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A national additional risk minimization measures (aRMMs) program was implemented to train pharmacists for safe supply of non-prescription Viagra Connect® (VC) to erectile dysfunction (ED) patients in United Kingdom (UK).

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Amongst all the treatment options, pharmacological treatment with oral PDE-5 inhibitors remain the main stay of treatment of ED.Citation10 Sildenafil citrate is a potent and selective inhibitor of cyclic- guanosine monophosphate-specific phosphodiesterase enzyme which causes relaxation of smooth muscle in the corpus cavernosum.Citation11 Eventually, sildenafil restores the natural erectile response to sexual stimulation and has been effectively used in the treatment of patient population with ED of varying etiologies and with diverse comorbidities.Citation3,Citation4,Citation12 Sildenafil citrate (Viagra®), supplied via prescription, was approved in the European Union (EU) in 1998 for treatment of ED. A Decentralized Procedure (DCP) application for non-prescription (ie, behind the counter) 50 mg sildenafil (marketed as Viagra Connect® [VC] 50 mg film-coated tablets) was approved in the UK in November 2017 and became available in pharmacies in the UK in April 2018.Citation13 This launch of VC in the UK, and its availability as a “behind the counter” (pharmacist-supervised) medicine augments the availability of pharmacists to help men to deal with both the physical and emotional impact of ED, and other wider potential health concerns associated with ED. The findings and recommendations from the survey pre-testing were incorporated into the final version and tested in two pilot surveys for further refinement.Citation8,Citation14 This patient survey was administered online anonymously and expected to take approximately 5 minutes to complete by the participants. The survey included questions/statements that inquired about the patient’s experience at the point of VC supply in the pharmacy, including whether they were: Assessed for suitability for VC (eg, for cardiovascular and other health conditions), Assessed for suitability for VC (eg, for cardiovascular and other health conditions), Advised by a pharmacist to consult their doctor within 6 months of first supply, Advised by a pharmacist to consult their doctor within 6 months of first supply, Visited their doctor or planned to visit their doctor very soon, Visited their doctor or planned to visit their doctor very soon, Advised by their pharmacist about the safe use of VC, and Advised by their pharmacist about the safe use of VC, and Advised by their pharmacist about potential causes of ED and offered lifestyle advice. Advised by their pharmacist about potential causes of ED and offered lifestyle advice.

Statistical analysis

Further details on patient demographics, pharmacy and patient characteristics are shown (). The participants’ experience of whether they were assessed for suitability for VC use by their pharmacist the first time they asked for VC is shown (). Patient’s experience of whether they were advised by the pharmacist viagra pfizer to consult their doctor during their first request for VC is shown (). Patients’ experience with visiting or planning to visit their doctor in the near future are shown (). 80.1% (n = 238) reported that their pharmacist informed them that ED can be caused by underlying conditions such as high BP, diabetes, high cholesterol, and heart disease, while 68.7% (n = 204) reported that they had received lifestyle advice from the pharmacist (). A survey aimed to evaluate the effectiveness of aRMMs. A cross-sectional, web-based survey enrolled ED patients who purchased at least 1 supply of VC in UK, using a structured self-administered questionnaire. The final sample had 297 patients, who reported that pharmacists inquired about blood pressure and heart comorbidities (91.9%), relevant illnesses (87.9%), medications (86.5%), ED diagnosis (82.2%), and were advised to consult their doctor regarding ED (51.2%).

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A majority (68.7%) also indicated that they had received advice on lifestyle modifications to manage their ED-related health risks. This survey provided a reasonable confirmation of the effectiveness of the VC aRMMs program and assurance that ED patients, when requesting and purchasing VC in UK pharmacies, are assessed appropriately for suitability of VC and receive the appropriate advice from pharmacists. A national additional risk minimization measures (aRMMs) program was implemented to train pharmacists for safe supply of non-prescription VC to erectile dysfunction (ED) patients in United Kingdom (UK). The final sample had 297 patients, who reported that pharmacists inquired about blood pressure and heart comorbidities, relevant illnesses, medications, ED diagnosis, and were advised to consult their doctor regarding ED. A majority also indicated that they had received advice on lifestyle modifications to manage their ED-related health risks. Erectile dysfunction (ED) is the inability to achieve or maintain an erection that is sufficient for satisfactory sexual performance.Citation1 The overall prevalence of self-reported ED in men across aged 40–70 years has been estimated to be 45.2%.Citation2 Organic (ie, neurogenic, endocrinological, viagra red vasculogenic, or drug-induced), psychogenic, or mixed causes may attribute to ED.Citation3,Citation4 ED may be a presenting symptom of undetected or underlying cardiovascular disease (CVD) in men.Citation5 ED and CVD share several risk factors including advanced age, tobacco use, excessive alcohol consumption, diabetes mellitus, hyperlipidemia, obesity, depression among others.Citation6,Citation7 Additionally, ED is also known to cause substantial negative effects on the patient’s self-esteem, quality of life and emotional status.Citation8,Citation9 There are several treatment options recommended by European guidelines for ED management including intracavernosal injection, vacuum device, oral therapy with phosphodiesterase type 5 (PDE-5) inhibitors, topical/intra-urethral alprostadil along with lifestyle modification and patient education. Amongst all the treatment options, pharmacological treatment with oral PDE-5 inhibitors remain the main stay of treatment of ED.Citation10 Sildenafil citrate is a potent and selective inhibitor of cyclic- guanosine monophosphate-specific phosphodiesterase enzyme which causes relaxation of smooth muscle in the corpus cavernosum.Citation11 Eventually, sildenafil restores the natural erectile response to sexual stimulation and has been effectively used in the treatment of patient population with ED of varying etiologies and with diverse comorbidities.Citation3,Citation4,Citation12 Sildenafil citrate (Viagra®), supplied via prescription, was approved in the European Union (EU) in 1998 for treatment of ED.

