Some companies offer erectile dysfunction (ED) pills online without the need for a prescription. The Food and Drug Administration (FDA) do not regulate these products, so they may not be safe. Some might contain harmful ingredients that the manufacturers do not list on the label.

According to the FDA, the number of ED products available online is increasing. However, people must be vigilant and avoid unregulated ED remedies, including those that manufacturers claim to be “natural supplements.”

This article will look at some drugs that help with ED, the risks associated with buying them online, and where to get ED pills safely. It will also discuss some other ways of treating ED.

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It is much safer to purchase ED pills from a licensed pharmacy than online.

Phosphodiesterase-5 (PDE-5) inhibitors are medications that males can use to help treat ED. These drugs prolong erections by blocking the action of phosphodiesterase enzyme, which triggers the end of an erection.

The FDA have approved the use of four PDE-5 inhibitors for ED:

Drug nameDose
avanafil (Stendra)50 milligrams (mg), 100 mg, 200 mg
sildenafil (Viagra)25 mg, 50 mg, 100 mg
tadalafil (Cialis)2.5 mg, 5 mg, 10 mg, 20 mg
vardenafil (Levitra)5 mg, 10 mg, 20 mg

Depending on the efficacy and side effects a male may experience while taking any of these drugs, doctors may recommend a different dosage.

PDE-5 inhibitors are also available on prescription in other formats. For example, alprostadil (Muse) is a suppository that males can insert into the urethra of the penis. The same medication is also available in an injectable form called Caverject.

People should not buy ED pills online unless they have a prescription from a doctor and are purchasing them from a reputable online pharmacy. The FDA do not regulate online ED products to check that they are safe.

According to an FDA report, around one-third of ED supplements they assessed contained other prescription drugs or other unlisted ingredients. Six out of 17 products contained sildenafil or another PDE-5 inhibitor.

This means that ED products available online could contain harmful substances or high amounts of drugs that consumers are not aware of. Taking high doses of PDE-5 inhibitors such as vardenafil can cause:

Since 2004, the FDA have identified the following products as unsafe:

  • Actra-Rx
  • Hero
  • Libidus
  • Naustra
  • NaturalUp
  • Neophase
  • Vigor-25
  • Xiadafil VIP
  • 4EVERON

The FDA and Federal Bureau of Investigation are working together to help stop the supply of illegal ED pills in the United States.

In 2008, the FDA seized more than 14,000 doses of unsafe ED products from a single company.

It is not safe to get ED pills without consulting a doctor or a pharmacist first. ED pills that do not require a prescription may not come from a trustworthy company.

Also, PDE-5 inhibitors can cause serious interactions with other medications. For example, people who take sildenafil alongside medications that contain nitrates may experience severe low blood pressure.

Drug interactions and preexisting conditions are some of the factors a doctor can take into account before prescribing an ED medication to ensure that it will be safe and effective.

Therefore, before purchasing ED pills, it is vital to consult a doctor.

The best place from which to obtain ED pills is a licensed pharmacy. A pharmacist can answer a person’s questions about ED pills and provide them with information on the possible side effects.

People who would prefer to fill their prescription online should choose a reputable online pharmacy based in the U.S. that has a pharmacist on hand to help out with any problems.

Reputable online pharmacies have a seal of approval from the National Association of Boards of Pharmacy. This proves that the pharmacy is legal and does not sell counterfeit drugs.

A person should not obtain ED pills from websites that display no contact details, have much lower prices than pharmacies, and do not ask for a prescription.

The American Urological Association suggest some other treatments for ED, including:

  • undergoing mental health counseling to reduce sexual performance anxiety
  • treating any underlying conditions that can impact sexual performance, such as obesity, heart disease, and diabetes
  • making lifestyle changes, such as eating a healthful diet and getting regular exercise

Some males may be candidates for the combination treatment of PDE-5 inhibitors and testosterone.

There are also some procedures that may improve sexual performance, including:

  • penile arterial reconstruction
  • penile prosthesis implantation
  • extracorporeal shock wave therapy
  • stem cell therapy

Learn more about natural treatments for ED here.

Males who think that they have ED can speak with a doctor. A doctor will be able to determine which treatment options are best.

For example, for males with ED and metabolic syndrome, a doctor may suggest a weight loss program that could improve their sexual performance. A doctor can also suggest whether a medication or a procedure is more appropriate.

Anyone taking ED pills they purchased online should consult a doctor immediately if they are experiencing any side effects, such as:

  • vision loss or changes
  • hearing loss
  • an erection that lasts for longer than 4 hours (priapism)

Priapism is a medical emergency that requires prompt treatment.

Purchasing ED pills online can be unsafe, as these products are not subject to FDA regulations. They may contain harmful ingredients or high amounts of unlisted drugs. The FDA have already banned numerous ED products.

The safest way to obtain ED pills is to speak with a doctor. If the medication is appropriate, the doctor will provide a prescription. A person can fill the prescription at a reputable pharmacy, either online or offline.