Same goal. Different timing.
Our ED treatments on one clock: how soon each one starts, how long it lasts, what food does to it and what it costs. Your doctor helps you choose, and you can change it later.
8 treatments · from ¥107 a tablet
- Doctors licensed in Japan
- Pay for medicine only if prescribed
- Prescription only
Private care (jiyū shinryō): not covered by public health insurance. Prices include tax.
How do you like to plan?
Generic or brand?
Your doctor makes the final call, and you can change it later.
Eight options. One clock.
Each bar is the window one dose gives you, from taking it to wearing off. It’s a general guide, not a promise. Daily options are taken every day, so there’s nothing to time.
DailyReady any time
Tadalafil 5mgGeneric · food matters little Swallow StartsTaken daily LastsAny time From ¥107 Cialis 5mgBrand · food matters little Swallow StartsTaken daily LastsAny time From ¥1,595
As neededA few hours
Sildenafil 50mgGeneric · take on an empty stomach Swallow Starts30–60 min LastsAbout 4–5 hours From ¥510 Viagra OD film 50mgBrand · take on an empty stomach Melts, no water Starts30–60 min LastsAbout 4–5 hours From ¥1,080 Vardenafil 20mgGeneric · take on an empty stomach Swallow Starts15–30 min LastsAbout 4–5 hours From ¥852 Avanafil 200mgNot approved in Japan · food matters little Swallow StartsAbout 15 min LastsUp to about 6 hours From ¥1,148
Prices are per tablet (or film) on the lowest-priced plan (usually the 12-month plan), counting 8 a month for as-needed medicine and 28 for daily; Cialis 20mg and avanafil at 4 a month. Onset and duration are general guides, and results vary. Prescription only: a free video consult with a doctor licensed in Japan comes first, and the doctor may decide not to prescribe. Private care (jiyū shinryō): not covered by public health insurance. Prices include tax. For illustration: your medicine may look different. Avanafil: Not approved in Japan. Your doctor imports it, under their own judgement. No medicine with the same active ingredient is approved in Japan. Japan’s Relief System for Sufferers from Adverse Drug Reactions doesn’t cover it. If a serious side effect happens, Japan’s Relief System for Sufferers from Adverse Drug Reactions may not cover it. More in “Private care and unapproved medicines”.
Four ingredients. One clock.
They all block an enzyme called PDE5, so more blood can flow when you’re aroused. None of them works without arousal. The differences are timing, and food.
- 1SSildenafil, as in ViagraStarts in about 30–60 minutes and lasts about 4–5 hours. A fatty meal slows it, so take it on an empty stomach or after a light meal.
- 2VVardenafilStarts in about 15–30 minutes and lasts about 4–5 hours. A fatty meal can slow it too.
- 3AAvanafilStarts in about 15 minutes, and food affects it less. Not approved in Japan: your doctor imports it.
- 4TTadalafil, as in CialisAt 20mg, starts in about 30–60 minutes and lasts up to 36 hours. At 5mg, taken daily, so there’s no timing. Food affects it little.
General guides, from the package inserts and published studies. Results vary from person to person.
Finishing too soon, too?
Premature ejaculation is common, and treatable. Your doctor can look at both in one consult.
Choosing, answered.
Still deciding? You don’t have to alone.
Tell your doctor how you live. They match the treatment, and you can change it later.
- Free video consult
- Pay for medicine only if prescribed