What’s The Best Viagra Alternative? The Top 11 Options for 2024

When many of us think about treating erectile dysfunction, we immediately think of Viagra. But there are lots of other options besides the “little blue pill.” That’s good news for anyone who can’t take sildenafil due to concerns about heart health or interactions with other drugs. It’s also encouraging if you simply feel you’d prefer a milder, more natural, or less expensive way to treat ED.

Looking for healthy alternatives to Viagra isn’t always easy, though. The Internet is choked with promises of shady-sounding cures for erectile dysfunction, leaving many people wondering if there are any legitimate solutions out there.

That’s where we come in. We’ve seen the best and the worst that the sexual health supplement industry has to offer. As a supplier of naturally-sourced, rigorously tested wellness products, helping people sort science from scams is a priority for us. In this article, we’ll review the top Viagra alternatives currently available so you can make the best possible choice for your sexual health.

Best Viagra Alternative: FOCL His Libido Starter Kit

For those who just want an effective and safe suggestion for supporting male sexual wellness, we recommend our His Libido Starter Kit. It’s a combination of dietary supplements and stimulating oils made from all-natural ingredients — including several of the best natural Viagra alternatives we’ve profiled below. 

You don’t need to worry about contaminants of any kind the way you do with sketchier supplements. We have our products tested by independent labs, and because we’re firmly committed to transparency, you can view the results yourself on our website. Everything in the His Libido kit is 100%:

• Naturally sourced
• Vegan and cruelty-free
• Non-GMO
• Made in the USA

Best of all, FOCL offers a complete satisfaction guarantee. If you’re not happy with our herbal alternative to Viagra for any reason, you can return it any time within 60 days for a full refund. This best-in-class guarantee is important because it often takes 4-6 weeks before you’ll see the full difference in erectile function from herbal dietary supplements.

Shop FOCL Viagra alternatives here

The 11 Best Viagra Alternatives

Here’s our roundup of the most promising alternatives to Viagra, grouped by category: natural remedies, over-the-counter medications, and prescription treatments.

Natural Viagra Alternatives:

1. Fenugreek
2. Asian Ginseng
3. Horny Goat Weed
4. Maca Root

Over-the-Counter Viagra Alternatives:

1. L-arginine
2. DHEA
3. Propionyl-L-carnitine

Prescription Viagra Alternatives:

1. Generic Sildenafil
2. Tadalafil
3. Testosterone
4. Alprostadil

Best Natural Viagra Alternatives

#1. Fenugreek (Trigonella foenum-graecum)

Fenugreek has long been used as an aromatic spice. But in recent years, scientists have found that it’s rich in furostanolic saponins, compounds that may help stimulate testosterone production. Since this hormone plays an important role in libido, taking Fenugreek powder has the potential to improve sexual function, especially among men in midlife.

That’s exactly what researchers found when they tested its effects in 120 middle-aged men: testosterone levels were higher and erections were more frequent. As a nice bonus, other studies have reported benefits for building muscle and shedding fat. More research may be needed to confirm Fenugreek’s effectiveness as an ED treatment, but the research is backed up by reports from thousands of happy users.

Risks of Fenugreek For Erectile Dysfunction

Fenugreek is considered quite safe, though some people may have allergic reactions. The most commonly reported side effect is a change in body odor — some people say their sweat begins to smell like maple or molasses when taking fenugreek. If you’re at risk for prostate cancer or other testosterone-sensitive conditions, you might want to talk with a doctor before taking Fenugreek.

#2. Asian Ginseng (Panax ginseng)

Ginseng has been used for a long time as a traditional medicine in several Asian cultures. Nowadays, medical researchers are finding increasing evidence that it may sharpen cognition and improve memory. More importantly for our article, it’s also shown some promise as a natural Viagra substitute.

Scientists are still working on uncovering the exact mechanism by which Ginseng may be helpful for ED. One compelling theory is that it might increase the production of nitric oxide (NO), a biological signal triggering blood flow into the penis.

Risks of Ginseng For Erectile Dysfunction

In trials investigating the use of Ginseng as a natural alternative to Viagra, a few people reported negative side effects. A few participants experienced headaches, sleeplessness, stomach trouble, and constipation. Effects on blood sugar levels are unclear, but people with diabetes may want to consult a doctor before supplementing with Ginseng.

#3. Horny Goat Weed (Epimedium)

As the colorful name suggests, this flowering herb has long been prized as an aphrodisiac. Epimedium contains icariin, a compound that seems to block phosphodiesterase type 5 (PDE5) enzymes. This allows your body to maintain higher levels of cyclic GMP, a biological signal that enables penile blood flow when you’re sexually aroused. If that sounds familiar, it’s probably because Viagra works the same way.

