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Do I Need A Prescription For Sildenafil – Medically Reviewed by Philip Ngo, PharmD – By James Roland and Steph Coelho, CPT and The Editorial Team – Updated October 30, 2023
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Do I Need A Prescription For Sildenafil
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Buy Viagra Over The Counter From Now On
Generic Viagra (sildenafil) is an alternative to the brand-name drug Viagra that can be used to treat erectile dysfunction (ED). It is now sold by many manufacturers, including online pharmacies such as Roman, Hims, and Lemonaid.
If you are experiencing the symptoms of erectile dysfunction (ED), you may have considered using Viagra or a similar ED medication as a possible treatment.
But if you’ve looked for places to buy Viagra online, you’ve no doubt noticed its price as well. Since Viagra is a brand name drug, the price of Viagra is very high and it may not currently work within your budget.
Fortunately, a generic version of the popular drug, sildenafil, is now widely available from several drug manufacturers at a fraction of the cost. But with so many different providers, it can be a challenge to research which online companies or services you can trust.
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To help clear things up, we took a closer look at many of the best services that can prescribe and ship sildenafil right to your home so you can have the facts you need to start your ED treatment.
Although some of what is sold as generic Viagra online is fake, several reputable companies sell sildenafil online. Each of the following companies has been vetted by our team for medical and business standards. More information here.
Roman is a telehealth company that focuses on ED treatment, including generic Viagra (sildenafil). With Roman, you can make online and in-person doctor appointments and get your prescription and fill it.
Sildenafil is available in Roman by prescription in tablets of 25, 50 and 100 mg and the price ranges from 4 to 10 dollars per dose. Brand-name Viagra is also available through Roman in 25-, 50-, and 100-mg tablets for $90 per dose.
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To buy medicine from the telehealth company Hims, you will need to fill out a health questionnaire, which is then reviewed by a staff doctor.
Sildenafil is available through Hims by prescription in 25, 50 and 100 mg tablets starting at $4 per dose. Brand-name Viagra is also available through Hims in 25-, 50-, and 100-mg pills starting at $139 per dose.
Lemonaid is a telehealth company that offers a wide range of services. You can connect with a doctor online without having to take time off to go to an in-person appointment.
The company has a mail-order pharmacy that allows you to receive medication directly to your door. The downside, however, is that they don’t take insurance, even for non-ED meds.
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Sildenafil is available through Lemonaid by prescription in 20 mg tablets for $2 per dose. Hims and Roman sildenafil doses start at 25mg, which means that Lemonaid may be an option for people who feel that 25mg is too much.
To buy generic Viagra (sildenafil) and brand name Viagra through the Optum Store, you must fill out a questionnaire, upload a photo ID and provide a recent blood pressure reading. The results will be evaluated by a licensed physician in the United States who can determine whether sildenafil could treat the symptoms of ED.
Sildenafil is available at the Optum Store with a prescription in 20, 25, 50 and 100 mg tablets. Optum Store allows bulk ordering in 30, 90 and 180 day supply. The price will vary depending on the size of the order. The price per dose can cost you less than $1 each if purchased in a larger monthly supply.
Brand Viagra is also available at the Optum Store in 25, 50 and 100 mg pills starting at $80 per dose if purchased in bulk.
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Sildenafil citrate (sildenafil), often called “generic Viagra,” is the same active ingredient used in Viagra. Viagra also contains small amounts of inactive ingredients. These ingredients give the pill its shape and make it easier for your body to metabolize them.
One of the main causes of ED is the accumulation of the enzyme phosphodiesterase type 5 (PDE5) which restricts blood flow to the penis and prevents or decreases the firmness of an erection. Sildenafil works as a PDE5 inhibitor, which blocks the effect of PDE5 and allows more unrestricted blood flow, making an erection more likely.
Sildenafil does not cure ED. Treats ED symptoms. Similarly, sildenafil does not cure pulmonary hypertension (PH): high blood pressure in the arteries of the lungs and right side of the heart. It only helps to control the blood pressure in the arteries of the lungs.
