When you have a cold, you probably head to the drug store for cough medicine and throat lozenges. If you have a headache you might pick up some acetaminophen or ibuprofen. Over-the-counter medications are available for a wide variety of ailments and they are easy to come by and inexpensive.
But what about over-the-counter erectile dysfunction medications?
Brand-name ED drugs like Viagra and Cialis require a prescription and they can cost upwards of $50 per pill. High prices and the hassle of obtaining a prescription drive many men with ED to seek out other options including over-the-counter (OTC) erectile dysfunction drugs.
So, what over-the-counter ED medications are out there, and do they actually work? Keep reading to find out why over-the-counter ED drugs may not be worth the money (or the risk).
If you take a stroll through the aisles at your local drug store, you’ll probably come across a variety of options for over-the-counter erectile dysfunction supplements. Some of the most popular products on the market include the following:
When shopping for OTC erectile dysfunction remedies, you’ll find that most products are marketed as “male enhancement” pills. Many of these products are designed for more than just boosting erectile function – some of them also increase stamina, improve libido, and boost testosterone levels. Now, let’s take a closer look at these over-the-counter male enhancement products:
Before you put anything new into your body, you need to make sure that it is safe. Read the packaging to determine the ingredients in the product and take some time to do your own research. Remember, products marketed as nutritional supplements are not held to the same FDA standards as prescription medications, so just because something is on a drug store shelf doesn’t mean it’s safe. In fact, the FDA has issued health warnings about numerous OTC male enhancement pills – here are some of the products included on that list:
What is it about these products that made the FDA issue a health warning? For many of them, it is a problem with the purity or safety of the ingredients. For example, Man Up Now is made with sulfoaildenafil, a chemical similar to the active ingredient in Viagra, sildenafil. Though similar in chemical structure, sulfoaildenafil has not undergone the same degree of clinical testing as sildenafil and it has the potential to cause serious drug interactions. The FDA demanded that the manufacturers of Mr. Magic Male Enhancer recall the product because the two main ingredients (hydroxyhomosildenafil and sulfoaildenafil) were not included on the list of ingredients.
Many of these products (and some of those from the previous list) contain other chemicals, some of which have not been tested. It is important to remember that even if products are described as “natural” or as an “herbal remedy” on the label doesn’t mean that they are safe – health claims like this are not closely regulated and there is no official FDA-approved definition or requirement. When it comes to over-the-counter male enhancement products, the risks are simply too high to justify the lower price tag compared to prescription ED drugs.
In addition to the over-the-counter ED drugs discussed in the previous section, there are also some nutritional supplements and natural remedies for ED that you may be able to find at your local drug store. For example, dehydroepiandrosterone (DHEA) has been identified by the National Institutes of Health (NIH) as “possibly effective” for the treatment of ED. The human body naturally produces this hormone, but your levels decrease with age, particularly once you hit 30. Taking 50mg per day may help improve your erectile function.
Another supplement that may benefit your erectile function is L-arginine, an amino acid that boosts nitric oxide production in the body. Nitric oxide plays a role in relaxing the blood vessels to improve circulation and studies have shown that twice daily doses up to 1,000mg may produce a significant improvement in sexual function. Pycnogenol, a nutritional supplement derived from French maritime pine bark extract, offers similar benefits. In fact, numerous studies have shown the benefits of taking these two supplements together to boost erectile function.
Other supplements that may help boost circulation and improve sexual function include ginseng, ginkgo biloba, Rhodiola rosea, and horny goat weed. Ginseng has been used as an herbal remedy for ED for decades and there is even some promising scientific research, though scientists still aren’t entirely sure why this supplement benefits ED. Ginkgo biloba is one of the best-selling herbal remedies in the United States and has been used for ED, though that isn’t its primary application. This supplement has also been linked to some serious side effects such as convulsions, increased bleeding, and diarrhea.
Rhodiola rosea is fairly new as an herbal remedy in the United States but has been used to enhance sexual function and boost stamina in Russian folk medicine for decades. An extract from horny goat weed leaves has been used as a remedy for ED in traditional Chinese medicine and one rat study showed promise, but no clinical trials have been tested on humans.