The peer-reviewed research on Horny Goat Weed as a natural Viagra has been limited to studies in animals so far. However, the results of those studies support the idea that this herb can restore the male sex drive and overcome organic erectile dysfunction. Many of our satisfied customers have noticed the same thing.

Risks of Horny Goat Weed For Erectile Dysfunction

Epimedium is generally safe, but taking an overly large dose all at once can lead to spasms and breathing difficulties in some people. Other potential side effects include dizziness, nosebleeds, and an elevated heart rate. You may want to talk with your doctor before using Horny Goat Weed if you have thyroid problems, or if you’re taking blood pressure medication.

#4. Maca Root (Lepidium meyenii)

Commonly known as Peruvian Ginseng, Maca has a long history of use in sexual medicine among the people of the Andes mountains. People who try it often say that it amps up their sex drive while reducing the anxiety that often hampers sexual performance.

Only a few controlled trials of this natural Viagra substitute have been performed so far. That said, the results of those studies are favorable, showing that Maca can be effective at relieving moderate or mild erectile dysfunction. It may be especially helpful for those whose difficulties in the bedroom are related to mental stress and physical tension.

Risks of Maca Root For Erectile Dysfunction

Unwanted side effects of Maca seem to be rare and mostly mild. Users occasionally mention headaches or gastrointestinal upset. There are also some published reports that this plant can affect hormone levels, so you should talk to your doctor before using it if you’re at risk for hormone-sensitive cancers.

Best Over the Counter Viagra Alternatives

#1: L-Arginine

Many of the supplements above work by helping you produce more nitric oxide, a chemical your body uses to dilate blood vessels during erections. L-arginine aims at the same result in a different way. This compound is a crucial nutrient for NO production, so adding it to your diet may improve your natural sexual response. It might be especially helpful when used to enhance other Viagra alternatives.

The current evidence on L-arginine’s effectiveness is largely positive, with several studies seemingly backing up its effectiveness. Sample sizes in these trials have been small, though, and some researchers have found conflicting results.

Risks of L-Arginine For Erectile Dysfunction

A small percentage of people may experience nausea or vomiting when taking L-arginine, while others may see a minor increase in blood pressure. Certain medical conditions can lead to complications: people with cystic fibrosis might suffer from cramps or bloating, and blood nitrogen levels could increase in those with kidney dysfunction.

#2: Dehydroepiandrosterone (DHEA)

Many men experience a decline in sexual function as they get older, and some research suggests this could be linked to decreasing levels of sex hormones. DHEA is one notable example — its drop-off in advanced age seems to correlate with many other unwanted symptoms of aging, including cognitive function, mental health, and sexual well-being.

Fortunately, DHEA can be synthesized and taken as a supplement. Though the evidence is not yet overwhelming, multiple trials have found that this may be an effective means of treating ED. It may not do much for younger people with typical hormone levels, but older men may notice a distinct improvement.

Risks of DHEA For Erectile Dysfunction

You may want to get professional medical advice before using DHEA, because hormones can impact a wide range of bodily functions. Possible adverse effects include:

• Negative impacts on cholesterol
• Oily skin and acne
• Increased risk of certain cancers

#3: Propionyl-L-Carnitine

Yes, the name is a bit of a mouthful. The main thing to understand about this nutrient is that it seems to help with metabolic enhancement and blood circulation. This may indirectly improve sexual function, enhance your workout regimen, and boost your general sense of well-being.

Some research suggests that L-carnitine is more effective as a way to boost the effects of other ED treatments. You could argue that it isn’t a true non-prescription Viagra alternative, since it’s rarely recommended for use as a standalone treatment. Still, some studies have shown that it can have some effectiveness even when used on its own.

Risks of Propionyl-L-Carnitine For Erectile Dysfunction

In some cases, supplementing with propionyl-l-carnitine might lead to stomach or chest pain as well as nausea or vomiting. Some people also find that it causes an unpleasant, fishy smell in their bodily fluids.

Best Prescription Viagra Alternatives

#1: Generic Sildenafil

If you’re simply looking for a cheap Viagra alternative, you could look for the active ingredient without the brand name. Sildenafil is the PDE5 inhibitor that enables this drug to treat erectile dysfunction, and it’s not too hard to find in a generic formulation. You’ll still need a prescription, but the price point for these Viagra alternative pills is often much better.

Both peer-reviewed research and countless firsthand reports testify to the effectiveness of sildenafil. The downside is that it may not do much to address underlying causes of erectile dysfunction, such as stress, poor cardiovascular health, or declining hormones.

Risks of Sildenafil For Erectile Dysfunction

The hazards of generic sildenafil are the same as those of brand-name Viagra. Minor side effects include things like nasal congestion, headaches, nausea, and dizziness. More serious (and rare) complications include cardiac problems and long-lasting, painful erections.

