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Plan to Sell Cialis Over the Counter Announced

From the WebMD Archives

May 28, 2014 — The maker of the erectile dysfunction drug Cialis on Wednesday announced plans to seek approval to sell the medication over the counter once its patents expire.

The move, which would not come to fruition until Cialis loses patent protection in the United States and Europe in 2017, would allow men to buy the drug without having to first visit a doctor for a prescription, the New York Times reported.

Under the proposal, the French pharmaceutical company Sanofi would buy the rights to seek approval to sell Cialis over the counter in the United States, Europe, Canada and Australia from drug maker Eli Lilly, according to the Times .

The move would give Cialis a competitive edge over similar drugs, such as Viagra. But it is not clear whether the idea would sit well with regulators in those countries. Pfizer abandoned a similar plan for Viagra in 2008 after the European Medicines Agency raised safety concerns, the Times reported.

Cialis should not be taken with some heart medications because it could cause an unsafe drop in blood pressure. the newspaper said.

The U.S. Food and Drug Administration would need to decide what type of additional research would be required to sell Cialis without a prescription, a spokesperson told the newspaper.

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Psychological Therapy

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Viagra FAQs

  • How does Viagra work?

How does Viagra work?

Viagra causes the arteries supplying blood to the penis to dilate. This increases the blood flow, creating a firmer and longer-lasting erection.

Viagra is an oral treatment for erectile dysfunction. It helps enhance your body’s reaction to sexual stimuli, but it will not automatically produce an erection, so arousal is still essential for penetrative sex.

Viagra belongs to a class of medicines known as PDE-5 inhibitors. Viagra and the other PDE-5 inhibitors can help men with erectile dysfunction (or impotence) by increasing the blood flow into the erectile tissue in the penis when you are aroused.

When the brain gets aroused, it sends a signal to the penis. Nerve cells in the erectile tissue in the penis start producing nitric oxide, and this leads to the creation of a chemical called cGMP. This chemical relaxes the smooth-muscle cells that line the arteries in the erectile tissue of the penis. This allows more blood to flow into the penis, which helps to create an erection. This pathway is disrupted in men with erectile dysfunction.

PDE-5 is an enzyme found in the penis which breaks down cGMP when you stop having sex. As the level of cGMP falls, the penis returns to its non-erect state. Viagra works by selectively inhibiting this enzyme, which leads to a temporary increase in the level of cGMP when aroused, and allows extra blood flow to the penis to help create an erection. The greater the amount of cGMP, the greater the blood flow, and the firmer the erection.

  • How effective is Viagra?

    How effective is Viagra?

    Viagra is effective in around 60-70% of men with ED.

    Viagra’s effectiveness depends upon the cause and severity of the user’s erectile dysfunction. Viagra usually comes in doses of 50mg tablets, but some users may require 25mg or 100mg. For men with diabetes or a BMI over 34, doses of 100mg are most commonly prescribed as a starting dose. This ensures a high chance of Viagra working, but also increases the chance and possible severity of some side effects.

    It should be taken on an empty stomach, and ideally without alcohol to get the best effects. You should not consume more than one prescription dose of Viagra in a 24 hour period.

    If Viagra doesn’t work for you first time round, it could nevertheless be more effective next time. Indeed, doctors advise trying all erectile dysfunction medicines eight times before giving up.

  • Can I take other medicine with Viagra?

    Can I take other medicine with Viagra?

    Yes, but your doctor will inform you of any exceptions.

    Viagra can interact with some medicines, especially those containing nitrates used in the treatment of some heart conditions. It is important that you let us know which prescription and over-the-counter medicines and recreational drugs you are taking so that our doctors can prescribe you Viagra safely.

  • Is it safe to order Viagra online?

    Is it safe to order Viagra online?

    Yes. Our GPs are NHS accredited, and all our medicines are licensed by the government’s Medicines & Healthcare Products Regulatory Agency (MHRA).

    Our team of London-based doctors are all NHS accredited, and will only administer prescriptions to those patients for whom Viagra is safe to take. Furthermore, we are a medical organisation regulated by the Care Quality Commission and all our medicines have passed rigorous testing before being clinically approved for patient consumption.

