ED Treatment Comparison Tool
Select your preferences to see the best ED treatment option for you:
- Viagra Extra Dosage delivers 200mg of sildenafil, twice the standard strength.
- It works faster than most alternatives but may increase side‑effect risk.
- Alternatives like tadalafil (Cialis) last longer, while avanafil (Stendra) peaks quickly with fewer visual disturbances.
- Cost varies: generic sildenafil is cheapest, brand‑name extra‑dosage sits in the mid‑range.
- Choosing the right option depends on dosage needs, timing, health conditions, and budget.
When it comes to treating erectile dysfunction, Viagra Extra Dosage is a high‑strength version of sildenafil citrate designed for men who need a larger dose than the standard 100mg tablet. The “extra” label simply means the pill contains 200mg of active ingredient, giving a stronger boost when a regular dose falls short. But a stronger pill also means a higher chance of headaches, flushing, or nasal congestion. If you’re weighing this option against other ED treatments, you’ll want to compare three things: how quickly it kicks in, how long it lasts, and what side‑effects you might run into.
How Viagra Extra Dosage Stacks Up
The standard Viagra (sildenafil 50mg or 100mg) takes about 30‑60minutes to work and lasts 4‑6hours. Doubling the dose shortens the onset a bit-often you feel the effect in 20‑30minutes-while the duration stays roughly the same. That’s great if you’re planning a spontaneous night, but the extra dose can also amplify common side‑effects, especially if you’re over 65 or take nitrates.
Key Alternatives to Consider
Below are the most common prescription‑only rivals. Each belongs to the same class (phosphodiesterase‑5 inhibitors) except for natural supplements, which work through different pathways.
- Generic Sildenafil - the same molecule as Viagra but sold without the brand markup. Comes in 25mg, 50mg, and 100mg tablets.
- Tadalafil - marketed as Cialis, available in 10mg and 20mg doses, and a daily 2.5mg/5mg low‑dose version.
- Vardenafil - sold as Levitra or Staxyn, typically 10mg tablets.
- Avanafil - the newest brand (Stendra), 100mg or 200mg tablets, fast‑acting.
- L‑Arginine - a natural amino‑acid supplement that boosts nitric oxide, often 500mg‑2g daily.
- Yohimbine - an herbal extract sometimes used for ED, usually 5‑10mg before sex.
Side‑Effect Profile at a Glance
All PDE‑5 blockers share a core set of side‑effects: headache, facial flushing, upset stomach, and nasal stuffiness. The intensity often correlates with dose. Here’s a quick rundown:
Drug | Typical Dose | Onset | Duration | Most Common Side‑Effects |
---|---|---|---|---|
Viagra Extra Dosage | 200mg | 20‑30min | 4‑6h | Headache, flushing, dyspepsia |
Generic Sildenafil | 50‑100mg | 30‑60min | 4‑6h | Headache, nasal congestion |
Tadalafil | 10‑20mg | 30‑120min | Up to 36h | Back pain, muscle aches |
Vardenafil | 10mg | 30‑60min | 4‑5h | Headache, dizziness |
Avanafil | 100‑200mg | 15‑30min | 4‑6h | Mild flushing, nasal stuffiness |
L‑Arginine (supplement) | 500mg‑2g daily | Several days of consistent use | Variable | Gastro‑intestinal upset |
Yohimbine (herbal) | 5‑10mg | 30‑60min | 2‑4h | Anxiety, rapid heartbeat |
Cost Comparison
Price matters for many men, especially if you need a pill every week. Generic sildenafil is usually the most affordable-around US$0.30 per 25mg tablet in bulk. Viagra extra‑dosage, being a brand name with a higher strength, runs about US$2‑3 per tablet. Tadalafil’s daily low‑dose option can cost $0.50‑$0.70 per day, while the as‑needed 10mg version sits near $1.20. Avanafil is the priciest among prescription options, often $1.80‑$2.50 per 100mg tablet. Supplements like L‑arginine cost roughly $0.10‑$0.20 per gram, but you need to take them daily for weeks before noticing any benefit.

When to Choose Viagra Extra Dosage
If you’ve tried the regular 100mg tablet and still experience sub‑optimal rigidity, the extra‑strength pill can be a logical next step-provided you have no contraindications (like nitrate medication or severe heart disease). It’s best for men who want a fast, reliable effect for a single planned evening.
When Other Options Might Beat the Extra‑Strength Pill
- Long‑lasting spontaneity: Tadalafil’s up‑to‑36‑hour window lets you forget the pill until the moment feels right.
- Lower side‑effect tolerance: Avanafil’s rapid onset with a milder visual side‑effect profile suits men sensitive to flushing.
- Daily routine and affordability: Generic sildenafil or daily low‑dose tadalafil keep costs down for regular use.
- Preference for “natural” routes: L‑arginine or yohimbine avoid prescription requirements, though they demand patience and carry their own risks.
Practical Checklist Before You Decide
- Do you have any heart conditions or take nitrates? If yes, avoid all PDE‑5 inhibitors.
- How quickly do you need the effect? Choose a fast‑onset option (Viagra extra, Avanafil).
- Is a long window more important? Tadalafil wins.
- What’s your budget? Generic sildenafil and daily low‑dose tadalafil are the cheapest.
- Are you comfortable with potential visual disturbances? Avanafil may be gentler.
- Do you prefer taking a pill only when needed or a daily supplement? That guides brand vs. supplement choice.
Quick Decision Tree
Start with “Do you have heart issues or nitrate meds?” → No: Continue. “Do you need a fast kick?” → Yes: Try Viagra extra or Avanafil. “Is a longer window more valuable?” → Yes: Tadalafil. “Looking for the cheapest route?” → Generic sildenafil. “Prefer a natural supplement?” → L‑Arginine or Yohimbine (with doctor’s OK).
Frequently Asked Questions
Is Viagra Extra Dosage safe to use more than once a week?
Using the 200mg tablet several times a week can increase the risk of side‑effects, especially headache and vision changes. Most doctors advise limiting use to two or three times per month unless you have no health concerns and your doctor clears you.
Can I combine Viagra Extra Dosage with alcohol?
A little alcohol won’t ruin the effect, but heavy drinking can lower blood pressure and make side‑effects worse. Keep intake moderate - one drink or less - for the best experience.
How does Avanafil differ from Viagra Extra Dosage?
Avanafil reaches full effect in about 15‑30 minutes and tends to cause fewer visual disturbances. Its 200mg dose matches the strength of Viagra extra, but the chemical structure leads to a slightly different side‑effect profile.
Should I try L‑Arginine before prescription meds?
If you have mild ED and no major health issues, a daily L‑Arginine supplement (1‑2g) can improve blood flow over a few weeks. It’s low‑risk, but results vary, and you may still need a prescription drug later.
What’s the main reason some men “fail” on Viagra extra?
Psychological factors, severe vascular disease, or taking medications that interact with PDE‑5 inhibitors are the top culprits. In those cases, switching to a different class (like a hormone therapy) or addressing the underlying health issue is necessary.
All these dosage charts are a waste of time because real‑world results vary wildly.