Patient Information

Andy is a co founder and the Superintendent Pharmacist and Director at The Independent Pharmacy. Zanotti suggests engaging with a mental health professional. It should be noted that not every online provider of ED treatments is reputable and safe. The max recommended dose is 20mg, and 5mg is also an option if you don’t require full strength. Respiratory syncytial virus service. If you’d like, talk with your doctor about the best treatment option for this condition. The phosphodiesterase type 5 inhibitors, which are licensed for the treatment of erectile dysfunction, have been evaluated for use in PE. Avoid outside food completely. Doing this can help you to get an erection at any time when you’re sexually aroused. JavaScript seems to be disabled in your browser. Visit seasonal health.

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At the end of DBPC treatment, 56% of men on the 100 mg dose felt no anxiety about the next intercourse attempt compared with 39% in the 50 mg group odds ratio 2. In addition, OTC treatments can have unsafe interactions with medications you may take for ED or for other conditions. Best Christmas gifts for £30 and under: check off everyone on your list. You should tell your doctor if you feel you have emotional difficulties during or before sex. Sildenafil acts by blocking phosphodiesterase 5 PDE5, an enzyme that promotes breakdown of cGMP, which regulates blood flow in the penis. You cannot legally get Viagra in the United States and most other countries without a prescription. The US Food and Drug Administration FDA has banned numerous products claiming to be Eurycoma longifolia that, in fact, contain only analogs of sildenafil. An OTC ED medication, also known as a nonprescription ED medication, refers to any supplement or herb that claims to produce similar effects to Viagra. If your erection lasts more than 4 hours, get immediate medical attention. I definitely will be a repeat customer. Avoid combination in pulmonary HTN patients. LEVITRA is not indicated for use in females. Alisha Haridasani Gupta is a Times reporter covering women’s health and health inequities. © 2025 Harvard Health Publishing® of The President and Fellows of Harvard College. Vaccinations and travel. Oftentimes, these ingredients include herbs that have a history of use as aphrodisiacs or folk treatments for impotence inability to achieve or maintain an erection. This means it should work in the same way as these medications by increasing blood flow to your penis, making it easier to get an erection and maintain an erection. Some natural herbs and supplements that claim to be natural alternatives to medications and work as aphrodisiacs to heighten a mood or boost female sexual performance may include. Medicinal products containing cobicistat, HIV protease inhibitors such as indinavir or ritonavir, and combinations of these. You can ask at the pharmacy counter for a quiet word or to have a conversation in a private room if they prefer most pharmacies now have private consultation facilities. Staycation essentials.

17 PATIENT COUNSELING INFORMATION

Tadalafil is >10,000 fold more potent for PDE5 than for PDE3, an enzyme found in the heart and blood vessels. Talk to your healthcare provider to see if your heart is strong enough for sex. Premenopausal folks with FSIAD may see a modest improvement in desire and arousal after taking Addyi. Ureteral stones usually start out as kidney stones and https://varnozdravje.si/kupi-strattera-genericna-10mg-18mg-25mg-40mg/ then move into the ureter the tube that urine travels in from the kidney to the bladder. Advice, products and serviceswith you in mind. Sildenafil works in men by increasing blood flow to the penis helping men achieve and keep an erection. Female sexual dysfunction FSD is incredibly common, with up to 50% of women suffering from some form of FSD. We have detected adult content on the uploaded image, therefore we have declined the uploading process. You don’t need to take Cialis before sexual activity unless your doctor says you should take the drug only as needed. Holiday value packs and bundles. The main feature of a drug Levitra quickness of effect, duration of impact on an organism up to 12 hours and a very small number of side effects. The following is a list of some medicines and drugs that may cause erectile dysfunction ED in men. If one tablet is ineffective, you may find you are more sensitive to a different treatment. There is a 10 fold selectivity over PDE6 which is involved in the phototransduction pathway in the retina. Certain medications can also cause erectile dysfunction as a side effect. Visit skin health advice. Some doctors, particularly private doctors, but also some GPs, will write private prescriptions for Cialis. We have huge section of high quality medicines at best prices. Sildenafil is sometimes used to counteract the effects of other substances, often illicit. Uncommon may affect up to 1 in 100 people. We’ve compiled a list of tips to help simplify the process of buying Viagra online. Eye health and conditions. Some side effects may occur that usually do not need medical attention. Always discuss with your doctor first to see if Cialis is a suitable treatment for you. If you have trouble getting hard or maintaining an erection on your own or with a partner, you may feel as if your sex life is over. In males, Viagra improves blood flow to the penis by blocking the action of a chemical called PDE5. Prescribing services are fulfilled by our sister company, Red Label Medical Ltd Company Reg. A grotto full of Christmas gifts for every interest.