    In addition to professional, safe and expert care, we are also firm believers in transparency at LloydsPharmacy Online Doctor. Therefore, every prescription we provide will be accompanied by a confidential message in your Patient Record, with the name and General Medical Council (GMC) registration number of your doctor. Click here to meet our doctors.

  • How do I take Viagra?

    How do I take Viagra?

    Orally, about an hour before sex.

    Viagra is an oral tablet taken with water on an empty stomach, at least an hour before you plan to have intercourse. The pills are blue, and shaped like a diamond — hence the nickname ‘the blue diamond’. All doses will have Pfizer written on one side, and on the other VGR 25/50/100. The 25mg tablet is 9mm long, the 50mg is 11mm, and the 100mg is 14mm in length.

    You might also like:

    Viagra

    In order to buy Viagra online you need a prescription. Our convenient service allows you to obtain a prescription and medication without seeing a doctor face-to-face.

    To place an order, fill in our brief assessment questionnaire and select your preferred treatment. Our online doctor will review your information and if suitable approve treatment.

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    Please note when ordering sildenafil: We may use a range of manufacturers in order to provide you with your medication in a timely manner. 

    About Viagra

    How does Viagra Work?
        
    Viagra is a treatment for erectile dysfunction. The active ingredient in Viagra is sildenafil, which is a PDE-5 inhibitor. Originally designed as a blood pressure treatment, Viagra was found to be an effective treatment for erectile problems.

    Viagra enhances erections by relaxing your blood vessels and improving the blood flow to your penis. It only works if you are sexually stimulated, so you will only have an erection if you are aroused. Viagra is the brand name of the medication produced by Pfizer.     
        
    Who is Viagra for?
        
    Viagra is used to treat erectile dysfunction, a common condition in men. Most men experience erectile problems at some stage in their lives, which can have physical or psychological causes. If you find that you regularly struggle to get an erection you may be diagnosed as suffering from impotence. Possible underlying causes can include physical conditions such as diabetes or psychological factors such as anxiety and stress.
        
    How can I buy Viagra online?
        
    Viagra is being sold on numerous websites, many of which are illegitimate. Buying from an unlicensed source puts your health at risk, so you should make sure you order from a trustworthy provider such as Superdrug Online Doctor. It is vital that you check whether the website you are using has been approved by the General Medical Council and that it is regularly reviewed by the Care Quality Commission. Stay away from remedies sold as "herbal Viagra" — they do not work and they could be harmful to your health.

    Viagra is a prescription-only medication. Any online pharmacy which is prepared to sell it without a prescription is untrustworthy. Online doctor services like the Superdrug Online Doctor service are the only safe option if you want to buy Viagra online. Our doctor will review your information and issue a prescription for an appropriate treatment. We can send your order by post or you can collect it from your nearest Superdrug Pharmacy.

    Can I buy Viagra over the counter?

    As Viagra is a prescription-only medication, it is not available over the counter. Before you can take Viagra, you need to attend a consultation with a doctor or with a nurse who is qualified to prescribe.

    Like most prescription-only drugs, Viagra is not suitable for everyone and it is important that a doctor or nurse assesses whether it is suitable for you before you take it. Beware of Viagra tablets sold in pubs or in clubs, these are often fake and could be harmful to your health. 

    To obtain Viagra safely, use an accredited online doctor service or visit your GP.

    How much does Viagra cost?

    The price for Viagra including prescription and delivery currently lies at £5 per 25mg tablet. You may be able to obtain the tablets at a lower price from your local pharmacy if you already have a prescription from your GP. Beware of illegitimate online sellers who sell the tablets without a prescription — these pharmacies may be offering low prices but often supply fake medication.

    Viagra Dosage

    Taking Viagra for the first time
        
    Viagra can take 30 minutes to 1 hour to work, so you should make sure you allow time for it to work before you have sex. Some men find that it works quicker. When you take Viagra for the first time, you should try to stay relaxed and avoid putting yourself under pressure. Often, men are stressed and nervous when trying an erectile dysfunction treatment for the first time, which reduces the effect of the treatment.
        
    Which Viagra dosage should I take?
        
