Pharmacist-Led Consultation for Viagra Connect
Joanna Lem is a former employee of Pfizer Inc. Muhammad Younus is an employee of Pfizer Inc.
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It is reassuring that patients can recall the advice given by the pharmacist, endorsing the crucial role of pharmacists in patient education. Regarding the patients’ comfort in being questioned by the pharmacist, 91.2% of them replied that they agreed or strongly agreed with the statement that they were comfortable to answer questions from the pharmacist. Likewise, in the pharmacist survey, 91.3% of the pharmacists said that they were comfortable with patient counselling and 89.9% of the pharmacists reported that patients had not expressed dissatisfaction with counselling. Previous studies have shown that only one-third of the men with self-reported ED have sought professional help.7 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. This study has several Limitations, some are common to survey studies.
Statistical Analyses
The response rate in this survey could not be calculated. Although, a pre-specified number of invitations were distributed to pharmacies, we do not know how many invitations were passed between pharmacist and patient. Also, it was not possible to determine if there were multiple responses from one pharmacy or whether the responses were well distributed across the participating pharmacies. Although, measures were taken to avoid multiple survey completions, there are possibilities of patients receiving and viagra over the counter responding to more than one survey invitation in pharmacies. Due to non-availability of baseline data prior to the pharmacist education program which included training guide and checklist from the VC aRMMs program, the improvement in patient experience cannot be determined or directly attributed to this program. Janine Collins is an employee of UBC.
| Product | Dosage | Quantity + Bonus | Price | |
|---|---|---|---|---|
| Viagra Generic | 25mg | 90 + 6 Pills | 105.03€ 100.03€ | |
| Viagra Original | 100mg | 120 + 8 Pills | 470.39€ 447.99€ | |
| Viagra Professional | 100mg | 10 Pills | 44.09€ 41.99€ | |
| Viagra Generic | 150mg | 20 Pills | 55.02€ 52.40€ | |
| Viagra Generic | 200mg | 90 + 6 Pills | 170.79€ 162.66€ | |
| Viagra Soft Tabs | 100mg | 20 Pills | 62.99€ 59.99€ | |
| Viagra Oral Jelly | 100mg | 220 + 18 Sachets | 562.28€ 535.50€ | |
| Viagra Generic | 100mg | 20 Pills | 45.58€ 43.41€ | |
| Viagra Original | 100mg | 76 + 4 Pills | 306.59€ 291.99€ | |
| Viagra Soft Tabs | 100mg | 10 Pills | 36.93€ 35.17€ | |
| Viagra Generic | 50mg | 10 Pills | 26.87€ 25.59€ | |
| Viagra Generic | 200mg | 180 + 10 Pills | 277.56€ 264.34€ | |
| Viagra Soft Tabs | 100mg | 90 + 6 Pills | 205.31€ 195.53€ | |
| Viagra Generic | 50mg | 180 + 8 Pills | 158.82€ 151.26€ |
The authors report no other conflicts of interest in this work. Epidemiology update of erectile dysfunction in eight countries with high burden. doi:10.1016/j.sxmr.2019.06.008 doi:10.1016/S0140-6736(12)60520-0 Bjerkeli PJ, Mulinari S, Zettermark S, Merlo J.
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Because the samples of the two surveys were not linked, it is difficult to identify reasons for this divergence of results between the two surveys. In this patient survey, 65.0% of the patients reported that they either had seen (19.2%) or planned to see (45.8%) their doctors, although only 51.2% of the patients reported being advised by pharmacists to see their doctors. Of the total 297 patients surveyed, 234 (78.8%) patients reported they had not been prescribed sildenafil or other ED medication by their doctor. Of the 234 patients, 148 (63.2%) reported that they had seen or plan to see their doctors. This finding indicated that (1) majority of ED patients did not receive treatment for ED, and (2) availability of VC in pharmacy can help bring the ED patients who have not seen doctors to see their doctors for their ED condition.
Online survey
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 strongest viagra pill 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.14,17 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%). This is consistent with the results of the pharmacist survey, wherein more than 84% of the pharmacists answered correctly to questions as to which medical symptoms should result in stopping VC and seeking medical advice. In addition, 80.1% of the surveyed patients also reported being advised by the pharmacist that ED can be caused by underlying conditions such as high BP, diabetes, high cholesterol, and heart disease. This finding is encouraging, because in a previous pharmacist survey, less than 80% of the pharmacists answered correctly to the question regarding hypertension and hypercholesterolemia being a cause of ED. Finally, 68.7% of the patients reported being offered advice by the pharmacist on lifestyle changes (eg, losing weight, giving up smoking, cutting back on alcohol/recreational drugs, exercising regularly, reducing stress). Sociodemographic patterns in pharmacy dispensing of medications for erectile dysfunction in Sweden. doi:10.1007/s00228-017-2361-9 Miner MM, Kuritzky L. Erectile dysfunction: a sentinel marker for cardiovascular disease in primary care.
- The drug improves quality of life for many men with ED.
- It is part of a broader treatment approach, including counseling.
- Mental health can impact erectile function.
- Lifestyle changes can enhance medication effectiveness.
- Support groups may provide additional help.
- Consult your doctor if ED persists despite treatment.
doi:10.3949/ccjm.74.Suppl_3.S30 Modifying risk factors in the management of erectile dysfunction: a review.
