Steven A. Kaplan, MD, shares initial data on sildenafil oral spray vs tablets

It is available in tablet form and is effective in more than 80% of people who take it. Cialis is also available as generic tadalafil. Spedra (avanafil) is a fast-acting erectile dysfunction tablet that gets to work in just 15 to 30 minutes.

How do I take Hezkue?

The medication is currently in the testing phase, focusing on its food effects, absorption rate and overall efficacy. Kaplan and his team aim to receive US Food and Drug Administration (FDA) approval in the US by 2025. This innovation is not just about creating new drugs, he said, but also repurposing existing medications with better delivery methods to enhance patient outcomes. The integration of new technology, such as a discrete and convenient delivery device, is also seen as a major advancement in ED treatment. Overall, he emphasized that innovation in medical treatments continues to evolve, providing hope and better health outcomes for patients struggling with ED.

Incidence not known

The spray is a liquid suspension of sildenafil citrate administered orally via a spray pump. The German Federal Institute for Drugs and Medical Devices has granted regulatory approval to market Sildenafil oral spray (trade name, Hezkue) for erectile dysfunction (ED) in Germany. The spray was also recently approved for marketability in Ireland and the Netherlands, according to a news release from Aspargo Laboratories, the developer of the treatment.1 The German market is the largest in the EU, and the aggregate erectile dysfunction market for Germany, Ireland, and the Netherlands exceeds $175 million. “These product approvals reflect Aspargo’s commitment to quickly expand its global platform to the EU during 2023. The Marketing Authorizations are an important achievement. The effectiveness of the different Spedra doses is as follows: Vardenafil is a generic ED medication that is similar to sildenafil and is 80% effective. Vardenafil is more potent than Viagra, lasts longer, and is suitable for people with diabetes. Not all ED treatments require a prescription. Here are some of the options available over the counter or without a prescription: Viagra Connect – A non-prescription version of Viagra that contains 50mg of sildenafil. Superdrug sildenafil – A generic version of Viagra Connect that’s cheaper, but just as effective. Cialis Together – An over-the-counter version of Cialis that contains 10mg of tadalafil, which improves erections in 81% of people and can last for up to 36 hours. Eroxon gel – A topical gel that’s applied directly to the head of the penis to stimulate the nerve endings, resulting in an erection. It does not contain an active ingredient, so it has few side effects and helps 60% of people get an erection within 10 minutes.

Product	Dosage	Quantity + Bonus	Price
Viagra Generic	100mg	270 + 10 Pills	270.47€ 257.59€	Buy
Kamagra Polo	100mg	120 + 6 Pills	327.15€ 311.57€	Buy
Viagra Generic	25mg	90 + 6 Pills	105.03€ 100.03€	Buy
Kamagra Oral Jelly	100mg	110 + 9 Sachets	334.87€ 318.92€	Buy
Kamagra Oral Jelly	100mg	90 + 8 Sachets	303.56€ 289.10€	Buy
Viagra Generic	50mg	120 + 6 Pills	129.64€ 123.47€	Buy
Viagra Generic	50mg	10 Pills	26.87€ 25.59€	Buy
Kamagra Oral Jelly	100mg	10 Sachets	54.55€ 51.95€	Buy
Kamagra Soft Tabs	100mg	12 Pills	57.55€ 54.81€	Buy
Viagra Generic	150mg	60 + 4 Pills	111.25€ 105.95€	Buy

Penis pump – A manually operated device that can increase blood flow to the penis to help you get and maintain an erection. A penis pump does not contain any medication, so it may be a suitable alternative if you would prefer not to take drugs to treat erectile dysfunction.

Storage Condition	Temperature Range	Protection Required	Shelf Life
Room Temperature	20-25°C	Keep away from heat and moisture	2 years
Refrigeration Recommended	2-8°C	Avoid freezing	N/A
Exposure to sunlight	No direct sunlight	Store in a dark place	N/A

Although drinking a small amount of alcohol is generally considered safe while taking Hezkue, it is not recommended because it can reduce its effectiveness and make erectile dysfunction worse. Alcohol may also enhance the side effects of Hezkue spray, such as feeling sick or lightheadedness. No, you must not use Hezkue with any other erectile dysfunction medications, as this can increase the chance of side effects.

