All PDE5 inhibitors, including Viagra and Cialis, require a valid prescription regardless of the pharmacy or provider. Follow-up support: Make sure you can get the help you need if questions or concerns arise after ordering. It lasts 4 to 5 hours, or longer if you have mild to moderate ED. They’re often the first line of treatment for trouble getting or keeping an erection, called erectile dysfunction ED. Those with a history of blood pressure or heart issues, hormonal imbalances, mental health issues, and diabetes should consult their doctor before trying PDE5 inhibitors. Since Kamagra is mythicised to enhance sexual performance and promises to cast a pink glow on your night, it’s hard to imagine that Viagra and Kamagra are essentially the same medication. They include dutasteride Avodart, Jalyn and finasteride Propecia, Proscar.The four main medicines taken by mouth for erectile dysfunction are: Avanafil (Stendra). Sildenafil (Viagra). Tadalafil (Cialis). Vardenafil. These medicines are called PDE5 inhibitors. They enhance the effects of a chemical the body makes that relaxes muscles in the penis, called nitric oxide. Abstract. Because sildenafil citrate is a treatment, not a cure, for erectile dysfunction (ED), many men may choose to use it for an extended period. Men with ED who had previously completed 1 of 4 double-blind trials with short-term open-label extension (combined duration, – years) were eligible for this 4-year, open-label, extension. Kamagra Gold MG Tablet contains Sildenafil. It is better known as the blue pill. It is an effective medicine used for the treatment of erectile dysfunction (ED) in men. Erectile dysfunction is a condition where a man is unable to achieve and/or maintain an erection adequate for sexual intercourse. This happens because of decreased blood .