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Sildenafil (Viagra); Tadalafil (Cialis); Vardenafil (Levitra); Avanafil (Spedra). Die Studie wurde an der Urologischen Universitätsklinik. 5-(PDE) Hemmer Vardenafil (Levitra®) und Tadalafil (Cialis®) einnehmen als. Sildenafil (Viagra®). Sildenafil (Viagra) is by far the cheapest drug for ED and the one with the longest safety record. It is good for the occasional user but must be taken on an empty stomach. Tadalafil (Cialis) is expensive but lasts longer, making it useful if you have a more active and regular sex life. The bottom line. Viagra takes around 30 minutes to become effective and lasts about 4 hours. Cialis lasts much longer. It contains the same active ingredient as Levitra and can begin working in about 15 minutes. It is worth trying if sildenafil hasn't worked for you. It works just as well at fixing ED as sildenafil (Viagra) or tadalafil (Cialis), and the side effects are very similar. 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