#2: Tadalafil

Tadalafil is the main ingredient in Cialis, the other big-name medicine for male sexual dysfunction. The two drugs are quite similar. Both are phosphodiesterase type 5 inhibitors that help the erectile signals in your bloodstream build up to greater levels.

However, tadalafil reportedly takes effect a bit faster and lasts a bit longer. Studies suggest that this difference may lead to a greater sense of satisfaction and psychological well-being in tadalafil users.

Risks of Tadalafil For Sexual Dysfunction

The known side effects of generic Cialis and generic Viagra are mostly identical. Aches and pains may be more common with tadalafil, while facial flushing is more common with sildenafil.

#3: Testosterone

The potential health effects of low testosterone in men can be wide-ranging. This vital hormone can influence brain function, energy levels, bone density, muscle mass, libido, and erectile health. If you’re experiencing performance difficulties in the bedroom, there’s a chance it could be related to declining testosterone levels. The older you are, the more likely this is. 

One straightforward solution is to take testosterone supplements. You can’t get this Viagra alternative OTC, but you can ask your doctor to evaluate your hormone levels to see whether a prescription is right for you. While it may not work for everyone, the research suggests that taking testosterone could improve aging-related ED in some cases. It may work even better when combined with a PDE5 inhibitor like sildenafil or Horny Goat Weed.

Risks of Testosterone For Erectile Dysfunction

Certain kinds of cancer, such as prostate cancer, may be aggravated by testosterone therapy. Other potential risks include heart and liver issues or an overproduction of red blood cells, which can lead to dizziness, nosebleeds, blurred vision, and other uncomfortable symptoms. Some doctors also warn that taking testosterone for too long could reduce your body’s natural production of this hormone, leading to dependence.

Supplement Spotlight: Your Local Pharmacy

Testosterone is a controlled substance in the USA, and there’s not really any safe way to get it without talking to your doctor and a pharmacist. For the sake of your health, that’s probably for the best.

#4: Alprostadil

Not everyone responds well to oral ED medication. For those who don’t, there’s Alprostadil. This medication can act directly on the blood vessels in the penis, causing them to relax and inflate. It’s effective and fast-acting, generally taken about 5-10 minutes before intercourse.

The downside? Alprostadil has to be either injected near the base of the penis or inserted into the urethra as a small pellet. This may be uncomfortable for many users, which is why Alprostadil is usually only prescribed after other kinds of erectile dysfunction treatments have proven ineffective.

Risks of Alprostadil For Erectile Dysfunction

There are relatively few serious safety concerns with Alprostadil, though the treatment could worsen some kinds of blood pressure problems. The most common side effect is a painful burning sensation, which usually goes away fairly quickly but is understandably unpleasant.

Frequently Asked Questions

Are Viagra alternatives safe? What are the side effects?

The Viagra alternatives discussed above should be safe for most users — as long as you get them from a reputable source. There are lots of unethical or sloppy sellers in the market selling libido supplements tainted with things like pesticides or toxic metals. That’s why it’s so important to find companies with independently tested products. 

Even with pure supplements, side effects are possible for some individuals, ranging from mild issues like gastrointestinal discomfort to serious cardiovascular or liver problems. Natural remedies often have milder side effects than synthetic drugs, but this may not be the case for everyone. It’s always best to talk with a doctor before trying to improve your sexual potency through pills or supplements.

What can a man take naturally for erectile dysfunction?

We’ve discussed a few of the best-studied natural ED treatments above, but other possible natural aphrodisiacs include:

• Yohimbe, an African tree whose bark is often used to improve sexual function
• Tribulus Terrestris, a spiny Mediterranean plant thought to have libido-boosting effects
• Turmeric, a spice believed to have properties similar to Ginseng
• Muira Puama, a Brazilian herb reputed to help with sexual disorders
• Tongkat Ali, a root that may improve testosterone levels and ease anxiety

Evidence for these natural treatments is mixed, but some people report beneficial effects.

Does Cialis work better than Viagra?

Tadalafil (Cialis) and sildenafil (Viagra) have similar effectiveness at treating erectile dysfunction. Comparison studies suggest that many people prefer tadalafil, possibly because of its longer duration and faster action. Different individuals may respond differently to these prescriptions, though.

Try The Best Natural Alternative To Viagra

Looking for the best way to get started with male sexual enhancement? FOCL His Libido Starter Kit offers an effective and safe alternative to Viagra that will improve your health, focus, and passion both in and out of the bedroom. And our 60-day satisfaction guarantee means you’ll keep your money if you don’t get results. See our product page to learn more.