Sildenafil is part of a class of medications called PDE5 inhibitors. These drugs restrict the action of phosphodiesterase enzymes, which break down cyclic guanosine monophosphate. This is a type of molecule that relaxes smooth muscle tissue in the body, such as those in the blood vessels that allow the penis to become erect. Taking sildenafil improves circulation by helping the arteries relax enough to fill with blood more easily.
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Sildenafil is rapidly absorbed into the bloodstream, reaching a peak concentration in about 1 hour for most users. Generic Viagra, like other PDE5 inhibitors, can cause a drop in blood pressure. If you take medication to control your blood pressure or tend to have low blood pressure, ask your doctor if it is safe to use sildenafil.
Sildenafil does not cause an erection by itself, nor does it increase sexual desire. Sexual stimulation is still necessary. However, for most healthy people, sildenafil can make an erection easier to achieve.
Taken from clinical trials in 2016 noted that sildenafil is effective without serious side effects regardless of age.
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Instead of the “little blue pill” as Viagra is known, sildenafil is often sold as a small white pill by Viagra’s competitors. The appearance of the pill does not change its effectiveness or how it works in the body.
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Although generic sildenafil and Viagra are equally safe and effective, the drugs have one key difference: price. Viagra costs between $60 and $70 per tablet. Generic sildenafil can range from $2 to $18 per pill, depending on the manufacturer and dosage.
Researchers were testing the drug to treat high blood pressure and angina, chest pain associated with heart disease. They found the drug to be particularly effective at inducing erections. The Food and Drug Administration (FDA) approved Viagra in 1998, making it the first oral medication specifically prescribed for ED.
Pfizer was also the first to introduce generic Viagra through a subsidiary called Greenstone. Other companies around the world also make sildenafil pills, including:
Viagra and other ED drugs are some of the most counterfeit drugs. It is important to talk to a doctor to seek treatment and obtain medication through a pharmacy.
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Sildenafil is available at most retail pharmacies and several reputable online retailers, so there is no need to buy sildenafil from non-FDA regulated companies.
Sildenafil is best known as a treatment for ED, the inability to get or maintain an erection. Sildenafil should be taken before having sex, bearing in mind that its effects only last a few hours.
Sildenafil is also approved to treat PH. Revatio is the brand of sildenafil prescribed for HP. It’s worth noting that although Revatio and Viagra have the same active ingredient, Revatio is indicated by the FDA to specifically treat PH and you should not take Revatio instead of Viagra or alongside Viagra to treat ED.
In the United States, sildenafil for ED or PH requires a prescription. The UK allows over-the-counter (OTC) sales of the drug, in part to discourage the market for fake sildenafil. Sildenafil is one of the most counterfeited drugs in the world.
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Generic Viagra (sildenafil) is available as a 20, 25, 50, and 100 milligram (mg) tablet and in liquid form. It should be taken as needed, about an hour before sex, but should not be taken more than once a day. The 50 mg dose is standard, although your doctor may start with a 25 mg dose to see if that is enough.
Sildenafil can cause side effects, most of which are minor and temporary. Some of the most common are:
For ED, take sildenafil as needed, ideally 1 hour before intercourse. However, sildenafil can be effective as early as 30 minutes before intercourse and may still be effective 3 to 4 hours later.
After 4 hours, the effects of sildenafil tend to wear off. It is recommended to take sildenafil no more than once a day.
Should You Get Doctor’s Advice Before Taking Viagra?
One of the most serious interactions can come from combining PDE5 inhibitors with nitrates or nitrate-containing compounds. Several studies, among them a
, show that the use of PDE5 inhibitors with nitrates is a contraindication that can lead to a life-threatening drop in blood pressure.
That’s why you should talk to your doctor about any medication you’re taking before starting any new medication. This can reduce the chances of a dangerous interaction.
If you take other medicines for high blood pressure, you may be at risk of a dangerous low
