It lasts 4 to 5 hours, or longer if you have mild to moderate ED. You’ll also need to fill out a medical questionnaire with answers about your medical history, current medications, and lifestyle habits. These medicines all work well for ED. Online ED consultations offer privacy, convenience, and affordability while allowing you to quickly get the medications you need—the same day, with some services. In some cases, online ED providers accept health insurance. This increase in blood flow results in a firmer, longer-lasting erection. Oral medicine for ED also might not be safe or work well if you have: Very low blood pressure, called hypotension, or uncontrolled high blood pressure, called hypertension.Here’s our process. How we vet brands and products Erectile dysfunction medications, including Viagra and Cialis, help the muscles in the penis relax so you can get and . Cialis works by increasing blood flow to the penis to help a person get and maintain an erection. It also blocks the PDE5 enzyme, which enhances the effects of nitric oxide . Drug Images What is Viagra? Viagra is a brand-name prescription drug that’s approved to treat erectile dysfunction (ED). With ED, you’re unable to have or maintain an erection. .