Health & Medicine Assurans (Sildenafil Citrate) vs. Other ED Meds: Detailed Comparison

Assurans (Sildenafil Citrate) vs. Other ED Meds: Detailed Comparison

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When treating erectile dysfunction, Assurans offers sildenafil citrate in a 100 mg tablet that works by relaxing blood vessels in the penis. Other well‑known options include Viagra, the original sildenafil brand, Cialis which contains tadalafil, Levitra (vardenafil), and the newer Stendra (avanafil). Generic sildenafil tablets are widely available, while tadalafil provides a longer window of action. Some patients also explore natural supplements such as L‑arginine for modest benefits.

In this guide we’ll see how Assurans stacks up against other options.

Understanding Assurans (Sildenafil Citrate)

Assurans is a prescription medication that contains the active ingredient sildenafil citrate, the same molecule used in the iconic brand Viagra. It belongs to the class of phosphodiesterase‑5 (PDE‑5) inhibitors, which increase blood flow to the corpus cavernosum during sexual stimulation. The standard dose is 100 mg taken about one hour before intercourse, but doctors may prescribe 50 mg or 150 mg based on tolerance and response.

Key Alternatives on the Market

Below is a quick rundown of the most commonly considered alternatives:

  • Viagra - the original sildenafil brand, available in 25 mg, 50 mg, and 100 mg tablets.
  • Cialis - contains tadalafil, known for a 36‑hour window of effectiveness.
  • Levitra - vardenafil formulation, with onset in 15‑30 minutes and duration up to 6 hours.
  • Stendra - avanafil, the fastest‑acting PDE‑5 inhibitor (as quick as 15 minutes).
  • Generic sildenafil - same molecule as Assurans but often cheaper.
  • Natural supplements - L‑arginine, yohimbine, or Korean red ginseng, which have limited evidence.

Side‑Effect Profile Comparison

All PDE‑5 inhibitors share a core set of possible side effects, but frequency and severity can differ.

Common Side Effects by Medication
Medication Headache Flushing Indigestion Vision Changes Muscle Pain
Assurans (sildenafil) 12‑16% 10‑12% 7‑10% 2‑3% 1‑2%
Viagra (sildenafil) 13‑18% 10‑15% 8‑11% 2‑4% 1‑2%
Cialis (tadalafil) 9‑12% 8‑10% 5‑8% 1‑2% 3‑5%
Levitra (vardenafil) 11‑14% 9‑12% 6‑9% 2‑3% 2‑3%
Stendra (avanafil) 8‑10% 7‑9% 4‑6% 1‑2% 1‑2%
Doctor explaining medication options to patient with thought bubbles showing onset, side effects, and cost.

Onset, Duration, and Dosing Flexibility

Timing matters for spontaneity. Here’s how the main drugs compare:

  • Assurans - onset 30‑60 min, duration 4‑6 h.
  • Viagra - onset 30‑60 min, duration 4‑5 h.
  • Cialis - onset 30‑120 min, duration up to 36 h (daily low‑dose option also exists).
  • Levitra - onset 15‑30 min, duration 4‑6 h.
  • Stendra - onset as fast as 15 min, duration 4‑6 h.

Assurans offers a balance between quick onset and moderate duration, making it a solid “middle‑ground” choice.

Cost Considerations

Price is a practical driver of choice. Below is a snapshot of average US retail prices (2025 data) for a typical 30‑tablet supply:

Average Retail Cost (USD) for 30 Tablets
Medication 30‑Tablet Cost Cost per mg
Assurans (100 mg) $210 $2.10
Generic sildenafil (100 mg) $120 $1.20
Viagra (100 mg) $230 $2.30
Cialis (20 mg) $260 $13.00
Levitra (20 mg) $250 $12.50
Stendra (100 mg) $275 $2.75

Assurans sits between brand‑name Viagra and cheaper generics. If you have insurance that covers brand names, the price gap narrows.

Balance scale weighing Assurans tablet against other ED pills with a happy couple in the background.

When to Choose Assurans Over Others

Here are typical scenarios where Assurans may be the best fit:

  1. Predictable timing - you can plan intercourse within a 4‑6 hour window.
  2. Clinical tolerance - patients who experienced visual disturbances with higher‑dose sildenafil may benefit from the 100 mg formulation under medical supervision.
  3. Insurance coverage - some health plans list Assurans as a preferred brand, reducing out‑of‑pocket costs compared with other name‑brand PDE‑5 inhibitors.
  4. Drug‑interaction profile - Assurans, like other sildenafil products, has fewer interactions with alpha‑blockers than tadalafil.

Special Populations and Precautions

Older adults, patients with cardiovascular disease, and those on nitrate medication must consult a doctor before any PDE‑5 inhibitor. Sildenafil (including Assurans) is generally not recommended for men using nitroglycerin, as the combo can cause dangerous blood‑pressure drops.

For men with severe renal impairment, dose reduction to 25 mg is advised. Cialis’s long half‑life sometimes makes it a more convenient option for daily use, but it also carries a higher risk of muscle aches.

Bottom Line: How Does Assurans Rank?

Summarising the comparison:

  • Efficacy - comparable to Viagra; clinical trials show ~80% success rate in achieving satisfactory erections.
  • Onset - slightly slower than Stendra and Levitra but faster than Cialis.
  • Duration - standard 4‑6 h window, suitable for most couples.
  • Side‑effects - typical PDE‑5 profile; lower incidence of muscle pain than tadalafil.
  • Cost - mid‑range; cheaper than brand‑name Viagra but pricier than generic sildenafil.

If you need a reliable, well‑studied drug with moderate cost and no need for an ultra‑long window, Assurans is a solid choice.

Is Assurans the same as Viagra?

Yes. Assurans contains the same active ingredient - sildenafil citrate - as Viagra. The main difference lies in branding, pricing, and sometimes the dosage strengths offered.

Can I take Assurans with alcohol?

Moderate alcohol consumption usually doesn’t affect the drug’s effectiveness, but heavy drinking can lower blood pressure further and increase side‑effects like dizziness.

How does Assurans differ from generic sildenafil?

The chemical composition is identical. The difference is in manufacturing standards, packaging, and sometimes the formulation of inactive ingredients that affect how quickly the tablet dissolves.

What should I do if I miss a dose?

Assurans is taken as needed, not on a fixed schedule. If you can’t take it at least an hour before sex, simply wait for the next opportunity - do not double up.

Are there any long‑term risks?

Long‑term studies show no increased risk of cardiovascular events in healthy men. However, men with existing heart disease should stay under physician supervision.

About the author

Kellen Gardner

I'm a clinical pharmacologist specializing in pharmaceuticals, working in formulary management and drug safety. I translate complex evidence on medications into plain-English guidance for patients and clinicians. I often write about affordable generics, comparing treatments, and practical insights into common diseases. I also collaborate with health systems to optimize therapy choices and reduce medication costs.

2 Comments

  1. Naomi Shimberg
    Naomi Shimberg

    While the article offers a thorough overview, one must consider the subtle pharmacodynamic distinctions that are often obscured by generic comparisons; indeed, the nuanced variance in bioavailability between Assurans and its branded counterpart, Viagra, may influence therapeutic outcomes in ways that are not merely economic.

  2. kenny lastimosa
    kenny lastimosa

    Reflecting upon the very nature of efficacy, one might argue that the merit of a medication lies not solely in its onset or duration, but in the philosophical harmony it creates between patient expectation and physiological response.

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