What is 10 times better than Viagra?

Nothing. The erectile dysfunction medicines available in Australia — sildenafil (the medicine in Viagra), tadalafil, vardenafil and avanafil — all work in the same way, by increasing blood flow to the penis when you are sexually aroused; they differ in timing and in how long they work. No natural product has been shown to match any of them. A product that promises to beat Viagra is a warning sign: TGA testing has found undeclared sildenafil and tadalafil in sexual enhancement products sold as natural formulas.

What is the closest thing to Viagra over the counter?

In Australia there is none: erectile dysfunction medicines need a prescription, so none of them is sold over the counter. Supplements sold over the counter do not contain these medicines — and when a "herbal" product works like Viagra, that is often because it does contain one, undeclared.

What drinks work like Viagra?

None. Pomegranate juice was tested in one trial and did not differ significantly from placebo. Watermelon contains L-citrulline, which helped some men with mild ED in one small study, but watermelon itself was not tested.

Which herb is known as natural Viagra?

Several are sold that way — horny goat weed (epimedium), tribulus, maca and ginseng among them. Red ginseng is the best studied: a Cochrane review of 9 trials found a trivial effect on erectile-function scores. Horny goat weed has been tested only in animals, and the trials of tribulus disagree.

Natural Viagra Alternatives: What Works, Ranked by Evidence

Natural alternatives to Viagra, ranked by evidence

No natural product works like Viagra. The natural steps with the best trial evidence are not pills at all: losing weight, exercising more and training the pelvic floor. Among supplements, L-arginine and red ginseng have the most trial data, and their effects are small. The table ranks each option by how strong the evidence is, strongest first.

#	Option	What the evidence is	Honest verdict
1	Weight loss and more exercise — reversing ED naturally	Randomised trials, pooled in a meta-analysis (4 lifestyle trials, 597 men)	The best-supported natural step. In a two-year trial in obese men, 17 of 55 on a weight-loss and exercise program reached the normal range, against 3 of 55 given general advice.
2	Pelvic-floor training — exercises for ED	One randomised trial, 55 men, taught by a physiotherapist	Could help a real share of men: after six months, 22 of 55 had regained normal erectile function and 19 more had improved. Free, but one trial is not proof.
3	L-arginine	Meta-analysis of 10 small randomised trials, 540 men with mild to moderate ED	May help mild to moderate ED more than placebo. Side effects were more common than on placebo (8.3% vs 2.3%), none severe.
4	Red (Panax) ginseng	Cochrane review: 9 trials, 587 men, up to 12 weeks, mostly low-certainty evidence	The best-studied herb, with a trivial effect on erectile-function scores; men did more often report being able to have sex. No trial has compared it with a prescription ED medicine.
5	Niacin (vitamin B3)	One randomised trial, 160 men with ED and abnormal blood fats, 12 weeks	Helped men with moderate or severe ED and abnormal blood fats; no benefit in mild ED.
6	Saffron	Several small trials; the reviews disagree	Unsettled: a 2018 review called the results mixed, a 2025 review found a benefit.
7	Tribulus terrestris — vitamins and supplements	Two randomised trials that disagree	Better than placebo in 180 men; no better than placebo, and no change in testosterone, in 30 men.
8	L-citrulline, the amino acid in watermelon	One single-blind study, 24 men with mild ED	12 of 24 men had harder erections on the supplement, against 2 of 24 on placebo; its authors call it less effective than the prescription medicines. Watermelon itself was not tested.
9	Maca	Systematic review: 4 small trials, only one in men with ED	Limited evidence; the reviewers could not draw firm conclusions.
10	Pomegranate juice	One crossover trial, 53 men with mild to moderate ED	More men improved on the juice than on placebo, but the difference was not statistically significant.
11	Ashwagandha	One randomised trial, 86 men with ED of psychological origin	No better than placebo.
12	Ginkgo biloba	One small trial in sexual problems caused by antidepressants	No difference from placebo.
13	Horny goat weed (epimedium)	Animal studies only: its compound icariin was tested in rats	Unproven in men.
14	Foods and drinks — beetroot, garlic, green tea, dark chocolate, bananas, ginger, olive oil, apple cider vinegar	No randomised trial of the food on its own in men with ED*	Good food, not a treatment.
15	Traditional systems — Ayurveda, Chinese herbal medicine, homeopathy	Multi-herb formulas: "very preliminary" results for some (2018 review); homeopathy: no randomised trial in ED*	Unproven — and "natural formulas" are where the TGA has found hidden prescription medicines (see below).
16	Rubs and oils — DMSO, aloe vera, essential oils, Vicks VapoRub	No randomised trial in men with ED*	Untested for erections.

* "No randomised trial" means none turned up in a PubMed search of randomised trials in erectile dysfunction on 25 September 2026. Most of the trials above are small and short. The whole field of "natural Viagra" rests on weak evidence, and the effects shrink as the studies get better.

More on the everyday options: foods and erectile dysfunction, fruits and foods called "natural Viagra", and the dose used in trials in red ginseng dosing.

