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Men in the UK will soon be able to buy Viagra over the counter for the first time after the erectile dysfunction drug was reclassified.

Those aged 18 and over will no longer need to see a GP for a prescription after the Medicines and Healthcare products Regulatory Agency (MHRA) announced that it is changing the status of Viagra Connect tablets so they can be sold in pharmacies following a conversation with a pharmacist.

US pharmaceutical company Pfizer said it is working on plans to launch the non-prescription version of the medicine in the UK in the spring of 2018. A four-pack of the sildenafil tablets will cost around £19.99 and an eight-pack £34.99. Men who buy it will be advised that they can take a 50 mg tablet an hour before having sex, but should not use more than one pill a day. Sildenafil is already available on NHS prescription free of charge.

The decision to reclassify the drug follows a public consultation, the MHRA said. Pharmacists will be able to determine whether treatment is appropriate for the patient and can give advice on erectile dysfunction, usage of the medicine, potential side effects and assess if further consultation with a general practitioner is required.

“The move to make Viagra Connect more widely accessible will encourage men to seek help within the healthcare system and increase awareness of erectile dysfunction.”

Mick Foy, Medicines and Healthcare products Regulatory Agency

But some men, including those with severe heart problems, those at high risk of heart problems, liver failure, kidney failure or those taking certain “interacting medicines”, will still need to be prescribed the drug under the supervision of a doctor.

It is hoped that making the drug more widely available will mean than men who may have not previously sought help will be more likely to do so. Health officials also hope the move will also help steer people away from buying drugs websites operating illegally.

‘Popular target’

The MHRA said that erectile dysfunction medicines are a “popular target” for criminals selling unlicensed and counterfeit medicines, over the past five years the Agency has seized more than £50m of unlicensed and counterfeit erectile dysfunction medicines.

“This decision is good news for men’s health,” said Mick Foy, MHRA’s group manager in vigilance and risk management of medicines. “The move to make Viagra Connect more widely accessible will encourage men to seek help within the healthcare system and increase awareness of erectile dysfunction.

“Erectile dysfunction can be a debilitating condition, so it’s important men feel they have fast access to quality and legitimate care, and do not feel they need to turn to counterfeit online supplies which could have potentially serious side effects.”

Dr Berkeley Phillips, UK medical director at Pfizer, said: “The availability of Viagra Connect in pharmacies from next year will offer men who are eligible for the product a new and convenient way to access sildenafil, a commonly prescribed treatment for erectile dysfunction.

“We understand some men may avoid seeking support and treatment for this condition, so we believe giving them the option to talk to a pharmacist and buy Viagra Connect could be a real step forward in encouraging more men into the healthcare system.

“As erectile dysfunction may be a sign of an underlying condition such as diabetes, high blood pressure, or heart disease, there could also be a wider benefit to public health in the long term. We hope that this forthcoming new opportunity to purchase a genuine treatment via pharmacy will also reduce the likelihood of men turning to potentially ineffective and dangerous counterfeits from illicit sources.”

Is there a increase in people turning to counterfeit Viagra

Dr Berkeley Phillips, UK medical director at Pfizer, said: "We are experiencing the highest price increase for Viagra since the pharmaceutical revolution in 1998 and it is also heartening for patients and their doctors who are seeking to reduce the frequency and cost of Viagra access. We believe the advent of Viagra Connect means that primary care can now also be at the risk of purchasing the illegal and fake medication via pharmacy.

“I'm very sure you are asking which pharmacies are most likely to carry the item and you'll probably want to ask a few questions and see what the target is.

“Pharmacists can usually be reached to assist with group consultations and provide advice on erectile dysfunction usage, usage of the drug and potential side effects.

AstraZeneca has agreed to pay $9.5 million to settle claims it marketed a drug for premature ejaculation. The group reached a $2.2 billion settlement with a German company over allegations it marketed a drug to treat an erection that did not work, according to documents provided to Reuters.

In the settlement, AstraZeneca will pay $9.5 million to resolve federal claims it marketed a drug for premature ejaculation and received a $4.2 million settlement, according to documents provided to Reuters. The U. S. government alleged in the settlement that it marketed a drug for premature ejaculation and used the drug to treat erectile dysfunction.

In addition, the group will pay $4.5 million to resolve civil and criminal lawsuits filed by U. residents claiming AstraZeneca marketed a drug for premature ejaculation and used the drug to treat a condition known as PDE5 inhibitor-associated priapism, a condition known as men’s penis impotence.

AstraZeneca is the largest manufacturer of prescription drugs in the world, accounting for a significant portion of the global sales.

“This is not the first time we have been able to resolve a big pharmaceutical liability. Last year we were able to resolve a lawsuit brought by the German company which was looking to market a drug for premature ejaculation,” said Dr. Steven Nissen, AstraZeneca’s president and chief executive officer.

Nissen and other AstraZeneca executives were speaking at a meeting of the group’s board of directors.

The settlement comes as the company faced a legal challenge to the company’s patents on the drug Viagra and Pfizer Inc., the world’s largest drug maker, which it says had a “significant safety risk” of heart problems.

AstraZeneca is continuing to fight the case.

“This is a victory for AstraZeneca, and we will continue to fight,” AstraZeneca said in a statement. “This agreement provides AstraZeneca with a financial incentive to resolve any and all allegations related to Viagra and Pfizer’s use of the drug to treat erectile dysfunction.”

The settlement is a result of AstraZeneca’s ongoing efforts to get the drug off the market. Last year, AstraZeneca’s patent for Viagra, which expires in the fall of 2013, ran out of sales, and its patent for the drug expired.

In December 2013, the FDA issued a warning about the drug’s potential dangers for people with heart problems.

“It is important that patients have a discussion with their doctor about any treatment options, including Viagra and Pfizer’s use of the drug,” said Dr. Daniel V. Levitt, a Pfizer spokeswoman. “We encourage patients to seek treatment as soon as possible.”

Levitt said Pfizer’s Viagra, which it markets in the U. S., has been subject to a long list of lawsuits and regulatory scrutiny.

AstraZeneca’s patent for Viagra expired in 2013 and has been subject to several legal challenges over its use of the drug. AstraZeneca says that Viagra’s use to treat erectile dysfunction has resulted in more than 3 million men suffering from erectile dysfunction in the U. alone. In 2012, the FDA issued a warning about the drug’s potential dangers for people with heart problems.

In July 2013, AstraZeneca announced the settlement.

In September 2013, the U. Department of Justice filed a criminal complaint against AstraZeneca, alleging that the company had failed to warn patients and the public about the drug’s potential risks for heart problems.

The complaint, filed in federal court in New York, alleges that AstraZeneca was aware of a potential danger from the drug’s use, but had failed to disclose the information to the public.

AstraZeneca has denied the allegations and filed legal action against the pharmaceutical giant, saying in a statement that the case was not settled.

“The settlement and the settlement with other companies do not represent a substantial amount of money we may have to make to satisfy the claims of other parties in this litigation,” AstraZeneca said.

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