Care Instructions

They validate Aspargo’s international regulatory strategy and confirm that Aspargo meets the highest standards required to ensure the safe distribution of sildenafil spray,” said Michael Demurjian, Chairman and Chief Executive Officer of Aspargo. Hezkue 12.5mg per actuation, oral suspension was developed by the specialty pharmaceutical group Aspargo Laboratories Inc. in partnership with their commercialization consultant, Syneos Health. The 2 groups held focus groups and conducted surveys with physicians, pharmacists, and patients throughout the development process. Aspargo uses a metered-dose pump so that it can deliver the precise, customized dose per push based on the needs of the patient.

Highest Development Phases

According to Aspargo, Sildenafil spray is also discreet, easy to carry, and allows patients to avoid crushing or splitting pills with the traditional tablet medications currently available for ED. Aspargo Laboratories is currently seeking FDA approval to market Sildenafil spray in the United States. Aspargo receives regulatory approval to market sildenafil spray in Germany, Ireland, and the Netherlands. Conventional treatments for erectile dysfunction (ED) require planning and may cause timing anxiety with delayed onset of action.1 Hezkue®, a sildenafil suspension, is the first phosphodiesterase type 5 (PDE-5) inhibitor suspension spray for ED that offers flexible dose adjustment based on individual patient needs.2 The below is a MIMS summary of the Hezkue® product characteristics. Please sildenafil chewable tablets refer to the full Summary of Product Characteristics (SPC) before prescribing. If you do not think that Hezkue is working for you, contact your doctor for advice, as they may recommend an alternative ED treatment. There are no special storage instructions for Hezkue, but it must be kept out of sight and reach of children and pets. Do not use the Hezkue spray after the expiry date. Once you sildenafil oral jelly 100mg lovegra have opened the bottle, it must be used within 10 months. Hezkue has a mint flavour which helps to cover up the naturally bitter taste of sildenafil. Comparison of clinical trials with sildenafil, vardenafil and tadalafil in erectile dysfunction, PubMed [accessed 16 August 2025] Efficacy and Treatment Satisfaction with On-Demand Tadalafil (Cialis®) in Men with Erectile Dysfunction, European Urology [accessed 16 August 2025] Efficacy of Sildenafil oral spray for the treatment of erectile dysfunction in patients with type 2 diabetes mellitus and prediabetes, PubMed [accessed 15 August 2025] Hezkue Sildenafil Suspension, Aspargo Labs [accessed 15 August 2025] PD52-07 EFFICACY AND SAFETY OF MED3000, A NOVEL TOPICAL THERAPY FOR THE TREATMENT OF ERECTILE DYSFUNCTION, The Journal of Urology [accessed 16 August 2025] Sildenafil 50 mg film-coated tablets, emc [accessed 15 August 2025] Spedra 200 mg tablets, emc [accessed 16 August 2025] Who can and cannot take sildenafil, NHS [accessed 16 August 2025] A new sildenafil oral spray, ASP-001, currently under investigation, shows promise in treating erectile dysfunction. In an interview with The Educated Patient, Steven Kaplan, MD, discussed an investigative sildenafil oral spray, ASP-001, that is currently in development for the treatment of erectile dysfunction (ED). Results of a phase 1 study published in the International Journal of Science and Research, revealed the spray achieves absorption beginning at five minutes, which is twice as fast as traditional sildenafil tablets.

