Viagra Substitutes

Although most men tolerate it well, Viagra® (sildenafil citrate) may not be the best choice for everyone. If this drug is causing bothersome side effects or is not working well enough, your healthcare provider may recommend a substitute for Viagra. Fortunately, several medications can be used as an alternative to this drug.
 
Besides Viagra, a few other oral products belong to the drug class known as phosphodiesterase (PDE) inhibitors. These include:
 
Cialis, Levitra, and Staxyn are all approved for treating erectile dysfunction. Adcirca is approved to treat pulmonary arterial hypertension. The active ingredient in Viagra (sildenafil) is also available in a different medication (Revatio®) that is approved to treat pulmonary arterial hypertension.
  
Some men also report good results with other oral drugs, including:
 
  • Yohimbine hydrochloride
  • Dopamine and serotonin agonists
  • Trazodone.
     
However, the results of scientific studies on the effectiveness of these products have been inconsistent.
 
Injectable medicines are also available as Viagra substitutes. These include:
 
  • Papaverine hydrochloride
  • Phentolamine
  • Alprostadil (marketed as Caverject®).
     
It's important to note that these drugs may create unwanted side effects, such as scarring and a persistent erection.
 
(Click Erectile Dysfunction Medication for a more in-depth list of Viagra substitutes, including a discussion on alprostadil pellets that are inserted into the penis.)
 
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