Safe & Doctor-Approved Viagra Alternatives of 2025

Individuals who experience erectile dysfunction (ED) commonly opt for Viagra. However, it can be out of budget for some or ineffective, a situation that prompts the question, ‘Are there trusted Viagra alternatives in the market?’ As sexual health is a major concern universally, individuals must be assured of the quality, safety levels and effectiveness of any alternative ED medication options.

This blog explores various doctor-approved Viagra alternatives, including prescription medications, natural remedies, and lifestyle changes that may help manage ED symptoms.

What is Erectile Dysfunction? 

Also often referred to as impotence, erectile dysfuntion is a condition where an individual is unable to develop and maintain an erection that is firm for intercourse. Erectile dysfunction, if observed as an ongoing issue may trigger stress, affect one’s self-confidence and even contribute to problems in relationships. ED may also indicate an underlying health condition, requiring immediate attention and treatment. 

The male arousal process is complex, involving hormones, the brain, blood vessels, emotions, nerves, and muscles. Disruptions in any of these areas can contribute to ED. Moreover, psychological factors such as stress, anxiety, and poor mental health can further aggravate the condition, creating a cycle of performance anxiety that makes it even more challenging to maintain an erection.

In any case, Viagra is an essential medication prescribed to treat ED. However, there are alternatives to this medication for people who may be looking for options due to circumstantial reasons.  

How Does Viagra Work? 

Before getting into the alternatives of Viagra, an idea about how it works is necessary. Viagra treats erectile dysfunction by helping the individual get and maintain an erection. This is achieved by improving blood flow into the penis when it is sexually stimulated.

Viagra is known as a phosphodiesterase type 5 (PDE5) inhibitor. It works by blocking the action of the PDE5 enzyme, which is responsible for breaking down cyclic guanosine monophosphate (cGMP) in the penis.

Normally, an erection subsides when PDE5 breaks down cGMP, reducing blood flow to the penile tissues. By inhibiting PDE5, Viagra allows cGMP to remain active for longer, promoting increased blood flow to the penis. This helps individuals achieve and maintain an erection when sexually stimulated.

What is Sildenafil? 

Sildenafil is the active ingredient in Viagra and is also available as a more affordable generic name for Viagra. While the brand-name Viagra carries a higher price tag, Viagra generic versions containing sildenafil citrate offer the same effectiveness at a lower cost.

Primarily, Sildenafil treats erectile dysfunction (ED) by improving blood flow to a man’s penis, helping individuals achieve and maintain an erection during sexual arousal. Additionally, it is prescribed under the brand names Revatio and Liqrev to improve exercise capacity in adults and children (aged one year and older) with pulmonary arterial hypertension (PAH). In cases of PAH, Sildenafil works by relaxing the blood vessels in the lungs, allowing for better blood flow and reducing strain on the heart.

Like Viagra, Sildenafil belongs to the class of phosphodiesterase type 5 (PDE5) inhibitors, which enhance circulation by preventing the breakdown of cyclic GMP. Whether for ED or PAH, sildenafil plays a crucial role in improving vascular function and overall quality of life.

Viagra Alternatives that are Cheaper 

Certain alternatives to viagra are cheaper and doctor-approved. However, it is important to consult your healthcare specialist before taking any of the medicines. Here is a cheaper alternative to Viagra that can be taken to manage ED:

• Generic Sildenafil

Generic Sildenafil is a phosphodiesterase type 5 (PDE5) inhibitor. It is a cost-effective alternative to the branded Viagra. To recover the costs pharmaceutical companies incur in researching and developing branded medications, they are granted a patent.

This indicates that they are set to be the only company allowed to develop and sell the particular medicines. Therefore, they are allowed to set a higher price on the medicines they sell.

Sildenafil and Viagra are pretty much identical in composition and effect, but the former generic version usually costs a lot less. It is about 70 - 90% cheaper compared to the branded counterpart. Once the patent expires, other companies can produce and sell the medication, leading to increased competition and lower prices.

• Cenforce 200, Cenforce 100

Cenforce 200 and Cenforce 100 are prescription drugs used to treat erectile dysfunction, helping men develop and maintain erections. They belong to the phosphodiesterase type 5 (PDE 5) inhibitors category, and are verified, cheaper alternatives to viagra.

