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Get generic for Viagra shipped right to your door
The internet doesn’t take days off when it comes to marketing the best new things for your penis. But the truth is that many herbal supplements and other “natural remedies for ED” aren’t exactly the safest substances to put in your body.
Nizagara is a sildenafil citrate supplement sold in India but not the United States. It touts the active ingredient in Viagra® (sildenafil), but that doesn’t mean it’s as safe, effective, or legal.
Some ED supplements may increase blood flow to your equipment but can also put you at higher risk of allergic reactions and serious side effects — including for things like chest pain and a heart attack. Nizagara certainly makes this list.
Below, we’ll cover what it is, how it compares to other medications for ED, and what experts recommend about whether to take or avoid Nizagara.
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Nizagara is a tricky medication to track down facts about. According to various online listings, it calls itself a Viagra supplement and is available in several doses.
Nizagara 100 mg is a 100-milligram dose of the medication, sold as a tablet.
In addition to the active ingredient sildenafil, Nizagara contains various vitamins and nutrients like:
L-arginine
Redberry
Vitamin B6
Vitamin B12
Folic acid
However, it’s hard to confirm the exact ingredients since it’s not an FDA-approved medication.
While Nizagara can’t make any real medical claims, manufacturers suggest these ingredients can work together to improve sexual activity, help you achieve erections, and have enjoyable sexual intercourse — often for less than the cost of actual Viagra.
Despite these claims, there’s zero research to support the safety or effectiveness of Nizagara.
We know that the active ingredient in Nizagara is effective and many of its ingredients might have health benefits — including some adjacent to your sexual health.
But while you technically get the active ingredient in Viagra plus a multivitamin for less than the price of Viagra, there’s a catch.
Nizagara’s claims are thoroughly unfounded, unproven, and unsubstantiated. The studies and data supporting the medication are really evidence from studies of its ingredients — not independent reviews of Nizagara itself. That means we don’t know how these ingredients interact or if they have different side effects when used together.
In the United States, ED medications approved by the Food and Drug Administration (FDA) must undergo strict testing, have their dosages carefully maintained and meet rigorous quality and safety standards.
On the other hand, supplements are generally not held to the same level of standards — and that’s the category that Nizagara falls into.
Furthermore, it can be hard to navigate all the supplement options because there are so many names for just a few ingredients.
You may have heard of bestsellers like:
Cenforce Soft
Cenforce-D
Fildena
Kamagra Effervescent
Kamagra Gold
Kamagra Oral Jelly
Malegra
Suhagra
Super P-Force Oral Jelly
Silagra
Vidalista
Tadora
Kamagra Polo
Like Nizagara, these are all unregulated and potentially very risky.
There’s a big difference between taking a 100 milligram tablet of Viagra and a 100 mg tablet of Nizagara — starting with the fact that you may not get exactly 100 milligrams of an active ingredient in the Nizagara tablet.
When you combine that with the potential for other ingredients to magnify or interfere with a sildenafil dosage, you get into some really dangerous territory.
Let’s assume for a moment that Nizagara does indeed contain a precise dose of sildenafil. If that’s the case, there’s already the risk of side effects like:
Low blood pressure
Irregular heartbeat
Lightheadedness
Indigestion
Stuffy nose
Increased risk of impairment from alcohol
Loss of vision is a severe and rare side effect of sildenafil. Those with retinitis pigmentosa (a genetic disease that causes vision loss) shouldn’t take sildenafil, as it can worsen existing retinal damage.
Heart failure is also a significant risk for people taking sildenafil who have existing cardiovascular disease.
Likewise, it could make for serious dangers if you take other medications. Drug interactions between sildenafil and other medications for ED and high blood pressure can increase your risk of heart failure and other side effects.
You’d be very smart not to use Nizagara, but if you do, avoid mixing it with:
Nitrates
Alpha-blockers
Alcohol
Other ED meds
Medications for angina and arterial hypertension
You’re also wise to talk with a healthcare professional before using Nizagara if you have high blood pressure, Peyronie’s disease, or any other medical conditions affecting your heart or penis.
But all these warnings are based on the assumption that what’s in the pill is what the makers say it is — and for Nizagara, this hasn’t been vetted by anyone we trust to give medical advice.
The only places you can find Nizagara info are the same places trying to sell it to you. Those websites feature 2006-style web designs and are laden with typos, without a single word from a trusted medical organization.
Taking Nizagara isn’t substantially different from taking other unvetted products like “natural Viagra” or “herbal Viagra” in terms of risks.
At best, Nizagara is a Viagra pill with vitamins. But without someone overseeing its production, it’s just a game of Russian roulette, pill by pill.
Sildenafil is both the active ingredient in and the generic version of Viagra. It’s a phosphodiesterase type 5 inhibitor (PDE5 inhibitor), which is a type of drug that keeps you hard by keeping the blood vessels in your penis dilated and your corpora cavernosa engorged long enough for penetration.
When it’s FDA-approved and manufactured appropriately, sildenafil is considered an effective and safe ED medication.
We realize some people look for alternatives due to cost. Luckily, generics for popular ED medications are available, including:
Sildenafil (generic Viagra)
Avanafil (generic Stendra®)
Each of these medications works slightly differently. They have potential side effects similar to those listed above for sildenafil but with a lower risk of danger from poor manufacturing quality or contraindications from unlisted ingredients than Nizagara.
