Its effects might last longer if you have mild to moderate ED. They’re often the first line of treatment for trouble getting or keeping an erection, called erectile dysfunction ED. This boosts blood flow and helps you get an erection from sexual activity. The Food and Drug Administration just granted over-the-counter sale marketing authorization for MED, a topical gel created to treat erectile dysfunction ED. There were some reports of headaches and nausea, however. Some examples of nitrates are nitroglycerin Nitro-Dur, Nitrostat, others , isosorbide mononitrate Monoket and isosorbide dinitrate Bidil. They include dutasteride Avodart, Jalyn and finasteride Propecia, Proscar.Yes, penile pumps (also known as ED pumps) are over-the-counter devices that work to treat erectile dysfunction (ED), similar to Viagra. Viagra (sildenafil) is usually the first . Key takeaways: Muse, Caverject, and Trimix can be good substitutes for Viagra (sildenafil). But they require insertion or injection into the penis. There’s some evidence that L . Here are five things to know about the new topical gel and how it can help if you’re struggling to get an erection: 1. It Targets the Problem and Works Quickly. Being a .