Erectile dysfunction in the Philippines: prices, medicines and how to get treated

Every cause of ED, mapped to the body.

24 causes and 15 treatments, sorted by where they act.

AllBrain and mindHormonesHeart and blood vesselsMetabolismNerves and spinePelvic floorMedicines and lifestyle

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Showing all 7 zones

Brain and mind

• causeStress and performance anxietyAdrenaline narrows blood vessels, so worry alone can stop an erection that would otherwise work.
• causeDepressionLow mood dampens desire and arousal, and some treatments for it affect erections too.
• causePorn and expectationsHeavy use can shift what arousal feels like with a real partner. Evidence is mixed.
• causeRelationship strainConflict, distance or pressure to perform make every other cause worse.
• treatmentTalking therapySex therapy and CBT help when anxiety keeps the cycle going, alone or with medicine.
• treatmentA short course of medicineA doctor may prescribe a PDE5 inhibitor for a while to break the anxiety cycle.

Hormones

• causeLow testosteroneLow T mainly lowers desire. It is a less common sole cause of ED than blood vessel problems.
• causeThyroid problemsBoth an overactive and an underactive thyroid are linked to erectile problems.
• causeHigh prolactinA raised prolactin level, sometimes from a small pituitary growth, can lower desire and erections.
• treatmentA blood test firstMorning testosterone, thyroid and sugar tests rule hormones in or out before treatment.
• treatmentTestosterone treatmentOnly for confirmed low T, under a doctor. Our sister site covers TRT in the Philippines.

Heart and blood vessels

• causeHigh blood pressureYears of high pressure stiffen the small arteries that fill the penis.
• causeCholesterol and narrowed arteriesAtherosclerosis shows up first in the smallest vessels, often years before the heart.
• causeSmoking and vapingNicotine constricts blood vessels and damages their lining over time.
• causeAn early warning signED can appear three to five years before a heart attack or stroke. Get your heart checked.
• treatmentPDE5 inhibitorsSildenafil (Viagra) and tadalafil (Cialis) help blood vessels relax and fill. Prescription only.
• treatmentShockwave therapyLow-intensity shockwaves are offered in some Manila clinics. Evidence is still building.

Metabolism

• causeDiabetesHigh blood sugar damages vessels and nerves. Men with diabetes get ED earlier and more often.
• causeObesity and waistlineBelly fat lowers testosterone and raises inflammation that harms blood vessels.
• causeFatty liverOften travels with diabetes and high cholesterol, and shares their effect on erections.
• treatmentWeight, exercise and sugar controlLosing weight and exercising improves erections in a large share of men with metabolic ED.
• treatmentDaily tadalafilA low daily dose is one option a doctor may consider. Monthly peso costs compared.

Nerves and spine

• causeDiabetic nerve damageNerves that start an erection can be damaged by years of high blood sugar.
• causeSpinal injuryInjury to the lower spine can interrupt the signals between brain and pelvis.
• causeProstate surgerySurgery for prostate cancer can affect the nerves beside the prostate.
• treatmentA urologist's assessmentNerve-related ED needs specialist tests and a tailored plan.
• treatmentInjections and devicesWhen tablets are not enough, injections or vacuum devices can work. A urologist decides.

Pelvic floor

• causeWeak pelvic musclesThese muscles help keep blood in the penis. Weakness can make erections fade sooner.
• causeTense pelvic musclesMuscles that are always clenched can cause pain and rushed climax.
• causePremature ejaculationThe most common sexual problem in men, and often found together with ED.
• treatmentPelvic floor trainingKegel exercises, done properly for three months, help both ED and PE in trials.
• treatmentDapoxetine (Priligy)A prescription medicine made for premature ejaculation.
• treatmentNumbing sprays and wipesTopical anaesthetics reduce sensitivity. What is registered in the Philippines.

Medicines and lifestyle

• causeBlood pressure medicinesSome older types can affect erections. Never stop one yourself: ask about a switch.
• causeAntidepressantsSSRIs commonly delay climax and can lower desire and firmness.
• causeAlcoholA drink or two is fine for most; heavy drinking blunts erections, short and long term.
• causePoor sleep and night shiftsBPO night work and short sleep lower testosterone and energy.
• treatmentA medication reviewA doctor can check whether any of your current medicines are part of the problem.
• treatmentAvoiding fake pillsUnregistered and herbal ED products sold online can contain hidden drugs.

Where should you start?

Most men arrive here with one of three questions: what is causing this, what will it cost, and how do I see a doctor without it becoming awkward. This site answers all three, with Philippine prices that are sourced and dated, a plain explanation of the prescription rules, and guides in English and Taglish.