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A national additional risk minimization measures (aRMMs) program was implemented to train pharmacists for safe supply of non-prescription Viagra Connect® (VC) to erectile dysfunction (ED) patients in United Kingdom (UK). A survey aimed to evaluate the effectiveness of aRMMs. A cross-sectional, web-based survey enrolled ED patients who purchased at least 1 supply of VC in UK, using a structured self-administered questionnaire. The final sample had 297 patients, who reported that pharmacists inquired about blood pressure and heart comorbidities (91.9%), relevant illnesses (87.9%), medications (86.5%), ED diagnosis (82.2%), and were advised to consult their doctor regarding ED (51.2%). A majority (68.7%) also indicated that they had received advice on lifestyle modifications to manage their ED-related health risks.

Can I take Viagra Connect with other medicines?

This survey provided a reasonable confirmation of the effectiveness of the VC aRMMs program and assurance that ED patients, when requesting and purchasing VC in UK pharmacies, are assessed appropriately for suitability of VC and receive the appropriate advice from pharmacists. A national additional risk minimization measures (aRMMs) program was implemented to train pharmacists for safe supply of non-prescription VC to erectile dysfunction (ED) patients in United Kingdom (UK). The final sample had 297 patients, who reported that pharmacists inquired about blood pressure and heart comorbidities, relevant illnesses, medications, ED diagnosis, and were advised to consult their doctor regarding ED. A majority also indicated that they had received advice on lifestyle modifications to manage their ED-related health risks. Erectile dysfunction (ED) is the inability to achieve or maintain an erection that is sufficient for satisfactory sexual performance.Citation1 The overall prevalence of self-reported ED in men across aged 40–70 years has been estimated to be 45.2%.Citation2 Organic (ie, neurogenic, endocrinological, viagra red vasculogenic, or drug-induced), psychogenic, or mixed causes may attribute to ED.Citation3,Citation4 ED may be a presenting symptom of undetected or underlying cardiovascular disease (CVD) in men.Citation5 ED and CVD share several risk factors including advanced age, tobacco use, excessive alcohol consumption, diabetes mellitus, hyperlipidemia, obesity, depression among others.Citation6,Citation7 Additionally, ED is also known to cause substantial negative effects on the patient’s self-esteem, quality of life and emotional status.Citation8,Citation9 There are several treatment options recommended by European guidelines for ED management including intracavernosal injection, vacuum device, oral therapy with phosphodiesterase type 5 (PDE-5) inhibitors, topical/intra-urethral alprostadil along with lifestyle modification and patient education. A Decentralized Procedure (DCP) application for non-prescription (ie, behind the counter) 50 mg sildenafil (marketed as Viagra Connect® [VC] 50 mg film-coated tablets) was approved in the UK in November 2017 and became available in pharmacies in the UK in April 2018.Citation13 This launch of VC in the UK, and its availability as a “behind the counter” (pharmacist-supervised) medicine augments the availability of pharmacists to help men to deal with both the physical and emotional impact of ED, and other wider potential health concerns associated with ED. The findings and recommendations from the survey pre-testing were incorporated into the final version and tested in two pilot surveys for further refinement.Citation8,Citation14 This patient survey was administered online anonymously and expected to take approximately 5 minutes to complete by the participants. The survey included questions/statements that inquired about the patient’s experience at the point of VC supply in the pharmacy, including whether they were: Assessed for suitability for VC (eg, for cardiovascular and other health conditions), Assessed for suitability for VC (eg, for cardiovascular and other health conditions), Advised by a pharmacist to consult their doctor within 6 months of first supply, Advised by a pharmacist to consult their doctor within 6 months of first supply, Visited their doctor or planned to visit their doctor very soon, Visited their doctor or planned to visit their doctor very soon, Advised by their pharmacist about the safe use of VC, and Advised by their pharmacist about the safe use of VC, and Advised by their pharmacist about potential causes of ED and offered lifestyle advice. Advised by their pharmacist about potential causes of ED and offered lifestyle advice. Further details on patient demographics, pharmacy and patient characteristics are shown ().

