In the meta- analysis , tadalafil and sildenafil appeared to have similar efficacies and overall adverse event rates .
However , compared with sildenafil , tadalafil significantly improved psychological outcomes .
Furthermore , the patients and their partners preferred tadalafil over sildenafil , and no significant difference was found in the adherence and persistence rates between tadalafil and sildenafil .
Additionally , the myalgia and back pain rates were higher and the flushing rate was lower with tadalafil than with sildenafil .
Conclusion Tadalafil shares a similar efficacy and safety with sildenafil and significantly improves patients ’ sexual confidence .
Furthermore , patients and their partners prefer tadalafil to sildenafil .
Hence , tadalafil may be a better choice for ED treatment
Aims Erectile dysfunction ( ED ) is a major care problem worldwide .
Tadalafil and sildenafil are the two most common phosphodiesterase 5 inhibitors used to treat ED .
This systematic review and meta- analysis were conducted to directly compare tadalafil with sildenafil for the treatment of ED .
Psychosocial outcomes after initial treatment of erectile dysfunction with tadalafil once daily, tadalafil on demand or sildenafil citrate on demand: results from a randomized, open-label study
Initiation of ED treatment with a particular PDE5I may influence treatment-adherence and other outcomes . In this multicenter , open-label study , men with ED , naïve to PDE5I , were r and omized to tadalafil 5 mg once-a-day ( OaD ; N=257 ) , 10 mg on dem and ( PRN ; N=252 ) or sildenafil-citrate ( sildenafil ) 50 mg PRN ( N=261 ) for 8 weeks ( dose adjustments allowed ) , followed by 16 weeks of pragmatic treatment ( switching between PDE5I allowed ) . Primary outcomes ( treatment-adherence ) were reported previously . Here , we report effects on : Psychological and Interpersonal Relationship Scales , Self-Esteem and Relationship ( SEAR ) question naire , ED Inventory of Treatment Satisfaction ( EDITS ) , International Index of Erectile Function ( IIEF ) , Sexual Encounter Profile ( SEP ) and Global Assessment Questions ( GAQ ) . Mixed-model for repeated measures and analysis of covariance were used to analyze changes from baseline ; GAQ-responses were evaluated by logistic regression . Analyses were adjusted for treatment , country , ED-severity , baseline and baseline-by-treatment interaction . Patients r and omized to tadalafil OaD or PRN reported greater improvement ( least-square mean ( s.e . ) change ) in Sexual Self-Confidence ( OaD + 0.90 ( 0.048 ) , PRN + 0.93 ( 0.050 ) , vs + 0.73 ( 0.049 ) ; P=0.006 and P=0.001 ) and Spontaneity ( OaD + 0.11 ( 0.035 ) , PRN + 0.13 ( 0.035 ) , vs + 0.02 ( 0.035 ) ; P=0.044 and P=0.010 ) compared with sildenafil . Improvements in GAQ and SEP responses , IIEF-EF , orgasmic function , sexual desire , overall satisfaction domains , SEAR and EDITS scores did not differ significantly between treatment groups
In the meta- analysis , tadalafil and sildenafil appeared to have similar efficacies and overall adverse event rates .
However , compared with sildenafil , tadalafil significantly improved psychological outcomes .
Furthermore , the patients and their partners preferred tadalafil over sildenafil , and no significant difference was found in the adherence and persistence rates between tadalafil and sildenafil .
Additionally , the myalgia and back pain rates were higher and the flushing rate was lower with tadalafil than with sildenafil .
Conclusion Tadalafil shares a similar efficacy and safety with sildenafil and significantly improves patients ’ sexual confidence .
Furthermore , patients and their partners prefer tadalafil to sildenafil .
Hence , tadalafil may be a better choice for ED treatment
Aims Erectile dysfunction ( ED ) is a major care problem worldwide .
Tadalafil and sildenafil are the two most common phosphodiesterase 5 inhibitors used to treat ED .
This systematic review and meta- analysis were conducted to directly compare tadalafil with sildenafil for the treatment of ED .