Side effects of Silfin Liquid

● Hezkue® is the first PDE-5 inhibitor suspension spray for erectile dysfunction that offers flexible dose adjustment based on individual patient needs.2 Hezkue® uses a suspension technology that provides fast absorption starting within 5 minutes.2–4● A prospective open-label, single-centre, two-way crossover study evaluated the pharmacokinetics, safety and tolerability of 100mg of sildenafil oromucosal spray (8 pumps) and 100mg sildenafil (Viagra®) tablets in 52 fasted healthy male volunteers.3 ● Initial absorption of sildenafil oromucosal spray was observed within 5 minutes of administration, while sildenafil tablets showed no absorption at that time. The absorption rate (Cmax/time of the maximum plasma concentration [Tmax]) of the oromucosal spray was statistically significantly faster than sildenafil tablets at 5–20 minutes and twice as fast as that of sildenafil tablets 20 minutes after administration (16.00ng/ml/min versus 7.84ng/ml/min, p<0.01). Kaplan, the chief medical officer at Aspargo Labs, director of the Men’s Wellness Program at the Mount Sinai Health System and professor at the Icahn School of Medicine at Mount Sinai, reflected on the challenges of prescribing ED medications due to issues with convenience and food effects, which can reduce spontaneity and efficacy. Many patients, he explained, are unaware that taking these medications with food can reduce their effectiveness, leading to frustration and treatment failure. The goal, therefore, is to create a more convenient, rapid-acting ED medication without food interference. The introduction of a new delivery system shows promise in overcoming these challenges. This faster absorption could reduce the sildenafil oral strips necessary dosage and side effects while improving overall efficacy. The hope is that faster absorption will lead to quicker results, helping patients avoid more invasive treatments like penile injections or surgeries. The medication is currently in the testing phase, focusing on its food effects, absorption rate and overall efficacy. Kaplan and his team aim to receive US Food and Drug Administration (FDA) approval in the US by 2025. This innovation is not just about creating new drugs, he said, but also repurposing existing medications with better delivery methods to enhance patient outcomes. The integration of new technology, such as a discrete and convenient delivery device, is also seen as a major advancement in ED treatment. Overall, he emphasized that innovation in medical treatments continues to evolve, providing hope and better health outcomes for patients struggling with ED.

Top 3 Sprays for Erectile Dysfunction

It does not contain an active ingredient, so it has few side effects and helps 60% of people get an erection within 10 minutes. Penis pump – A manually operated device that can increase blood flow to the penis to help you get and maintain an erection. A penis pump does not contain any medication, so it may be a suitable alternative if you would prefer not to take drugs to treat erectile dysfunction. Although drinking a small amount of alcohol is generally considered safe while taking Hezkue, it is not recommended because it can reduce its effectiveness and make erectile dysfunction worse. Alcohol may also enhance the side effects of Hezkue spray, such as feeling sick or lightheadedness.

Sprays vs. Pills

No, you must not use Hezkue with any other erectile dysfunction medications, as this can increase the chance of side effects. If you do not think that Hezkue is working for you, contact your doctor for advice, as they may recommend an alternative ED treatment. There are no special storage instructions for Hezkue, but it must be kept out of sight and reach of children and pets. Do not use the Hezkue spray after the expiry date. Once you sildenafil oral jelly 100mg lovegra have opened the bottle, it must be used within 10 months. The spray is a liquid suspension of sildenafil citrate administered orally via a spray pump. The German Federal Institute for Drugs and Medical Devices has granted regulatory approval to market Sildenafil oral spray (trade name, Hezkue) for erectile dysfunction (ED) in Germany. The spray was also recently approved for marketability in Ireland and the Netherlands, according to a news release from Aspargo Laboratories, the developer of the treatment.1 The German market is the largest in the EU, and the aggregate erectile dysfunction market for Germany, Ireland, and the Netherlands exceeds $175 million. “These product approvals reflect Aspargo’s commitment to quickly expand its global platform to the EU during 2023. The Marketing Authorizations are an important achievement. They validate Aspargo’s international regulatory strategy and confirm that Aspargo meets the highest standards required to ensure the safe distribution of sildenafil spray,” said Michael Demurjian, Chairman and Chief Executive Officer of Aspargo. Hezkue 12.5mg per actuation, oral suspension was developed by the specialty pharmaceutical group Aspargo Laboratories Inc. in partnership with their commercialization consultant, Syneos Health. The 2 groups held focus groups and conducted surveys with physicians, pharmacists, and patients throughout the development process. Aspargo uses a metered-dose pump so that it can deliver the precise, customized dose per push based on the needs of the patient.

17. Patient Counseling Information

It is available in tablet form and is effective in more than 80% of people who take it. Cialis is also available as generic tadalafil. Spedra (avanafil) is a fast-acting erectile dysfunction tablet that gets to work in just 15 to 30 minutes. The effectiveness of the different Spedra doses is as follows: Vardenafil is a generic ED medication that is similar to sildenafil and is 80% effective. Vardenafil is more potent than Viagra, lasts longer, and is suitable for people with diabetes.