Data Type Description Usage
Personal Details Name, DOB, Address Confirm identity
Medical History Past health conditions, current medications Assess suitability
Payment Details Credit/debit card information Process payment
Contact Info Phone number, email address Order updates, notifications

The participants’ experience of whether they were assessed for suitability for VC use by their pharmacist the first time they asked for VC is shown ().

  • Education on safe use is essential for users.
  • Proper storage ensures medication potency.
  • Keep out of reach of children.
  • Be aware of possible drug interactions.
  • Medication should be used only under guidance.
  • Regular consultation can prevent complications.

Patient’s experience of whether they were advised by the pharmacist viagra pfizer to consult their doctor during their first request for VC is shown ().

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In general, if the participants reported having ED, the pharmacists were more likely to assess their suitability for VC and provide advice on appropriate use of VC and on their need to see doctors (). One of the key strengths of the present study is that it has the benefits of implications from two previously conducted pilot surveys.Citation8,Citation14 The first used a consumer panel and identified significant selection and response biases such that there was a high likelihood that the results would not be representative of the patient population seeking to purchase VC. The pharmacist survey has been published allowing us to compare the findings between the patient survey and pharmacist survey.Citation14–16 Regarding pharmacists’ assessment of patients’ suitability for VC at the time the patients purchased VC in pharmacies, most patients in the patient survey reported they had been asked about their BP and heart conditions (91.9%), any other illnesses (87.9%) or concomitant medications use (86.5%). The results of this patient survey support the fact that the pharmacists’ knowledge is being put into practice when a patient presents for the first time to purchase VC.Citation14–17 In this patient survey, 51.2% of the patients reported that they were advised, at their first-time purchase of VC, to see their doctor within 6 months or shorter. In another web-based survey conducted between March 2018 and April 2019, men aged ≥18 years with self-reported ED who were dispensed VC reported having higher number of physician/nurse practitioner and pharmacist visits during the one-year period after their first VC dispension, comparing to those who were not dispensed VC.Citation14,Citation17 Most of the surveyed patients reported that, during their first purchase of VC, they had been advised by the pharmacist regarding how to take VC correctly (85.5%), of VC’s possible side effects which requires the patients to discontinue VC and consult their doctors (82.2%).

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Previous studies have shown that only one-third of the men with self-reported ED have sought professional help.Citation7 The results from both surveys are therefore reassuring that the pharmacists’ duties prior to supplying VC do not cause discomfort to either the patient or the pharmacist and emphasizes patient’s willingness to seek health care services. doi:10.1007/s11096-021-01339-7 Li JZ, Younus M, Taylor D, Donde S, Collins buy viagra with dapoxetine J, Zou KH Scottsdale, Arizona, US. January 9-11, 2023, International Conference on Health Policy Statistics (ICHPS). Real-world evidence for regulatory purposes: a survey of patients to evaluate the effectiveness of the Viagra Connect National Additional Risk Minimization Measure in the United Kingdom. What exactly is the UK viagra connect medication? Patients’ experience with visiting or planning to visit their doctor in the near future are shown (). 80.1% (n = 238) reported that their pharmacist informed them that ED can be caused by underlying conditions such as high BP, diabetes, high cholesterol, and heart disease, while 68.7% (n = 204) reported that they had received lifestyle advice from the pharmacist (). In general, if the participants reported having ED, the pharmacists were more likely to assess their suitability for VC and provide advice on appropriate use of VC and on their need to see doctors ().

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One of the key strengths of the present study is that it has the benefits of implications from two previously conducted pilot surveys.Citation8,Citation14 The first used a consumer panel and identified significant selection and response biases such that there was a high likelihood that the results would not be representative of the patient population seeking to purchase VC.

  • The packaging includes clear dosing instructions.
  • Pharmacists can advise on proper usage and precautions.
  • Do not share medication with others.
  • Discontinue use if side effects worsen.
  • Report any adverse reactions to a healthcare provider.
  • Keep track of your dosage schedule for safety.

The pharmacist survey has been published allowing us to compare the findings between the patient survey and pharmacist survey.Citation14–16 Regarding pharmacists’ assessment of patients’ suitability for VC at the time the patients purchased VC in pharmacies, most patients in the patient survey reported they had been asked about their BP and heart conditions (91.9%), any other illnesses (87.9%) or concomitant medications use (86.5%).

