Is any drug better and newest than viagra (sildenafil) or tadalafil?

Erectile dysfunction. I can't speak for israel as i only practice here in states. I mention israel only because it's listed on your descriptor. Anyway, there are 3 oral pde-5 inhibitors: cialis, levitra/staxyn & viagra (sildenafil). It's like choosing btwn chevy, dodge & ford. Alprostadil is available in injection (caverject) or intraurethral form (muse) for those who can't take pde-5 inhibitors eg also taking nitrates. Vitaros?

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Can I take sildenafil or tadalafil, if I'm on metformin?

Yes. The PDE-5 inhibitors that you mention can be used with oral hypoglycemic medications like metformIn. Erectile dysfunction is very common in diabetics. Sometimes the PDE-5's either will not work or become less efficacious. Should this be the case there are a number of other (and less expensive) options to achieve erections. . Read more...

Sir Unable to maintain errection it remains half flacid even during masterbating not able to satisfy my partner tried tadalafil viagra with no effect?

I'm sorry..... this condition must be very stressful to you. As you know, erectile dysfunction can be a sign of a physical OR psychological condition. Trying tadalafil/sildenafil is a reasonable first step, but now you must see a specialist, probably a Urologist, to see if further testing/diagnosis is needed, including hormonal tests, and what solutions are available. Good wishes to you:) Read more...