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Viagra, Cialis, Levitra or Tongkat Ali: Which Is the Best Libido Booster?

Last update September 16, 2020

There are millions of men searching for the best libido booster, but most of them ended up with common erection drug brands. Most of these erection drugs are short-term companions that fulfill your desire within a time window.

If you are searching for a suitable Erection Drugs to boost your libido such as Viagra, Cialis or Levitra, then this article is perfect for you.

Because as you age (or when the need arises) you may not have the time to read or compare between Viagra vs. Cialis, or Tongkat Ali vs. Viagra.

Granted the most popular libido booster pills available in the market today are Viagra, Cialis, Levitra. The addition of natural plant-based aphrodisiacs such as Tongkat Ali (Malaysian Ginseng) is gaining popularity due to its wide range of health benefits to men’s health.

What is glaring today that the sexual wellness market is a billion-dollar industry dominated by big brands such as Viagra (Pfizer). Despite known side-effects, these drugs are designed to provide temporary relief to fulfill your desire, although some are medically prescribed by doctors to treat Erectile Dysfunction (ED) cases.

So if you are a man reading this, there are more you need to know about the mechanism behind libido-boosters, differences, and how it impacts your health.

Sexual Wellness Market Size is Projected at $37 Billion by 2022

Arizton Market Research

With plenty of options to choose from, between Viagra, Cialis, Levitra and Tongkat Ali, which one is best suited for you?

More so, if you are in your early twenties and craving for that instant gratification and reaction from these libido-boosting drugs. 

Or if you are in your late 40s or 50s with a hectic and stressful lifestyle, should you choose a natural plant-based solution to improve your libido? Or stick with your convenient blue pill?

To answer that, we compile the answers to some of the common questions related to erection drugs, natural aphrodisiac and men’s libido.

Depending on your health objectives, the information on Viagra, Cialis, Levitra and Tongkat Ali will provide guidance before making your first purchase.

Common Questions on Erection Drugs and Libido Booster

1.  How does Viagra, Cialis and Levitra work?

2.  How to use Viagra or Cialis for best results.

3.  What are the common side effects of Viagra and Cialis?

4.  Does Levitra work the same way as Viagra?

5.  Does natural viagra such as Tongkat Ali work?

6.  How effective is Viagra vs. Cialis, Levitra or Tongkat Ali?

For men looking for a holistic answer to the above questions, the decision is determined by various factors such as effectiveness, side-effects, price and health benefits. 

Before we deep-dive into details, here is a quick summary of our collective review based on several key parameters and feedback from our customer survey.

Summary Review

Viagra

Effectiveness
4/5
Side-Effects
2/5
Price
2.5/5
Other Benefits
1/5

Cialis

Effectiveness
4/5
Side-Effects
3/5
Price
1/5
Other Benefits
1/5

Levitra

Effectiveness
4/5
Side-Effects
3/5
Price
1.5/5
Other Benefits
1/5

Tongkat Ali

Effectiveness
4/5
Side-Effects
4.5/5
Price
4/5
Other Benefits
4/5

What is Viagra, Cialis and Levitra and how does it work?

Viagra(sildenafil), Cialis (tadalafil) and Levitra (vardenafil) belong to a class of drugs known as PDE5-inhibitors, or commonly referred to as PDE5

According to MedicalNewsToday.com, “PDE5 is an enzyme in the walls of blood vessels. It affects blood flow and how cells signal within the body.”

Have you wondered the mechanism behind that spike of urgency (or passion) right after consuming Viagra or Cialis?

PDE5 inhibitors block the PDE5 enzyme and this inhibition relaxes the blood vessels and increases blood flow.

TheMedicalNewsToday.com

Well, in principle that is how synthetic drugs work – i.e by increasing more blood flow into your penis. But lets understand the PDE5 mechanism further.

Here is what happens when you consume Viagra, Cialis or Levitra.

  • A chemical called Nitric Oxide (NO) sends a message to the tissues of the penis and fills it with blood. The more blood flow to your penis, the harder your erection is.
  • The more blood flow is activated by the heart – by pumping more to ensure more blood circulation into your body.
  • The PDE5-inhibitor drugs activate the erection “off switch,” thus helping the erection to last longer. To avoid confusion, kindly note that these medications do not help with turning erections “on”–– as this overall erection experience is down to how your body, mind and soul interact with one another.

