ED Treatment Selection Tool
Select Your Preferences
If you're looking at the Super ED Pack-sildenafil, tadalafil, and vardenafil-you're not alone. Millions of men in the UK and beyond use these pills to manage erectile dysfunction. But are they the best option for you? And what else is out there that might work better, cheaper, or with fewer side effects? This isn't about marketing hype. It's about real choices, real results, and what actually works in your body.
What’s in the Super ED Pack?
The Super ED Pack bundles three PDE5 inhibitors: sildenafil (Viagra), tadalafil (Cialis), and vardenafil (Levitra). Each works the same basic way-by boosting blood flow to the penis-but they differ in timing, duration, and how your body reacts.
Sildenafil kicks in about 30 to 60 minutes after taking it. Its effects last 4 to 5 hours. It’s the most studied of the three, with over 25 years of real-world use. Many men find it reliable, but it doesn’t play well with heavy meals or alcohol. A full steak dinner can delay or even block its effect.
Tadalafil is the long-haul player. It starts working in 30 minutes too, but its effects can last up to 36 hours. That’s why some call it the "weekend pill." It’s also less affected by food, so you can take it with meals without worrying. But because it sticks around longer, side effects like back pain or muscle aches can linger too.
Vardenafil is similar to sildenafil but slightly stronger per milligram. It works in 25 to 60 minutes and lasts about 5 to 7 hours. Some men report fewer headaches with vardenafil compared to sildenafil, but it’s also more likely to cause nasal congestion.
Each of these requires sexual stimulation to work. None of them are magic pills. They don’t cause spontaneous erections. You still need to be aroused.
How Do They Compare Side by Side?
| Feature | Sildenafil | Tadalafil | Vardenafil |
|---|---|---|---|
| Onset of Action | 30-60 minutes | 30 minutes | 25-60 minutes |
| Duration | 4-5 hours | Up to 36 hours | 5-7 hours |
| Food Impact | High-delayed if taken with fat | Low-can take with meals | Moderate-slightly delayed |
| Common Side Effects | Headache, flushing, indigestion | Back pain, muscle aches, nasal congestion | Nasal congestion, headache, dizziness |
| Dosage Range | 25-100 mg | 2.5-20 mg | 5-20 mg |
Choosing between them often comes down to your lifestyle. If you want flexibility and spontaneity, tadalafil wins. If you prefer something fast and short-lived, sildenafil is your go-to. Vardenafil sits in the middle-stronger than sildenafil, less long-lasting than tadalafil.
Alternatives to the Super ED Pack
But what if you’ve tried all three and still aren’t satisfied? Maybe the side effects bother you, or you’re on medications that interact badly. Or maybe you just want something different. Here are four real alternatives that actually work.
1. Alprostadil (Injections or Urethral Suppositories)
Alprostadil is the only ED treatment that works without sexual stimulation. It’s injected directly into the penis or inserted as a tiny pellet into the urethra. Within 5 to 10 minutes, you get an erection. It’s effective for men who don’t respond to PDE5 inhibitors-about 80% of users report success.
Downside? It’s invasive. Some men feel discomfort or pain. There’s also a small risk of priapism-a prolonged, painful erection that needs medical attention. But for men who’ve tried pills and failed, this is often the next step.
2. Testosterone Therapy
Low testosterone isn’t the main cause of ED for most men, but it’s a factor in about 20-30% of cases. If your total testosterone is below 12 nmol/L (350 ng/dL), and you have symptoms like low energy, reduced libido, or mood changes, a blood test might reveal a problem.
Testosterone replacement-via gel, patch, or injection-can improve both desire and erectile function. But it won’t fix ED caused by blood vessel damage, nerve issues, or anxiety. It’s not a standalone fix unless low T is confirmed.
3. Vacuum Erection Devices (VEDs)
A VED is a plastic tube placed over the penis. A pump creates vacuum, drawing blood in. A tension ring is then placed at the base to maintain the erection. It’s non-invasive, works immediately, and costs under £50. Many men use it as a backup or when pills aren’t an option.
It’s not glamorous, but it’s effective. Studies show 80-90% of men achieve functional erections with consistent use. Some report discomfort or numbness, and the erection can feel less natural. But it’s safe, doesn’t interact with medications, and doesn’t require a prescription in the UK.