Is Silfin Oral Spray safe if I have kidney problems?

Not all ED treatments require a prescription. Here are some of the options available over the counter or without a prescription: Viagra Connect – A non-prescription version of Viagra that contains 50mg of sildenafil. Superdrug sildenafil – A generic version of Viagra Connect that’s cheaper, but just as effective. Cialis Together – An over-the-counter version of Cialis that contains 10mg of tadalafil, which improves erections in 81% of people and can last for up to 36 hours. Eroxon gel – A topical gel that’s applied directly to the head of the penis to stimulate the nerve endings, resulting in an erection. According to Aspargo, Sildenafil spray is also discreet, easy to carry, and allows patients to avoid crushing or splitting pills with the traditional tablet medications currently available for ED. Aspargo Laboratories is currently seeking FDA approval to market Sildenafil spray in the United States. Aspargo receives regulatory approval to market sildenafil spray in Germany, Ireland, and the Netherlands.

• Sildenafil spray is a topical form used for erectile dysfunction treatment.
• It offers quick absorption due to its spray formulation.
• Typically, sildenafil spray acts faster than oral tablets.
• The spray is applied under the tongue for rapid effect.
• Dosage varies depending on individual health and response.
• It is important to follow prescribed instructions for safety.
• Sildenafil spray may cause side effects like headache or flushing.
• It should not be used with nitrates or certain medications.
• Long-term safety data on sildenafil spray is limited.
• It is prescribed by a healthcare professional.
• Always store sildenafil spray in a cool, dry place.

Conventional treatments for erectile dysfunction (ED) require planning and may cause timing anxiety with delayed onset of action.1 Hezkue®, a sildenafil suspension, is the first phosphodiesterase type 5 (PDE-5) inhibitor suspension spray for ED that offers flexible dose adjustment based on individual patient needs.2 The below is a MIMS summary of the Hezkue® product characteristics. Please sildenafil chewable tablets refer to the full Summary of Product Characteristics (SPC) before prescribing. INDICATIONAdult men with erectile dysfunction, which is the inability to achieve or maintain a penile erection sufficient for satisfactory sexual performance. In order for Hezkue to be effective, sexual stimulation is required.

UK Availability and How to Obtain Hezkue Spray

Hezkue has a mint flavour which helps to cover up the naturally bitter taste of sildenafil. Comparison of clinical trials with sildenafil, vardenafil and tadalafil in erectile dysfunction, PubMed [accessed 16 August 2025] Efficacy and Treatment Satisfaction with On-Demand Tadalafil (Cialis®) in Men with Erectile Dysfunction, European Urology [accessed 16 August 2025] Efficacy of Sildenafil oral spray for the treatment of erectile dysfunction in patients with type 2 diabetes mellitus and prediabetes, PubMed [accessed 15 August 2025] Hezkue Sildenafil Suspension, Aspargo Labs [accessed 15 August 2025] PD52-07 EFFICACY AND SAFETY OF MED3000, A NOVEL TOPICAL THERAPY FOR THE TREATMENT OF ERECTILE DYSFUNCTION, The Journal of Urology [accessed 16 August 2025] Sildenafil 50 mg film-coated tablets, emc [accessed 15 August 2025] Spedra 200 mg tablets, emc [accessed 16 August 2025] Who can and cannot take sildenafil, NHS [accessed 16 August 2025] A new sildenafil oral spray, ASP-001, currently under investigation, shows promise in treating erectile dysfunction. In an interview with The Educated Patient, Steven Kaplan, MD, discussed an investigative sildenafil oral spray, ASP-001, that is currently in development for the treatment of erectile dysfunction (ED). Results of a phase 1 study published in the International Journal of Science and Research, revealed the spray achieves absorption beginning at five minutes, which is twice as fast as traditional sildenafil tablets. Kaplan, the chief medical officer at Aspargo Labs, director of the Men’s Wellness Program at the Mount Sinai Health System and professor at the Icahn School of Medicine at Mount Sinai, reflected on the challenges of prescribing ED medications due to issues with convenience and food effects, which can reduce spontaneity and efficacy.

