ED Medication Comparison Tool
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Looking for the right erectile dysfunction (ED) solution can feel like stepping into a pharmacy maze. Fildena Professional is a popular brand, but dozens of alternatives exist, each promising a different balance of speed, duration, price, and side‑effect profile. This guide puts Fildena Professional side‑by‑side with the most common rivals so you can decide which pill fits your lifestyle, budget, and health needs.
- Quick snapshot of how fast each drug works and how long it lasts.
- Cost comparison for a typical month’s supply.
- Prescription requirements and legal status in the UK.
- Key side‑effects to watch for.
- Best‑fit scenarios for each option.
What is Fildena Professional?
Fildena Professional is a pharmaceutical‑grade tablet that contains 100mg of sildenafil citrate, the same active ingredient used in the original Viagra®. Launched in 2015, the brand markets itself as a fast‑acting, high‑dose option for men who need a reliable lift without waiting too long.
Key attributes:
- Typical dose: 100mg (can be split for 50mg if needed)
- Onset: 30-60minutes after ingestion
- Effective window: up to 5hours
- Prescription status: requires a GP prescription in the UK
- Common side‑effects: headache, flushing, nasal congestion, mild visual disturbances
How to Choose the Right ED Pill - Core Decision Criteria
Before diving into the side‑by‑side table, keep these five factors in mind. They’ll help you weigh each alternative against your personal priorities.
- Onset speed - How quickly will the pill work after you take it?
- Duration of effect - How long does the erection‑support window last?
- Cost per dose - What’s the real‑world price when you buy a month’s supply?
- Prescription requirement - Can you buy it online without a doctor’s note, or is a prescription mandatory?
- Side‑effect profile - Which adverse reactions are most relevant to your health history?
Quick Comparison Table
Product | Active Ingredient | Typical Dose | Onset | Duration | UK Prescription? | Average Cost (£) per Tablet | Common Side‑effects |
---|---|---|---|---|---|---|---|
Fildena Professional | Sildenafil Citrate | 100mg | 30‑60min | 4‑5hrs | Yes | £1.20‑£1.70 | Headache, flushing, nasal congestion |
Viagra (original) | Sildenafil Citrate | 50‑100mg | 30‑60min | 4‑5hrs | Yes | £1.30‑£2.00 | Same as Fildena |
Cialis | Tadalafil | 10‑20mg | 30‑120min | Up to 36hrs | Yes | £1.50‑£2.30 | Back pain, indigestion |
Levitra | Vardenafil | 10‑20mg | 25‑60min | 4‑5hrs | Yes | £1.40‑£2.10 | Headache, dizziness |
Stendra | Avanafil | 100‑200mg | 15‑30min | 4‑6hrs | Yes | £1.60‑£2.40 | Flushing, nasal congestion |
Generic Sildenafil | Sildenafil Citrate | 25‑100mg | 30‑60min | 4‑5hrs | Yes | £0.50‑£1.00 | Same as brand‑name |
Herbal Yohimbine | Yohimbine extract | 5‑10mg | 45‑120min | 2‑4hrs | No (OTC) | £0.30‑£0.80 | Anxiety, elevated heart rate |

Deep Dive into Each Alternative
Viagra - The Original Sildenafil
Viagra set the standard for oral ED treatment when it hit the market in 1998. Its 50‑100mg range lets doctors tailor the dose to individual response. Because it uses the same active ingredient as Fildena Professional, the efficacy and side‑effect profile are virtually identical. The main difference lies in branding and price - generic versions often beat the brand name on cost.
Cialis - The ‘Weekend Pill’
Cialis contains tadalafil, which stays active in the bloodstream for up to 36hours. That makes it ideal for spontaneous activity, but the longer half‑life can increase the likelihood of lingering side‑effects, especially in men with cardiovascular concerns. The typical 10‑20mg dose is lower than Fildena’s 100mg, so the pill size feels smaller and may be easier on the stomach.
Levitra - A Fast‑Acting Sildenafil Variant
Levitra’s active ingredient, vardenafil, works similarly to sildenafil but claims a slightly quicker onset (as fast as 25minutes). The 10‑20mg dose delivers comparable potency, and some men report fewer visual disturbances compared with sildenafil. Cost sits between generic sildenafil and brand‑name options.