4. Lifestyle Changes (The Forgotten Treatment)
Here’s the truth: ED is often a warning sign. It’s not just about sex-it’s about your heart. Men with ED have a higher risk of heart disease, diabetes, and high blood pressure. In fact, ED can appear 3 to 5 years before a heart attack.
Weight loss, quitting smoking, and 150 minutes of moderate exercise a week can improve erectile function as much as pills. A 2023 study in the Journal of Sexual Medicine found that men who lost 10% of their body weight saw a 30% improvement in erections without any medication.
Even small changes help. Walking 30 minutes a day, cutting back on processed sugar, and sleeping 7 hours a night can make a measurable difference. These aren’t quick fixes. But they’re the only treatments that fix the root cause.
When to Avoid the Super ED Pack
These pills are safe for most men-but not all. You should not take them if:
- You’re using nitrates (like nitroglycerin for angina)-this combo can drop your blood pressure to dangerous levels
- You’ve had a heart attack, stroke, or life-threatening arrhythmia in the past 6 months
- You have severe liver or kidney disease
- You’re taking certain antifungals (like ketoconazole) or HIV protease inhibitors-they can spike drug levels and cause toxicity
Also, avoid mixing with alcohol. Even a couple of drinks can increase dizziness and lower blood pressure too much. And never buy these online without a prescription. Fake pills are common. Some contain undisclosed doses of sildenafil or even toxic chemicals like metronidazole.
What Works Best for You?
There’s no single best option. It depends on your health, your goals, and your lifestyle.
If you want something you can take on demand and don’t mind timing it around meals, go with sildenafil. If you want freedom from planning, tadalafil is the pick. If you’ve had side effects with sildenafil but want something similar, try vardenafil.
But if you’ve tried all three and still struggle, don’t assume it’s hopeless. Talk to your GP about alprostadil, testosterone levels, or a vacuum device. And don’t ignore lifestyle changes. They’re not sexy, but they’re the most powerful tool you have.
ED isn’t just a sexual problem. It’s a signal. The right treatment isn’t just about getting an erection-it’s about protecting your long-term health.
Can I take sildenafil and tadalafil together?
No. Never combine sildenafil, tadalafil, or vardenafil. They all work the same way, and mixing them increases the risk of severe side effects like dangerously low blood pressure, fainting, or priapism. Stick to one at a time, and only as prescribed.
Is the Super ED Pack more cost-effective than buying each pill separately?
Usually, yes. The Super ED Pack is designed to offer savings by bundling. Buying sildenafil, tadalafil, and vardenafil individually from a UK pharmacy can cost £15-£25 per tablet. The pack often brings the cost down to £5-£8 per tablet when bought in bulk. But always compare prices from licensed UK suppliers like NHS-approved online clinics.
Do these pills work for men with diabetes?
Yes, but less reliably. Men with diabetes often have nerve and blood vessel damage, which reduces the effectiveness of PDE5 inhibitors. Studies show about 50-60% of diabetic men respond to sildenafil or tadalafil, compared to 70-80% of men without diabetes. Alprostadil or vacuum devices often work better in these cases.
Can I use these if I have high blood pressure?
Generally yes-if your blood pressure is controlled. These pills can lower blood pressure slightly. If you’re on multiple blood pressure medications or have uncontrolled hypertension, talk to your doctor first. Avoid combining them with alpha-blockers unless under medical supervision.
Are generic versions as good as brand names?
Yes. Generic sildenafil, tadalafil, and vardenafil contain the same active ingredients as Viagra, Cialis, and Levitra. They’re regulated by the MHRA in the UK and must meet the same standards. The only differences are in inactive ingredients (fillers, coatings), which rarely affect performance. Generic versions can cost up to 80% less.
Next Steps
Start by talking to your GP. Don’t self-diagnose or buy online. Get your blood pressure, cholesterol, and testosterone checked. If you’re overweight, start walking. If you smoke, quit. These steps matter more than any pill.
If you decide to try a PDE5 inhibitor, begin with the lowest dose. Give it a few tries. Don’t give up after one failed attempt. And if nothing works, don’t accept it as inevitable. Options like alprostadil or vacuum devices are proven, safe, and available through the NHS.
ED is treatable. But the best treatment isn’t always the one you pop in a pill. Sometimes, it’s the one you live.