
Erectile dysfunction or ED is a common condition that can affect a man’s ability to achieve or maintain an erection firm enough for sexual activity. For many men, ED can be a deeply personal struggle that affects not just intimacy but also confidence and emotional well-being.
Fortunately, medical advancements have made effective treatments accessible. Two of the most trusted options are Cialis and Viagra. In this guide, we’ll take a closer look at the two medications, explore their unique properties and effectiveness, and help you determine which may suit you best.
Both Cialis and Viagra are known to help improve erectile function, but few people understand how they actually work inside the body. Let’s break down their pharmacological mechanisms, the science behind these medications, and why arousal is an essential component for these medications to take effect.
The effectiveness of both Cialis (tadalafil) and Viagra (sildenafil) lies in their ability to inhibit the enzyme phosphodiesterase type 5 (PDE5). This enzyme is found in the smooth muscle cells that line the blood vessels of the penis and plays a key role in controlling blood flow.
Here’s a simplified explanation of how it works:
When a man becomes sexually aroused, the body releases nitric oxide into the blood vessels of the penile tissue. Nitric oxide then stimulates the production of cyclic guanosine monophosphate (cGMP), a chemical messenger that relaxes the smooth muscles, allowing more blood to flow into the penis. This increased blood flow results in an erection. However, the PDE5 enzyme breaks down cGMP, which can reduce blood flow and make it harder to achieve or sustain an erection.
Cialis and Viagra counter this effect by inhibiting PDE5, preventing cGMP from breaking down too quickly. This keeps cGMP levels elevated for longer, helping maintain relaxed blood vessels and supporting a sustained erection during sexual activity.
A common misconception about ED medications like Cialis and Viagra is that they instantly trigger an erection once taken. In reality, these treatments only work when sexual arousal or stimulation is present.
These medications are designed to enhance your body’s natural erectile function. Without sexual stimulation, the body does not release nitric oxide, which means that no cGMP is produced for the medication to preserve. Simply put, ED medications cannot create an erection on their own; they work only when the body’s natural arousal response is already active.
If you are unsure which ED treatment best suits your needs, or want to ensure you are receiving safe, verified medication, consult a licensed healthcare provider through Kama Health. Our team offers authentic, clinically approved ED treatments that meet Canadian pharmacy standards so that you can feel confident in both your care and your results.
Cialis and Viagra are two of the most well-known and clinically tested treatments for ED. Although they work through the exact biological mechanism, inhibiting the PDE5 enzyme to boost blood flow to the penis, they differ in duration, onset, dosing flexibility, and lifestyle compatibility.
The most significant difference between tadalafil and sildenafil lies in how long their effects last:
While both medications rely on sexual stimulation to work, their onset and peak effects differ slightly.
Another significant distinction lies in how these medications can be taken.
When it comes to ED treatment, safety is just as important as effectiveness. Both Cialis and Viagra are Health Canada-approved PDE5 inhibitors clinically proven to enhance blood flow to the penis. While they share the exact core mechanism, their side-effect profiles differ slightly because each drug interacts with the body differently.
Understanding these potential effects and knowing when to seek medical attention can help you make a safe, informed choice about your ED therapy.
Because both medications block the PDE5 enzyme, they often produce similar mid, short-lived side effects. These effects are related to their impact on smooth muscle relaxation and blood vessel dilation throughout the body.
NOTE: These effects are typically mild to moderate and resolve as the medication leaves your system. To minimize discomfort, stay well-hydrated, limit alcohol intake, and avoid combining PDE5 inhibitors with nitrate medication unless specifically approved by your doctor.
Cialis: Muscle and Back Pain
Tadalafil can sometimes affect PDE11, an enzyme found in skeletal muscle tissue, which may cause:
NOTE: These symptoms can often appear 12-24 hours after taking the medication and usually resolve within 48 hours. Mild pain can frequently be eased through rest, gentle stretching, or OTC pain relievers, if approved by your healthcare provider.
Viagra: Visual Changes
Sildenafil can affect an enzyme in the retina called PDE6, which is involved in colour vision. This may lead to temporary visual disturbances such as:
NOTE: These visual effects are uncommon and usually fade as the drug’s effects subside. However, if they persist or worsen, seek medical advice promptly.
While rare, some side effects require immediate medical attention. The most serious reaction is priapism, a prolonged, often painful erection lasting more than 4 hours. If this occurs, go to the nearest emergency department immediately. Untreated priapism can cause permanent damage to penile tissue and long-term erectile dysfunction.
Other symptoms that warrant urgent care include:
NOTE: If you experience any of these, stop taking the medication and seek medical help right away.

Cialis is recognized for its long-lasting effects, daily use option, and added health benefits. It is a popular choice for men who want a more spontaneous experience and prefer not to plan intimacy around medication timing.
Viagra remains one of the most trusted ED treatments globally. Its faster onset and shorter duration make it ideal for men who prefer control, planning, and a predictable experience.
NOTE: Both Cialis and Viagra are highly effective when appropriately prescribed, but the better option depends on your health status, lifestyle, and personal preferences. A consultation with a credible provider is the safest way to determine which treatment suits you best.
When treating ED, self-diagnosis or ordering medication from unverified online sources can expose you to serious health risks. A professional medical consultation ensures your treatment is safe, effective, and customized to your individual health needs.
At Kama Health, every patient connects with a licensed Canadian doctor or medical practitioner who carefully evaluates:
A common question among patients is whether generic tadalafil or sildenafil is as effective as their brand-name versions, Cialis and Viagra.
The answer is yes, when obtained from trusted Canadian pharmacies, generic medications offer the same active ingredients, dosage strength, and clinical benefits as their branded counterparts, but at a significantly lower cost.
All generic drugs approved by Health Canada must meet the same safety, quality, and bioequivalence standards as brand-name drugs. This means you can expect the same performance and reliability, whether you choose Cialis vs. Tadalafil or Viagra vs. Sildenafil.
At Kama Health, we are committed to making ED treatments affordable, safe, and accessible. Our platform connects you directly with Canadian healthcare providers, ensuring that every prescription is legitimate, high-quality, and delivered with care.
Having erectile dysfunction can be stressful, but safe and effective treatments are available. Whether you are considering Cialis for its lasting flexibility or Viagra for its proven reliability, our professional guidance makes all the difference.
With Kama Health, you receive expert guidance, Health Canada-approved medications, such as Cialis and Viagra, and discreet delivery. Get started today and take a confident, informed step toward restoring your sexual health.


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Tia HealthMen with concerns about their erectile function can take this quick test and get some information on whether it might be good to seek help for ED.
Most men have experienced some difficulty in getting or keeping an erection. Having trouble when you’re nervous or have had too much to drink may not be something to be concerned about.
It isn’t erectile dysfunction unless you are experiencing ongoing difficulty.
The Canadian Study of Erectile Dysfunction identified 49.4% of men over 40 with ED (Canadian Urological Association erectile dysfunction guideline 2015). Though all men may experience an occasional lapse of sexual function, ED is the persistent inability to achieve an erection, despite being sexually aroused.
Each of the questions has five possible responses, with score values from one to five.
Your total score is simply the sum of the values of all five answers to the ED test questions.
22-25: No erectile dysfunction
17-21: Mild erectile dysfunction
12-16: Mild to moderate erectile dysfunction
8-11: Moderate erectile dysfunction
5-7: Severe erectile dysfunction
The results of this brief self-evaluation should be used as a guide for whether you might want to consult with a doctor, and not as a replacement for a medical consultation.
Answer the five questions and the results will be automatically emailed to you in minutes.
The information you choose to share will be treated as confidential and will not be disclosed to any third parties.