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No matter which ED med you choose, you should always avoid fatty foods prior to consumption to prevent a delay in the medicine’s effectiveness. Vitamins and Supplements. As with any drug product, there may be side effects. The vision loss was permanent in some cases. Men take sex drive pills for several reasons. Randomised controlled trial of the effects of L ornithine on stress markers and sleep quality in healthy workers. These men were treated with 20 mg of tadalafil on demand for 4 weeks, followed by a 4 week washout period; they were subsequently treated with a 12 week, 10 or 20 mg flexible daily dose of tadalafil. The recommended starting dose for Cialis Daily is 5mg, and for Cialis 36 Hour, it is 10mg. You may also start on this dose if you have health conditions that make higher doses less safe, such as high blood pressure, or if you’re taking medications that could interact with Viagra. There has already been a documented case where the use of Kamagra led to a patient being poisoned. Cialis and vardenafil both contain medications used to treat ED. No7 personalised skin analysis. It may be taken with or without food. Patients who demonstrate hemodynamic instability on alpha blocker therapy alone are at increased risk of symptomatic hypotension with concomitant use of sildenafil. Like any medication, sildenafil may cause some long term effects, particularly if taken in high doses or for a prolonged period of time. Side effects of oral ED medicines are often mild. The treatment algorithm from the sixth World Symposium on Pulmonary Hypertension recommended PDE5 inhibitors for pediatric patients. Recipe books and accessories. This can be an option for those who cannot take the tablet option. Receive it:Order within. Vilitra contains Vardenafil, a PDE 5 inhibitor, which blocks the enzyme PDE 5. Low blood pressure from Viagra usually isn’t a problem for most people. And it’s been pointed out that there’s already a pretty simple solution for this – lube. Active ingredients: Each film coated tablet contains 10mg of tadalafil. Yes, Cialis is available as the generic drug tadalafil. Do not take this medicine if you have severe heart or liver problems, if you have recently had a stroke or heart attack or if you have low blood pressure.

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However, these aren’t proven to be effective or safe. They’ll be able to determine whether the drugs are CYP3A4 inducers and whether they can interact with Cialis. You can also order Ayurvedic, Homeopathic and other Over The Counter OTC health products. The following is a list of some medicines and drugs that may cause erectile dysfunction ED in men. You can also order Ayurvedic, Homeopathic and other Over The Counter OTC health products. It is advised not to exceed dosages above 60mg to avoid adverse side effects. This can cause your fingers and toes to look white and feel cold, painful, or numb. As a member of the SSRI family, dapoxetine was initially created as an antidepressant. Often, I find that couples have not set aside enough time and energy for their relationship. There is a very rare theoretical risk of abnormal heart rhythm if Viagra sildenafil is taken at the same time as some other medications please check this list. Monitor Closely 1istradefylline will increase the level or effect of tadalafil by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Advice, products and serviceswith you in mind. According to the NHS, there is no solid evidence that Viagra affects fertility in men or women. They’ll help determine what’s causing the increase in blood pressure and the best way to treat it. Swallow the tablet whole. Practo only provides reference source for common information on medicines and does not guarantee its accuracy or exhaustiveness. The NCCIH states that yohimbe can interact with certain medications, including a class of antidepressants called monoamine oxidase inhibitors MOAIs. The general instructions for taking Cenforce are.

