There are many safe, reliable online services offering ED prescriptions. People with heart conditions should never take ED medications without consulting a doctor. Finding an online ED provider can feel overwhelming. Both options require valid medical documentation, but some online services only require a health questionnaire to be filled out and reviewed for approval—meaning no face-to-face video interaction is needed. The mechanism of action for ED pills is simple: They inhibit the PDE5 enzyme which regulates the signals responsible for the smooth muscle tissue. More serious side effects may include a drop in blood pressure or an erection that lasts longer than four hours.CHOOSE BRAND-NAME VIAGRA. The original little blue pill prescribed by doctors for over 20 years. Clinically proven to treat men with erectile dysfunction (ED) Ongoing commitment to product quality and safety monitoring. Depending on your symptoms and needs, you may be prescribed Viagra, sildenafil, Cialis, tadalafil, Stendra, paroxetine, or a combination of tadalafil and sildenafil, available as mints or pills. Prices range from $3 to $ per dose or $82 to $ for a monthly supply, depending on the medication. Sildenafil (Viagra) is a phosphodiesterase-5 (PDE-5) inhibitor. PDE-5 is a protein in your body that breaks down the molecules that normally cause an erection. When it blocks PDE-5, sildenafil (Viagra) helps an erection occur by allowing certain muscles in the penis to relax and the penis to fill with blood.

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