Cialis vs Viagra - Which is Best Erectile Dysfunction Treatment

Erectile Dysfunction Treatment

 

You have probably heard about Cialis and Viagra as prescription drugs that can treat erectile dysfunction.

But, among these, which one is best?

In this article, we will learn about their:

  • Definition
  • Recommended usage and dosage
  • Possible side effects

Cialis: What Is It?

Cialis is composed of tadalafil, which is considered as its active ingredient. As a PDE5 inhibitor (phosphodiesterase type 5 inhibitor), tadalafil works in a way that increases blood flow to the soft tissue of your penis.

When you're sexually stimulated, the increased blood flow to your blood vessels makes it simpler to get and maintain an erection.

Aside from this, Cialis also relieves symptoms of an enlarged prostate such as:

  • A weak or incessant urinary stream
  • The need to urinate often (including during the middle of the night)
  • The inability to initiate urine flow

On November 21, 2003, Cialis became the first ED (erectile dysfunction) medication to get FDA approval. It became the third PDE5 inhibitor to hit the market after Viagra and Levitra.

How to take it?

How to consume it:

Cialis is unresponsive to food. People with ED problems may use it on a daily basis.

How soon it works:

It may begin functioning in as little as 14 minutes, but it takes two hours to achieve its peak effectiveness.

Cialis is active in your body for around 17 hours, assisting you with erections at any moment throughout that time period.

Common beginning dosage:

Cialis is typically started at a dosage of 10 mg for infrequent usage.

It may be reduced to 5 mg or increased to 20 mg based on your response. 

The recommended daily dosage for long-term usage is 2.5 mg.

Viagra: What Is It?

While tadalafil is the major component of Cialis, sildenafil is the key component of Viagra.

Sildenafil also shares the same mechanism with that of tadalafil.

Viagra acts as a phosphodiesterase type 5 (PDE5) inhibitor by boosting blood flow to your penis, allowing you to have and maintain an erection.

This drug, however, is only effective if you are sexually aroused.

Studies showed that between 43% and 83% of men who took Viagra had better erections. These rates differed according to the cause of their ED and the amount of Viagra taken.

On March 27, 1998, the FDA authorised Viagra as the first oral tablet and the first PDE5 inhibitor to treat ED. In March 2016, a generic version of Viagra was authorised, and it was made available in December 2017.

How to take it?

How to consume it:

Viagra should not be taken with meals. Ideally, you should take it one to two hours after eating.

If you really cannot wait, go for a small, low-fat lunch.

Consumption of fatty foods and alcohol might impair Viagra's effectiveness.

How soon it works:

It may begin working in as short as 11 minutes. But it often takes up to an hour to achieve its greatest impact.

Then it continues to function for another 3 to 5 hours.

Common beginning dosage: 50 mg is a typical starting dose.

If you have adverse effects, the dose may be reduced to 25 mg. If it is not completely effective, it may be raised to 100 mg.

Cialis vs Viagra: Comparison

Function

Cialis (tadalafil) and Viagra (sildenafil) are both phosphodiesterase-5 (PDE5) inhibitors that are used to treat erectile dysfunction.

Duration of action

One distinction between these drugs is their duration of action in your system.

Cialis delivers longer-lasting penile hardness

 

Cialis delivers longer-lasting penile hardness (the capacity to achieve an erection) than Viagra, lasting up to 18 hours. 

 On the other hand, Viagra only lasts roughly 4 to 6 hours.

Treatment for other erectile dysfunction-related issues

Cialis and Viagra have also been recommended to address a variety of issues associated with ED.

For example:

Viagra may assist men who have early ejaculation in regaining control. Premature ejaculation happens when a man achieves orgasm and ejaculates earlier than he or his partner wants during intercourse.

In a research conducted last 2007, researchers discovered that sildenafil was associated with an increase in ejaculation time in males who had premature ejaculation.

premature ejaculation

 

On the other hand, Cialis has been demonstrated to benefit men who suffer from additional sexual dysfunctions impacting the ejaculatory and orgasmic processes.

Drug and food interaction

Each medicine has the potential to interact with other drugs. Because PDE5 inhibitors have comparable effects on the body, Viagra and Cialis have similar interactions.

