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Reviewed by Dr. James Mitchell, PharmD — Updated May 2025. Both are PDE5 inhibitors — but they have important differences in timing, duration, and lifestyle fit.
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Lead Pharmacist · Reviewed May 2025
ED is almost always treatable. Sildenafil is where I'd start for most men — it's the most studied oral ED drug in the world, extremely affordable in generic form, and works for the vast majority of patients. Don't wait years to address this. It's one of the most responsive conditions in men's health to appropriate treatment.