Erectile dysfunction can be the first symptom of otherwise silent cardiovascular disease, so a full cardiovascular workup should be completed in all patients without an obvious cause of their ED. You can take this medicine with or without food 30 minutes before sex, depending on the dose. Interestingly, the use of robotic surgery for radical prostatectomies has not changed the post-operative incidence of ED. The safest first step may be to try supplements of single ingredients like the ones detailed above, but that also requires patience and a higher budget for trial and error. Those who are hypogonadal might benefit by adding testosterone supplementation to their PDE-5 inhibitor therapy. This can be tried before going on to penile prosthesis surgery.The bottom line. Sildenafil (Viagra) is by far the most affordable medication for ED and the one with the longest safety record. It’s good for occasional use, but be sure to take it on . Sildenafil (Viagra, Revatio) is a moderately priced drug used to treat erection problems in men. It is also used to treat pulmonary arterial hypertension, a serious heart and lung test1.ru drug is more popular than comparable drugs. It is available in generic and brand versions. Generic sildenafil is covered by most Medicare and insurance plans, but . Erectile dysfunction (ED) is a common condition. One recent study estimated that roughly a third of men struggle with ED. 1 Though the condition does affect more older men than younger men — half of the erectile dysfunction patients in the U.S. are over the age of 60 — men who suffer from ED span age groups. Another study found .