Impacts on practice

Is there something similar available in the US? Viagra Connect is the name of the over-the-counter version of Viagra in the UK. Starting in 2018, UK pharmacies started carrying this version of the popular ED medication in order to give men easier access to treatment for erectile dysfunction (also known as erectile problems (EPs) in the UK). Technically, Viagra Connect is available over-the-counter to men over 18 in the UK since you do not need a prescription for it, but there are still some safeguards in place that make it different from other over-the-counter medications. You are required to speak with the pharmacist on staff, and fill out a medical questionnaire.

Patients’ Experience with Visiting or Planning to Visit Their Doctor

Then, the pharmacist will review your information and either determine that the medication is appropriate for you, and sell you the package, or let you know that it is not a good fit and refer you to your doctor. Currently, Viagra Connect, or any form of over-the-counter Viagra, is not available in the USA. All forms of Viagra, including the generic form, Sildenafil, still require a prescription from a doctor in order to purchase in the united states. Viagra Connect is manufactured by Pfizer, the same pharmaceutical company that developed Viagra decades ago. The results of this patient survey support the fact that the pharmacists’ knowledge is being put into practice when a patient presents for the first time to purchase VC.Citation14–17 In this patient survey, 51.2% of the patients reported that they were advised, at their first-time purchase of VC, to see their doctor within 6 months or shorter.

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In another web-based survey conducted between March 2018 and April 2019, men aged ≥18 years with self-reported ED who were dispensed VC reported having higher number of physician/nurse practitioner and pharmacist visits during the one-year period after their first VC dispension, comparing to those who were not dispensed VC.Citation14,Citation17 Most of the surveyed patients reported that, during their first purchase of VC, they had been advised by the pharmacist regarding how to take VC correctly (85.5%), of VC’s possible side effects which requires the patients to discontinue VC and consult their doctors (82.2%). Previous studies have shown that only one-third of the men with self-reported ED have sought professional help.Citation7 The results from both surveys are therefore reassuring that the pharmacists’ duties prior to supplying VC do not cause discomfort to either the patient or the pharmacist and emphasizes patient’s willingness to seek health care services. doi:10.1007/s11096-021-01339-7 Li JZ, Younus M, Taylor D, Donde S, Collins buy viagra with dapoxetine J, Zou KH Scottsdale, Arizona, US. January 9-11, 2023, International Conference on Health Policy Statistics (ICHPS). Real-world evidence for regulatory purposes: a survey of patients to evaluate the effectiveness of the Viagra Connect National Additional Risk Minimization Measure in the United Kingdom.

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Assessment for Suitability for VC by Pharmacist

What exactly is the UK viagra connect medication?

Tip Description Benefit
Use a stable internet connection To prevent data loss during submission Faster processing
Prepare necessary documents ID and medical history if required Smooth verification process
Double-check entries Ensure accuracy before submitting Reduces need for follow-up
Read instructions carefully To avoid missing important information Completes the process efficiently

Is there something similar available in the US?

Step Number Action Required Information Duration Notes
1 Visit the Website None 2 minutes Access via desktop or mobile browser
2 Fill Personal Details Name, Date of Birth, Address 3 minutes Ensure accurate data entry
3 Medical Questionnaire Medical history questions 4 minutes Privacy is maintained
4 Confirm Identity Photo ID upload (if needed) 5 minutes May vary based on verification needs

Viagra Connect is the name of the over-the-counter version of Viagra in the UK. Starting in 2018, UK pharmacies started carrying this version of the popular ED medication in order to give men easier access to treatment for erectile dysfunction (also known as erectile problems (EPs) in the UK). Technically, Viagra Connect is available over-the-counter to men over 18 in the UK since you do not need a prescription for it, but there are still some safeguards in place that make it different from other over-the-counter medications.

  • Viagra Connect requires a brief health assessment at purchase.
  • Patients should disclose any health issues or medications.
  • Alcohol consumption may reduce effectiveness.
  • It does not cause an instant erection; arousal needed.
  • Side effects are usually mild and temporary.
  • Seek medical advice if experiencing persistent problems.

You are required to speak with the pharmacist on staff, and fill out a medical questionnaire.

  • Viagra Connect offers a discreet way to manage ED.
  • It works best when taken on an empty stomach.
  • Full effect may take up to an hour to manifest.
  • Avoid heavy meals immediately before taking.
  • Regular use does not lead to dependency.
  • An active lifestyle may improve results.

Then, the pharmacist will review your information and either determine that the medication is appropriate for you, and sell you the package, or let you know that it is not a good fit and refer you to your doctor. Currently, Viagra Connect, or any form of over-the-counter Viagra, is not available in the USA. All forms of Viagra, including the generic form, Sildenafil, still require a prescription from a doctor in order to purchase in the united states. Viagra Connect is manufactured by Pfizer, the same pharmaceutical company that developed Viagra decades ago.