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Lemonaid Health is a national online doctor’s office. Boots online prescriptions FAQs. It’s possible to get a prolonged erection that lasts more than 4 hours while taking Cialis. When a single 100 mg dose of sildenafil was administered with erythromycin, a specific CYP3A4 inhibitor, at steady state 500 mg twice daily for 5 days, there was a 182% increase in sildenafil systemic exposure AUC. Relationship concerns can also cause sex related problems and should be discussed with your partner or organisations such as relate. Priligy should not be prescribed to delay ejaculation in men who have not been diagnosed with PE. If you feel faint or dizzy, lie down. 5 mg/day for daily use or 10 mg dose every 72 hr for use as needed. It was suggested that this treatment may be effective in improving clitoral blood flow as well as the clitoral functional system, consisting of smooth muscle cells and vascular spaces. Several factors can affect how you metabolize certain drugs. When you are taking this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. A sudden drop in blood pressure can cause you to feel dizzy, faint, or have a heart attack or stroke. The FDA states that this medication can treat FSIAD in premenopausal females. Tadalafil works on the PDE5 enzyme in the lungs to relax the blood vessels. This medication comes in 3 different strengths or dosages: 25 mg, 50 mg, and 100 mg. 2 for information on paediatric use. If you take sildenafil, you may experience common side effects like headaches or a stuffy nose, though these are usually mild, and will generally subside within a few hours. Cialis contains the active ingredient tadalafil. Read more on Ausmed Education website.

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Your doctor can help you understand the underlying causes of your low libido or erectile dysfunction and recommend a safe and monitored treatment plan tailored to your specific needs. Includes cost of drug and private prescription. If you have unused medication that has gone past the expiration date, talk with your pharmacist about how to correctly dispose of it. The most common side effects of VIAGRA: 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. Choose delivery to your home address or collection from an Asda Pharmacy. ₹ 550/ StripeGet Latest Price. Erectogenic and Neurotrophic Effects of Icariin, a Purified Extract of Horny Goat Weed Epimedium spp. Think about how spontaneous your sexual encounters are likely to be. While most of the side effects from semaglutide are GI related, there are concerns that some males may also experience side effects like ED. The efficacy of this therapeutic approach has been proven in randomized controlled trials and led to approval in the US and Europe73,74. Allergies to Ingredients. Has given my confidence back. Key points on performance from the results of multiple clinical trials. Tell your healthcare provider about all medicines that you take or have recently taken. Visit albums and frames. 2 for information on paediatric use. Visit no7 beauty how to videos. Dan is an experienced pharmacist having spent time working in both primary and secondary care. Boots guide to the best perfumes for mums. Viagra had no effect on saquinavir pharmacokinetics. Sometimes, it may also be used in the management of lung and prostate conditions. Acne and skin conditions. It is generally used to increase blood flow to the penis to help a man sustain his erection to enhance sexual activity. If you miss a dose of Cenforce 200mg, you can take it as soon as you remember if it is close to the time for your next dose. The interaction is a consequence of blocking hepatic metabolism of vardenafil by ritonavir, a highly potent CYP3A4 inhibitor, which also inhibits CYP2C9.

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For years there were no FDA approved medicines for treating problems with sexual arousal or sexual desire in women. Active Ingredients: 1 tablet: 50 mg sildenafil. Though rare, some people have reported permanent vision loss. Unlike other ED treatments taken on an as needed basis, Cialis Daily is taken once daily, offering a continuous solution to erectile dysfunction. The term Cushing’s syndrome refers to a group of signs and symptoms caused by the clinical state of hypercortisolism excess levels of the hormone cortisol. 52 This trial was only 9 weeks in duration, but positive results for this outcome measure were evident in the longer term. Your doctor can tell you if there are any interactions that may happen. Erectile dysfunction Illnesses and conditions NHS inform. Do not take sildenafil unless it has been prescribed to you by a healthcare provider. Avoiding alcohol will also help reduce these side effects. All patients followed up for 1 month, beginning after initiation of treatment. Immune system disorders.

