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Several alternatives to Fildena 120 mg (sildenafil citrate) are available for treating erectile dysfunction (ED). These alternatives include other medications that work similarly to sildenafil, as well as different types of treatments. Here are some common alternatives: Other Phosphodiesterase Type 5 (PDE5) Inhibitors Tadalafil (Cialis): Dosage: Available in daily doses (2.5 mg, 5 mg) and on-demand doses (10 mg, 20 mg). Duration: Lasts up to 36 hours. Onset: Takes about 30 minutes to 2 hours to take effect. Vardenafil (Levitra, Staxyn): Dosage: Typically available in 5 mg, 10 mg, and 20 mg doses. Duration: Lasts about 4-5 hours. Onset: Takes about 30 to 60 minutes to take effect. Avanafil (Stendra): Dosage: Typically available in 50 mg, 100 mg, and 200 mg doses. Duration: Lasts about 6 hours. Onset: Takes about 15 to 30 minutes to take effect. Other Treatment Options Alprostadil: Forms: Available as an injection (Caverject, Edex) directly into the ***** or as a urethral suppository (MUSE). Onset: Typically works within 5 to 20 minutes. Duration: Effects last about 30 to 60 minutes. Testosterone Replacement Therapy: For men with ED due to low testosterone levels. Forms: Injections, patches, gels, or pellets. Vacuum Erection Devices: A mechanical pump used to create an erection by drawing blood into the *****. Penile Implants: Surgical option involving the insertion of devices into both sides of the *****. Types: Inflatable implants or semi-rigid rods. Lifestyle Changes: Improving diet, exercising regularly, quitting smoking, reducing alcohol consumption, and managing stress. Psychotherapy and Counseling: For ED with a psychological component, such as stress, anxiety, or depression. Alternative Medications: Herbal supplements and natural remedies, although their efficacy and safety are not as well-studied or regulated. Consultation with Healthcare Provider It is important to consult with a healthcare provider to determine the most appropriate treatment for ED. They will evaluate your medical history, current medications, and overall health to recommend the best option. Each treatment has its own benefits and potential side effects, and a healthcare provider can help guide you in making an informed decision.

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