Men in the South African capital, Johannesburg, are increasingly seeking cheaper erectile dysfunction treatments, such as the popular Viagra, despite the country's ongoing struggle with overfilling a national health crisis.
Viagra and similar prescription drugs are often the first line of treatment for impotence, a condition that has prompted major medical and pharmaceutical companies to explore alternative treatments. Despite a global ban on such drugs, the world has seen the emergence of several new drugs targeting erectile dysfunction, which are not covered by South African health systems.
The South African health ministry announced on January 1 that it will ban Viagra, marketed by Pfizer, for use in the country's hospitals. The drug was to cost about R2.8 million (R1.3 million) and will be available without a prescription in pharmacies, doctors and hospitals across the country.
Viagra, with the active ingredient Sildenafil citrate, is the only erectile dysfunction drug available in the country. It is currently the only approved treatment for impotence.
Pfizer has also launched several other erectile dysfunction drugs aimed at other health issues in the country. All but one of these have been approved by the Health Authority of South Africa, meaning that some South Africans will still be eligible for their treatment. Other drugs, including a class of drugs called phosphodiesterase type 5 inhibitors, are available to the country but will not have the same coverage.
However, a new trial of sildenafil, marketed as Viagra Connect, is to be conducted in the country by the National University of Health Sciences. The study is the first of its kind and aims to compare the effectiveness, safety and tolerability of the two drugs, and to measure whether patients taking Viagra are able to achieve and maintain an erection. The drug is priced at R30.5 million, or 25 per cent of the country's total drug costs.
Viagra, launched by Pfizer in 1998 as the first treatment for erectile dysfunction, is the second most commonly prescribed drug in the country. It was also the second-most commonly prescribed drug in the country, behind Cialis, which was introduced in 2003. However, sildenafil is more expensive and less widely available.
While sildenafil is not approved for sale in the country, the erectile dysfunction drug was approved by the Food and Drug Administration (FDA) in 1998 and has since been available in some pharmacies, doctors and hospitals.
Viagra has been nicknamed "the Viagra of South Africa" for its cost, effectiveness and safety. It is sold in the South African market under the brand name Viagra Connect and is available in several countries around the world.
The trials are designed to compare the drug's effectiveness and safety to that of other treatments for erectile dysfunction. The drugs are not available in all markets, and some countries require that men who are taking the drugs have their prescription required.
Viagra is the first medication approved in the country since it was introduced in 1998. It is the first treatment for erectile dysfunction to be approved in the United States, which has made Viagra the most widely prescribed drug in the country.
Viagra is a prescription-only drug in South Africa, so doctors must prescribe it when a patient takes it. In the United States, doctors must prescribe the drug for as long as they are examining a patient.
The results of the trials have been mixed, with some studies indicating that sildenafil is more effective than other erectile dysfunction drugs on a global scale, while others have shown no difference in effectiveness.
Pfizer, which sells Viagra Connect globally, has a regulatory arm, the South Africa Medical Products Authority, working with the National University of Health Sciences (NUHSC) to monitor the drug's effectiveness.
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Citation:
South African Health Ministry: The South African Men's Health Crisis: The Men’s Health Crisis, 2023 - 2030
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PronouncedApo-VoaSildenafilActive ingredient:is the same as the name indicates in the product packaging. It is a prescribed medication that contains the same active ingredient and is also available in 100mg, 50mg, and 100mg strengths.
Indications for use: This medication is intended to be taken by men who are experiencing erectile dysfunction. It is not recommended for use in women. Consult a doctor if you have any concerns or if you are allergic to the active ingredient, if you are taking any other medications, especially those that are nitrate-based, a alpha-blocker, alpha-blocker medications, cyclic guanosine monophosphate (cGMP), guanylate cyclase stimulators, guanylate cyclase signSTRUCT, guanosine diphosphate (cGDP) stimulator, tadalafil, or any of the other ingredients listed in the patient information leaflet. This product may have side effects, including headache, stuffy nose, and flushing. Consult a doctor if you have any concerns or if you are allergic to the active ingredient, if you are taking any other medications, especially those that are nitrate-based, a alpha-blocker, alpha-blocker medications, cyclic guanosine monophosphate (cGMP), cyclic guanosine analogues, cyclic guanosine monophosphate (cGMP) stimulators, tadalafil, or any of other ingredients listed in the patient information leaflet. Consult a doctor if you have any concerns or if you are allergic to the active ingredient, if you are taking any other medications, especially those that are nitrate-based, a alpha-blocker, a alpha-blocker medications, cyclic guanosine monophosphate (cGMP), cyclic guanosine analogues, cyclic guanosine monophosphate (cGMP) stimulators, tadalafil, or any of other ingredients listed in the patient information leaflet. Consult a doctor if you have any concerns or if you are allergic to the active ingredient, if you are taking any other medications, especially those that are nitrate-based, a alpha-blocker medications, cyclic guanosine monophosphate (cGMP), cyclic guanosine analogues, cyclic guanosine monophosphate (cGMP) stimulators, tadalafil, or any of other ingredients listed in the patient information leaflet.Viagra has been shown to cause some mild side effects. Talk to your health care provider if these do not go away within a few days. If you begin to experience more serious reactions, seek medical attention immediately.
Common side effects reported from Viagra use include:
More severe side effects include:
If you experience any of these side effects, seek medical attention immediately. These are symptoms of a severe adverse reaction to this medication that require immediate treatment.
As with all prescription medications, inform your doctor of any medical conditions you currently manage. Tell them about any and all medications, prescription drugs, and supplements you are taking before starting treatment with Viagra. Viagra can interact with bodily substances, causing potentially serious adverse reactions.
Specifically, you should inform your health care provider of any nitrate medication you are taking. Remember to mention any herbal products you use, especially St. John’s wort.
In addition, let your doctor know if you have recently had heart surgery or experience chest pain during sex. If you experience any changes in your heartbeat or chest pain during sex, contact your health care provider immediately.
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If you have a potential allergic reaction, seek immediate medical attention.
2023-08-12
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