The medication was developed by U.K.-based Futura Medical and will be the first topical OTC treatment for ED that’s available in the U.S. without a prescription, according to a .Oral medicine for ED also might not be safe or work well if you have: Very low blood pressure, called hypotension, or uncontrolled high blood pressure, called hypertension. They’re often the first line of treatment for trouble getting or keeping an erection, called erectile dysfunction ED. Avanafil Stendra. It might be a while before MED is available at your local pharmacy. Typically this takes the form of a tick box medical questionnaire, which is then reviewed by the pharmacist prior to supply. Most will prescribe the 50mg tablet at first to patients who are just starting to take Viagra.However, in , Viagra became available over the counter in the United Kingdom to combat the counterfeit market and improve access. Natural and over-the-counter alternatives for ED. Natural and over-the-counter (OTC) products for treating ED are widely available, especially on the internet. However, none . Currently, there are no over the counter alternatives to Viagra available. Viagra (sildenafil) is a prescription medication, meaning it’s not available over the counter from your.The body takes longer to absorb it after a high-fat meal or alcohol. Often, these are prescribed for chest pain called angina. Common ones include: Flushing of the skin. Typically this takes the form of a tick box medical questionnaire, which is then reviewed by the pharmacist prior to supply. Your doctor or other health care professional can recommend one for you based on these factors, other health conditions you have and any other medicines you take. Sudden vision loss in one or both eyes can be a sign of a serious eye problem called non-arteritic anterior ischemic optic neuropathy NAION. They both contain the active ingredient Sildenafil, which is also available as a generic unbranded tablet.