Some of the most common side effects of avanafil include: Although certain side effects are less common and more mild with avanafil than with older medications for ED, they can — and often do — still occur. If you’re looking for something a little different, Hims offers discreet chewable ED meds in the form of hard mints. These ED pills are personalized to match your specific symptoms and needs.

OTC sildenafil is sometimes combined with other vitamins or supplements.
Its availability can fluctuate based on legislative changes.
The efficacy of OTC sildenafil varies based on formulation and quality.
Always adhere to recommended dosages even with OTC products.
Consult a healthcare professional if uncertain about OTC sildenafil use.

Hims Hard Mints are made with sildenafil and tadalafil and customized at different dosages. Unlike traditional ED tablets, they’re chewed instead of swallowed.

Country	OTC Availability	Age Restrictions	Notes
UK	Yes	18+	'Viagra Connect' available OTC
USA	No	Prescription only	No OTC availability
Germany	Limited (Certain formulations)	18+	Some low-dose products available OTC
India	Yes	18+	Widely available OTC
Australia	No	Prescription-only	No OTC sales

Best for: Guys looking for ED medication with a proven track record but in a newer, modernized format, and men who can’t swallow pills. Advantages: They have the same proven ingredients found in popular ED drugs like Viagra and Cialis, but in chewable form.

2. Dehydroepiandrosterone (DHEA)

Since avanafil is more selective for PDE5 than older ED medications, it’s less likely to cause some side effects. If you’re prone to side effects from sildenafil, tadalafil, or vardenafil, switching to Stendra might be a helpful way to access the benefits of ED medication with a milder side effect profile. The main disadvantage is Stendra’s cost. Since it’s a new ED treatment, it’s still under patent protection. This means there’s no generic form of sildenafil 100mg blue pill avanafil yet (its active ingredient) available in the U.S. These chewable meds also have a fresh, wintergreen taste and discreet packaging you won’t mind carrying around. Disadvantages: Chewable sildenafil and tadalafil have the same side effects as other PDE5 drugs. Hims Hard Mints are ED meds that offer a fresh take on old favorites.

The legality of OTC sildenafil varies widely by country.
Always check whether a product is approved for over-the-counter sale locally.
Labels should clearly state the active ingredient: sildenafil citrate.
OTC sildenafil is not intended to replace consulting a doctor.
Beware of "miracle" cures or exaggerated claims in OTC products.

They’re made with similar ingredients to well-known drugs but are chewable and discreet.

Product	Dosage	Quantity + Bonus	Price
Viagra Generic	100mg	360 + 10 Pills	330.21€ 314.49€
Viagra Generic	100mg	120 + 6 Pills	149.50€ 142.38€
Viagra Generic	25mg	180 + 6 Pills	154.93€ 147.55€
Viagra Generic	200mg	20 Pills	61.69€ 58.75€
Viagra Generic	25mg	120 + 6 Pills	125.56€ 119.58€
Viagra Generic	50mg	10 Pills	26.87€ 25.59€
Viagra Generic	200mg	60 + 4 Pills	125.19€ 119.23€
Kamagra Polo	100mg	32 Pills	125.88€ 119.89€
Viagra Generic	200mg	270 + 10 Pills	379.76€ 361.68€
Viagra Generic	150mg	10 Pills	36.73€ 34.98€
Viagra Generic	100mg	90 + 6 Pills	129.02€ 122.88€
Viagra Generic	150mg	60 + 4 Pills	111.25€ 105.95€
Viagra Generic	100mg	30 + 4 Pills	60.91€ 58.01€
Viagra Generic	100mg	10 Pills	28.91€ 27.53€
Kamagra	100mg	120 + 6 Pills	330.74€ 314.99€

Hard Mints can be taken daily or before sex.

