According to the FDA, generic medications contain the same active ingredients as brand names, meaning there’s no difference in effectiveness or safety. Taking generic ED medications is an effective way to save money without sacrificing quality. Symptoms may include sudden urges to urinate urgency , difficulty in starting urination hesitancy , a weak urine stream, and more frequent urination — especially at night. These PDE5 inhibitors may cause headache, flushing, drop in blood pressure, or other adverse effects. Stendra avanafil : This is an as-needed medication taken 30 minutes before sex and can last up to six hours.Other options. There are several options to treat erectile dysfunction aside from oral medications like Cialis, including: erectile dysfunction pump, which can be a penis or vacuum pump. penile. Sildenafil (Viagra, Revatio) is a moderately priced drug used to treat erection problems in test1.ru is also used to treat pulmonary arterial hypertension, a serious heart and lung test1.ru drug is more popular than comparable drugs. It is available in generic and brand versions. Generic sildenafil is covered by most Medicare and insurance plans, but . Cialis is only available by prescription in the United States. Viagra: Additionally, a study from Trusted Source. found that combining L-arginine and sildenafil (Viagra) worked better for.