ED Medication Comparison Tool
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Full Comparison Table
| Drug | Active Ingredient | Typical Dose | Onset | Duration | Price (NZ$ per 4 tabs) |
|---|---|---|---|---|---|
| Fildena Super Active | Sildenafil Citrate | 100 mg | ≈30 min | ≈12 h | 45-50 |
| Viagra | Sildenafil Citrate | 50-100 mg | 30-60 min | 4-6 h | 55-60 |
| Cialis | Tadalafil | 10-20 mg | ≈15 min | 24-36 h | 70-85 |
| Levitra | Vardenafil | 10-20 mg | 25-60 min | 4-5 h | 60-70 |
| Stendra | Avanafil | 100-200 mg | ≈15 min | 6-12 h | 75-90 |
Fildena Super Active is a high‑potency sildenafil citrate tablet formulated for rapid onset and extended duration in treating erectile dysfunction (ED). It contains 100mg of sildenafil, a phosphodiesterase‑5 (PDE5) inhibitor, and is marketed as an over‑the‑counter option in several regions. Key attributes include onset within 30minutes, effect lasting up to 12hours, and a side‑effect profile typical of sildenafil.
- Fast onset (≈30min)
- Long‑lasting effect (≈12h)
- 100mg sildenafil per tablet
- Common mild side effects: headache, flushing, nasal congestion
- Available without a prescription in some markets
Understanding How Fildena Works
Sildenafil blocks the enzyme phosphodiesterase‑5, which normally breaks down cyclic guanosine monophosphate (cGMP) in penile tissue. By preserving cGMP, blood vessels relax, allowing increased blood flow during sexual arousal. The result is a firmer, longer‑lasting erection.
Key Attributes Compared to Other PDE5 Inhibitors
Below are the most frequently mentioned alternatives, each with its own dosage range, onset time, and duration. The table later in this article summarizes the comparison.
Viagra is the original brand‑name sildenafil product, typically supplied in 25mg, 50mg and 100mg tablets. Onset is 30‑60minutes, and effects last 4‑6hours.
Cialis contains tadalafil, another PDE5 inhibitor. Standard doses are 5mg, 10mg and 20mg. Onset can be as quick as 15minutes, with a remarkable 36‑hour activity window.
Levitra is a vardenafil tablet available in 5mg, 10mg and 20mg strengths. It works in 25‑60minutes and lasts about 4‑5hours.
Stendra (avanafil) offers rapid onset (≈15minutes) and a duration of 6‑12hours. Doses are 50mg, 100mg and 200mg.
Generic Sildenafil refers to non‑branded tablets containing the same 50‑100mg dose of sildenafil citrate. Pricing is usually lower, but formulation and excipients may vary.
Side‑Effect Profile Across Options
All PDE5 inhibitors share common side effects: headache, facial flushing, upset stomach, nasal congestion, and visual disturbances (color tinge). Cialis may cause back pain or muscle aches due to its longer half‑life. Stendra sometimes produces a mild taste distortion. The severity is generally mild and transient, but anyone with cardiovascular disease should consult a doctor before use.
Cost Considerations
Pricing fluctuates by region and whether a brand name or generic is chosen. In NewZealand, a pack of 4×Fildena SuperActive (100mg) typically costs NZ$45‑50, while the same amount of generic sildenafil can be found for NZ$30‑35. Cialis and Stendra, being newer, are priced higher (NZ$70‑85 for a similar pack). Insurance coverage varies; most public health plans prioritize generic sildenafil over branded options.
Choosing the Right ED Medication - Decision Criteria
- Onset speed: If spontaneity matters, Stendra or high‑dose Fildena (30min) are best.
- Duration needed: Cialis excels for weekend‑long plans; Fildena offers a middle ground (≈12h).
- Cost sensitivity: Generic sildenafil or Fildena provide the best value.
- Health constraints: Patients on nitrates must avoid all PDE5 inhibitors.
- Prescription limits: In jurisdictions where Fildena is OTC, it bypasses the doctor‑visit step.
Comparison Table
| Drug | Active Ingredient | Typical Dose | Onset | Duration | Price (NZ$ per 4 tabs) |
|---|---|---|---|---|---|
| Fildena Super Active | Sildenafil Citrate | 100mg | ≈30min | ≈12h | 45‑50 |
| Viagra | Sildenafil Citrate | 50‑100mg | 30‑60min | 4‑6h | 55‑60 |
| Cialis | Tadalafil | 10‑20mg | ≈15min | 24‑36h | 70‑85 |
| Levitra | Vardenafil | 10‑20mg | 25‑60min | 4‑5h | 60‑70 |
| Stendra | Avanafil | 100‑200mg | ≈15min | 6‑12h | 75‑90 |
Practical Tips for Safe Use
- Take the tablet with water about an hour before sexual activity; avoid heavy meals for faster absorption.
- If you experience a painful erection lasting more than 4hours, seek medical help immediately - this could signal priapism.
- Do not combine any PDE5 inhibitor with nitrate medications (e.g., nitroglycerin) as it can cause dangerous blood‑pressure drops.
- Alcohol in moderation is fine, but excessive drinking can blunt the drug’s effectiveness and increase side‑effects.
- Start with the lowest effective dose, especially if you have hypertension or are over 65 years old.
Related Concepts and Next Steps
Understanding ED fully involves intersecting topics such as Sexual Health, cardiovascular fitness, hormone balance, and mental well‑being. Readers interested in broader lifestyle approaches can explore articles on:
- Exercise routines that boost nitric oxide levels.
