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Sildenafil is the generic version of Viagra. It is an affordable alternative that works within 30 to 60 minutes and lasts for up to 5 hours.

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Commonly referred to as 'the blue pill', Viagra is the most popular form of erectile dysfunction treatment. It is fast-acting and remains effective for up to 5 hours.

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Spedra is the fastest acting erectile dysfunction tablet. It gets to work within just 15 minutes and lasts for up to 5 hours.

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Cialis As Needed

Cialis As Needed can prepare you for sex in as little as 30 minutes. It is long-lasting, remaining effective for up to 36 hours.

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Cialis Once A Day

Cialis Once A Day must be taken daily. Unlike other ED treatments, Cialis Once A Day allows for spontaneous sex to happen without any preparation.

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Tadalafil As Needed

Tadalafil As Needed is the generic version of Cialis As Needed. It is an affordable alternative that can last for up to 36 hours.

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Tadalafil Once A Day

Tadalafil Once A Day is the generic version of Cialis Once A Day. It allows for spontaneous sex to happen at a more affordable price.

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Levitra is a fast-acting ED treatment that works in 15 to 30 minutes. It is ideal for diabetics and those who cannot take other ED treatments.

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Viatros is a fast-acting numbing cream. When applied directly to the opening of the penis, it will take effect in just 5 minutes.

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Levitra Orodispersible

Levitra Orodispersible tablets dissolve on the tongue. They are ideal for men who need fast-acting treatment but don't wish to swallow tablets.

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What Is Erectile Dysfunction?

Erection starts in the brain. When a man is sexually excited, the brain sends chemical messages to the muscles in the penis; this provides increased blood flow to the penis, filling two chambers inside. As blood fills these chambers, veins in the penis close up, allowing the penis to expand and become ‘hard’.

The erection ends when the muscles begin to contract, pushing the blood out through the penile veins.

Erectile dysfunction (ED) or ‘impotence’ is a health condition affecting men. It is characterised by a difficulty in achieving or maintaining an erection firm enough for sexual intercourse.

Occasional erectile dysfunction is common, especially during times of stress. Frequent ED, however, may suggest some underlying health problems that need to be addressed. Erectile problems can also be a sign of relationship or emotional problems.

Erectile dysfunction is not the same as premature ejaculation. The latter occurs when a man can sustain an erection but frequently reaches orgasm in as little as two minutes during sexual intercourse.

Unresolved erectile problems can cause stress, lower your self-esteem, and affect your relationship with your spouse or partner. However, luckily, us here at Express Pharmacy are on hand to help - we have a range of specialised erectile dysfunction treatments that can be delivered to your door.

How Common Is Erectile Dysfunction?

Erectile dysfunction is much more common than most people realise. Around half of men in the UK will experience erectile dysfunction symptoms at some point in their lives, and one in ten will experience it for a prolonged or significant period.

The majority of men affected by erectile dysfunction are older adults. 70% of men over 70 experience impotence, whilst around 50% of men over 40 experience erectile dysfunction on a regular basis. Yet, although age is a factor in erectile dysfunction, almost a quarter of enquiries made about erectile dysfunction treatment are made by men under the age of 40.

What Causes Erectile Dysfunction?

Erectile dysfunction can be caused by an array of factors, as the process of achieving an erection is complicated. These cases involve both physical and mental factors, or sometimes a combination of the two. In younger men, the underlying cause is often psychological.

Physical erectile dysfunction causes can include:

  • Diabetes (75% of men with diabetes aged 60-64 are affected by impotence, whilst 25% of male diabetes sufferers aged 30-34 are affected)
  • High blood pressure
  • High cholesterol
  • Hypertension
  • Obesity
  • Smoking
  • Kidney disease
  • Hormone imbalances or low testosterone levels
  • Alcohol (consumption of alcohol can damage the nerves leading to the penis, reducing testosterone levels and increasing oestrogen levels)
  • Age
  • Sleep disorders
  • Tobacco/drug use
  • Damage to the pelvic area due to injury
  • Parkinson’s disease
  • Multiple sclerosis
  • Peyronie's disease (scar tissues inside the penis)
  • Enlarged prostate

Psychological causes of erectile dysfunction can include:

  • Depression and other mental health issues
  • Stress and anxiety
  • Anxiety specifically related to sexual performance
  • Relationship issues
  • Confused sexual orientation

Complications from erectile problems can include:

  • Stress
  • Low self-esteem, embarrassment
  • Problems with your partner/spouse
  • Unsatisfactory sex life
  • Can’t get your partner pregnant

Popular Erectile Dysfunction Treatments

Erectile dysfunction treatment depends largely on the underlying cause of the condition. Psychological causes of impotence such as anxiety and depression may require treatment in the form of sexual therapy, whilst specific performance-related anxiety may simply require at-home aphrodisiacs.