Curious which one is best for your needs? See our erectile dysfunction guide and guide to erectile dysfunction treatments to compare options. And check out our chewable ED hard mints if you’re not into swallowing pills.
Talking to a healthcare provider about sexual function problems can be embarrassing, leading many men to unproven internet pills as a possible solution. But you shouldn’t avoid professional help, and you shouldn’t ignore your ED either.
For what it’s worth, ED is more common than you may think — an estimated 30 to 50 million men nationwide have erectile dysfunction.
So before you click “Buy now,” keep these things in mind about Nizagara:
Alternative ED medications from the internet, gas stations, or supplement stores labeled as over-the-counter “Viagra” aren’t always safe.
Nizagara might seem like a vitamin-rich version of Viagra, but there’s no research to back its claims — or even to convince us it’s safe.
Viagra is safe, but pills won’t always correct the problem. Stress, anxiety, or underlying depression can cause ED, as can issues with sexual stimulation.
A healthcare provider can identify the cause of your erectile dysfunction and help you find the right treatments.
Talk to a provider who can treat both the symptoms and the underlying cause. This may save you from blood pressure or nutritional problems that could have far wider and more damaging impacts.
Erectile dysfunction can be scary, and due to the stigma, almost nobody wants to talk about having stamina or performance problems. But getting the problem solved is the only solution.
If you’re new to ED treatments, our guide on tadalafil (Cialis) versus sildenafil (Viagra) can help you compare medications. And if you need more info, sexual health resources are available online from Hims.
Hims & Hers has strict sourcing guidelines to ensure our content is accurate and current. We rely on peer-reviewed studies, academic research institutions, and medical associations. We strive to use primary sources and refrain from using tertiary references. See a mistake? Let us know at [email protected]!
Dr. Kelly Brown is a board certified Urologist and fellowship trained in Andrology. She is an accomplished men’s health expert with a robust background in healthcare innovation, clinical medicine, and academic research. Dr. Brown was previously Medical Director of a male fertility startup where she lead strategy and design of their digital health platform, an innovative education and telehealth model for delivering expert male fertility care.
She completed her undergraduate studies at University of North Carolina at Chapel Hill (go Heels!) with a Bachelor of Science in Radiologic Science and a Minor in Chemistry. She took a position at University of California Los Angeles as a radiologic technologist in the department of Interventional Cardiology, further solidifying her passion for medicine. She also pursued the unique opportunity to lead departmental design and operational development at the Ronald Reagan UCLA Medical Center, sparking her passion for the business of healthcare.
Dr. Brown then went on to obtain her doctorate in medicine from the prestigious Northwestern University - Feinberg School of Medicine and Masters in Business Administration from Northwestern University - Kellogg School of Management, with a concentration in Healthcare Management. During her surgical residency in Urology at University of California San Francisco, she utilized her research year to focus on innovations in telemedicine and then served as chief resident with significant contributions to clinical quality improvement. Dr. Brown then completed her Andrology Fellowship at Medical College of Wisconsin, furthering her expertise in male fertility, microsurgery, and sexual function.
Her dedication to caring for patients with compassion, understanding, as well as a unique ability to make guys instantly comfortable discussing anything from sex to sperm makes her a renowned clinician. In addition, her passion for innovation in healthcare combined with her business acumen makes her a formidable leader in the field of men’s health.
Dr. Brown is an avid adventurer; summiting Mount Kilimanjaro in Tanzania (twice!) and hiking the incredible Torres del Paine Trek in Patagonia, Chile. She deeply appreciates new challenges and diverse cultures on her travels. She lives in Denver with her husband, two children, and beloved Bernese Mountain Dog. You can find Dr. Brown on LinkedIn for more information.
Education & Training
Andrology Fellowship, Medical College of Wisconsin
Urology Residency, University of California San Francisco
M.D. Northwestern University Feinberg School of MedicineB.S. in Radiologic Science, Chemistry Minor, University of North Carolina at Chapel Hill
Published as Kelly Walker
Cowan, B, Walker, K., Rodgers, K., Agyemang, J. (2023). Hormonal Management Improves Semen Analysis Parameters in Men with Abnormal Concentration, Motility, and/or Morphology. Fertility and Sterility, Volume 118, Issue 5, e4. https://www.sciencedirect.com/journal/fertility-and-sterility/vol/120/issue/1/suppl/S
Walker, K., Gogoj, A., Honig, S., Sandlow, J. (2021). What’s New in Male Contraception? AUA Update Series, Volume 40. https://auau.auanet.org/content/update-series-2021-lesson-27-what%E2%80%99s-new-male-contraception
Walker, K., Shindel, A. (2019). AUA Erectile Dysfunction Guideline. AUA Update Series, Volume 38. https://auau.auanet.org/content/course-307
Walker, K., Ramstein, J., & Smith, J. (2019). Regret Regarding Fertility Preservation Decisions Among Male Cancer Patients. The Journal of Urology, 201(Supplement 4), e680-e681. https://www.auajournals.org/doi/10.1097/01.JU.0000556300.18991.8e
Walker, K., & Smith, J. (2019). Feasibility Study of Video Telehealth Clinic Visits in Urology. The Journal of Urology, 201(Supplement 4), e545-e545. https://www.auajournals.org/doi/10.1097/01.JU.0000556071.60611.37