The best “timing tablets” commonly used in Pakistan for sexual performance are sildenafil (Viagra), tadalafil (Cialis®) including Cialis 5 mg daily vardenafil (Levitra®) for erections, and dapoxetine (depox®) for lasting longer.
What Each Option Does and How to Use It
1) Sildenafil (Viagra®)
Use: Helps you get and keep an erection when you’re sexually stimulated.
Dose & timing: Start with 50 mg, taken 30–60 minutes before sex on an empty or light stomach.
Duration: About 4–6 hours.
Notes: Fatty meals slow it down. You can adjust to 25–100 mg based on effect and side effects (max once in 24 h).
2) Tadalafil (Cialis®) On‑Demand
Use: This ED pill lasts longer, so you don’t have to rush or worry about timing it perfectly.
Dose & timing: 10–20 mg, taken ~30–45 minutes before sex (with or without food).
Duration: Up to 36 hours (“weekend pill”).
Notes: Useful if you want flexibility for more than one encounter.
3) Tadalafil (Cialis®): 5 mg daily
Use: For frequent sex or when you want ongoing readiness.
Dose & timing: 5 mg once daily, same time each day.
Onset: You usually notice steadier performance after 2–5 days of regular use.
Notes: Don’t combine with the on‑demand dose on the same day.
4) Vardenafil (Levitra®)
Use: Another ED option if you don’t tolerate or respond well to sildenafil.
Dose & timing: 10–20 mg, 30–60 minutes before sex.
Duration: About 4–6 hours.
Notes: A very heavy meal can delay the effect.
5) Dapoxetine (Depox®): for premature ejaculation (lasting longer)
Use: Helps you delay ejaculation when the main issue is finishing too fast.
Dose & timing: 30 mg, taken 1–3 hours before sex; if needed and well‑tolerated, your doctor may raise to 60 mg.
Duration: Works for that encounter, it’s on‑demand, not a daily antidepressant.
Notes: Take with water. First try it when you can sit or lie down, as it can cause light‑headedness in some people.
Non‑tablet helper for PE: Lidocaine/prilocaine desensitizing sprays/creams (e.g., Stud 100®, EMLA®) are applied 10–15 minutes before sex and wiped off before intercourse; they numb just enough to extend your time without systemic side effects.
How to Choose Which Timing Tablet is Right for You?
- If you want a strong, affordable first try start with sildenafil 50 mg.
- If you want a longer, more flexible window starts with tadalafil 10–20 mg on‑demand.
- If you prefer spontaneity most days try with tadalafil 5 mg daily.
- If your main issue is finishing too fast, try with dapoxetine 30 mg (and consider a light lidocaine/prilocaine spray).
Safety Checklist Before Considering Any Timing Tablet for You ?
Important Warnings for ED Pills (like Viagra, Cialis 20mg, Levitra) and Dapoxetine:
Do NOT use ED pills if you:
- Take medicines for chest pain called nitrates (like nitroglycerin).
- Use “poppers” (which contain amyl nitrite).
- Take a medicine called riociguat.
- Have had a heart attack or stroke very recently.
Talk to your doctor BEFORE using ED pills if you have:
- Serious heart, liver, or kidney problems.
- Very low or uncontrolled very high blood pressure.
- Are taking alpha-blockers (often for prostate issues or blood pressure).
- Are taking strong medicines like ketoconazole or ritonavir (which are often for infections).
For Dapoxetine (a different type of pill):
- Avoid using it if you take:
- Other antidepressant medicines (SSRIs/SNRIs/MAOIs).
- Certain migraine medicines called triptans.
- Lithium (for mood disorders).
- Linezolid (an antibiotic).
- Also, avoid drinking a lot of alcohol when taking dapoxetine.
Common Side Effects (usually mild):
- For ED pills: Headache, redness in the face, stuffy nose, upset stomach.
- For dapoxetine: Feeling sick to your stomach or dizzy.
Get Medical Help RIGHT AWAY if you experience:
- Chest pain
- Fainting
- Sudden changes in your vision or hearing
- An erection that lasts longer than 4 hours