So does this mechanism behind Viagra, Cialis or Levitra makes you last longer in bed?

Now let’s manage your expectations by understanding the semantics and words used behind all the marketing hype out there.

Although all PDE5 inhibitors share the same mechanism of action, each agent has different pharmacokinetics and pharmacodynamics which affect how quickly it acts, how long its effects last, and its side effects.

The term “last longer” is heavily used as a marketing term in promoting Viagra, Cialis or Levitra. However, there is no scientific evidence that suggests that consuming these drugs results in “long-lasting performance in bed” nor it solve premature ejaculation issues.

As your heart works harder to pump more blood flow to your penis by the PDE5, you may feel a sense of improved libido as you enjoy the time with your partners. 

Behind this mechanism however, lies other side-effects that will be covered in this article.

How are Viagra and Cialis taken?

Most men consume Viagra and Cialis an hour before an action takes place with their partner. What most people did not know that the first golden rule is that Viagra (sildenafil) should not be taken with heavy meals, fatty food, or even alcohol.

There are seven other expert tips before you take Viagra that you need to know.

Ideally, you need to wait 1 to 2 hours after your last meal before consuming Viagra or Cialis. But more often than not, we fail to remember this simple tip, especially when actions are happening at a pace faster than our own capacity to think.

On average, Viagra takes an hour to work its magic.

Based on scientific evidence and research, you’ll have to wait at least 1 hour before it reaches maximum effect. The effective time is needed to allow time for the heart to pump more blood flow to your sexual organs that will cause the desired erection.

However, the length of time Viagra takes to work varies from 30 minutes to 100 minutes and the effect is affected by food, alcohol and sexual stimulation. It is recommended to avoid fatty meals and alcohol as it will make it less effective.

Viagra will last for 3 to 5 hours after first consumption before the effect wears off after the 6th hour onwards. 

The graph below shows the performance of sildenafil (Viagra) taken with and without food.

On the other hand, tadanafil (Cialis) is a pill that is not affected by food – making it more flexible than Viagra.

Yes, according to expert tips from WebMD or healthline.com , you can consume Cialis at any time: either when you need it. 

The effect will start as fast as within 15 minutes, but you’ll have to wait 2 hours for it to be most effective. Cialis stays in your body for about 17 hours (that’s longer than Viagra!) helping you with erections at any point during that period.

Before you get excited, both Viagra and Cialis have both severe side-effects that you need to consider.

What are the most common side effects of Viagra and Cialis?

The most documented side effects of Viagra and Cialis (including substance containing PDE5-inhibitors) from official sources are:

  • An erection that will not go away (priapism)
  • Sudden vision loss in one or both eyes
  • Sudden hearing decrease or hearing loss
  • Mild or severe headache
  • Mild or severe diarrhea
  • Nasal Congestion
  • Nosebleeds
  • Indigestion
  • Muscle pain
  • Flushing

Are Viagra and Cialis safe? And can it cause death?

Generally, if you are a healthy adult, then Viagra and Cialis are relatively safe with tolerable side-effects. But do you know your present health condition and how the side-effects impact your body?

Now, here is a not-so-fun fact related to Viagra and ED drugs.

Yes, Viagra and Cialis can potentially cause death.

According to reports, there are more than 2,200 death linked cases from Erectile Dsyfunction (ED) Drugs based on the USFDA Office of Surveillance and Epidemiology reports. And these drugs contain Viagra and Cialis.

You cannot run away from the notorious side effects of Viagra and Cialis, although there are herbal alternatives such as Tongkat Ali with little to no side effects. More about Tongkat Ali later in this article.

With Viagra, there is a higher risk of vision changes or loss (3% of men get blue vision lasting a few hours) than with Cialis. On the other hand, Cialis has a slightly higher risk of muscle pain than Viagra, although many downplay such risk.

If you are bothered by the side effects or potential death risks, please refrain yourself from consuming Viagra or Cialis with immediate effect.

A more serious side effect that all PDE5-inhibitors contained in Viagra and Cialis can lower your blood pressure.