• PricesED medicine prices in the PhilippinesEvery verified sildenafil and tadalafil price in the Philippines, per tablet, from Watsons, TGP, Southstar, Rose and more. Sourced and dated.
• BrandsED medicine brands in the PhilippinesEvery sildenafil and tadalafil brand on Philippine pharmacy shelves, from Viagra and Cialis to Spiagra, Torfil and Zilden, and how to check FDA registration.
• MedicinesED medicines in the PhilippinesSildenafil, tadalafil, vardenafil and dapoxetine in the Philippines: how each works, which brands pharmacies stock, prices and how to get a prescription.
• Getting treatedGetting treated for ED in the PhilippinesYour routes to ED care in the Philippines: GP, urologist, telehealth or pharmacist. What a consult covers, what it costs and how your privacy is protected.
• The conditionErectile dysfunction: the condition explainedWhat erectile dysfunction is, why it happens, how common it is in the Philippines and what helps. A calm, sourced guide reviewed by a licensed doctor.
• Lasting longerLasting longer: premature ejaculation and pelvic healthA calm, sourced guide to premature ejaculation for men in the Philippines: what counts as PE, techniques, Kegels, dapoxetine and when to see a doctor.
• TagalogGabay sa ED at mabilis labasan, sa TagalogGabay sa Tagalog tungkol sa hindi tumitigas, mabilis labasan, pampatigas at gamot sa ED sa Pilipinas. Diretso, pribado, at sinuri ng doktor.
• ExpatsED treatment in the Philippines for expats and visitorsSildenafil and tadalafil in the Philippines for expats: prescriptions, whether a home prescription works, bringing your own supply, and prices in dollars.
• ToolsFree toolsTwo free, private tools: a five-question ED self-check that stores nothing, and a calculator for what ED medicine costs per use and per month in pesos.

Lowest verified price per tablet

All prices and sources

• sildenafil 50 mg

  ₱49

  Erecto, TGP

  Up to ₱915 (Viagra)

• sildenafil 100 mg

  ₱51

  Spiagra, TGP

  Up to ₱1,168 (Viagra)

• tadalafil 20 mg

  ₱395

  Torfil, Watsons

  Up to ₱1,053.75 (Cialis)

• tadalafil 5 mg

  ₱277

  Cialis, Watsons

Prescription medicines. Prices are what each pharmacy listed on the day we checked.

How much is Viagra in the Philippines?

The originator sildenafil (Viagra) 50 mg tablet was listed at ₱915 at Watsons when we checked. Generic sildenafil at the same strength started at ₱49 (Erecto, TGP).

Every generic sold legally in the Philippines contains the same active ingredient and has to be registered with the FDA Philippines. The difference you pay is mostly brand, not medicine. Our price guide lists every verified price with its pharmacy, source and the date we checked it, and the sildenafil price page breaks it down by strength.

Do you need a prescription for ED medicine here?

Yes. Sildenafil and tadalafil are prescription medicines in the Philippines, and a pharmacist should ask for one. You can get a prescription from a GP, a urologist or a licensed doctor through an online consultation, which is often the most private route.

See is Viagra over the counter in the Philippines? for the rules, and how online ED consultations work for the providers and what they charge.

Is it ED, or just a bad week?

An off night now and then is normal and not a diagnosis. If erections have been a problem more often than not for a few months, our free self-check gives you a sense of where you stand in about two minutes, and it stores nothing.

Free toolFree ED self-checkFive questions, two minutes, nothing saved or sent.→

Why does a doctor's check matter?

The blood vessels that fill the penis are narrower than the ones that feed the heart, so they often show damage first. In many men, ED shows up years before a heart attack, a stroke or a diabetes diagnosis. A consultation is a chance to check blood pressure, blood sugar and cholesterol, not just to get a prescription.

For Filipino men the usual suspects are high blood pressure, diabetes, smoking, heavy drinking and years of short sleep, including BPO night shifts. Read what causes erectile dysfunction for the full list.

Mas komportable ka ba sa Tagalog?

Our Tagalog guides are written in everyday Taglish, not translated: pampatigas ng ari, mabilis labasan and hindi tumitigas.

Living in the Philippines as an expat?

If you are a retiree or long-stay resident, our expat guide answers the first questions in plain English: whether your home prescription works here, what you can bring in, and what treatment costs in dollars, pounds or euros.

Frequently asked questions

Can you get Viagra in the Philippines?+

Yes. Sildenafil, the medicine in Viagra, is sold at Philippine pharmacies under the Viagra brand and many cheaper generic brands, but it is a prescription medicine. You need a prescription from a licensed doctor, in person or through an online consultation.

What is the cheapest ED medicine in the Philippines?+

Generic sildenafil is the cheapest option we have verified. Prices per tablet vary more than tenfold between the originator brand and the lowest-priced generic at the same strength, so it is worth comparing before you fill a prescription.

Is erectile dysfunction serious?+

ED itself is common and treatable, but it can be an early sign of heart disease, high blood pressure or diabetes, sometimes years before other symptoms. That is why a doctor's check is worth it, not just a tablet.

Do you sell medicine?+

No. This site is an independent, educational guide. We do not sell medicine or take orders. Prices are what pharmacies listed on the date shown, and every medicine listed needs a prescription.