For the past decade Viagra, Levitra, and Cialis have been the mainstay of oral medications for the treatment of erectile dysfunction or impotence. There’s a new drug on the block, Stendra, whose main claim to fame will be the faster onset of action compared to the three previous drugs.
In published studies in the medical literature, Stendra has an onset of action as early as 15 minutes. The drug can be taken with food or fluids but a high fat meal reduces the rate of absorption and delays the onset of action. Duration of Stendra is the same as Viagra and Levitra at 4-6 hours. Viagra and Levitra report onset at 30 minutes to 1 hour. Cialis is about the same or a little longer, but duration of Cialis is 24-36 hours.
The response or efficacy appears to be similar as the other oral medications, i.e., Cialis, Viagra and Levitra.
The same safety precautions exist: 1) Contraindicated with the use of any nitrates such as nitroglycerin as the use of Stendra with nitroglycerin may drop the blood supply to the hear and risk a serious heart problem; 2) Caution in combination with certain prostate drugs such as Flomax or Rapaflo; 3) Seek help for erection lasting more than 4 hours although I have never seen a man with an erection lasting more than 1-2 hours with the use of any oral medication for the treatment of erectile dysfunction.
The side effects include headaches, facial flushing, nasal congestion, and back pain.
Bottom Line: If a man is looking for a faster onset of action of oral medication for the treatment of erectile dysfunction, then Stendra may be his Holy Grail!