Ingredient	Purpose	Typical Dosage	Additional Components
Sildenafil Citrate	Active PDE5 inhibitor	varies (25-100 mg)	None
L-Arginine	Supports nitric oxide production	50-200 mg	Often included for enhanced effect
Ginseng Extract	Boosts libido	100-200 mg	Traditional herbal supplement
Yohimbine	Improves blood flow	5-10 mg	Some products combine with sildenafil
Vitamins (e.g., B12)	Overall circulation health	Varies	Often added in formulations

Like those popular prescription drugs, they can also be used as needed or daily, depending on your needs.

What to avoid

Nowadays, it’s available in its generic form and as a brand-name drug for use as needed or as a daily tablet. Thanks to its very long duration of action — more on this below — tadalafil is sometimes referred to as the “weekend pill” for treating erectile dysfunction. It’s been researched extensively, so both its erectile effects and side effects are well-known. Best for: Men who like a long-lasting pill to treat ED, allowing for more spontaneous sex or sex more than once a day. Advantages: Tadalafil lasts longer than any other ED treatment, with one pill providing relief from ED for up to 36 hours.

Are there alternatives to Viagra?

It can also be taken daily at a lower dosage. Disadvantages: Tadalafil might last longer than needed for some men. Its long duration means side effects could last longer than with other ED pills. Like sildenafil, tadalafil is a reliable choice for men with ED. It can be taken daily or as needed before sex.

Penis pumps

Tadalafil has a half-life of 17.5 hours — it remains active in the body for far longer than other ED medications. A single dose can improve blood flow to the penis and make it easier to get an erection for buy pills sildenafil up to 36 hours. Tadalafil is good for those who plan to have sex more than once a day. It’s an ideal choice if you want to have sex more than once a day — or only want to take one pill over the course of an entire weekend. Another advantage of tadalafil is that it’s also available as a daily-use medication. Chewable erectile dysfunction medications are compounded drugs, which means they can be customized and personalized to meet your specific needs at the dosage you require.

What happens if I miss a dose?

In a more recent study published in the International Journal of Clinical and Experimental Medicine, over 98 percent of men with ED who used sildenafil reported high levels of satisfaction. Sildenafil lasts long enough to get the job done. A typical dose of sildenafil lasts roughly four hours. It’s a good option if you want an ED pill designed to last for one night of sexual activity. The relatively short duration of sildenafil can also mean the side effects are short-lived.

Serious Side Effects

Finally, sildenafil is a good ED treatment from a cost perspective. If you stick to generic Viagra, each pill only costs a few dollars, so you won’t have to spend much to enjoy better sex. Sildenafil is only active for about four hours, so you’ll need to take it close to the time you plan to have sex. This means you might have to plan ahead of time if you’re going out on a date and want to make sure it works its magic once you get home. Also, you can only use sildenafil once every 24 hours.

What is Viagra (Sildenafil Citrate)?

So this ED pill might not be the best option if you and your partner like to have sex more than once a day. Sildenafil is affected by certain foods and could take longer to start working if you eat a fatty meal (like a cheeseburger and greasy fries) just before or after you take it. It can also cause side effects, including: But keep in mind most side effects of sildenafil can also develop with other ED medications. Consult your medical provider with any questions about this. Tadalafil is the active ingredient in Cialis, which the FDA approved as an ED medication in 2003. As a compounded medication, chewable ED meds aren’t approved by the FDA. But they’re totally legal and made with similar ingredients to well-known drugs, which are FDA-approved drugs.

Over-the-counter sildenafil is often produced by small supplement companies.
Check the expiration date before purchasing OTC sildenafil products.
Many OTC options are advertised as natural or herbal supplements.
Use OTC sildenafil responsibly to avoid adverse health effects.
Keep records of purchase and usage for future reference.

They’re also made in FDA-regulated facilities. If you experience side effects with sildenafil or tadalafil tablets, you might experience the same side effects with Hims Hard Mints.

How should I take sildenafil?

This version of tadalafil is ideal if you want to have sex spontaneously or prefer to take your ED tablet on a daily basis instead of as needed. You don’t have to time your meals around tadalafil. You can also take tadalafil without regard to food, so there’s no need to avoid large meals or fatty foods (like with Viagra) before using this medication. Tadalafil’s biggest strength is also its biggest weakness. Since it’s such a long-lasting drug, it may cause side effects in some men that continue for up to 36 hours.