Stendra - The Ultra‑Rapid Option
Avanafil, marketed as Stendra, is praised for its 15‑minute onset, which is the fastest among the FDA‑approved oral ED drugs. The trade‑off is a slightly higher price tag and a narrower dose window (100‑200mg). If you need a pill that works almost instantly for a surprise encounter, Stendra is worth the premium.
Generic Sildenafil - Budget‑Friendly but Same Chemistry
Buying generic sildenafil gives you the same 25‑100mg flexibility at a fraction of the cost. Many UK pharmacies stock 50mg and 100mg tablets, making it a solid fallback if you like the Fildena formula but want to save money. Quality varies by manufacturer, so look for reputable suppliers and verify that the batch meets the UK Medicines and Healthcare products Regulatory Agency (MHRA) standards.
Herbal Yohimbine - An OTC Alternative
For men who prefer a natural route, yohimbine extracts are sold over the counter. While not as potent as prescription PDE5 inhibitors, they can provide a modest boost for mild ED. However, yohimbine can raise blood pressure and interact with antidepressants, so a quick chat with a pharmacist is wise before you start.
Which Pill Suits Which Lifestyle?
Here’s a quick guide to match common scenarios with the best‑fit drug.
- Planned romantic night - Fildena Professional or Viagra give you reliable timing when you know the exact hour.
- Spontaneous weekend plans - Cialis shines with its 36‑hour window.
- Last‑minute date - Stendra’s 15‑minute onset is unbeatable.
- Budget‑conscious - Generic sildenafil or reputable online UK pharmacies offer the lowest per‑tablet price.
- Preference for natural products - Yohimbine may work, but keep expectations realistic.
Safety, Legal, and Prescription Considerations in the UK
All prescription‑only medicines (Fildena Professional, Viagra, Cialis, Levitra, Stendra, and generic sildenafil) require a legitimate GP prescription. The NHS can issue these after a thorough medical review, especially to rule out contraindications such as nitrate use or significant heart disease. Buying from unregulated online sources can expose you to counterfeit pills, which may contain harmful substances.
OTC options like yohimbine avoid the prescription step but are not regulated as strictly, meaning potency can vary. Always check the label for active‑ingredient concentration and any standardised extract information.
Quick Decision Checklist
- Do you need rapid onset (<30min)? → Choose Stendra or Levitra.
- Is a long window (24‑36hrs) important? → Cialis.
- Are you looking for the most cost‑effective solution? → Generic sildenafil.
- Do you want a brand you trust with consistent supply? → Fildena Professional or Viagra.
- Do you prefer a non‑prescription, natural product? → Yohimbine (after safety check).

Frequently Asked Questions
Is Fildena Professional stronger than Viagra?
Both contain the same active ingredient-sildenafil citrate-so potency is essentially the same. The difference lies in branding, tablet size, and price. Fildena’s 100mg dose matches the high end of Viagra’s range.
Can I buy any of these pills without a prescription in the UK?
Only over‑the‑counter products like yohimbine are available without a prescription. All PDE5 inhibitors (Fildena, Viagra, Cialis, Levitra, Stendra, generic sildenafil) require a GP’s prescription.
Which option works best if I have diabetes?
Sildenafil‑based drugs (Fildena, Viagra, generic sildenafil) are generally safe for diabetic men, but dosage may need adjustment. Cialis is also popular because its longer duration can accommodate variable blood‑sugar levels. Always discuss with your GP.
Are there any food or alcohol restrictions?
A high‑fat meal can delay the onset of sildenafil and vardenafil by up to an hour. Tadalafil and avanafil are less affected. Alcohol in moderation usually doesn’t interfere, but excessive drinking can worsen side‑effects like dizziness.
What should I do if I experience a painful erection lasting more than 4hours?
Seek emergency medical care immediately. A prolonged erection (priapism) can damage penile tissue. Prompt treatment usually involves medication to restore normal blood flow.
1 Comments
Jessica Gentle
Hey folks, great rundown here! If you’re weighing Fildena Professional against the others, remember the key is how your body reacts to the dose. Most guys find the 100 mg works well for a reliable lift without waiting too long. Pair it with a healthy diet and you’ll usually avoid the nasty headaches. Always check with a doctor if you have heart issues before starting any new medication.