Any day now, the first in Europe, a non-prescription medication for erectile dysfunction containing sildenafil, the equivalent of Viagra, will go to Polish pharmacies.
– It will be a hit in the black market, which is full of counterfeits – says prof. Zbigniew Lew – Starowicz, a national consultant in the field of sexology.
The original viagra has been on sale in European countries since 1998. Then its replacements appeared. In total, preparations containing sildenafil are on the market 19. Regardless of the dose – 100, 50 or 25 mg – all are only on prescription. The drug induces an increase in blood supply to the penis under sexual arousal conditions.
The problem is that many men who have erectile dysfunction or who think that sildenafil will increase their potency, is ashamed to go to the doctor and ask for a prescription. For this reason, a diagonal trade flourishes.
There is no shortage of online pharmacies that offer sildenafil sales, including the prescription. For a package available in a typical pharmacy of 30-40 PLN in the Internet, in such cases, sometimes twice more is paid. The worst option is to buy counterfeits produced mainly in India and China. They often do not contain sildenafil.
Poland is the first country in Europe and the second in the world in which sildenafil will be sold without a prescription – Adamed, the producer of the drug, praises. In September last year, the same prescription medicine has already been introduced to the Polish market. Now she has registered it for sale without a prescription, but only in Poland and only in the smallest dose – 25 mg. The packaging will contain two tablets.
Because the use of sildenafil is not recommended in many diseases, a survey is available on the Adamed website for those interested in buying the drug (the manufacturer calls it a diagnostic tool). The survey will also be available in pharmacies.
It consists of twenty-several questions covered in five groups. The affirmative answer to any of these means that you can not take sildenafil on your own. This applies to men with heart disease and those who take drugs containing nitroglycerine and nitric oxide, patients after a heart attack, stroke, cirrhosis, suffering from stomach ulcers.
The leaflet also contains warnings: first, do not increase the dose yourself, and secondly, taking a dose of more than 100 mg does not mean that the medicine will be more effective
– 25 mg is the starting dose for the treatment of erectile dysfunction. If someone does not help, instead of increasing it on their own, he should consult a doctor, because circulatory disorders that cause erection problems may have a more serious character in him – says prof. Lew-Starowicz. However, there are no illusions that sexologists will lose – those who have only a prescription for sildenafil will stop coming to them.
Consult a physician first of all, patients who are chronically ill, for example taking medicines for hypertension.
– In these patients, overdose of sildenafil may cause fainting, and this is not the effect – says prof. Lech Polonski, cardiologist from the Silesian Center for Heart Diseases in Zabrze.
Another group of patients who should not take sildenafil on their own are patients with diabetes. It is estimated that as many as half of them have erectile dysfunction. Diabetes destroys small blood vessels not only in the eye, kidneys or feet, but also in the member. Another reason for erectile dysfunction in diabetes may be neuropathy, or damage to nerve fibers. – Sildenafil can help here, but you need to consult a doctor. Diabetics are also often suffering from heart disease and are taking medications for which this preparation is not recommended – says Dr. Hanna Sąsiadek, a diabetologist.
Doctors do not doubt that many men will take two, four and even more tablets without a prescription on their own. – Erectile dysfunction does not have to be caused by circulation problems. The cause may be in the psyche or hormonal disorders. However, there are plenty of maniacs that will not stop any warnings – says Dr. Wiesław Duda, the former head of the urological hospital in Katowice.