There are many ways of getting sildenafil. Sildenafil can be prescribed on NHS or private prescription, it can be purchased from a pharmacy or online pharmacies, or patients can use different private erectile dysfunction services widely provided by online pharmacies / online doctors. Since 2018 sildenafil became available over the counter from pharmacies without a prescription, under a branded name as Viagra Connect. In 2020, we saw a launch of Aronix, another brand of sildenafil available over the counter without a prescription and priced much more competitively. Today I am going to write about one of the cheapest ways of getting sildenafil without seeing a GP or having a prescription: Tesco sildenafil erectile dysfunction service.
What is Tesco erectile dysfunction service?
Tesco erectile dysfunction service allows a supply of prescription-only sildenafil (generic) by a Tesco pharmacist to male patients who do not fall into exclusion criteria defined by this service. The supply of prescription-only sildenafil is possible without a prescription when patients use this service.
Similarly to the over the counter sale of Viagra Connect, the supply of sildenafil as a part of Tesco erectile dysfunction service is restricted to certain people.
Tesco erectile disfunction service: who can get Tesco sildenafil?
Only men who are 40-65 years of age can use Tesco erectile dysfunction service.
Additionally, there are several criteria which may exclude customers from getting a supply of sildenafil tablets in Tesco. These criteria are very similar to requirements set by over the counter supply of Viagra Connect from a pharmacy.
Tesco erectile disfunction service: who cannot have sildenafil?
As I mentioned already, patients who are not aged between 40-65 are not eligible to use this service. Other exclusion criteria which make the patient not suitable for this service:
- Patients who have heart, kidney or liver problems
- Heart problems include recent stroke, heart attack or angina (chest pains)
- Patients with deformity of the penis (Peyronie’s disease)
- A patient wilt low blood pressure
- A patient with uncontrolled high blood pressure
- A patient who take drugs which interact with sildenafil
- A patient who use other medications for erectile dysfunction or preparations used locally for erectile dysfunctions (for example cream)
- Patients with specific conditions, for example, stomach ulcers, bleeding problems or inherited eye conditions such as retinitis pigmentosa
- Patients who had suffered from a sudden vision loss cause by Non-Arteritic Anterior Ischemic Optic Neuropathy (NAION)
Tesco sildenafil: first consultation
During the first consultation, customers need to provide a medical history by answering a questionnaire.
Additionally, customers need to have a health check done during the first appointment. A health check may be performed by a regular member of staff or a Tesco pharmacist. The health check consists of:
- Measurement of blood pressure: measured three times, with the average value being calculated.
- Measurement of total cholesterol
- Measurement of blood glucose
- BMI measurement (weight and height taken)
Total cholesterol and blood glucose are measured with a finger prick test. A finger is pricked with a lancet (a needle) to get a small amount of blood, which is placed on either glucose testing strip or cholesterol testing strip. Blood glucose result is almost instantaneous. It takes 3 minutes to get results for a total cholesterol test.
Patients who take this health test need to meet the following criteria:
- For blood glucose result should read below 8 mmol/L
- For total cholesterol, the result should read below 6.5 mmol/L
- For blood pressure, the systolic number (higher number from blood pressure reading) should be between 150 mmHG and 100 mmHg.
The initial consultation should take about 20 minutes. For eligible customers, sildenafil is dispensed by the staff following the consultation. Health check needs to be performed annually only. Each time a patient re-visit the pharmacy, a follow-up consultation takes place.
Tesco sildenafil: follow up consultations
The follow-up consultation is straight forward and takes much less time than initial consultation. Patients need to answer only four follow up questions to get Tesco sildenafil. Customers need to confirm:
- Any changes to their medical history
- Presence of any new medical conditions
- Report any side effects when sildenafil was taken
- Whether previously supplied sildenafil tablets (strength) were effective
Tesco sildenafil: what drug can be supplied?
