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A web-based survey of UK pharmacists to assess

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Also, these tear-off slips served as a remainder for subsequent consultation with their doctor within 6 months. 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.

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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. 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 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. 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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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. Public assessment report – prescription only medicine to pharmacy medicine reclassification: Viagra Connect® 50mg film-coated tablets, Sildenafil Citrate (PL 00165/0392 – 0001, 2017). This work is published and licensed by Dove Medical Press Limited.

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This absence of objective verification limits the validity of the reported experiences. 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 viagra medicine Kingdom; VC, Viagra connect®. This study was conducted in accordance with the principles of good clinical practice and the Declaration of Helsinki.

Key risk messages

It did not require approval of institutional review boards or ethics committees at the study sites. 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. The full terms of this license are available at and

• Viagra Connect may interact with certain medications.
• Be aware of potential contraindications.
• Not for use with certain blood pressure medicines.
• Consult a healthcare professional before starting.
• Do not use if you have recent heart surgery.
• Regular check-ups can ensure safe use of ED medication.

incorporate the Creative Commons Attribution - Non Commercial (unported, 3.0) License.

• The product is approved by health regulatory authorities.
• It can be purchased online or in-store at pharmacies.
• Not suitable for women or individuals under 18.
• Levitra and Cialis are alternative ED medications.
• Combining with certain drugs can cause serious side effects.
• Follow the recommended dosage strictly.

By accessing the work you hereby accept the Terms.

Are there any side effects?

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. 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.

Online survey

doi:10.3949/ccjm.74.Suppl_3.S30 Modifying risk factors in the management of erectile dysfunction: a review. 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. Burri A, Porst H. Results from an online survey investigating ED patients’ insights and treatment expectations. Non-commercial uses of the work are permitted without any further permission

from Dove Medical Press Limited, provided the work is properly attributed.

• The packaging includes clear dosing instructions.
• Pharmacists can advise on proper usage and precautions.
• Do not share medication with others.
• Discontinue use if side effects worsen.
• Report any adverse reactions to a healthcare provider.
• Keep track of your dosage schedule for safety.

For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.

Viagra Connect FAQs: Expert Advice for Irish Customers

This study was sponsored by Pfizer and Upjohn, a legacy division of Pfizer, now merged with Mylan to form Viatris. 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.

How long do the effects last?

Jim Z Li is a former employee of Viatris Inc. Joanna Lem is a former employee of Pfizer Inc. Muhammad Younus is an employee of Pfizer Inc. Janine Collins is an employee of UBC. The authors report no other conflicts of interest in this work. A new quick reference guide to the supply of Viagra Connect (sildenafil) as

Plain Language Summary

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. 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.

Survey sample

To ensure consistency, the survey asked patients to answer questions related only to their first purchase of VC. 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. a pharmacy (P) medicine has been released by the Royal Pharmaceutical Society (RPS).

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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). 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.

Assessment for Suitability for VC by Pharmacist

This study has several Limitations, some are common to survey studies. 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 responding to more than one survey invitation in pharmacies.