• P Force Fort 150 mg Tablets

P Force Fort 150 mg is a popular drug that treats impotence in men, costing much less than viagra and lasting up to 4 hours. 

• Kamagra Oral Jelly

Belonging to the phosphodiesterase type 5 (PDE 5) inhibitors group of medicines, Kamagra Oral Jelly drugs can help impotent men develop and maintain erections. Instructed to consume about an hour before having intercourse, the drug may work within 30 minutes - 1 hour, depending on person to person.

Viagra Alternatives that Last Longer

How long the effect of Viagra lasts on an individual may vary from person to person. On average, the effect of Viagra lasts 4 hours, from the time it is taken. It is crucial to note that the Viagra tablet should be taken only once in 24 hours. 

Here are a few erectile dysfunction medicines that have an effect lasting longer than Viagra:

• Cialis

It is an oral tablet, that begins to take effect approximately 30 minutes after ingestion and can last up to 36 hours. The recommended starting dose ranges from 2.5 mg to 5 mg per day, but in certain cases, it may be increased to 20 mg as prescribed by a doctor. It is important for individuals who participate in sexual activity to refrain from taking the pill more than once in 24 hours. Cialis may be taken with food, or without. 

• Cialis Daily

A once-daily version of Cialis is available in 2.5 mg tablets, which must be taken at the same time each day. Unlike the as-needed dose, this daily regimen does not require timing around sexual activity.

• Tadalafil

Tadalafil is an active ingredient present in Cialis. It is also available in the generic form, like in Vidalista 40 mg tablets and Vidalista Black 80mg tablets. These alternatives to Viagra may be effective for up to 36 hours.

Viagra Alternatives that Work Faster

For context, Viagra usually takes up to 30 - 60 minutes to start showing effect. Ideally, individuals experiencing ED should take the drug at least half an hour before they plan on having intercourse. However, one may be looking for an alternative that starts working more promptly. In that case, here are the options they have available at their disposal:

• Avana 100 mg Tablets

Avana 100 mg tablets may be a suitable option, a branded version of the active ingredient, Avanafil. This alternative works in about 15 - 30 minutes. Note that Avana 100 mg tablets are only available upon prescription by a healthcare professional, similar to Viagra.

• Cialis Daily

Cialis Daily acts as a faster-acting alternative to Viagra since it is taken every day, ensuring the individual is always prepared for intimacy. This makes it an ideal choice for those who prefer spontaneity, unlike Viagra or Spedra, which require planning ahead before sexual activity.

Safe Alternatives if Viagra Fails 

There are an array of reasons as to why Viagra fails to function for an individual. Here are some of the common scenarios that may lead to Viagra not working:

• Individuals may not have waited long enough for the drug to take effect, as it typically requires 30 to 60 minutes to start working.

• The individual may have waited too long to have sex after taking the pill. 

• The dose may have been too low.

• The individual may not have been sexually aroused.

• One may have had a high-fat meal while taking the drug.

• One may have consumed too much alcohol while taking the drug.

Such reasons are indicative of the fact that the drug on its own cannot do all the job, the supporting circumstances have to be in tune as well. For example, the individual taking Viagra has to be sexually stimulated.

Here is a table listing down the safe alternatives in case Viagra fails, and other associated information:

Natural Alternatives to Viagra

For those who prefer to avoid oral medications, there are natural to Viagra. Some individuals may dislike taking pills, while others may be unable to do so due to existing medications for underlying health conditions.

With that in mind, here are some natural alternatives to Viagra that may help improve erectile function.

1. L-Arginine

L-arginine is an amino acid that may help improve blood flow by increasing nitric oxide levels in the body. Taking a high dosage of it over a time period of 3 months can lead to improvement in and management of ED symptoms. It is more suitable for individuals who are experiencing mild to moderate vasculogenic erectile dysfunction. The inadequate flow of blood to the penis tissue may also be resolved via this natural medication.

2. Acupuncture

Acupuncture is a traditional healing practice known for stimulating physiological responses such as pain relief, hormone regulation, and reduced inflammation. Some studies suggest that acupuncture may also help treat ED.

3. Red Ginseng

Red Ginseng is a herbal supplement that may help in managing ED. It can be taken in the form of a supplement, however, more research is required to fully understand its benefits for erectile dysfunction treatment.

