What Are PDE5 Inhibitors? A Complete Guide to Erectile Dysfunction Treatment

Michel September 16, 2025

Erectile Dysfunction (ED) is a condition that affects millions of men across the globe, including in the US, UK, and Australia. For many, it leads to frustration, loss of confidence, and relationship challenges. Thankfully, modern medicine has provided effective treatment options—PDE5 inhibitors. These are the most commonly prescribed drugs for ED, and they include well-known medications such as Viagra pill (sildenafil citrate), Cialis (tadalafil), Levitra (vardenafil), and Stendra (avanafil).

In this detailed guide, we’ll explain what PDE5 inhibitors are, how they work, their benefits, potential side effects, and why medicines like sildenafil 100mg and Cenforce tablets are popular choices for men seeking reliable ED treatment.

What Are PDE5 Inhibitors?

PDE5 inhibitors are a class of medications used to treat erectile dysfunction (ED). PDE5 stands for phosphodiesterase type 5, an enzyme found in the smooth muscle cells lining the blood vessels of the penis. This enzyme normally breaks down cGMP (cyclic guanosine monophosphate), a substance responsible for relaxing blood vessels and allowing blood to flow in.

When PDE5 is active, erections may be weak or short-lasting. PDE5 inhibitors block this enzyme, allowing cGMP to remain longer, which increases blood flow and results in a firm erection during sexual stimulation.

Common PDE5 Inhibitors

Several medications belong to this class, each with slightly different characteristics:

  • Sildenafil (Viagra pill / Cenforce pill) – The first PDE5 inhibitor approved, widely used worldwide.
  • Tadalafil (Cialis) – Known as the “weekend pill” because its effects last up to 36 hours.
  • Vardenafil (Levitra, Staxyn) – Similar to sildenafil but may work better for some men.
  • Avanafil (Stendra) – A newer option, known for its faster onset.

Among these, sildenafil citrate remains the most recognized and commonly prescribed drug, thanks to its affordability and proven effectiveness.

How Do PDE5 Inhibitors Work?

Here’s a simplified breakdown of how these medicines function:

  1. Sexual Stimulation Triggers cGMP Production – Nitric oxide is released in the penis, producing cGMP.
  2. cGMP Relaxes Blood Vessels – This allows blood to flow into the spongy tissues of the penis.
  3. Erection Occurs – The penis becomes firm and stays erect during sexual activity.
  4. PDE5 Inhibitors Block Breakdown of cGMP – Drugs like sildenafil citrate keep cGMP levels higher for longer, ensuring better erections.

👉 Important note: These drugs only work when a man is sexually aroused—they are not aphrodisiacs.

Sildenafil: The Most Popular PDE5 Inhibitor

When people ask, what is Viagra?, the answer is simple—it’s the brand name for sildenafil citrate, the most widely used PDE5 inhibitor.

  • Viagra pill was originally developed by Pfizer.
  • Generic versions, such as Cenforce sildenafil (manufactured by Centurion Laboratories), provide the same active ingredient at a lower cost.
  • Sildenafil 100mg tablets are often the standard prescription strength for men with moderate ED.

Today, many men prefer generic Viagra options like Cenforce tablets because they offer the same results as Viagra but are more affordable and accessible.

Benefits of PDE5 Inhibitors

Using PDE5 inhibitors like sildenafil or Cenforce pill offers multiple benefits:

  • Restores normal sexual function in men with ED.
  • Improves self-confidence and relationship satisfaction.
  • Works quickly (sildenafil usually acts within 30–60 minutes).
  • Provides long-lasting results (up to 4–6 hours with sildenafil, 36 hours with tadalafil).
  • Available in multiple strengths to suit different needs (e.g., sildenafil 50mg, 100mg, 150mg).

Dosage and Usage of Sildenafil (Viagra / Cenforce)

  • Typical dose: One sildenafil 100mg tablet taken with water about 30–60 minutes before sexual activity.
  • Frequency: No more than once in 24 hours.
  • Food interactions: Avoid fatty meals and excessive alcohol, which may delay the effect.

Other PDE5 inhibitors follow similar guidelines but vary in dosage strengths and duration of action.

Possible Side Effects of PDE5 Inhibitors

Like all medications, PDE5 inhibitors can cause side effects.

Common Sildenafil Side Effects:

  • Headache
  • Flushing (warmth in face/neck)
  • Indigestion
  • Stuffy nose
  • Mild vision changes
  • Dizziness

Rare but Serious Viagra Side Effects:

  • Chest pain or irregular heartbeat
  • Sudden hearing loss
  • Painful erection lasting over 4 hours (priapism)
  • Severe allergic reaction

👉 If you experience serious symptoms, seek medical help immediately.

Who Should Avoid PDE5 Inhibitors?

Not all men are suitable candidates for drugs like Viagra pill or Cenforce tablets. Avoid use if you:

  • Are allergic to sildenafil citrate.
  • Take nitrates for chest pain (dangerous blood pressure drop may occur).
  • Have severe heart, kidney, or liver conditions.
  • Suffer from uncontrolled high or low blood pressure.

Always consult a doctor before starting treatment.

Cenforce Sildenafil: Affordable Generic Viagra

One of the most popular generic options is Cenforce sildenafil, often referred to as Cenforce pill.

  • Manufactured by Centurion Laboratories.
  • Contains the same sildenafil citrate as Viagra.
  • Available in different strengths (Cenforce 25mg, 50mg, 100mg, 150mg, 200mg).
  • Widely available online for men in the US, UK, and Australia.

For many men, Cenforce tablets are the most cost-effective way to treat erectile dysfunction without compromising on quality.

Pros and Cons of PDE5 Inhibitors

Pros:

  • Proven effective in ED treatment.
  • Restores sexual health and confidence.
  • Affordable generic versions available (e.g., Cenforce pill).
  • Different drug options to suit individual needs.

Cons:

  • May cause side effects.
  • Requires sexual stimulation to work.
  • Not suitable for men with certain medical conditions.

FAQs on PDE5 Inhibitors

1. What is Viagra?
Viagra is the brand name for sildenafil citrate, the first PDE5 inhibitor approved for treating erectile dysfunction.

2. Is sildenafil the same as generic Viagra?
Yes. Generic Viagra and sildenafil citrate tablets are the same in terms of active ingredient and effectiveness.

3. How long does sildenafil 100mg last?
Sildenafil usually works for 4–6 hours after taking one dose.

4. Can I use Cenforce instead of Viagra?
Yes, Cenforce sildenafil is a generic alternative that offers the same benefits at a lower cost.

5. What are the most common sildenafil side effects?
Headache, flushing, and indigestion are the most common.

Final Thoughts

PDE5 inhibitors have revolutionized the treatment of erectile dysfunction, providing safe and effective solutions for millions of men. Among them, sildenafil citrate (Viagra pill, generic Viagra, Cenforce pill) remains the most widely used.

Whether you choose Viagra or Cenforce tablets, these medicines can restore sexual confidence, improve relationships, and provide long-lasting results. However, it is always essential to consult a healthcare professional before starting treatment to ensure safety and effectiveness.

For men in the US, UK, and Australia, PDE5 inhibitors like sildenafil 100mg offer a trusted pathway to overcoming erectile dysfunction and reclaiming a satisfying sex life.

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