications?
- What is the best overall approach to address my specific erectile dysfunction concerns while considering both physical and emotional factors?
- Could alternative treatments be lower than the cost of Viagra?
In My Experience
In my experience, discussing alternatives to Viagra for erectile dysfunction with your doctor or pharmacist is crucial. The effectiveness of these options can vary widely, making it essential to consult with a healthcare provider. Open communication allows for a personalized approach that addresses both physical and emotional factors contributing to the issue.
Exploring various treatments may be necessary for some patients, from lifestyle changes to prescription medications like Cialis or Levitra and natural remedies like ginseng or L-arginine. The patients I serve with erectile dysfunction often have a positive outlook, finding relief and improved sexual function with these treatments. Seeking support from healthcare professionals, including doctors, psychiatrists, therapists, and pharmacists, offers valuable guidance and a holistic approach.
My advice to those facing this concern is to reach out to their healthcare team without hesitation. Ask questions, share experiences, and discuss treatment openly. Your healthcare providers are there to help tailor a solution to your unique circumstances, promoting both physical and emotional well-being. Collaborating with your healthcare team is key to addressing erectile dysfunction effectively.
Choosing Therapy strives to provide our readers with mental health content that is accurate and actionable. We have high standards for what can be cited within our articles. Acceptable sources include government agencies, universities and colleges, scholarly journals, industry and professional associations, and other high-integrity sources of mental health journalism. Learn more by reviewing our full editorial policy.
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Balasubramanian, A., Thirumavalavan, N., Srivatsav, A., Yu, J., Hotaling, J. M., Lipshultz, L. I., & Pastuszak, A. W. (2019). An Analysis of Popular Online Erectile Dysfunction Supplements. The journal of sexual medicine, 16(6), 843–852. Retrieved from https://pubmed.ncbi.nlm.nih.gov/31036522/
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DailyMed – VIAGRA- sildenafil citrate tablet, film. (2020). U.S. National Library of Medicinecoated. Retrieved from https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm
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DailyMed – TADALAFIL tablet. (2023). U.S. National Library of Medicinecoated. Retrieved from https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm
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DailyMed – VARDENAFIL HYDROCHLORIDE tablet, film coated. (2023). U.S. National Library of Medicinecoated. Retrieved from https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm
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DailyMed – STENDRA- avanafil tablet. (2023). U.S. National Library of Medicinecoated. Retrieved from https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm
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DailyMed – TESTOSTERONE CYPIONATE injection. (2023). U.S. National Library of Medicinecoated. Retrieved from https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm
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DailyMed – CAVERJECT- alprostadil injection, powder, lyophilized, for solution. (2023). U.S. National Library of Medicinecoated. Retrieved from https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm
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Stanislavov, R., & Nikolova, V. (2003). Treatment of erectile dysfunction with pycnogenol and L-arginine. Journal of sex & marital therapy, 29(3), 207–213. Retrieved from
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Lee, H. W., Lee, M. S., Kim, T. H., Alraek, T., Zaslawski, C., Kim, J. W., & Moon, D. G. (2022). Ginseng for Erectile Dysfunction: A Cochrane Systematic Review. The world journal of men’s health, 40(2), 264–269. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8987140/
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Reiter, W. J., Pycha, A., Schatzl, G., Pokorny, A., Gruber, D. M., Huber, J. C., & Marberger, M. (1999). Dehydroepiandrosterone in the treatment of erectile dysfunction: a prospective, double-blind, randomized, placebo-controlled study. Urology, 53(3), 590–595. Retrieved from https://pubmed.ncbi.nlm.nih.gov/10096389/
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Gentile, V., Vicini, P., Prigiotti, G., Koverech, A., & Di Silverio, F. (2004). Preliminary observations on the use of propionyl-L-carnitine in combination with sildenafil in patients with erectile dysfunction and diabetes. Current medical research and opinion, 20(9), 1377–1384. Retrieved from https://pubmed.ncbi.nlm.nih.gov/10096389/
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