Here are some key factors to consider when deciding: Pricing: Know how much your monthly supply will cost with shipping and tax. This medicine works best when you take it on an empty stomach an hour before sex. However, some states require a live video consultation. People with heart conditions should never take ED medications without consulting a doctor. A phone or video consultation is sometimes required for legal purposes.Still, if your doctor says it’s okay for you to use and you end up paying out-of-pocket, you can still get the generic for a lot less than Viagra. According to price-comparison site . Sildenafil (Viagra, Revatio) is a moderately priced drug used to treat erection problems in men. It is also used to treat pulmonary arterial hypertension, a serious heart and lung . The four main medicines taken by mouth for erectile dysfunction are: Avanafil (Stendra). Sildenafil (Viagra). Tadalafil (Cialis). Vardenafil. These medicines are called PDE5 .

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