- Dietary patterns (Mediterranean, low‑sugar) linked to better erectile function.
- Psychological counseling for performance anxiety.
Frequently Asked Questions
Is Fildena Super Active safe to use without a prescription?
In many countries Fildena is sold as an over‑the‑counter product, but safety depends on individual health status. Men with heart disease, uncontrolled hypertension, or who take nitrates should still see a doctor before using any PDE5 inhibitor.
How does Fildena compare to generic sildenafil in terms of effectiveness?
Effectiveness is essentially the same because both contain identical sildenafil citrate. Differences arise from tablet formulation; Fildena’s “Super Active” coating is designed for faster absorption, which may shave a few minutes off onset.
Can I take Fildena with alcohol?
Moderate alcohol (one‑two drinks) is generally fine, but heavy drinking can reduce blood flow to the penis and increase side‑effects like dizziness. Keep it light if you want the best results.
What should I do if I experience a headache after taking Fildena?
Most headaches from sildenafil are mild. Hydrate, rest, and consider an over‑the‑counter pain reliever like acetaminophen. If headaches persist or intensify, discontinue use and consult a healthcare professional.
Is there a risk of dependency on Fildena or other PDE5 inhibitors?
Physical dependence is not a concern; the body does not become tolerant to the drug. However, psychological reliance can develop if a man feels he cannot achieve an erection without it. Open communication with a partner and occasional drug‑free periods can help maintain a healthy mindset.
Anthony Palmowski
September 27, 2025 AT 01:33Fildena’s 100 mg dose slams the PDE5 enzyme harder than most generics, delivering a rapid flood of blood into the corpora cavernosa!!!
Jillian Rooney
October 1, 2025 AT 16:40We shoudnt glorify pop pills when simple lifestyle changes could do the trick, honestly.
Rex Peterson
October 6, 2025 AT 07:46When weighing options, one must consider not only pharmacokinetics but also the individual's cardiovascular profile, for the sake of a holistic approach.
Candace Jones
October 10, 2025 AT 22:53Pro tip: take the tablet with a light snack and avoid a massive greasy meal; it speeds up absorption and cuts down on that headache risk.
Robert Ortega
October 15, 2025 AT 14:00I think it’s useful to compare onset, duration, and price side‑by‑side, then match those metrics to your personal schedule and budget.
Elizabeth Nisbet
October 20, 2025 AT 05:06Don’t be afraid to start low and work up – a 50 mg trial can tell you a lot before committing to the 100 mg super‑active version.
Sydney Tammarine
October 24, 2025 AT 20:13OMG, the drama of picking a pill is like choosing a Hollywood blockbuster – you want the fireworks, the romance, and zero budget overruns! 🎬✨
josue rosa
October 29, 2025 AT 11:20From a pharmacodynamic perspective, sildenafil’s inhibition of phosphodiesterase‑5 results in elevated cyclic guanosine monophosphate levels, thereby promoting smooth‑muscle relaxation in the penile vasculature.
When administered in a 100 mg formulation such as Fildena Super Active, the drug achieves peak plasma concentrations within approximately 30 minutes, which aligns with the rapid onset reported in clinical trials.
Long‑duration efficacy-up to twelve hours-offers a therapeutic window that accommodates spontaneous activity without the need for precise timing.
In contrast, tadalafil’s half‑life extends to 17.5 hours, providing a once‑daily dosing regimen but potentially exposing patients to prolonged systemic vasodilation.
Adverse‑event profiling indicates that the most common side‑effects-headache, flushing, and nasal congestion-are dose‑dependent, underscoring the importance of titrating to the minimal effective dose.
Patients with cardiovascular comorbidities must undergo thorough risk assessment, as PDE5 inhibition can exacerbate hypotensive episodes, especially when combined with nitrates.
Economic considerations reveal that Fildena’s price point (NZ$45‑50 per four tablets) undercuts many branded alternatives, making it a cost‑effective option for those without insurance coverage.
However, regional regulatory differences mean that OTC availability varies, and self‑medication without professional guidance may mask underlying pathologies such as endocrine disorders or psychological factors.
Clinical guidelines recommend a trial period of six weeks to evaluate efficacy and tolerability before committing to long‑term therapy.
It is also prudent to counsel patients on lifestyle factors-regular exercise, a balanced diet, and moderation of alcohol-that synergize with pharmacotherapy to enhance erectile function.
Drug‑drug interactions remain a critical concern; concurrent use of alpha‑blockers or certain antifungals can alter sildenafil metabolism via CYP3A4 pathways.
Patients should be instructed to avoid high‑fat meals within an hour of ingestion to prevent delayed absorption.
Despite the convenience of a rapid‑onset, high‑potency tablet, the physician’s role in monitoring blood pressure and cardiac status remains indispensable.
Finally, the psychosocial impact of relying on medication should be addressed; fostering open communication with partners can mitigate dependence and promote a healthy sexual relationship.
Shawn Simms
November 3, 2025 AT 02:26While the previous exposition is thorough, note that the term “once‑daily dosing” should be qualified with the indication for daily use, not intermittent rescue therapy.
Geneva Angeles
November 7, 2025 AT 17:33Hey folks, let’s keep the vibe upbeat! If you’re feeling nervous about trying a new PDE5 inhibitor, remember that confidence builds over time, and many users report that a positive mindset actually enhances the medication’s effectiveness.
Start with a lower dose, track how you feel, and gradually adjust – it’s a journey, not a race.
Also, celebrating small wins-like feeling less anxious in the bedroom-can reinforce good habits and make the whole experience more rewarding.