alt Sep, 27 2025

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

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

Fildena Super Active vs Common ED Alternatives
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

  1. Take the tablet with water about an hour before sexual activity; avoid heavy meals for faster absorption.
  2. If you experience a painful erection lasting more than 4hours, seek medical help immediately - this could signal priapism.
  3. Do not combine any PDE5 inhibitor with nitrate medications (e.g., nitroglycerin) as it can cause dangerous blood‑pressure drops.
  4. Alcohol in moderation is fine, but excessive drinking can blunt the drug’s effectiveness and increase side‑effects.
  5. 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.
These subjects sit higher in the health‑and‑wellness cluster, while this comparison article resides within the pharmacy niche, bridging medication knowledge with practical health decisions.

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.

1 Comment

  • Image placeholder

    Anthony Palmowski

    September 27, 2025 AT 01:33

    Fildena’s 100 mg dose slams the PDE5 enzyme harder than most generics, delivering a rapid flood of blood into the corpora cavernosa!!!

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