Missed Dose

Many patients, he explained, are unaware that taking these medications with food can reduce their effectiveness, leading to frustration and treatment failure. The goal, therefore, is to create a more convenient, rapid-acting ED medication without food interference. The introduction of a new delivery system shows promise in overcoming these challenges. This faster absorption could reduce the sildenafil oral strips necessary dosage and side effects while improving overall efficacy. The hope is that faster absorption will lead to quicker results, helping patients avoid more invasive treatments like penile injections or surgeries. DOSAGEAdult: Recommended dose is 50mg (4 actuations) orally approx 1 hr before sexual activity.

• Sildenafil spray can enhance male sexual performance.
• It is often used when oral pills are not suitable.
• The spray allows for targeted delivery to the bloodstream.
• Rapid onset makes it suitable for spontaneous encounters.
• Use the spray exactly as directed by the healthcare professional.
• There is a risk of priapism with overuse.
• The spray may cause minor irritation at the application site.
• It is advisable to have medical supervision during use.
• The spray’s effectiveness depends on individual health.
• It is recommended to avoid alcohol for better results.
• Regular follow-up visits ensure safe use over time.

This may be decreased to 25mg (2 actuations) or increased to 100mg (8 actuations) as needed; max 100mg once daily. CONTRAINDICATIONSHypersensitivity to the active substance or excipients.

6. Adverse Reactions/Side Effects

INDICATIONAdult men with erectile dysfunction, which is the inability to achieve or maintain a penile erection sufficient for satisfactory sexual performance. In order for Hezkue to be effective, sexual stimulation is required. DOSAGEAdult: Recommended dose is 50mg (4 actuations) orally approx 1 hr before sexual activity. This may be decreased to 25mg (2 actuations) or increased to 100mg (8 actuations) as needed; max 100mg once daily. CONTRAINDICATIONSHypersensitivity to the active substance or excipients.

In Treatment of Erectile dysfunction

Cardiac conditions where sexual activity is inadvisable, non-arteritic anterior ischaemic optic neuropathy, severe hepatic impairment, hypotension, recent stroke or MI, hereditary degenerative retinal disorders. WARNINGSCardiovascular disease, left ventricular outflow obstruction, severe autonomic dysfunction, severe renal impairment (CrCl <30ml/min), mild to moderate hepatic impairment. Abnormal penile anatomy or predisposition to priapism (eg, sickle cell anaemia, multiple myeloma or leukaemia). Advise patients to report immediately any sudden changes in vision (and to discontinue treatment if occur) or erection lasting >4 hrs. Common: dizziness, visual colour distortions, visual disturbance, vision blurred, flushing, nasal congestion, nausea, dyspepsia. Cardiac conditions where sexual activity is inadvisable, non-arteritic anterior ischaemic optic neuropathy, severe hepatic impairment, hypotension, recent stroke or MI, hereditary degenerative retinal disorders. WARNINGSCardiovascular disease, left ventricular outflow obstruction, severe autonomic dysfunction, severe renal impairment (CrCl <30ml/min), mild to moderate hepatic impairment. Abnormal penile anatomy or predisposition to priapism (eg, sickle cell anaemia, multiple myeloma or leukaemia). Advise patients to report immediately any sudden changes in vision (and to discontinue treatment if occur) or erection lasting >4 hrs. Common: dizziness, visual colour distortions, visual disturbance, vision blurred, flushing, nasal congestion, nausea, dyspepsia. ● Hezkue® is the first PDE-5 inhibitor suspension spray for erectile dysfunction that offers flexible dose adjustment based on individual patient needs.2 Hezkue® uses a suspension technology that provides fast absorption starting within 5 minutes.2–4● A prospective open-label, single-centre, two-way crossover study evaluated the pharmacokinetics, safety and tolerability of 100mg of sildenafil oromucosal spray (8 pumps) and 100mg sildenafil (Viagra®) tablets in 52 fasted healthy male volunteers.3 ● Initial absorption of sildenafil oromucosal spray was observed within 5 minutes of administration, while sildenafil tablets showed no absorption at that time. The absorption rate (Cmax/time of the maximum plasma concentration [Tmax]) of the oromucosal spray was statistically significantly faster than sildenafil tablets at 5–20 minutes and twice as fast as that of sildenafil tablets 20 minutes after administration (16.00ng/ml/min versus 7.84ng/ml/min, p<0.01).