4. Yohimbine

Yohimbe is the African evergreen tree, whose bark is known to contain a compound, namely Yohimbine. Some sources emphasise its traditional use as an aphrodisiac, which also serves as a natural supplement for erectile dysfunction and caution is advised due to possible side effects.

5. DHEA

DHEA is a hormone naturally produced by the body, and some researchers and supplement manufacturers claim it can slow ageing and boost energy levels, potentially improving sexual performance. However, current research is limited, and more studies are needed to verify its effectiveness in treating ED.

Other Alternatives to Erectile Dysfunction Medication 

For individuals seeking non-oral treatments for erectile dysfunction (ED), several options are available. These alternatives can be effective either on their own or in combination with other treatments:

1. Erectile Dysfunction Pump

It can be used to help the individual achieve and retain an erection. This is done by pumping blood into the penis through the process of air suction. While this is not a cure for ED, it can help aid the individual’s ability to perform better in bed. The pump can be used independently or alongside other ED medications for improved results.

2. Penile Injections

Penile injection therapy involves self-administered injections that increase blood flow to the penis, leading to firmer and longer-lasting erections.

3. Surgery

To treat ED, surgery options include getting a penile implant, also known as a penile prosthesis. This surgery will require the placement of inflatable/flexible rods into the penis. A device with saline solution and a pump will be hidden in the scrotum. The individual shall press the pump so the saline solution can travel to the device and inflate it (an erection is developed). Later, one can deflate the device as per wish.

4. Sex therapy

For individuals whose ED is linked to psychological factors, sex therapy can be beneficial. Working with a therapist can help both the individual and their partner address emotional concerns, reduce performance anxiety, and improve intimacy.

5. Suppositories

ED suppositories, like alprostadil,  may be useful. Also referred to as intraurethral suppositories, they contain medication inserted into the urethra via the penis tip. This medication is absorbed by the surrounding tissues, which helps the development of an erection.

Side Effects and Risk Factors Associated with Erectile Dysfunction Medications 

Side effects and risk factors associated with erectile dysfunction medication may vary from person to person, depending on their medical history and pre-existing health conditions. It is of utmost importance that an individual getting treated for ED communicates all pre-existing conditions and corresponding prescribed medication to their healthcare provider. 

The erectile dysfunction medication may cause adverse effects by interacting with other drug agents. Here are some scenarios under which one is not recommended to take ED medication:

• If one has hypertension or low blood pressure issues. 

• If an individual takes Nitrates, typically prescribed to treat chest pain, also known as angina. 

There are some common side effects experienced by people who resort to erectile dysfunction medication:

• nausea

• headache

• back pain

• indigestion/upset stomach

• flushing

• stuffy or runny nose

• muscle aches

• rashes

Here is a list of rather uncommon side effects of ED medication that are very less likely to occur:

• Priapism (if one has a painful erection that lasts beyond 4 hours, immediate doctor consultation is strongly recommended)

• Changes in hearing

• Changes in vision, like colour vision

Further, doctors may recommend against taking ED medication under the following circumstances:

• If an individual has liver disease

• If one is on dialysis due to a kidney disease

• If an individual has hypertension or high blood pressure that is not being managed properly

• If one is taking medication that may consist of ingredients which will predictably interact with ED medication agents

How to Bring ED Symptoms Under Control: Effective Lifestyle Changes 

There are certain initiatives one can take to bring ED symptoms under control naturally, with relevant lifestyle changes and tweaks. Here are some lifestyle changes that can truly help one with coping with erectile dysfunction:

• Quitting smoking 

• Completely avoiding or at least limiting alcohol consumption to minimal amounts

• Getting enough undisturbed sleep each and every night

• Maintaining a healthy and moderate weight

• Regular physical activity, including aerobic exercises and pelvic floor exercises, is a widely recommended first-line treatment for ED. Engaging in these exercises regularly can improve blood circulation, enhance cardiovascular health, and strengthen the muscles involved in erectile function.

The Bottom Line

There are several dependable Viagra alternatives available for individuals seeking more affordable, faster-acting, or longer-lasting options. From prescription medications and natural remedies to non-oral treatments like pumps and injections, a variety of solutions exist to help manage erectile dysfunction (ED).

However, it is crucial to consult a healthcare professional before starting any ED treatment. Self-medicating without proper guidance can lead to unwanted side effects or complications that may impact long-term sexual health.

