Differences between Cialis and Levitra

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Comparison Article[edit]

Cialis vs. Levitra

Cialis (tadalafil) and Levitra (vardenafil) are both oral medications used to treat erectile dysfunction (ED).[1][2] They belong to a class of drugs known as phosphodiesterase type 5 (PDE5) inhibitors.[3][4] PDE5 inhibitors work by increasing blood flow to the penis during sexual stimulation, which helps to produce and maintain an erection.[5][2] While both drugs share a similar mechanism of action, there are key differences in their duration of effect, approved uses, and how they are taken.[1]

Comparison Table

Category Cialis (tadalafil) Levitra (vardenafil)
Active Ingredient Tadalafil[5] Vardenafil[5]
Onset of Action Typically within 30 minutes[3] About 1 hour before sexual activity[3]
Duration of Effect Up to 36 hours[5][1] 5 to 7 hours[5][1]
Dosing Options As needed or once daily[3][1] As needed[5]
Food Interactions Largely unaffected by food[5] High-fat meals may delay absorption[5]
Additional Approved Uses Benign prostatic hyperplasia (BPH)[3][1] None, only for erectile dysfunction[1]
Common Side Effects Headache, indigestion, back pain, muscle aches, flushing, and stuffy or runny nose[5] Headache, flushing, stuffy or runny nose, indigestion, and dizziness[5]

Dosing and Administration

One of the primary differences between Cialis and Levitra is their dosing flexibility. Cialis can be taken on an as-needed basis, typically at least 30 minutes before sexual activity, or as a lower-dose daily pill.[3] The daily option allows for more spontaneity. Levitra is only approved for use as needed, approximately one hour before sexual activity.[3] The effectiveness of Levitra can be delayed by a high-fat meal, whereas Cialis's absorption is not significantly affected by food.[5]

Duration of Action

Cialis is known for its long duration of action, with effects lasting up to 36 hours after a single dose.[5][1] This extended window of effectiveness has earned it the nickname "the weekend pill". In contrast, the effects of Levitra typically last for about 5 to 7 hours.[5][1]

Additional Uses

Beyond erectile dysfunction, Cialis is also approved by the U.S. Food and Drug Administration (FDA) to treat the signs and symptoms of benign prostatic hyperplasia (BPH), a condition characterized by an enlarged prostate.[3][1] This makes it a suitable option for individuals experiencing both ED and BPH. Levitra is only approved for the treatment of ED.[1]

Side Effects

Both Cialis and Levitra share common side effects, including headache, flushing, nasal congestion, and indigestion.[5] Muscle aches and back pain are more commonly associated with Cialis. Dizziness is reported more often with Levitra.[5] More serious side effects for both drugs are rare but can include sudden vision or hearing loss and priapism, a painful erection that lasts for more than four hours.[3][4] Combining either medication with alcohol may increase the risk of side effects such as dizziness and low blood pressure.[5]


Venn diagram for Differences between Cialis and Levitra
Venn diagram comparing Differences between Cialis and Levitra

References[edit]

  1. 1.00 1.01 1.02 1.03 1.04 1.05 1.06 1.07 1.08 1.09 1.10 "goodrx.com". Retrieved January 25, 2026.
  2. 2.0 2.1 "medicinenet.com". Retrieved January 25, 2026.
  3. 3.0 3.1 3.2 3.3 3.4 3.5 3.6 3.7 3.8 "medicalnewstoday.com". Retrieved January 25, 2026.
  4. 4.0 4.1 "choosingtherapy.com". Retrieved January 25, 2026.
  5. 5.00 5.01 5.02 5.03 5.04 5.05 5.06 5.07 5.08 5.09 5.10 5.11 5.12 5.13 5.14 5.15 "singlecare.com". Retrieved January 25, 2026.