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When the NO/cGMP pathway is activated, as occurs with sexual stimulation, inhibition of PDE5 by sildenafil results in increased corpus cavernosum levels of cGMP. Researchers found that people who took Cialis had more of a decrease in their IPSS score than people who took a placebo. Use of the term “male” in this article refers to sex assigned at birth. If you have questions about how to take Cialis, talk with your doctor or pharmacist. You are welcome to continue browsing this site with this browser. With a Bachelor of Science in Radiologic Science and a Minor in Chemistry. As you consider the options available to help you promote a more satisfying sex life with dietary supplements, you’ll want to carefully compare products. Individuals who have already experienced NAION are at increased risk of NAION recurrence. Frequency convention: Very common ≥ 1/10, Common ≥ 1/100 to <1/10, Uncommon ≥ 1/1,000 to <1/100, Rare ≥ 1/10,000 to <1/1,000, Very Rare <1/10,000 and Not known cannot be estimated from the available data. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including. Usually, after sexual stimulation in a male, there is a release of nitric oxide, which increases levels of a regulatory agent in cells called cyclic guanosine monophosphate cGMP. After you decide how much OMG. The cost of these will depend on the manufacturer of these medications, but you will still need a prescription from a doctor to purchase these in the UK. These may contain ingredients in prescription drugs that are not advertised on the supplements' labels. Generic versions, such as sildenafil, are available on the NHS to treat erectile dysfunction. Topiramate will decrease the level or effect of tadalafil by affecting hepatic/intestinal enzyme CYP3A4 metabolism. The "squeeze" and "start stop" techniques are two different strategies that can be practised during masturbation or sexual activity which, over time, can help to improve control over the timing of ejaculation. The pill is used for oral intake, and it is enough to take it with water. Instead, Addyi affects the activity of certain neurotransmitters that are involved in sexual desire and arousal. Those include zinc, vitamin B, and maca, to name a few. So if you're taking the medication only as needed, you shouldn't have to take it every day. Priligy can temporally lower your blood pressure or cause you to faint.

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Adcirca previously Tadalafil Lilly H C 1021 P46 0019 : EPAR Assessment Report. Although we typically avoid language like this, specificity is key when reporting on research participants and clinical findings. ADDYI is not for use to enhance sexual performance. Disclaimer: Medical News Today has made every effort to make certain that all information is factually correct, comprehensive, and up to date. It is marketed in many formulations. There are many other treatments for erectile dysfunction. 6, reflecting the evidence from clinical pharmacology studies that was reviewed by the experts during the meeting. In recent years, a number of medications have been developed to treat erectile dysfunction. Begins to work in 30 minutes, the effect lasts for 4 5 hours. 5 rated perfumes and aftershaves. We direct all our activities to cater the expectations of customers by providing them excellent quality products as per their gratification. Population pharmacokinetic analysis of clinical trial data indicated a reduction in sildenafil clearance when co administered with CYP3A4 inhibitors such as ketoconazole, erythromycin, cimetidine. ” FDA is unable to test and identify all products marketed as dietary supplements that have potentially harmful hidden ingredients. They may recommend an alternative treatment that’s best for you. Why we chose it: Sildenafil and brand name Viagra have the same chemical makeup and work the same way. It has the longest duration of action of all ED medication. Talk to your doctor about eating grapefruit and drinking grapefruit juice while taking this medicine. Understand audiences through statistics or combinations of data from different sources. It’s important to take sildenafil as advised by a doctor or pharmacist. VIAGRA is not for women or children. It must also not be taken by patients who have ever had loss of vision because of a problem with blood flow to the nerve in the eye non arteritic anterior ischemic optic neuropathy or NAION. Overall, ginseng may have a role in helping to treat ED, but more research is needed to determine appropriate doses and potential side effects. Cialis sold in the U. The treatment may also be less effective. Select from our recommended UK licensed medications. Pelvic floor exercises can help regain erectile function after 6 months in 40% of men. The icon means that this online pharmacy accredited by PharmacyChecker fills prescription orders through either their own pharmacy or dispensing pharmacy partners located in Australia, India, Mauritius, New Zealand, Turkey, the UK, or Canada. For more information see our policies and terms and conditions at the bottom of every page. There is no evidence that they work and they may even be dangerous to your health.

