Is There Anything Over-the-Counter That Works Like Viagra?

Medically Reviewed on 3/11/2022
Over-the-counter erectile dysfunction pills & ED pumps
Over-the-counter treatment for erectile dysfunction does exist, in the form of ED pumps and pills. However, it’s best to consult your doctor before starting these treatments.

Yes, penile pumps (also known as ED pumps) are over-the-counter devices that work to treat erectile dysfunction (ED), similar to Viagra.

Viagra (sildenafil) is usually the first-line therapy for erectile dysfunction in the United States and is available only on prescription. Although Viagra is the most effective medication for men with ED, some may not want to use it or cannot use it due to their side effects or the risk of reactions with other drugs they consume.

For these men, an over-the-counter device, such as a penile pump, could be a better option. Additionally, these pumps can also offer great relief to men in whom Viagra has stopped working.

What are the other advantages of using penile pumps?

Where Viagra needs initial stimulation with foreplay, a relaxed mind, and a peaceful environment, penile pumps do not require these steps. Since Viagra works on the chemicals in the body, called neurotransmitters, any chemical or psychological problem in these pathways can cause it to fail. Contrarily, penile pumps act as mechanical stimulators by working directly on the penis and inducing an erection by drawing in blood.

The market is filled with erectile dysfunction (ED) pumps, so if you are planning to buy one, you should consult your doctor about the type and brand. Also, always read the label before you start using the device. Inappropriate usage can result in minor accidents and bruises of the penis.

Are there any natural alternatives to Viagra?

Several herbs and dietary supplements claim to improve erectile dysfunction (ED) and libido, with some even claiming to work like Viagra. However, the U.S. Food and Drug Administration (FDA) does not approve of any “herb” or “supplement” meant to improve sexual stamina, so consult your doctor before ingesting these potentially dangerous drugs.

Research does suggest that some supplements may help treat ED, such as:

  • Dehydroepiandrosterone (DHEA)
  • L-arginine
  • Ginseng
  • Propionyl-L-carnitine
  • Yohimbe

While these over-the-counter “Viagra alternatives” may be effective, there is no guarantee that they are safe. Some of the options sold online may contain ingredients that are dangerous to ingest.

Additionally, not enough studies exist on the safety and interactions of these alternatives on the medications that you regularly take for another condition. Some may cause serious side effects and drug interactions when taken alongside certain medications.

Hence, it is strongly recommended to consult a doctor before you consider taking any supplements for ED, especially if you are on any medicine for a chronic condition, such as heart disease.

What else should you do for your ED?

Consult your doctor about your erectile dysfunction (ED) because treating it on your own may be unsafe. Get a proper diagnosis and identify the root cause of the condition.

If penile pumps do not work for you, your doctor may recommend treatments, such as:

Your doctor may also suggest modifying your lifestyle, with changes such as:

  • Losing weight (if you are overweight or obese)
  • Performing pelvic floor exercises regularly
  • Quitting smoking
  • Limiting your alcohol intake
  • Avoiding recreational drugs
  • Staying physically fit by exercising regularly
  • Learning to manage your stress


Erectile Dysfunction (ED) Causes and Treatment See Slideshow

Can you take Viagra with testosterone?

Viagra is a medication used to treat erectile dysfunction in men.
Testosterone and Viagra when taken together do not produce any known reactions or serious complications.

Testosterone and Viagra when taken together do not produce any known reactions or serious complications.

  • Taking testosterone can help treat men with low testosterone to improve sexual drive, but it cannot treat erectile dysfunction.
  • Taking Viagra can help treat erectile dysfunction but does not improve sexual desire.
  • Both testosterone and Viagra can be taken, but they both treat different problems.

Either one can’t be used to treat both a lack of sexual drive and erectile dysfunction. If a person has only erectile dysfunction with normal sexual drive, combining Viagra and testosterone has no added benefits, just Viagra would suffice.

Some studies have shown that Viagra may increase testosterone levels marginally but may not be significant enough to treat low testosterone levels.

What is testosterone?

Testosterone is a primary male sex hormone. It is responsible for the development of male reproductive organs, secondary sexual characteristics, increased bone/muscle mass, and sexual drive (libido).

Testosterone replacement therapy is used to treat men with low testosterone levels as the functions of testosterone do not occur properly. Testosterone may be administered in the form of pills, injections, or patches. This would help improve the symptoms that occur due to low testosterone in the body.

Health Solutions From Our Sponsors

Medically Reviewed on 3/11/2022
Khera M. Treatment of Male Sexual Dysfunction. UpToDate.

Kim ED. Erectile Dysfunction Treatment & Management. Medscape.

Mayo Clinic. Dietary Supplements for Erectile Dysfunction: A Natural Treatment for ED?.