Tablets are usually the first-line treatment for ED when lifestyle changes are ineffective. Sildenafil tablets (example: Viagra Connect) are now available over-the-counter in pharmacies and have proved to be very effective. However, they are not suitable for everyone, and there are many restrictions on who sildenafil is suitable for to purchase OTC. should be used. The main concerns about safety relate to use in those with recent cardiovascular disease events, such as myocardial infarction or stroke, and the concurrent use of nitrate drugs for angina. 

If deemed suitable, no more than one 50mg dose of sildenafil is to be taken per day. It should usually be taken around one hour before sexual activity.

Most side effects are mild or moderate and of short duration. The most common are headache, which may affect more than one in 10 men, and indigestion. Nausea, stuffy nose, dizziness, facial flushing, hot flush, colour tinge to vision, blurred vision, and visual disturbance are also seen. Advise customers to seek medical attention if a sudden decrease or loss of vision occurs.

Enquiries for sildenafil provide a good opportunity to offer information on the lifestyle changes outlined above, as these can all help in the management of ED. Customers should be advised to see their GP within six months of purchasing sildenafil OTC for a follow up.

Did you know?

Psychological causes account for one in 10 cases of ED.