Sildenafil
- 100mg, 50mg, 25mg
ED tablets compared
Sildenafil, tadalafil, vardenafil or Kamagra — compared on when to take each, how long it works and what is registered in Australia. Every one of them is a prescription-only medicine here.
All four options work the same way — they increase blood flow to the penis, and only when you are sexually aroused (healthdirect). What differs is timing, how long each works, and whether it is registered in Australia. Start with how you want to use it:
| If you want… | Look at | Why |
|---|---|---|
| A tablet for sex you can plan an hour ahead | Sildenafil (the medicine in Viagra) | Taken about an hour before sex, once a day at most |
| Not to plan around a tablet | Tadalafil (the medicine in Cialis) | Can work for up to 36 hours after one tablet, or can be taken at a low dose once a day |
| An alternative when sildenafil doesn't suit you | Vardenafil | A different PDE5 inhibitor, registered in Australia as a generic |
| Sildenafil as tablets or oral jelly | Kamagra | The same medicine as Viagra, but not on the Australian register — read what that means |
Your GP decides which medicine and which dose suit you — especially if you have a heart condition or take other medicines.
Yes. In Australia you need a prescription for erectile dysfunction medicines, so none of them is sold over the counter (healthdirect). The one rule that applies to all of them: never take an ED tablet if you use nitrates — medicines for angina, including sprays or tablets for chest pain — and tell your doctor about every medicine you take first.
| Medicine | Active ingredient | On the ARTG? | When to take it | How long it can work |
|---|---|---|---|---|
| Kamagra | sildenafil 50 or 100 mg | No | About 1 hour before sex | As sildenafil |
| Viagra / generic sildenafil | sildenafil 25, 50 or 100 mg | Yes | About 1 hour before sex | — |
| Cialis / generic tadalafil | tadalafil 2.5–20 mg | Yes | At least 30 minutes before (allow 1 hour the first time), or a low dose daily | Up to 36 hours |
| Generic vardenafil | vardenafil 5, 10 or 20 mg | Yes (the Levitra brand is not) | As prescribed | — |
Sources: ARTG search, EMA (sildenafil), EMA (tadalafil), Cialis consumer medicine information. Prices are not in this table: each medicine's current price per tablet is in the price list above and on its own page.
Orders ship from India or Hong Kong — there is no Australian warehouse and no shop to visit, in Sydney or anywhere else. Express delivery takes 5–9 days and regular delivery 10–14 days, and shipping is free on orders from A$320. The details are on the delivery page.
Most men have trouble getting an erection now and then; if it keeps happening, see your GP, because erectile dysfunction is often linked to your general health — a hormone problem such as low testosterone, or psychological factors such as stress (healthdirect). Our guide to erectile dysfunction covers the causes and how a doctor assesses them.
If tablets are not suitable or do not work, other options exist (healthdirect):
Platelet-rich plasma injections and acoustic shockwave therapy are not yet proven and are not currently recommended by doctors as safe and effective treatments.
ED tablets help with erections, not with how soon you ejaculate. Premature ejaculation has its own treatments — compared in our guide to lasting longer in bed.
For sex you can plan, sildenafil is taken about an hour before; for a longer window without planning, tadalafil works for up to 36 hours; vardenafil is the alternative when sildenafil doesn't suit; Kamagra is sildenafil that is not registered in Australia. All are prescription-only here, none mixes with nitrates, and your GP is the person to choose between them.
We also sell type 2 diabetes medicines, including Rybelsus — see type 2 diabetes medication.
Consultant Urologist, London
Consultant urologist at King's College Hospital and London Bridge Hospital, specialising in prostate disease and male sexual dysfunction.