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In addition, Cialis is approved to treat symptoms caused by benign prostatic hyperplasia BPH. New patients save with code: WLNEW30 Ts and Cs apply. Tadalafil Brand name: Cialis is a popular generic medication prescribed for the treatment of erectile dysfunction. We also use cookies set by other sites to help us deliver content from their services. Priapism is a medical emergency that needs to be treated right away. There were 2,958,199 prescriptions for Sildenafil in 2016 in England, compared with 1,042,431 in 2006. Ninety percent of the prescriptions filled over that same two month time period were for Pfizer’s generic version, while only 10 percent prescribed were for the brand name, according to GoodRx. Monitor Closely 1crofelemer increases levels of tadalafil by affecting hepatic/intestinal enzyme CYP3A4 metabolism. You can also see below for price estimates of Cialis based on the use of Optum Perks coupons.

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Please, try again in a couple of minutes. Acupuncture is an ancient healing practice used for various conditions. You should consult your doctor if you think you may have a health problem or before you start taking a new medicine. © 2025 Harvard Health Publishing® of The President and Fellows of Harvard College. Telephone support is always free; Monday Friday, 9am 5pm. Book any lab tests and preventive health packages from certified labs and get tested from the comfort of your home. Some cases presented with features resembling neuroleptic malignant syndrome. Our website uses Cookies to improve the user experience, display personalised content and track your usage analytics. Electrical health and diagnostics. Since DHEA is readily available as a supplement, the premise is that people who take it do so for the long term. Some studies suggest that yohimbine may increase the likelihood of an erection when used alone or in combination with L arginine. If you experience any other symptoms which you think may be due to the tablets and which you are concerned about, speak with your doctor or pharmacist for advice. If you take a dose higher than this, it will not make it more effective. However, due to high inter subject variability, these differences were not statistically significant. WebMD does not provide medical advice, diagnosis or treatment. The Boots guide to the best electric shavers. They just don’t have the fancy packaging and are generally a better value price. NHS Discharge Medicines Service England.

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The goal was to have a lower score, which indicates that people have had fewer and less severe symptoms of BPH. — each with popular brand names you may have heard of. Here are answers to some frequently asked questions about Cialis. Effective and fast acting, Viagra 100mg provides reliable support for men’s sexual health. Adcirca must not be taken with nitrates a group of medicines used to treat angina or medicines of the class ‘guanylate cyclase stimulators’ such as riociguat another medicine to treat pulmonary hypertension. Do not take it if you have severe heart or liver issues, have recently had a stroke or heart attack, or have low blood pressure. Adequate and well balanced strength for mild disorder without side effects. The following information describes dosages that are commonly used or recommended. Before enrolment, patients underwent a physical examination, a 12 lead electrocardiogram and standard laboratory tests. If you try the medicine for 8 weeks and you haven’t felt a change, your doctor may recommend you stop taking it. Q: Why is it important to have pharmaceuticals available for women with HSDD. These products may cause potentially serious side effects and may interact with medications or dietary supplements a consumer is taking. No more than one Priligy tablet of either strength should be taken in 24 hours. 5 mg once a day depending on how well it is tolerated. After oral dosing of sildenafil AUC and Cmax increase in proportion with dose within the recommended dose range 25 100 mg. Talk to your pharmacist for more details. Choosing your IPL system. NCBI Literature Resources. The best gifts for new parents. Symptoms may well improve if these issues are addressed. Some women may see results in as early as 4 weeks. There’s certainly no shortage of supplements and herbal remedies that claim to boost testosterone levels and sex drive. Baseline IELT mean baseline IELT = 1. It is not known if either dapoxetine or its metabolites are excreted in human milk. The safest sex pills are those that are from a regulated service where qualified doctors or pharmacists are consulted. Neurological effects and mental health changes may also play a. UK licensed ED medications.

