Diseases and conditions

Compare Viagra, Cialis and Levitra: Finding Your Fit


By Dr. Helal, Helal Medical Manila

In my practice here in Manila, I often meet men who feel a heavy sense of burden when discussing their sexual health. Erectile Dysfunction (ED) is a common condition that affects millions of Filipinos, yet the stigma often keeps men from seeking the help they deserve. Whether it’s due to stress, age, or underlying conditions like diabetes, ED is a medical issue—not a personal failing.

Today, we are going to look at the three most trusted solutions available. If you have been searching for a comprehensive review compare: Viagra, Cialis and Levitra, this guide is designed specifically for you. My goal is to help you understand the nuances of each medication so we can make an informed decision together at Helal Medical Manila.

The Science: How Do These Work?

All three medications belong to a class called PDE5 inhibitors.1 They work by relaxing the muscles in the walls of your blood vessels, specifically increasing blood flow to the penis.2 It is important to remember: these are not “magic pills.” They require sexual stimulation to work.3 They don’t increase your libido; they simply ensure your body can respond when you are ready.

1. Viagra (Sildenafil): The Reliable Pioneer

Viagra is the most famous ED medication in the world and remains a top choice for many of my patients in the Philippines.

  • How it works: It typically takes about 30 to 60 minutes to become effective.4
  • Duration: The effects usually last for 4 to 6 hours, making it ideal for a planned evening.
  • Dr. Helal’s Note: Viagra is significantly affected by what you eat.5 If you take it after a heavy, fatty meal (like a hearty Filipino lechon dinner), the absorption will be delayed.6 For the best results, I recommend taking it on an empty stomach.
  • Common Side Effects: Headaches, flushing, and occasionally a temporary blue-tinted vision.7

2. Cialis (Tadalafil): “The Weekend Pill”8

Cialis has gained immense popularity among residents who prefer spontaneity over planning.9

  • How it works: It takes about 30 to 120 minutes to kick in, but its staying power is unmatched.
  • Duration: It remains active in your system for up to 36 hours.10 This is why it’s nicknamed “The Weekend Pill.”
  • Dr. Helal’s Note: Unlike Viagra, Cialis is not affected by food.11 You can enjoy your meal without worrying about the timing. Additionally, we often prescribe a low-dose daily version (5mg) for men who want to be ready at any moment without needing to take a pill right before sex.
  • Common Side Effects: Back pain or muscle aches are more common with Cialis than the others.12

3. Levitra (Vardenafil): The Precision Option

Levitra is often the “middle ground” medication, frequently prescribed when Viagra doesn’t quite fit the bill.

  • How it works: It acts quickly, usually within 30 to 60 minutes.
  • Duration: Similar to Viagra, it lasts about 4 to 8 hours.13
  • Dr. Helal’s Note: Levitra is less affected by fatty foods than Viagra, though it’s still best taken with a light meal. Many of my patients find that Levitra provides a very “clean” effect with fewer of the vision-related side effects seen with Sildenafil.
  • Common Side Effects: Nasal congestion and dizziness are the most reported.

Comparison at a Glance

FeatureViagra (Sildenafil)Cialis (Tadalafil)Levitra (Vardenafil)
Onset Time30–60 mins30–120 mins30–60 mins
Duration4–6 hoursUp to 36 hours4–8 hours
Food EffectHigh (Delayed by fat)NoneLow (Slightly delayed)
Best ForPlanned encountersSpontaneity / Daily useFast onset / Reliable window
Daily OptionNoYes (2.5mg/5mg)No

A Vital Warning: Safety First

While this comprehensive review compare: Viagra, Cialis and Levitra shows they are highly effective, they are not for everyone.

Never take these medications if you are using nitrates (often prescribed for chest pain/heart issues) or certain alpha-blockers. Mixing these can lead to a dangerous drop in blood pressure. This is exactly why a consultation at Helal Medical Manila is essential. We check your heart health and current medications to ensure your safety.

Why Choose Helal Medical Manila?

We know that buying these medications in the Philippines can be a sensitive matter. At our clinic, we provide a private, professional environment where you can speak openly. We offer genuine, FDA-approved medications and can help you find the specific dosage that works for your body and your lifestyle.

Conclusion

There is no “best” pill—there is only the pill that is best for you. Whether you value the long-lasting nature of Cialis or the proven track record of Viagra, our team is here to guide you. Don’t let ED affect your confidence or your relationships any longer. Visit us at helalmedical.com to book a discreet consultation.

Summary: Comprehensive Review Compare: Viagra, Cialis and Levitra

Choosing between ED medications requires understanding their onset, duration, and interaction with food.14 This comprehensive review compare: Viagra, Cialis and Levitra highlights that Viagra is best for planned use, Cialis offers the longest window of spontaneity (36 hours), and Levitra provides a fast-acting, reliable alternative. All three require a doctor’s prescription to ensure they do not interfere with heart medications or underlying health conditions. Dr. Helal and the team at Helal Medical Manila are dedicated to providing safe, confidential, and expert care for men across the Philippines.