Whilst you may not feel the effect, but if you are diagnosed with high blood pressure, then it is recommended to avoid taking Viagra or Cialis.

A sudden drop in blood pressure can make you feel dizzy, causing black out, or even cause a sudden heart attack. If you are consuming a nitrate-filled drug (i.e for angina or high blood pressure), you must never use sildenafil (Viagra), tadalafil (Cialis), or any similar medication.

Does Levitra work the same way as Viagra?

Less known Levitra (vardenafil) is a brand developed by Bayer as a response to Pfizer’s Viagra. It is considered a relatively expensive drug compared to Viagra or Cialis.

From a molecular structure standpoint, vardenafil found in Levitra to be very similar to sildenafil and differs in that the pyrazolo-pyrimidine heterocycle is replaced by an isosteric imidazo-triazine core. Here is how both  molecular structures look like.

However, Levitra is regarded to be more potent than Viagra.

Scientists reported that vardenafil is considered five to 10 times more potent than sildenafil, although both vardenafil and sildenafil are “cousins” in the family of synthetic drugs due to its similar molecular properties.

The side effects are very similar with Levitra but less severe than Viagra. Levitra is better taken on an empty stomach and starts working in as quickly as 14 minutes.

So if you need to pop up during dinner, then Levitra is more versatile than Viagra – as it can be taken with food, making it a better choice for most people despite its price.

The maximum effect was recorded at an average of 45 minutes and it will last for a period of up to 5 hours. The typical starting dose of vardenafil (Levitra) is 10 mg; this can be adjusted to 5 mg or 20 mg depending on need.

The number of death cases related to Levitra usage is 121, making it lower than Viagra-related death cases

Whilst Viagra has been implicated in at least 1,824 deaths mostly from heart attacks, Levitra recorded the lowest number of reported deaths at 121, according to research based on public information.

This makes Levitra a better choice to those who are seeking premium erection drugs with less complication and lower health risks.

But how does Levitra compares itself to the effectiveness of natural viagras?

Does natural viagra such as Tongkat Ali work?

Natural aphrodisiacs have been used by men for centuries. This has sparked discussions amongst scientists and the medical community in recent years on its health benefits.

Tongkat Ali is one of the herbs that is touted by the media as the next herbal viagra. Its root comes from a plant known as Eurycoma Longifolia and found in countries such as Malaysia and Indonesia.

Also known as the Malaysian Ginseng, Tongkat Ali is now gaining global popularity amongst those seeking for natural alternative remedies due to its wide range of proven health benefits.

Tongkat Ali boosts sexual libido in men by increasing testosterone levels in your body. Experts found that low testosterone is closely correlated with low sexual libido.

This works well knowing our level of testosterone drops significantly by 50% by the age of 30+ years.

Beyond its role as a natural viagra, health benefits from Tongkat Ali ranges from improved energy levels, erection hardness, sperm motility, improve muscle strength, improve mood and others.

There are 12 scientifically proven benefits of Tongkat Ali that are compiled from credible researches and studies around the world.

Tongkat Ali contains major bioactive compounds found in eurycomanonequassinoids and alkaloids. These bio-active compounds exhibit anti-inflammatory, anti-cancer and anti-microbial properties by scientists.

Is Tongkat Ali effective in boosting libido?

Tongkat Ali is effective in boosting your libido provided if you are seeking long-term effectiveness rather than instant reaction.

As with all-natural products, the long-term benefits outweigh the detrimental health effects from prolonged use of Viagra.

In a 12-week study by Medicus Research LLC, Northridge, California on a sample size of 26 men, a proprietary freeze-dried water extract of Tongkat Ali, Physta®, was examined for its effect on sexual performance, fulfillment, and well-being in samples.

Compared with the placebo group, results showed increased in libido scores were including increased hardness and erection time 

Most scientific studies are based on 200 to 400 mg of Tongkat Ali dosage between four to 12 weeks to gain maximum benefits on men’s libido, sperm concentration and motility.

Here is a quick summary from the study.

Longer Erection Time
19.56 minutes
Sperm Concentration & Motility
17 million of sperm per mL
Harder Erection
3.54 Erection Hardness Scale (EHS)

If you need more evidence on Tongkat Ali’s benefits on men’s libido, we provide data extracted from the Journal on Evidence-Based Complementary and Alternative Medicine for easy reference. 