    Viagra is available in a variety of dosages, including 25mg, 50mg and 100mg. Usually, men begin the treatment with a 50mg tablet. Erectile problems in young men are usually due to psychological factors, rather than a physical cause. Therefore younger men may wish to try the 25mg dosage first, as it is likely to be sufficient to boost their confidence and help them enjoy sex. More senior men may also need to use a lower dosage, as they may not tolerate the side effects of a higher dose. If the Viagra 50mg dosage does not have the required effect, you may need the 100mg dosage. However, it is worth trying the same dosage another 2-3 times before increasing the it, in case other factors such as anxiety are at play.               
        
    Can I take more if it doesn’t work?
        
    If Viagra does not have the desired effect, please contact your doctor to confirm whether you can switch to a higher dosage. Do not attempt to take more than one dose of any strength within a 24-hour period. Be careful not to overdose, as this can result in serious side effects and could cause damage to your penis. If you experience an erection which lasts over 4 hours, seek help from a doctor immediately.
        
    How is Viagra taken?
        
    You can take Viagra, like most tablets, with a glass of water. It can take longer to take effect if you have just had a big meal, especially if you have eaten fatty foods. You should not take Viagra with alcohol, as this can increase the chance of side effects, especially if you are suffering from a condition affecting your kidneys, liver or heart. Please bear in mind that alcohol generally impairs your ability to gain and maintain an erection.

    Ingredients

    Ingredients
       
    The active ingredient in Viagra is sildenafil. Each tablet contains 25, 50 or 100mg of sildenafil. depending on the dosage. Viagra tablets are blue and have a diamond shape with rounded edges. One side should be embossed with “Pfizer”, the other should read ‘VGR25’, ‘VGR50’ or ‘VGR100’, indicating the dosage of your tablets.

    Viagra Side Effects

    Possible Side Effects of Viagra 
       
    Common Viagra side effects include redness or flushing and indigestion. Some men also report having a stuffy nose, feeling dizzy, nausea, back pain, muscle pain or experiencing visual disturbances when taking Viagra.

    It is very common for Viagra to cause headache. This side effect affects up to one in ten men who use Viagra.

    Uncommon Side Effects:

    • skin rash
    • vomiting
    • bleeding at the back of the eye
    • bloodshot or red eyes, eye irritation, eye pain, double vision, abnormal sensation in the eye, watery eyes
    • pounding or rapid heartbeat
    • feeling sleepy
    • reduced sense of touch
    • vertigo and ringing in the ears
    • nausea, dry mouth
    • presence of blood in semen and/or urine, penile bleeding
    • chest pain tiredness
    • muscle pain

    Rare Side Effects

    • high blood pressure
    • low blood pressure
    • heart attack, irregular heartbeat 
    • fainting, stroke
    • nosebleed
    • sudden decrease or loss of hearing

        
    Viagra is not suitable for you if:      

    • you are using protease inhibitors                  
    • you have certain types of cancer, such as myeloma and leukemia 
    • you have haemophilia                  
    • you have sickle cell anaemia                                        
    • you have a stomach ulcer              
    • you are taking anti-fungal medicines (for example Ketoconazole or Itraconazole)      
    • you are taking medicines such as Quinidine, Procainamide, Amiodarone or Sotalol to treat arrhythmia                  
    • you are taking macrolide antibiotics like erythromycin or clarithromycin
    • you have a penis deformity (e.g. angulation of the penis or Peyronie’s disease)    
    • you have problems with your heart or cardiovascular system        
    • you have a problem with your kidneys or liver          
    • you are allergic to sildenafil or any other ingredient                  
    • you are under 18
    • you suffer from high or low blood pressure                  
    • you have a family history of retinitis pigmentosa or non-arteritic ischaemic optic neuropathy              
    • you are taking other erectile dysfunction drugs          
    • you are taking nitrates or nitric oxide donors
    • Viagra is to be taken by men only.

     
    Consult a doctor immediately if:
                

    • an erection lasts for more than 4 hours          
    • If you experience chest pains during or after intercourse          
    • you experience changes in your vision or hearing    

       
    Do not operate machinery if you feel dizzy following treatment.

    Drug Interactions

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