Avoid taking with medications that lower blood pressure

When taking Cialis or Viagra, any prescription that might lower blood pressure should be avoided.

Examples are:

  • Nitrates
  • Alpha-blockers
  • Antihypertensives
  • Riociguat 

Taking these medications together might cause a blood pressure lower than the baseline. As a result, your body may be deprived of the oxygen it needs to operate properly, potentially resulting in harm to your heart and brain. 

Avoid taking them with medications that might change their efficacy.

The liver is responsible for the metabolism of both Cialis and Viagra and all other drugs you may intake. As a result, they should not be used with any drugs that affect enzyme activity. 

Drugs that may raise the levels of Cialis and Viagra in the body are:

  • Antibiotics
  • Antifungals
  • anti-HIV protease inhibitors

On the other hand, drugs that may decrease the levels of Cialis and Viagra in the body are CYP3A4 inducers such as:

  • Phenytoin
  • Carbamazepine
  • Rifampin

Avoid certain food and drinks

Alcohol and grapefruit juice should also be avoided when using Cialis and Viagra, as they increase medication levels in the blood. An increase in the adverse effects of ED drugs is possible when drinking alcohol or grapefruit juice is consumed.

Cialis vs Viagra: Side Effects

The majority of these drugs have comparable side effects, which are often minimal. Inform your doctor if any adverse effects persist and do not resolve independently.

When using Cialis, you may experience the following negative effects:

  • Flu-like symptoms, including reddening of the face
  • Headaches
  • Nausea
  • Stomach discomfort
Stomach discomfort

 

Cialis may also lead to the following side effects:

  • Irregular ejaculation
  • Abnormally low blood pressure
  • Impaired vision
  • Changes in colour vision
  • Priapism, or an erection that lasts longer than four hours and may harm the penis

On the other hand, approximately 15% of people who use Viagra develop adverse effects. The following are the most prevalent side effects:

  • 1 in 10 people have face flushing
  • 1 in 6 experience headaches
  • 1 in 6 experience stomach discomfort
  • Nasal congestion
  • Nausea
  • Dizziness
  • Rash
  • Urinary tract infections (UTIs)
  • Diarrhea
  • Inability to distinguish between the hues green and blue
  • Priapism, or an erection that lasts longer than four hours and may harm the penis

FAQs about Cialis and Viagra

Can you use Viagra and Cialis at the same time?

Cialis and Viagra should not be used at the same time. Using them together may raise the chance of adverse effects, as they function similarly.

How effective are Viagra and Cialis?

These two medications are equally effective.

A meta-analysis of several hundred trials indicated that these two drugs, when combined with Levitra (which is also given to treat ED), result in effective penetrative intercourse in 65 to 80 percent of ED users (compared to 30 percent with a sugar pill).

Is it safe to use Cialis and Viagra when pregnant or breastfeeding?

Cialis is not licensed for women and has not been studied in nursing women.

Viagra, on the other hand, has not been tested in pregnant women, despite considerable study in animals demonstrating no detrimental effects on the baby.

In males, there is no impact on sperm count or motility.

It is unknown whether sildenafil is secreted in breast milk.

Cialis and Viagra: Which one is better?

Cialis and Viagra: Which one is better?

When it comes to treating erectile dysfunction, there is no "best" medicine. 

Cialis and Viagra have relatively similar effects, yet each has its unique set of advantages:

Cialis is a good choice if you need a "weekend" erectile dysfunction medicine that lasts a long time and allows you to have sex whenever you want without having to prepare ahead. 

Cialis is more costly, but it lasts longer, making it beneficial if you have a more active and consistent sex life. It may also be taken with or without food, which is convenient.

Also, if you want a shorter-acting erectile dysfunction medication that allows you to have sex for a single evening without lingering in your system for too long, Viagra is definitely for you.

It is by far the most affordable ED medication and has the longest track record of safety. It is suitable for infrequent usage but must be taken on an empty stomach.

Depending on individual requirements, rotating between these two medications is customary.

The American College of Physicians (ACP) advises that the choice of medicine be left up to you (the patient), stating that it may be influenced by the expense of the prescription as well as your lifestyle.

The choice is up to you.

But you may take an online assessment to help you decide.