If you are experiencing difficulties with performance in bed, trouble maintaining an erection, or struggling to get one in the first place, do not hesitate to seek medical advice. These could be symptoms of ED, which, if left untreated, may lead to further health concerns. 

Start enhancing your sex life with Viagra from a trusted brand like Indogenmed! Choose a reliable source for quality medication and experience improved performance with confidence.

Frequently Asked Questions

1. Do I need a prescription to take the Viagra alternatives? 

Yes, a prescription from a doctor is necessary to have any erectile dysfunction medication to ensure utmost safety and protected sexual health. 

2. Which is the best natural alternative to Viagra recommended by doctors?

There are certain supplements and herbs available as natural alternatives to Viagra. However, their benefits are not backed by substantial research. We recommend consulting your healthcare provider to discuss your ED symptoms and receive the most effective treatment tailored to your needs.

3. What is a cheaper alternative to Viagra?

The generic versions of name-branded drugs are much cheaper compared to their branded counterparts. For example, generic Viagra or sildenafil will cost 50 to 70% cheaper than the name brand.

4. What is a faster-working alternative to Viagra?

You can choose Spedra, which begins working within 15 to 30 minutes after consumption. Alternatively, Cialis Daily provides continuous readiness for intimacy, ensuring you're always prepared—as long as you take it consistently without missing doses.

5. What alternative to use if Viagra does not work?

If Viagra fails to work, you can try using Cialis, Levitra, Staxyn, Stendra, etc. as per the doctor’s recommendations. 

6. Can people with heart diseases use Viagra alternatives?

Typically, Viagra alternatives do not have an impact on the heart. Several people suffering from cardiovascular conditions do take medications for ED. However, as a necessary safety measure, communicate any underlying conditions you may have to your healthcare professional. Also, specify, if any, medications you may already be taking.

7. What is the best over-the-counter alternative to Viagra?

Presently, there is no trusted over-the-counter alternative to Viagra which is as effective. While some pills claim to boost stamina and enhance performance in bed, there is limited scientific evidence to support their effectiveness.

8. Will I have trouble sleeping if I take the Viagra alternatives? 

Yes, some Viagra alternatives may cause sleep disturbances in certain cases. However, taking the medication as prescribed and avoiding it 2–3 hours before bedtime can help minimise potential sleep issues.

9. What to do if I experience painful erections on taking Viagra alternatives?

Experiencing painful erections, called priapism, is a very uncommon side-effect associated with taking erectile dysfunction medication. However, if you do have a painful erection that lasts beyond 4 hours, immediately consult your healthcare provider.

10.  How many times can I take Viagra alternatives in a day?

Viagra alternatives can be taken once a day. While a few may be taken some time before a sexual encounter; medication like Cialis Daily shall be taken in lower doses, every single day, to always stay prepared for intercourse.

11.  Is Viagra the only solution to erectile dysfunction (ed)?

Viagra is not the only solution to managing the symptoms of erectile dysfunction. Other medicines known as PDE5 inhibitors, shall also serve as alternative Viagra. These alternatives work by stimulating the release of nitric oxide, a natural chemical in the body that relaxes the muscles in the penis. This relaxation enhances blood flow, allowing for an erection in response to sexual arousal.

Disclaimer: The information provided in this article is for educational and informational purposes only and should not be considered a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider before starting or changing any medication, supplement, or treatment for erectile dysfunction (ED).

Reference Links:

https://www.mayoclinic.org/diseases-conditions/erectile-dysfunction/symptoms-causes/syc-20355776

https://www.healthline.com/health/erectile-dysfunction/viagra-alternative

https://www.medicalnewstoday.com/articles/viagra#how-it-works

 https://medlineplus.gov/druginfo/meds/a699015.html

https://www.healthline.com/health/mens-health/generic-viagra#generic-vs-brand-name

https://www.hopkinsmedicine.org/health/conditions-and-diseases/erectile-dysfunction

https://www.healthline.com/health/erectile-dysfunction/viagra-alternative#natural-remedies

https://www.medicalnewstoday.com/articles/over-the-counter-viagra#dhea

https://www.healthline.com/health/erectile-dysfunction/ed-pump

https://www.healthline.com/health/erectile-dysfunction-injections

https://www.healthline.com/health/erectile-dysfunction/penile-implant-surgery#What-is-a-penile-implant