Sildenafil Teva
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When choosing between BNF-listed ED treatments, sildenafil and Spedra (avanafil) are both proven options with different profiles. Sildenafil, available as both branded Viagra and generic versions, has been treating erectile dysfunction for over 25 years. Spedra is a newer medication with potentially faster onset. Understanding their differences helps you make an informed choice about which treatment may suit your needs better.
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When PDE5 is suppressed, blood is able to flow more freely through the body—including to the (you guessed it) penis.

More blood flow to the penis means harder, more satisfying erections once you're sexually stimulated.
Both sildenafil (found in Viagra) and Spedra belong to a class of medicines called PDE5 inhibitors. They work by blocking an enzyme that restricts blood flow to the penis, allowing improved circulation when sexually aroused. Neither medication causes automatic erections - sexual stimulation is still required for them to be effective.
One key difference lies in how quickly these treatments begin working. Sildenafil typically takes 30-60 minutes to become effective, whilst Spedra may start working within 15-30 minutes for some men. However, individual response times can vary significantly. Food intake, particularly fatty meals, can delay both medications' onset of action.
Both treatments offer similar duration of action, with effects lasting approximately 4-6 hours. Clinical studies suggest both medications have comparable effectiveness rates for treating erectile dysfunction, with success rates typically ranging from 60-80% depending on the underlying cause and individual factors.
Common side effects for both medications include headache, facial flushing, nasal congestion, and indigestion. Spedra may have a slightly lower incidence of visual disturbances compared to sildenafil, though this side effect is relatively uncommon with both treatments. Most side effects are mild and temporary.
Sildenafil is available in 25mg, 50mg, and 100mg strengths, with 50mg being the typical starting dose. Spedra comes in 50mg, 100mg, and 200mg tablets. Both allow dose adjustment based on effectiveness and tolerability, always under medical supervision.
Generic sildenafil offers substantial cost savings compared to both branded Viagra and Spedra. The active ingredient and effectiveness remain identical to the branded version, making it an economical choice for long-term treatment. At EverydayMeds, patients can choose between branded Viagra or generic sildenafil at checkout, allowing flexibility based on personal preference and budget.
Both medications share similar contraindications, including use with nitrate medications, severe cardiovascular disease, and recent heart attack or stroke. Neither should be combined with other ED treatments. A thorough medical assessment is essential before starting either treatment.
The decision between sildenafil and Spedra often depends on individual factors such as response time preferences, cost considerations, and tolerability. Many men find generic sildenafil provides excellent results at a fraction of the cost of newer alternatives. Clinical consultation helps determine the most suitable option based on your medical history and treatment goals.
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