Customers who are eligible for the supply of sildenafil can choose from three different strengths of sildenafil:
- Sildenafil 25mg
- Sildenafil 50mg
- Sildenafil 100mg
For new customers, a recommended strength of sildenafil is 50mg. Patients are supplied with a generic version of sildenafil tablets. There is no Tesco brand of sildenafil, just generic versions of this drug, which are used for this service. Supplied sildenafil may be any generic version of sildenafil that a pharmacy may have in stock at the point of the service. Patients cannot obtain branded Viagra with the use of this service.
Customers may request to have sildenafil 100mg supplied after the initial consultations as long as they provide some evidence of previous treatment with this strength of sildenafil tablets.
Initially, 4 or 8 sildenafil tablets can be supplied. A patient may request up to 16 tablets during a follow-up appointment.
Tesco sildenafil: how much does it cost?
Price comparison of over the counter sildenafil with additional price comparison to Lloyd’s Pharmacy Online Dr service.
|Tesco sildenafil||Aronix sildenafil||Viagra Connect||Lloyds Online Dr|
|Sildenafil 50mg x4|
|Sildenafil 50mg x8|
Tesco erectile dysfunction service: advantages & disadvantages
Advantages of Tesco’s ED service
- No GP appointment needed
- Age restrictions (40-65 years of age)
- One of the cheapest options for sildenafil supply without seeing a GP
- Three different strengths of sildenafil tablets can be supplied (25mg, 50mg or 100mg)
- You will get an assessment of your health (blood pressure, total cholesterol, and glucose) and advised if a referral to your GP is needed.
Disadvantages of Tesco’s ED service
- The first consultation takes time (health check)
- Only Tesco pharmacist can provide this service
Sildenafil supply: what are other options?
Patients who do not meet the criteria for the supply of Tesco sildenafil most likely will need to speak to their GP about their condition. GP can prescribe sildenafil or recommend another treatment even if some of the exclusion criteria apply to patients under Tesco’s erectile dysfunction service.
Sildenafil belongs to a group of drugs called phosphodiesterase type 5 (PDE-5) inhibitors. PDE-5 inhibitors cause vasodilation of blood vessels in the penis, causing an erection. Sexual stimulation must happen for sildenafil to work. Several clinical trials support the effectiveness and safety (tolerance) of sildenafil in the treatment of erectile dysfunction (Goldstein et al 2016). Apart from sildenafil, there are three other PDE-5 inhibitors licensed in the UK for the management of erectile dysfunction:
Larger, multiple chain pharmacies (Boots, Lloyds) offer online erectile dysfunction services were patients can get the above drugs as part of private service. Generally, generic sildenafil is the cheapest option for ED management, regardless of which service is used.
Common side effects associated with sildenafil use include:
- visual disturbance
- blurred vision
- nausea and dyspepsia
Patients should read the product information leaflet before sildenafil use.
Tesco sildenafil: Conclusion
Erectile dysfunction service offered by Tesco is a great way of getting a cheap supply of sildenafil tablets for the treatment of erectile dysfunction. Despite a lengthy, first consultation, Tesco patients may not only benefit from the best deal, but may learn more about their health when health check is performed as a part of this service. Customers who wish to use Tesco erectile dysfunction service are encouraged to ring to see when the best time is to see a Tesco pharmacist or book an appointment for the first consultation.
Customers who prefer face to face contact rather than online consultations have an alternative option of buying Viagra Connect or Aronix without a prescription. Although more expensive than Tesco ED service, this way is a quicker way of buying sildenafil without a prescription.
Goldstein I, Tseng LJ, Creanga D, Stecher V, Kaminetsky JC. Efficacy and Safety of Sildenafil by Age in Men With Erectile Dysfunction. J Sex Med. 2016;13(5):852–859. doi:10.1016/j.jsxm.2016.02.166 Available at: https://doi.org/10.1016/j.jsxm.2016.02.166 Accessed on 31/01/2020