1. Tin can you get over-the-counter Viagra?
  2. What about other types of over-the-counter ED pills?
  3. Where to get Viagra safely and discreetly

If you lot have any medical questions or concerns, please talk to your healthcare provider. The articles on Wellness Guide are underpinned by peer-reviewed research and information drawn from medical societies and governmental agencies. However, they are not a substitute for professional person medical communication, diagnosis, or treatment.

Needing a little aid to get difficult isn't uncommon. One study estimated that nearly 20% of men over 20 in the The states feel erectile dysfunction (ED) at some signal in their lives, and that number mostly goes up with historic period (Selvin, 2007).

But, fifty-fifty though it'south so common, many men don't want to talk most it—fifty-fifty with their healthcare providers. In fact, 1 large report estimated that but 58% of men who experience ED seek help from a medical professional person for their condition (Rosen, 2004).

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The brusque (and probably disappointing) reply is: no. You tin can't get prescription-simply ED medications like Viagra (generic name: sildenafil; see Of import Safety Information) over-the-counter. Since 2017, Viagra has been bachelor over-the-counter in the Uk, but at that place are currently no public efforts to do the same in the United states of america (Bulik, 2017). Simply, that doesn't mean it's hard to get the treatment you need. It'due south easier than e'er to go ED medications discreetly.

Viagra is the nigh well-known drug for treating erectile dysfunction, but it's by no ways the only option available. It's function of a class of drugs called PDE5 inhibitors, which includes:

  • Viagra (generic: sildenafil)
  • Cialis (generic: tadalafil; see Important Safe Information)
  • Levitra (generic: vardenafil)
  • Stendra (generic: avanafil)

These drugs can help treat ED past improving claret menstruum to the penis, assuasive for harder, longer-lasting erections. The U.S. Food and Drug Administration (FDA) requires a prescription for all of these medications, including the make proper noun and generic versions.

You might see some sources online claiming to offer OTC Viagra. Steer clear. Viagra is ane of the most counterfeited drugs in the world. Pfizer, the company that makes brand-proper noun Viagra, has plant dangerous substances like printer ink, amphetamines ("speed"), and metronidazole (an antibody) in these fake Viagra pills (Pfizer, n.d.).

Viagra and other medications like it come with a risk of potentially dangerous side effects and drug interactions, which is why medical advice from your healthcare provider is essential (FDA, 2014-b).

While you tin't get the "real deal" over-the-counter, at that place are some products available OTC that are advertised as treatments for ED. Sure supplements are being marketed as "natural Viagra," including horny goat weed, red ginseng, yohimbine, fifty-arginine, and DHEA.

Different types of penis pumps for erectile dysfunction

It'due south important to notation that studies take not straight compared these herbal supplements and prescription erectile dysfunction drugs such equally Viagra. Some of these herbal remedies do evidence promise for improving erections, though. Here'south what you lot need to know nearly them:

A large study published in 2018 examined 24 different controlled trials with a total of more than 2,000 participants showed that this dietary supplement "significantly improved erectile function" compared to placebo. They concluded that Korean crimson ginseng might exist an constructive erectile dysfunction treatment just also called for farther enquiry to verify their findings (Borrelli, 2018).

The effects of this dietary supplement haven't been tested for comeback of ED in humans, so we don't know for certain that information technology works. But horny caprine animal weed does contain a compound called icariin, which inhibits PDE5, just like Viagra, Levitra, and Cialis, making it a promising option (Dell'Agli, 2008).

Studies on yohimbine for ED in humans are express. 1 written report found that it helped men with mild erectile dysfunction successfully achieve and maintain an erection long enough to have sex. More research is needed, though, since this report only included 18 participants (Guay, 2002).

This amino acid has been shown to lower claret force per unit area past boosting the production of nitric oxide in the torso, a chemical that plays an important role in erections. In fact, for the treatment of high blood pressure, some research shows that information technology's every bit constructive equally lifestyle changes such every bit diet and exercise (Khalaf, 2019). The research on l-arginine for ED is non every bit clear, but some small studies have shown that information technology may make it easier to get an erection or brand sex activity more than enjoyable, at least when compared to a placebo (Rhim, 2019).