If the cause of erectile dysfunction is physical, then treating an underlying condition such as diabetes can improve symptoms. Lifestyle changes such as a reduction in alcohol consumption and improved diet and exercise can also help to improve the condition in conjunction with erectile dysfunction medication.

Express Pharmacy stocks several erectile dysfunction treatments that can treat ED problems swiftly. Check out your options below:


Viagra is one of the common erectile dysfunction treatments available. Developed in the UK and brought to the market by Pfizer, Viagra is a brand name of sildenafil citrate - an active ingredient used to treat ED.

Viagra works by relaxing the muscles in the walls of blood vessels. It increases the blood flow to the penis so you can get an erection firm enough for sexual intercourse. When used in moderation, Viagra tablets are completely safe. It can be taken orally and may take up to two hours to work.

Viagra’s effect depends on your dosage, level of sexual stimulation, and metabolism. Usually, it lasts up to 3 hours. But it can be longer.

Common side effects of Viagra include:

  • Nasal congestion
  • Indigestion
  • Blurred vision
  • Sensitivity to light
  • Headaches


Sildenafil is another popular ED treatment. It’s the main active ingredient in popular brands like Viagra and Revatio. Sildenafil can come as an oral tablet, liquid suspension, or as an injection which can only be given by doctors.

This erectile dysfunction treatment helps to increase blood flow to the penis so you can have an erection firm enough for intercourse. But it only works when you are already sexually aroused.

For best effects, Sildenafil must be taken 1 hour before any sexual activity. Your dosage will depend on several factors (your medical conditions, other medications you are taking, response to treatment, etc) and must be determined by your doctor.

Known side effects of Sildenafil include:

  • Headaches
  • Fever
  • Difficulty sleeping
  • Runny nose
  • Sore throat
  • Vomiting
  • Nausea
  • Bronchitis
  • Flushing (reddening of the face)
  • Upset stomach
  • Nosebleeds

These side effects are often mild and should go away within a few days or weeks. Contact your doctor if they persist. You can buy Sildenafil at Express Pharmacy.


Cialis is a brand on par with Viagra. Its active ingredient, tadalafil, works by increasing blood flow to the penis so you can achieve an erection. Cialis tablets come in yellow, film-coated tablets of varying doses (5, 10 and 20 mg). It can be taken as needed but not more than once every 24 hours. Like most erectile dysfunction drugs, you must be sexually aroused for Cialis to work.

Portions of Cialis remain in the body for at least 24 hours. That’s why a daily dose of 10 to 20 mg is highly discouraged. If you are sexually active, a daily dose of 5 mg (which can be reduced by 2.5 mg depending on your body’s response) is recommended.

Some side effects of Cialis include:

  • Headache
  • Dyspepsia
  • Back pain
  • Cough
  • Upper respiratory tract infection
  • Nasal congestion


Spedra is the brand name for Avanafil - another drug used to treat erectile dysfunction problems. It works by helping blood vessels in the penis relax, facilitating an increased blood flow which leads to an erection.

Like other treatments mentioned above, Spedra only works when you are sexually aroused. This means you and your partner need to use foreplay - just as you would without taking the medicine.

The recommended dose for Spedra is a 100mg tablet taken once every 24 hours, as needed. Your doctor may adjust your dosage higher or lower, depending on your condition. Spedra must be taken 15 to 30 minutes before sexual intercourse.

Possible side effects of Spedra includes:

  • Headache
  • Nasal congestion
  • Flushing


Levitra is a fast-acting ED treatment that gets to work in as little as 15 minutes. Unlike other treatments, Levitra contains the active ingredient Vardenafil. Vardenafil works by increasing blood flow to the penis.

Levitra is a popular erectile dysfunction tablet as it tends to act faster than alternative treatments. It is also more suitable for men with diabetes or high cholesterol.