 

So, if you are seeking natural plant-based viagra to boost your libido or gain other health benefits, Tongkat Ali is definitely worth a try!

Before you purchase any product, you may want to view top trusted brands of Tongkat Ali here.

A word of caution – herbal products generally do not work in similar manner as laboratory produced drugs, hence the reaction time may take longer for a person to experience the maximum effect.

Viagra vs. Cialis vs. Levitra vs. Tongkat Ali: Which is the best?

The perfect gift to your partner is your health, but when finding the best libido booster for men, landing to an answer requires multiple perspectives.

Firstly, Viagra, Cialis and Levitra are laboratory-produced libido boosters that are developed to enhance men’s sexual health with specific biological-induced mechanism through increase blood flow. It means your heart is forced to work harder than usual. So it may not necessarily be the best solution for you.

Secondly, there is no such thing as the best viagra. Living with trade-offs between instant performance, expectations, side-effects, long term health benefits and price are important factors when comparing with natural viagras such as Tongkat Ali.

However, if you are a price-sensitive consumer who seeks the best value for money from a de range of viagras, we can help you decide better.

We compile the average prices in the US for Viagra, Cialis, Levitra and Tongkat Ali from online stores for you to make better judgement. These prices were compiled from PharmacyChecker and GoodRX amongst others.

What we should look out for is the average price per pill (or per capsule) – thus giving a better price comparison between various products.

Brand

Average Price (USD)

Quantity (i.e total pills or capsules)

Average price per pill or per capsule (USD)

 

Slidenafil (Viagra)

$144.73

12

$11.25

Tadalafil (Cialis)

$642.68

30

$21.42

Vardenafil (Levitra)

$469.41

30

$15.64

Premium Tongkat Ali (AKARALI)

$36.90

30

$1.23

Source: Pharmacychecker.com, goodrx.com and akarali.com. Price may vary subject to promotional offers and other factors. We hold no responsibility in updating or changes in price reflected in this article.

If value is defined as long term overall health benefits and affordability, then the clear winner is Tongkat Ali. As there are multiple brands out there, do check our top brand survey before making your first purchase!

However, if you are seeking an instant erection or treat medical conditions related to Erectile Dysfunction, then look no further than Viagra or Levitra as the best value.

Closing Thoughts

The best may not necessarily last. At least, that’s the age-old wisdom that can be applied when choosing the best libido booster for men’s health.

Sildenafil (Viagra) is by far the most accessible and popular erection drug in the market. However, due to its popularity, there are many counterfeits sold online and in the open market. Be careful and do check the list of banned sex supplements by drugs authorities here before making your purchase.

If you are seeking instant reaction and gratification from your partner, then Viagra is ideal for you.  Do remember to take on an empty stomach to gain maximum advantage.

Yes, you can opt to purchase the more expensive Tadalafil (Cialis) and Vadenafil (Levitra) but comes with similar side-effects due to the PDE5 inhibitors. 

But if you are seeking for a natural plant-based viagra, then do consider Tongkat Ali.

Tongkat Ali, dubbed as natural viagra by the Telegraph UK and ABC News has attracted a new stream of users – those who are seeking long term health benefits with lesser side-effects compared to Viagra, Cialis and Levitra.

Tongkat Ali’s versatility has enabled it to be used as functional ingredients (eg: coffee) and performance ingredients (eg: pre-workout drinks). The best about Tongkat Ali that it can be consumed at any time of the day, before or after meal.

At a very affordable and attractive price point, Tongkat Ali could be a threat to Viagra or Cialis as Tongkat Ali is now clinically proven to improve sexual libido and naturally safe.

When it comes to choosing erection drugs or to boost your libido, the best choice is down to you. The American College of Physicians (ACP) recommends that the choice of medication be up to you – which will vary greatly depending on your personal preference of cost, lifestyle, purpose and other requirements.

So choose your type of viagra wisely and stay safe.

Naressa Khan contributes regularly on AKARALI. As a writer and journalist, Naressa is all about creating, deconstructing, and reassembling meanings through words. With this approach always in mind, she eagerly explores the nuances in life via the aspects of lifestyle, culture, travel, health, and wellness.