Does Viagra work the first time you use it?

If you’re prone to side effects from oral medication for ED, you might prefer to use a shorter-acting ED medication, like sildenafil, vardenafil, or Stendra. A second disadvantage is the price of tadalafil. Tadalafil is slightly more expensive than sildenafil on a per-tablet basis, though this may be less of a concern if you have sex more than once per dose. The active ingredient in Levitra (vardenafil) was approved by the FDA in 2003. It’s similar to sildenafil but lasts longer — research suggests it provides better blood flow and stronger erections for five to seven hours per dose.

Vybrique Oral Film

Best for: Men who want a slightly longer-lasting ED medication than sildenafil but don’t want the all-day effects of tadalafil. Advantages: Vardenafil lasts longer than sildenafil and usually starts working faster. Disadvantages: Vardenafil is typically more expensive than sildenafil. Like sildenafil, it can only be sildenafil 50mg tablet taken once a day. Vardenafil has several pros, most of which are related to time. Sildenafil, tadalafil, vardenafil, and Stendra are all safe and effective medications when used as prescribed.

How is over the counter Viagra different?

Disadvantages: Stendra isn’t available as a generic medication because the manufacturer still has the patent, so it costs more per tablet than other ED drugs. Though side effects are less common, they can still occur. As a second-generation PDE5 inhibitor, Stendra has several advantages over older drugs for treating erectile dysfunction. It’s designed for use 30 minutes before sex, although research suggests it can be effective at treating ED when taken 15 minutes before sexual activity. Stendra is less likely to cause side effects. However, all medications for ED have the potential to interact with other medications, including several prescription drugs for health conditions like hypertension (high blood pressure), heart disease, and kidney disease. If you’re considering using any type of ED medication, you should be aware of these potential drug interactions: When used with nitrates for chest pain (angina) or cardiovascular disease, ED medications can cause extremely low blood pressure (severe hypotension) that may be life-threatening. Nitrates include nitroglycerin and poppers used for recreational purposes.

Route of administration

First, it lasts slightly longer than sildenafil, meaning you have a little extra flexibility regarding when you take it prior to having sex. Vardenafil may work well for those who plan to have sex more than once. This longer duration also means vardenafil could be a good choice if you like to have sex twice a night. Research suggests it kicks in less than 10 minutes after taking it in some men. (Still, it’s best to take it at least 30 minutes before sexual intercourse.) Research suggests it kicks in less than 10 minutes after taking it in some men.

Altitude sickness

(Still, it’s best to take it at least 30 minutes before sexual intercourse.) Like sildenafil, vardenafil can only be used once daily. This means it may not be the best ED pill if you plan to have sex several times in a day with a break between rounds one and two — for example, once in the afternoon and once at night. Vardenafil side effects are similar to other ED drugs. Sinusitis (sinus inflammation), nasal congestion, and other flu-like symptoms Sinusitis (sinus inflammation), nasal congestion, and other flu-like symptoms Vardenafil prices are usually higher than sildenafil on a per-dose basis. This could make it less appealing as an ED pill if you’re budget-conscious and only need relief from erectile dysfunction for a few hours at a time.

Does Viagra increase the size of a man’s penis?

It’s a newer ED medication that received FDA approval in 2012. This PDE5 inhibitor is less likely to cause side effects than older medications and begins working faster. However, it’s only available under the brand name Stendra, with no generic version. Best for: Guys who want a fast-acting ED pill that can be taken almost right before sex without having to worry about avoiding certain foods. Advantages: Stendra acts quickly — often in as little as 15 minutes — and is less likely to cause side effects than ED pills that have been around longer. When used with nitrates for chest pain (angina) or cardiovascular disease, ED medications can cause extremely low blood pressure (severe hypotension) that may be life-threatening.