Side effects of Levitra include:

  • Headaches
  • Dizziness
  • Flushing
  • Upset stomach


If you struggle to take tablets or have not had much success with other erectile dysfunction treatments, we also offer ED cream. Vitaros is a numbing cream that must be applied to the opening of your penis. It contains the active ingredient Alprostadil, which helps your blood vessels to widen.

Side effects of Vitaros are rare, but may include mild penile irritation (burning or rashes).

Talk to Our Experts

Erectile dysfunction can be very damaging to a man’s self-confidence. But that should not be the case. Express Pharmacy stocks high-quality erectile dysfunction treatments that are proven effective and safe if taken according to specific requirements.

Enjoy a healthier sex life today by browsing our erectile dysfunction treatments above or by talking to one of our experts on 0208 123 0703.


Is Erectile Dysfunction Permanent?

The majority of ED cases are completely treatable, although the underlying reason has a significant impact on whether or not it is fully curable.

How Common Is Erectile Dysfunction?

Erectile dysfunction is a very prevalent problem, especially among men over the age of 40. It has been estimated that half of all males between the ages of 40 and 70 will have it in some form.

Can A Swollen Prostate Cause Erectile Dysfunction?

Men who have benign prostatic hyperplasia (BPH), a noncancerous enlargement of the prostate, can also have erectile dysfunction and ejaculatory difficulties. Although BPH itself does not cause these issues, some of the therapies employed to treat it may.

Is Erectile Dysfunction A Sign Of Prostate Cancer?

Although rare, erectile dysfunction may be a sign of prostate cancer. Other symptoms include: - An inability to urinate or a slow or weak urinary stream - The need to urinate more often, especially at night - Blood in the urine or semen. It’s important to know that erectile dysfunction is incredibly common and very rarely a sign of prostate cancer. Get in touch with your doctor for further analysis if you are concerned.

Can Diabetes Cause Erectile Dysfunction?

Erectile dysfunction is a typical problem in men who have diabetes, particularly type 2 diabetes. It might be caused by nerve and blood vessel damage as a result of poor long-term blood sugar control.

Can Exercise Cause Erectile Dysfunction?

Men who engage in high-intensity training on a regular basis have lower sex drives than those who do low-intensity workouts, according to new research. However, exercising has not been connected to erectile dysfunction directly. In fact, staying healthy is more likely to prevent ED.

Can Stress Lead To Erectile Dysfunction?

A lot of men struggling with stress or anxiety might struggle to get an erection - this is mainly due to their mind being occupied elsewhere. Stress itself is not a direct cause of ED.

Can Porn Cause Erectile Dysfunction?

Watching porn does not directly cause erectile dysfunction. However, frequently watching it might lower a man’s libido, making it more difficult to achieve an erection.

How Long After Quitting Smoking Does Erectile Dysfunction Improve?

According to recent research, circulation improves within 2-12 weeks after quitting smoking, which might assist or even cure ED symptoms.

How Do You Cope With Erectile Dysfunction In A Marriage?

Erectile dysfunction may cause a decline in intimacy in a marriage or long-term relationship, affecting both spouses' mental health. It might take a variety of treatments or even testing to discover an option that works for them. It's crucial for their spouse to be open, compassionate, and patient during this period. Here are some of the most popular ways to cope with ED in a marriage: - Open communication - Therapy - Lifestyle changes.

Compare Treatments

Cialis Once Daily Cialis As Needed Levitra Viagra (Sildenafil) Spedra (Avanafil)
Strengths available 2.5mg, 5mg 10mg, 20mg 5mg, 10mg, 20mg 25mg, 50mg, 100mg 50mg, 100mg, 200mg
Recommended starting strength 2.5mg 10mg 10mg 50mg 100mg
How long before sex is the tablet to be taken? After the first 5 days effect is continuous At least 30 minutes 25 minutes to 1 hour 1 hour 15 to 30 minutes
Affect of food Not affected by food Not affected by food Any food may slow Levitra action down and reduce effectiveness Any food may slow Viagra action down and high fat meals may reduce effectiveness Any food may slow Spedra action down
How long is it effective for? All day, every day 36 hours 4-5 hours 4-5 hours 4-5 hours
Most common side effects (in more than 10% of men) Headache Headache Headache and flushing Headache Headache and flushing

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