Lifestyle Changes It is possible to reduce the risk of erectile dysfunction through dietary changes, ceasing to smoke, and engaging in physical activity of any kind. Using the ED medicines we prescribe puts you at greater risk of severe reactions such as extreme dizziness, fainting, heart attack, and stroke. Rex MD has tailored its services to meet the needs of American males above 18 with ED and a tight budget. There are many safe, reliable online services offering ED prescriptions. Online Pharmacy or Pharmacy Online? As per the studies conducted, this has been reported that erectile dysfunction is highly prevalent with Some people may also have ringing in their ears tinnitus or dizziness.Still, if your doctor says it’s okay for you to use and you end up paying out-of-pocket, you can still get the generic for a lot less than Viagra. According to price-comparison site test1.ru Generic Viagra (sildenafil): $4 per 25 mg pill, $6 per 50 mg pill, $10 per mg pill; Branded Viagra: $90 per 25 mg, 50 mg, or mg pill; Generic Cialis (tadalafil): $11 per 5 mg pill, $44 per 10 mg or 20 mg pill; Generic Cialis Daily (tadalafil): $8 per mg or 5 mg pill; Branded Cialis: $10 per 5 mg pill, $80 per 10 mg or 20 mg pill. Viagra (sildenafil) is approved to treat sexual dysfunction in men by the U.S. Food and Drug Administration (FDA), but it is sometimes prescribed to women off-label, which means without approval by the FDA. Viagra is an effective drug for treating male erectile dysfunction, but it targets sexual performance, not sexual arousal.