- Important to check for allergies to sildenafil before use.
- Side effects like dizziness should be taken seriously.
- Consult a doctor if you experience vision changes.
- Viagra Connect does not protect against STDs.
- It’s recommended to avoid caffeine before taking.
- Medication should be used responsibly and as directed.
Associations between lifestyle, erectile dysfunction and healthcare seeking: a population-based study. Prevalence, comorbidities, and risk factors of erectile dysfunction: results from a prospective real-world study in the United Kingdom.
| Platform | Type | Availability | Contact Support | Notes |
|---|---|---|---|---|
| Official Pharmacy Website | E-commerce website | 24/7 | Online chat, email | Verified sources |
| Mobile App | App-based ordering | Business hours | In-app support | Convenience for repeat customers |
| Telehealth Consultation | Doctor-assisted purchase | Limited regions | Phone or video chat | Requires medical consultation |
| Third-party Pharmacy Websites | Online retailers | Varies | Support varies | Verify authenticity before purchase |
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- 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.
Results from an online survey investigating ED patients’ insights and treatment expectations. EAU guidelines on sexual and reproductive health. Padma-Nathan H. Sildenafil citrate (Viagra) treatment for erectile dysfunction: an updated profile of response and effectiveness. Medicines & Healthcare Products Regulatory Agency M.
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Overall, the results from this survey provide 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. Inherent limitations of surveys, including selection bias, reliance of respondent recall and self-reported data, should be considered. aRRMs, Additional risk minimization measures; BP, Blood pressure; CIs, Confidence intervals; CVD, Cardiovascular disease; DCP, Decentralized procedure; ED, Erectile dysfunction; EMA, European medicines agency; EU, European Union; MHRA, Medicines and healthcare products regulatory agency; PDE-5, Phosphodiesterase type 5; UBC, United bioSource; UK, United Kingdom; VC, Viagra connect®. This study was conducted in accordance with the principles of good clinical practice and the Declaration of Helsinki. It did not require approval of institutional review boards or ethics committees at the study sites.
Assessment for Suitability for VC by Pharmacist
All patients provided written informed consent before study participation. Following UK Medical Research Council’s (MRC) ethics assessment tools or questionnaires, ethics approval was not required. The authors acknowledge Precision Marketing for logistic support. In addition, the authors acknowledge Dr Mamatha K and Dr Shanthakumar V, employees of Viatris, for editorial support. This study was sponsored by Pfizer and Upjohn, a legacy division of Pfizer, now merged with Mylan to form Viatris. Public assessment report – prescription only medicine to pharmacy medicine reclassification: Viagra Connect® 50mg film-coated tablets, Sildenafil Citrate (PL 00165/0392 – 0001, 2017).
| Question | Answer | Notes |
|---|---|---|
| Is Viagra Connect available over the counter? | Yes, in select pharmacies and online | Age restriction applies |
| How quickly does it work? | Typically within 30-60 minutes | Varies by individual |
| Are there any side effects? | Yes, includes headache, flushing, nasal congestion | Consult a healthcare provider before use |
| Can I take it with other medications? | Not advised without doctor approval | Possible drug interactions |
A web-based survey of UK pharmacists to assess the effectiveness of Viagra Connect® additional risk minimisation measures. A Web-Based Survey of Patients Dispensed Viagra Connect Behind the Counter in the UK: An Evaluation of the Effectiveness of Additional Risk Minimization Measures.
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UBC LLC received financial support from Pfizer and Upjohn in connection with the study. Shaantanu S. Donde, and Kelly H. Zou are employees of Viatris who may own stocks/shares, merged between the Upjohn Division of Pfizer Inc and Mylan. Jim Z Li is a former employee of Viatris Inc. This work is published and licensed by Dove Medical Press Limited.
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There is a potential for selection bias, which was an inherent limitation to any survey study based on volunteer participation, as those patients who participated the survey might differ in demographic and clinical characteristics from those who chose not to participate. The patients were asked to recall their encounters with the pharmacist when they received their first supply of VC which introduces a certain amount of recall bias. Additionally, the patient’s experience may change with repeated supplies for VC. Furthermore, patients who reported they intend to visit their doctors might not actually make the visits. To ensure consistency, the survey asked patients to answer questions related only to their first purchase of VC.
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There is also potential subjectivity and bias in patient responses which are inherent in surveys with self-reported data. Patients may have answered the survey questions in a socially desirable rather than truthful manner thus giving misleading answers to the pharmacist about their health status. Also, without knowing the exact characteristics of patients requesting VC from the pharmacy, it is not possible to draw concrete conclusions as to whether or the extent to which this sample in this study reflected the general population of ED patients purchasing VC in pharmacies. While participants reported being asked specific questions by pharmacists, the study lacks verification or confirmation of these interactions through direct observation or independent assessment. This absence of objective verification limits the validity of the reported experiences. The full terms of this license are available at and incorporate the Creative Commons Attribution - Non Commercial (unported, 3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms. A new quick reference guide to the supply of Viagra Connect (sildenafil) as a pharmacy (P) medicine has been released by the Royal Pharmaceutical Society (RPS). In November 2017, 50mg tablets of Viagra Connect were reclassified from a prescription-only medicine to P status.