Disclaimer: Content published in this article is not intended to provide any form of recommendations to purchase or consume medication, drugs or herbal supplement brands mentioned in this article. By reading this, the sole responsibility and decision lies on the reader to make an informed decision based on publicly available information. We encourage you and the readers to consult your nearest doctor before making any purchase from this website or any other websites or social platforms after reading this article.

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11 Responses

  1. I’m Marco from United State and stumbled across this article when I was researching for sex booster. Initially, I was primed to purchase Viagra but feel that I should make some research as I always concern about its side effect. This article was an eye-opening for me as I have never known about AkarAli before. Did more research about Tongkat Ali and its side effect seems to be negligible as it is a natural herb. Really exciting finding for me!

  2. I always try to go back to natural resources when taking my supplements, including sex booster. I’m very doubtful and sceptical with chemical product such as Viagra, probably I heard to much scary story such as non-stop erection with people consuming Viagra 🤣 Unlike those chemical products, natural herbs such as Tongkat Ali is a much better option for me as sex booster with little to no side effects. Although it means that I will have to take it regularly as a diet supplement.

  3. Do have a fair share of experience using viagra. I was close to none in terms knowledge about the pills im taking. Just know that it’ll keep it standing. The day i had a mild headache and a bad diarrhea is when the nurse told me the side effects of taking viagra. Since then i turned to a lot more natural alternatives, tongkat ali. Its must be taken regularly in order to see the results. Well, there’s no short cut to glory isnt it?

  4. As i aged, the sex drive that i had before was gone. I got this natural product that said it will help to improve about 2 weeks ago and my wife and i noticed that the improvement was monumental! It’s been a few years since i felt this good. The results made us very happy. Hope this alternatives can help guys out there to feel better and experience the great results it gave me.

  5. I got into taking herbal or natural remedies through recommendation and positive reviews from friends and colleagues. I was not a disappointing decision. I’ve been using it for about 2 months while at the same time practicing a clean keto diet and regular exercises. I felt better and able to do a more intense exercise. Bear in mind that these results needs time to be seen, that’s just how it is. You gotta work with it, but it will be worth it.

  6. It’s a great alternatives, it gives the energy you needed gives for the entire day. Definitely will make you feel better and also help boost you in the bedroom. Can be a great sauce for workout as well it provides the extra energy boost for exercising. I highly recommend this alternatives as i have been using it for over 4 months now.

  7. I’ve tried a more mainstream testosterone boosters which may consists of chemicals and the result was just average. What sets me off is that it gave a bad side effect like headache. From now on, the natural alternatives will be the route i’m stick with. Within the first week, the extra energy and the increased in libido were felt. Now, i’m trying to make going to the gym as a routine and taking these helped to keep me motivated and focus. A highly recommended alternative!

  8. Tongkat Ali most definitely boost my energy and libido. It wasn’t necessary for me as i am still fairly young, but it really help in improving libido. I have been using it for a couple of months now but not regularly, again because i am fairly young. I have tried experimenting with several other alternatives and they all seem to work. But, not as effective as tongkat ali. Will definitely get it again.

  9. I am a 55 year old man, i try to stay active and take care of myself. But i know that my testosterone, drive, libido are decreasing. So, i tried consuming tongkat ali to counter the issue i’m facing. Two weeks on and this remarkable herb made me felt like a younger version of me. It’s unbelievable how fast the turn a round is. I have an edge and more energy through the entire day. I love it! What a wonderful herb.

  10. To the brothers out there suffering from low testosterone really need to try tongkat ali. I know, getting old ain’t pretty. But with this miraculous herb, you will feel younger again and that youthful energy will be experienced again. Me and my wife was amazed at how much improvement it had delivered just within a couple weeks. Guys, get your hand on tongkat ali to stop the testosterone levels from declining and lets be young again!

  11. As someone who has taken a few other test boosters and a first timer in taking natural testosterone booster, it actually gobsmacked me on how well it worked. I did find that my issue with anxiety slowly fading away, felt more centered and had more focus. Normally, i would mix and match an assortment of supplements from a variety of companies to get the result desired. With this herb, it’s a game changer because it have all these working elements in one package.

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