DHEA (dehydroepiandrosterone) side effects

DHEA is a hormone produced past your body that helps your body produce sex hormones such equally estrogen and testosterone. Although taking supplements containing DHEA boosts levels of DHEA in the body, past studies take constitute it doesn't significantly impact total testosterone levels and may even increment estrogen levels (Kovac, 2015). High estrogen levels are associated with erectile dysfunction (Zuniga, 2019). Bottom line? DHEA probably isn't a slam dunk for treating your ED. You're better off asking a healthcare provider almost prescription options.

Where to get Viagra safely and discreetly

While you can't become Viagra or other PDE5 inhibitors OTC, these medications are easy to get if y'all have a prescription. Information technology's easier than ever to become ED meds online, shipped discreetly to your home. Some companies offer specific brands, generic versions but, or a combination.

It's worth knowing nigh the generic version since there can be a serious price divergence between Viagra and its generic alternative (GoodRx, 2021).

Sildenafil is the active ingredient in Viagra and "generic Viagra," merely information technology's also used for the handling of atmospheric condition other than ED. Revatio (generic name: sildenafil; see Important Safety Data), for case, is also sildenafil, but it comes in different doses than Viagra and is used to treat a lung condition chosen pulmonary arterial hypertension (PAH) (Barnett, 2006). Generic versions of Revatio may exist prescribed off-label to treat ED since sildenafil is the active ingredient.

Viagra and generic Viagra come in three doses: 25 mg, 50 mg, and 100 mg (FDA, 2014-b). Just PAH medications used off-label to treat ED expand the dosages available. In improver to the 20 mg dose Revatio comes in, it can likewise be prescribed in 40 mg, 60 mg, 80 mg, and 100 mg doses (FDA, 2014-a).

The recommended starting dose for men with ED is 50 mg sildenafil, though your care provider might upward your dose to 100 mg if 50 mg doesn't do the trick, or lower your dose to 25 mg if you find that 50 mg causes intolerable side effects.

Erectile dysfunction pills and medications: Viagra, Cialis, and more

The possible side effects of Viagra and other PDE5 inhibitors include headache, flushing, upset stomach, vision changes, depression blood pressure, stuffy or runny olfactory organ, muscle hurting, nausea, dizziness, or rash. Priapism, a painful and persistent erection lasting longer than four hours, is a rare but serious potential side effect of many ED meds. This is a medical emergency and requires immediate attention from a healthcare professional to forbid permanent injury.

Talk to your healthcare provider about any prescription drugs or supplements you're taking to ensure in that location's no potential drug interaction before starting Viagra, generic sildenafil, or any other ED drugs. Also hash out any health weather y'all may take, such as heart disease or loftier blood pressure. They'll piece of work with you to get you on the correct medication regimen to amend your sex life and sexual function.

  1. Barnett, C. F., & Machado, R. F. (2006). Sildenafil in the handling of pulmonary hypertension. Vascular Health and Take a chance Management, 2(4), 411–422. doi: 10.2147/vhrm.2006.2.4.411. Retrieved from https://world wide web.ncbi.nlm.nih.gov/pmc/articles/PMC1994020/
  2. Borrelli, F., Colalto, C., Delfino, D. 5., Iriti, Thousand., & Izzo, A. A. (2018). Herbal dietary supplements for erectile dysfunction: A systematic review and meta-analysis. Drugs, 78(6), 643-673. doi: 10.1007/s40265-018-0897-3. Retrieved from https://link.springer.com/article/10.1007%2Fs40265-018-0897-3
  3. Bulik, B. (2017). OTC Viagra: Pfizer snags nod for nonprescription sales of the little blue pill for men in the U.K. Retrieved August 25, 2020, from https://www.fiercepharma.com/marketing/otc-viagra-pfizer-snags-nod-for-non-prescription-sales-uk
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  7. Nutrient and Drug Administration (FDA). (2014-b, March). VIAGRA (sildenafil citrate) Characterization. Retrieved from https://www.accessdata.fda.gov/drugsatfda_docs/label/2014/20895s039s042lbl.pdf
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  9. GoodRx. (2021). Sildenafil. Retrieved on Nov. 23, 2021 from https://world wide web.goodrx.com/sildenafil
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  17. Zuniga, K. B., Margolin, E. J., Fazio, A. D., Ackerman, A., & Stahl, P. J. (2019). The clan betwixt elevated serum oestradiol levels and clinically significant erectile dysfunction in men presenting for andrological evaluation. Andrologia, 51(9), E13345. doi: x.1111/and.13345. Retrieved from https://pubmed.ncbi.nlm.nih.gov/31317572/