While the natural remedies discussed above may have some promise, it is important to remember that many natural remedies are not approved by the FDA and have not been tested for long-term safety or efficacy. Always do your own research and talk to your doctor before trying a natural remedy.
If you are concerned about the severity or frequency of your erectile issues, your first step should be to speak to your doctor. With your doctor’s help, you can identify the underlying cause of your ED and determine the best course of treatment. In cases where vascular issues or other health problems are to blame, taking erectile dysfunction medication might be the best option. If that’s the route you select, there are several options to choose from.
With a prescription from your doctor, you can purchase brand-name erectile dysfunction drugs like Viagra (Sildenafil), Cialis, Levitra, or Stendra. Some of these drugs are intended for daily use to improve long-term erectile function and some are intended for use as-needed. ED drugs come in several different dosages as well, so you’ll need to work with your doctor to choose the right one.
You should also know that there are two generic forms of Viagra currently available. Sildenafil is the generic form of the brand-name drug Viagra and it is sold by Teva and by Pfizer, the original manufacturer of Viagra. Generic sildenafil hit the market in December 2017 and it is an excellent option to consider if the price of brand-name Viagra is too high. You’ll still need a prescription from your doctor to get it, but it is a good option. A generic version of Cialis is also slated for release sometime in the fall of 2018.
If you prefer not to take prescription medications for your erectile dysfunction, or if you are looking for a long-term solution to your problems, diet and lifestyle changes may be the best way to go. Increasing your consumption of lean proteins, high-fiber foods, and fresh fruits and vegetables can help improve circulation. Reducing your consumption of trans fats, fried foods, processed foods, refined sugar, and alcohol can also benefit your erectile function. In terms of lifestyle changes, try to get some regular exercise, maintain a healthy body weight, make sleep a priority, and take time to destress.
Erectile dysfunction is no small matter. The Massachusetts Male Aging Study conducted in 1994 reported a 52% prevalence for erectile dysfunction among men – the study also demonstrated that the condition becomes increasingly prevalent with age.
Because ED is such a widespread issue among men of all ages, it is no wonder that there are so many medications out there to treat it – prescription and over-the-counter. Unfortunately, not all ED drugs are created equal and not all of them are effective. Over-the-counter ED drugs may seem like an affordable and convenient alternative to prescription medications, but there is little concrete evidence to suggest that most of these products are effective. You must also consider the risks of taking a supplement made with ingredients that have not been tested or approved.
Your doctor will probably agree that it is better to be safe than sorry, so avoid OTC male enhancements and either go for the real deal or make some healthy changes to your diet and lifestyle to benefit your erectile function.
Do not take Sildenafil (sildenafil citrate) if you:
are allergic to sildenafil, as contained in Sildenafil and REVATIO, or any of the ingredients in Sildenafil
Discuss your health with your doctor to ensure that you are healthy enough for sex. If you experience chest pain, dizziness, or nausea during sex, seek immediate medical help
Sildenafil can cause serious side effects. Rarely reported side effects include:
sudden hearing decrease or hearing loss. Some people may also have ringing in their ears (tinnitus) or dizziness. If you have these symptoms, stop taking Sildenafil and contact a doctor right away
Before you take Sildenafil, tell your healthcare provider if you:
have kidney problems or are having kidney dialysis have any other medical conditions
Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements.
Sildenafil may affect the way other medicines work, and other medicines may affect the way Sildenafil works, causing side effects. Especially tell your healthcare provider if you take any of the following:
Sildenafil contains sildenafil, which is the same medicine found in another drug called REVATIO. REVATIO is used to treat a rare disease called pulmonary arterial hypertension (PAH). Sildenafil should not be used with REVATIO or with other PAH treatments containing sildenafil or any other PDE5 inhibitors (such as Adcirca tadalafil)
Sildenafil does not protect against sexually transmitted diseases, including HIV.
The most common side effects of Sildenafil: headache; flushing; upset stomach; abnormal vision, such as changes in color vision (such as having a blue color tinge) and blurred vision; stuffy or runny nose; back pain; muscle pain; nausea; dizziness; rash.
Sildenafil (sildenafil citrate) is prescription medicine used to treat erectile dysfunction (ED).
Sildenafil is not for women or children.