No, sildenafil, the active ingredient in Viagra, is not available over the counter in most countries. A prescription from a doctor is required.
Why the Prescription?
Sildenafil affects blood flow and blood pressure. A doctor needs to assess your health to ensure it’s safe for you to take. Underlying health conditions, such as heart problems or low blood pressure, may make sildenafil unsafe.
Sildenafil Alternatives
Several other medications treat erectile dysfunction. Your doctor can discuss these options if sildenafil isn’t suitable, or if you experience side effects.
| Tadalafil (Cialis) | Oral | Headache, back pain, muscle aches |
| Avanafil (Stendra) | Oral | Headache, flushing, nasal congestion |
| Vardenafil (Levitra) | Oral | Headache, flushing, nasal congestion |
Always consult your doctor before starting any new medication, including those for erectile dysfunction.