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The fact that the effects are so long lasting is one of the main reasons many prefer it to other options on the market like Levitra. These are two different conditions and aren’t usually caused by the same issues. There is also no way to guarantee the medication has been produced safely or in line with UK guidelines. Results: Improvements in DBPC patient reported outcomes from baseline were statistically significant for both sildenafil 50 and 100 mg compared with placebo. Some examples of these products are. Levitra 10 AUST R 90499. Answers the most frequently asked questions about erectile dysfunction. Cialis can stay in your system for more than 2 days after a dose. Although these reactions are relatively rare, they highlight the importance of medical supervision when starting and continuing treatment with Suhagra. For more information contact our specialists. In some cases the erection is not hard enough, sometimes sildenafil Viagra just doesn’t work. While erectile dysfunction medications can be a boost in the bedroom, there are some common side effects to learn about before asking for a.

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The Nashville woman was a part of the clinical trial to test “female Viagra,” known by its scientific name flibanserin or Addyi. If you experiencechest pain, dizziness, or nausea during sex, seek immediate medical help. You may be able to get Cialis on the NHS if you are eligible. Instead, patients could simply undergo maintenance therapy at half yearly or annual intervals. There was no effect on sperm motility or morphology after single 100 mg oral doses of sildenafil in healthy volunteers see section 4. Of these, 900 patients have been treated for one year or longer. However, in some people, the medication may take up to 6 hours until you notice it working. Choose The Right Pharmacy, That Never Breaks Your Trust. Consult doctors online from the comfort of your home for free. There are a few different things to think about when deciding which ED pill is best for you. Be very careful if you do this as many websites sell fake medicines. A systematic review and evidence based analysis of ingredients in popular male testosterone and erectile dysfunction supplements. In general, generic treatments are more affordable than branded pills. In fact, it’s essential. Sildenafil works on erection problems by increasing blood flow to the penis. Common side effects may include dizziness, headache, flushing, and blurred vision. When taken correctly, Cialis should begin to work within 30 60 minutes.

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Clinically proven treatments delivered discreetly to your door. However, there are no controlled clinical data on the safety or efficacy of VIAGRA in patients with sickle cell or related anemias. “A lot of those patients get diverted into an illegal counterfeit market,” Mr. Visit value packs and bundles. Women can also get sex related problems, these include. Perrigo sildenafil helps to relax the blood vessels in your penis, increasing blood flow to the area, which is necessary for you to get erect. 5 Interactions with Other Medicines and Other Forms of Interactions. Some OTC supplements may contain ingredients without any safety evaluation in the United States. As with any drug, never change your dosage of Cialis without your doctor’s recommendation. Some medications cause erectile dysfunction as a side effect because of how they work in your body. Lifelong PE is present from the first sexual experience onwards, occurs in almost all attempts at intercourse, and is considered to have a neurobiological etiology. Gifts for mum: your ultimate gift guide for any occasion. View Pharmacy Profile. High blood pressure hypertension and erectile dysfunction can be a tricky situation to manage. The effects of taking 100 mg of Viagra can last for up to 4 hours after taking the drug. At the dose claimed to be in Kamagra, you are more likely to get side effects and react badly to the medication if it isn’t suitable for you. As the number of enhancement treatments grows, the scenario surrounding Viagra will become all too familiar with other drugs. Tadalafil should be stored at room temperature, between 68 F to 77 F 20 C to 25 C. This blocks PDE 5 in the smooth muscle of the lungs, which can help treat pulmonary arterial hypertension in a person of any sex. “It depends on how you define things,” she says. Sildenafil citrate for female sexual arousal disorder: a future possibility. Kamagra 100 Mg Tablet should not be taken with following medicines due to severe side effects it may cause to patients. Sildenafil can also affect the lining of the uterus by thickening it, which makes it easier for an egg to implant and “nest” in the uterus. Mfr: Ind Swift Laboratories Ltd. The higher the dosage the more of an effect it will have, but a higher dosage may also increase the chance of side effects. This product was identified during an examination of imported goods. Registered office Floor 4, Farringdon Point, 33 Farringdon Road, London, England, EC1M 3JF. Viagra Connect is the first medicine available in the UK without a prescription to help men with ED. Instead, it belongs to a group of drugs called phosphodiesterase type 5 PDE5 inhibitors. You can buy medication from Dr Fox Pharmacy by completing a short health assessment online.