What is the natural replacement for Viagra?

There isn't one: the replacement for Viagra is the medicine in it. Viagra is a brand of sildenafil. The erectile dysfunction medicines available in Australia are sildenafil, tadalafil (the medicine in Cialis), vardenafil and avanafil (healthdirect). They all increase blood flow to the penis when you are sexually aroused, and every one needs a prescription here — sildenafil and tadalafil "can only be supplied to Australians with a prescription".

Kamagra is sildenafil too. It is the same medicine as Viagra, made in India by Ajanta Pharma, but it is not included in the Australian Register of Therapeutic Goods — read what Kamagra is and what its status means before you order. Generic sildenafil and generic tadalafil tablets are also on our product list. A herb or a food is a different thing altogether: it does not contain these medicines, and when a "herbal" product does, that is the danger described below.

The wider list of options — medicines, devices, counselling and supplements — is compared in alternatives to Viagra and Cialis, and what the products sold as "herbal Viagra" contain is in does herbal Viagra work?

Which natural Viagra is best?

None works like Viagra, so "best" means best-supported: weight loss, exercise and pelvic-floor training come first, then L-arginine for mild to moderate ED, then red ginseng with a small effect. Every other herb in the table has thinner, mixed or negative evidence. No natural product has been shown to match a prescription medicine: the Cochrane review found no trial that compared ginseng with one at all, and the authors of the citrulline study describe their supplement as less effective.

If the effect you want is the medicine's, the choice is between medicines — compared in which erectile dysfunction drug is best. For the full list of home remedies and how well each is supported, see natural remedies for erectile dysfunction.

Is there a natural Cialis?

No. What sets Cialis apart is its window: tadalafil can help you get an erection when you are sexually stimulated at any time in the 36 hours after the tablet (Cialis consumer medicine information). That is a property of the tadalafil molecule. No herb or supplement has been shown to give a window like it — or any comparable effect. Tadalafil can also be prescribed as a low daily dose for men who expect to use it twice a week or more (EMA).

Many men ask whether they can take L-arginine alongside tadalafil; what is known about that combination is in L-arginine with tadalafil or Cialis. Natural options set against both medicines are compared in natural alternatives to Viagra and Cialis.

How long do natural remedies take to work?

Weeks to months — never an hour. The trials behind the table ran for a long time: the pelvic-floor trial measured results at three and six months, the weight-loss trial ran for two years, and the ginseng and niacin trials lasted up to 12 weeks. By comparison, sildenafil is taken about an hour before sex (EMA) and tadalafil at least 30 minutes before (EMA). A "natural" product that works within the hour is a warning sign, not a success.

How to treat erectile dysfunction without medication

Start with lifestyle change and pelvic-floor training — the two options with trial evidence in the table. When tablets are not suitable, healthdirect lists lifestyle change, vacuum erection devices and counselling or sex therapy among the alternatives; platelet-rich plasma injections and acoustic shockwave therapy are not yet proven and are not currently recommended (healthdirect).

Move more and lose weight. In the two-year trial, more exercise and weight loss were each linked with better erections. The practical side is in exercises for erectile dysfunction and can ED be reversed naturally?
Train the pelvic floor. The trial's program was taught by a physiotherapist and practised at home for months.
Eat for your blood vessels, not for a single "Viagra food". No food on its own has been shown to treat ED — see foods and erectile dysfunction.
Massage and other hands-on therapies have little evidence; what small studies report is in massage therapy for ED. Ayurvedic herbs are also sold for premature ejaculation — see Ayurvedic medicine for ED and premature ejaculation.

Erectile dysfunction can have physical and psychological causes, which a GP can check. Our guide to erectile dysfunction covers the causes and the treatments beyond tablets.

The real danger: "herbal" pills with hidden sildenafil or tadalafil

The "natural Viagra" that works fast is often not natural. On 29 June 2026 the TGA reported that laboratory testing of sexual enhancement products "that claimed to be dietary supplements or natural formulas" found "undeclared prescription-only substances sildenafil, tadalafil and dapoxetine"; none of the eleven products was on the Australian register (TGA safety advisory). It is not new: capsules sold as "Herbal Blue" (2020) and LOVher (2013) were also found to contain undeclared sildenafil and tadalafil.

That is the worst of both worlds: a prescription medicine in an unknown dose, with no warning on the label. It matters most for men who take nitrates — medicines for angina, including sprays or tablets for chest pain — because PDE5 inhibitors such as sildenafil and tadalafil must not be taken with them (healthdirect). The TGA's advice is to stop using such products and take what is left to your local pharmacy for safe disposal.

What else "herbal Viagra" can do to you is in side effects and safety of herbal Viagra.

Decided on a medicine rather than a supplement?

That is where the evidence on this page points. Kamagra is sildenafil, sold here as tablets and oral jelly with live prices on its page; it is not on the ARTG, and that page explains what this means before you order. Generic sildenafil and tadalafil are on our product list. This guide has its own coupon code: NATURAL10. If you take any heart or blood-pressure medicine, talk to your GP before your first dose.

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