This article provides a review of a number of types of erection aid products and providers. The article is divided into the following five categories:

Brand Name Erection Pills

There are 3 FDA approved PDE-5 inhibitors: Viagra, Cialis and Levitra. All three are generally quite safe, but caution should be exercised before and when using them. It is advisable to seek medical approval (ie get a prescription) prior to using them.

PDE-5 inhibitors work by helping to relax compromised or hardened penile arteries thus allowing more blood to flow into the penis and subsequently causing an erection. All three drugs also help keep high levels of cGMP (cyclic guanosine monophosphate) within the penis. cGMP is an incredible substance which is naturally produced by the penile tissue in response to sexual stimulation and which aids vascular muscle relaxation. When high levels of cGMP are present, the penile arteries become relaxed and a natural and stiff erection will occur levitra generique avis.

Unfortunately the PDE-5 enzyme generally neutralizes available cGMP and without cGMP an erection will become flaccid or will not occur at all. PDE-5 inhibitors block the unwanted PDE-5 and hence the very much wanted cGMP is allowed to remain within the penis after sexual stimulation occurs, thus aiding the erection process and keeping the penis erect.

Comparing and contrasting the three PDE-5 inhibitors to determine their differences:

VIAGRA (Sildenafil Citrate) is made by pFizer and was first approved in 1998. Its effects last 4 hours, and it has a proven track record.

CIALIS (Tadalafil) is made by Eli Lilly and ICOS and was first approved in 2003. Its effects last 17 to 36 hours and it is the longest lasting of the three.

LEVITRA (Vardenifil Hydrocloride) is made by GlaxoSmithKline and Bayer and was also first approved in 2003. Its effects last 5 hours and it is the quickest acting and food independent.

Generic Products

The same illness may be cured with various pills: cheap or expensive, imported or home-made. However, when the time comes to choose a medication, many doctors and patients think that the more expensive the drug, the better are its properties. Still, not many people can explain what the real difference is between expensive patented medicines and their cheaper analogues or, as they are called by pharmacists, generics.

Generics are the so called analogues of the medicine having developed and implemented into clinical practice, which patent protection has already run out. Generics have the same properties as original medications, as with its development everything may be copied: either composition, or the name and even the design of the package. In other words, generic is an imitation of the medication of the original manufacturer – actually it is a counterfeit, but a legal and a good quality one.

Why are generics much cheaper?

Generic manufacturers do not have the massive development expenses as those of the original manufacturer. They simply repeat what was developed before. That is, such a generic manufacturer does not need to spend money on tests and does not assert the right of existence of an active substance. It is adequate to include the agent into a suitable drug product, take care of pureness of the substance and of the good quality of the additives. When a generic enters the market, a pharmaceutical company selling the product does not need to spend money for advertising and promoting the brand. That is why the generic costs a number of times less than the ‘original’ drug.

Is cheap bad?

Generally pharmacists think that, regardless of the low cost, most generics are of good quality and quite safe. The thing is that ‘generic firms’ most often produce the versions of popular and efficient medicines, of which production and side effects are well known. It is not in their interest to take on ‘suspicious’ drugs.

Natural Products

The term “natural Viagra” may generally be used interchangeably with “herbal Viagra” or “natural erectile dysfunction remedies”.

The distinction between this category and the other categories in this review is that the ingredients are all naturally occurring herbs. Many of these herbs have been known for many years to have erection enhancing properties and, in some cases, have been known for centuries.

Generally these remedies have little in the way of side effects, although they can interact adversely with some medicines such as those for blood pressure.

Products for Women

Although technically women can never be “hard and upright” (for obvious reasons!), we thought that it would be remiss not to include products that can achieve what the ultimate aim of an ED product is – greatly improved sexual satisfaction!

These products come in a number of forms, and you are urged to seriously consider them.

And More

Another category of erection aids is downloadable books (e-books) that all have as their express aim the achievement of a good solid erection.

The courses (e-books) are generally quite inexpensive and, like most e-books, are instantly available upon payment.

The web-site [] was created by Lionel J Barrett, CEO of The Hard And Upright Company, in 2009. It provides a simple and effective means of rcomparing, contrasting and reviewing over 50 ED (Erectile Dysfunction) aids divided into the five categories listed above.

A Useful Links page is provided containing many useful links.

Erection Humor is also provided to lighten up the occasion!

The website is independent of the manufacturers, distributors and providers of erection aids, and gives a convenient ranking of the quality of the products / services reviewed. Users of the The Hard And Upright Company site can with one click immediately link to any of the over 50 sites that interest them, and may if they wish purchase the reviewed product(s). Although not every available ED (erectile dysfunction) product is covered, the review is nevertheless quite comprehensive.

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