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Over the Counter Viagra: What you Need to Know Today?

Julian Carter
Published

LAST UPDATED:

Over-the-counter Viagra: Is it Safe for ED?

Over-the-counter Viagra is becoming a popular alternative for men or Assigned Males at Birth (AMABs) who want to treat Erectile Dysfunction (ED) without a doctor’s prescription. It is widely available in pharmacies, online, and provides a discreet, accessible, and frequently less expensive alternative to regular prescription ED pills. 

While it may not contain the same proportion of Sildenafil and other ingredients as branded Viagra, many over-the-counter options are formulated to boost blood supply and improve sexual performance. Although these supplements are often formulated with natural components, their effectiveness and safety are always questionable.  

This article delves into the detailed risks associated with obtaining Over the counter Viagra, as well as exploring available alternatives.

Can you buy Viagra over the counter?

Yes, Viagra can be purchased Over the counter (OTC), but the safety of purchasing Viagra over the counter is totally dependent on your location and how you receive it. Most nations, including the United States, consider it unsafe or illegal to purchase Viagra (Sildenafil) without a doctor’s prescription. 

Viagra is an effective ED treatment that interacts with several biological systems and can have significant adverse effects, particularly for people who have underlying health concerns or are using other medications. A professional healthcare provider must evaluate your medical history, current medicines, and general health to decide whether Viagra is safe and appropriate for you. 

Purchasing Viagra from unregulated sources, such as unauthorized internet pharmacies or over-the-counter alternatives sold at gas stations or health food stores, has serious risks. These products are usually counterfeit (fake). They may contain incorrect dosages and unknown harmful ingredients that can be ineffective or dangerous, potentially resulting in severe drops in blood pressure, heart attacks, strokes, or other life-threatening complications. 

In other countries like the United Kingdom, a low-dose variant of Viagra, Viagra Connect (a 50 mg Sildenafil tablet), is available over-the-counter at pharmacies, but only if a pharmacist determines that it is safe for the user based on their medical history and existing prescriptions. 

This method attempts to limit the use of counterfeit pharmaceuticals and also ensures that people receive real treatment and appropriate advice. However, regardless of location, purchasing Viagra from unregulated sources is never secure.

Thus, consultation with a healthcare expert and purchasing the medication from a trusted source like GoodRx Medicine is the safest method to get and use Viagra or any other ED pill. 

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Over-the-counter Viagra substitutes

While genuine Viagra is a prescription-only medicine, several OTC products are advertised as Viagra substitutes or natural treatments for Erectile Dysfunction

Over-the-counter Viagra substitutes are non-prescription medications that claim to promote male sexual performance and erectile function, often using natural compounds, such as L-arginine, ginseng, yohimbine, ginkgo biloba, and horny goat weed. 

These are normally classified as dietary supplements and are thought to improve blood flow, increase libido, and promote overall sexual health. Let’s have a look at these natural substitutes for OTC Viagra.

L-arginine

L-arginine is an amino acid that improves erectile function by boosting Nitric Oxide (NO) synthesis in the body. Nitric Oxide relaxes penile blood vessels, increasing blood flow to the penis; thus, helps achieving and maintaining an erection. 

A controlled trial published by the Journal of Endocrinological Investigation in 2022 found that high doses of L-arginine for three months boost erectile performance.

Did you know?
Viagra was originally developed for treating High Blood Pressure; the discovery of Viagra’s effect on Erectile Dysfunction was accidental.

Ginseng

Ginseng, particularly Panax ginseng (commonly known as Korean red ginseng), has been investigated for its ability to overcome ED in men. This natural herb is believed to increase Nitric Oxide synthesis in the body, thereby aiding in getting and maintaining an erection

It may also improve overall sexual performance by boosting energy, decreasing fatigue, and increasing libido. However, results may vary among individuals.

Yohimbine

Yohimbine is a natural substance derived from the bark of the Yohimbe tree that has been used as a herbal treatment for ED. It is known to boost blood flow and nerve impulses to the penile region by stimulating alpha-2 adrenergic receptors (receptors that inhibit erections), which can improve sexual desire and performance. 

The findings of a study published by The Turkish Journal of Urology in 2021 suggest that the intake of Yohimbine alone or with other supplements can improve sexual functioning in ED patients.

Ginkgo biloba

Ginkgo biloba, a herbal product obtained from the ginkgo tree, has been researched for its potential to help with Erectile Dysfunction. It’s believed to improve blood flow by widening blood vessels, which may increase circulation to the penis and support better erectile function.

Despite these possible benefits, the scientific evidence is mixed, and more reliable, large-scale clinical studies are needed to confirm how effective it truly is.

Warning
Viagra was originally developed for treating High Blood Pressure; the discovery of Viagra’s effect on Erectile Dysfunction was accidental.

Horny goat weed

Horny goat weed is an old Chinese herbal therapy that has been widely used as a natural cure for ED. Its primary ingredient, icariin, is thought to enhance blood supply to the penis by hindering the enzyme Phosphodiesterase Type 5 (PDE5), in the same manner other ED pills like Tadalafil and Sildenafil do. 

As per a review published by the The Asian Journal of Andrology in 2005, icariin intake for 4 months can help enhance erectile performance. However, more research is needed.

Although the above-mentioned OTC Viagra substitutes are marketed as an effective ED treatment, scientific evidence supporting their effectiveness in treating ED is frequently inadequate, mixed, or requires more high-quality research. 

Effective treatment without big bills

Conclusion

While the availability of Over the counter Viagra in some countries, such as the United Kingdom, has made Erectile Dysfunction treatment more accessible, caution should be exercised while considering this alternative. 

Pharmacist monitoring in controlled settings helps to ensure that men obtain accurate advice and safe medicine, but self-medicating or purchasing from unregulated sources poses substantial health concerns, including exposure to counterfeit medicines and hazardous side effects. 

However, Over the counter (OTC) Viagra alternatives like Yohimbine and ginseng provide a helpful and accessible choice for men who have mild to moderate ED; their safety and effectiveness aren’t well established. 

Therefore, it is usually preferable to consult a healthcare expert before beginning any ED therapy, as they can analyze underlying health concerns, potential medication interactions, and give personalized advice.

Frequently Asked Questions

Can older adults use OTC Viagra?

Yes, older adults can use OTC Viagra, but they should consult a doctor first due to the higher risks of heart conditions and the potential interactions that are common with aging. 

Do OTC Viagra alternatives help with Premature Ejaculation?

No. OTC Viagra doesn’t work for Premature Ejaculation. Most OTC Viagra alternatives are formulated to address Erectile Dysfunction, not u003ca href=u0022https://www.goodrxmedicine.com/blog/mens-health/premature-ejaculation/u0022u003ePremature Ejaculationu003c/au003e. However, improved blood flow may indirectly help delay ejaculation in some men.

Can women use OTC Viagra alternatives?

No. While some herbal ingredients may benefit female libido, OTC Viagra alternatives are generally formulated for male physiology and are not clinically tested for women. Women should contact their doctor for tailored advice.

Do OTC Viagra pills have expiration dates?

Yes, like all supplements, OTC Viagra pills do expire. Expired products should not be used as they can reduce effectiveness or cause unexpected side effects due to degraded ingredients.

Can OTC Viagra cause dependency?

No. There’s no physical dependency caused by the OTC Viagra, but psychological reliance can develop if users believe they can’t perform without the pill. Usage of the medication should be balanced with healthy lifestyle changes.

Citations:
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