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Home/Erectile dysfunction/Viagra connect

Viagra Connect

8 x 50 mg tablets

The branded over-the-counter option from the original manufacturers of Viagra, Viagra Connect only comes in 50mg tablets.

Recommended alternative: Sildenafil

How do our discounts work?
Final treatment plans are shared decisions determined with your clinician after this online assessment. Always read the leaflet and treatment plan.

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Ongoing clinician support

How to use Viagra Connect

Get in the mood

You still need to be sexually aroused for it to work, so everything needs to be exciting. You’ve got this.

Take the pill

Take a pill an hour before you want to have sex. Viagra Connect starts to work within 30-60 mins and maximum erection potential happens around the 1 hour mark.


Viagra Connect lasts for around 4 hours (sometimes longer for some men). So relax, no need to rush.

A note from our doctor

Erections really aren’t that easy. For a lot of men. About 40% of men have erection difficulties by age 40. But help is here. Viagra Connect is one option for men with E.D. and lasts for around four hours. Whatever the cause, it helps for the vast majority of men.
Earim Chaudry
Medical Director
Your manual to Viagra Connect
4-5 hours
Onset of action
60 minutes
Available in
Don’t combine with
Alcohol, Nitrates
Effective, branded option
Speak to us if you have
Hypotension (blood pressure <90/50 mmHg), recent stroke or heart attack

How it works

Quick questionnaire

We’ll ask you a couple of quick medical questions. Tick the boxes and a clinician will review your answers and issue you a prescription.

Free next-day delivery

Your selected treatment will be delivered for free, with discreet packaging and instructions on how to use it.

Clinician support

Chat with a medical expert whenever you need. On the phone or via email. With support throughout your treatment.
Not sure if Viagra Connect is the best treatment for you?
Start our free online consultation for the best treatments specifically tailored to you.
Dr Earim Chaudry
Medical Director
Frequently asked
What is erectile dysfunction?

Erectile dysfunction – or ED – is the condition in which men struggle to achieve or sustain an erection for long enough to have sex. It can strike men of all ages, and can be caused by a range of different physical and psychological causes – from performance anxiety to cardiovascular disease. While, sadly, a number of men keep the problem to themselves, there’s no need, as ED can be treated.

How does Viagra Connect work?

Viagra Connect works thanks to its active ingredient, Sildenafil Citrate. This is a medicinal agent known as a PDE5 inhibitor, which encourages blood flow within the penis. It does this by targeting the enzyme, phosphodiesterase 5, that is responsible for smooth muscle contraction in the blood vessels supplying your penis. By improving blood flow in the area where you need it, the better the chances of an erection.

How long does it take for Viagra Connect to work?

Viagra gets to work 30-60 minutes after you have popped the pill – and your best chance of an erection comes usually after an hour. Yet, there’s no rush. Viagra remains effective up to 4-5 hours after you have taken it, giving you plenty of time to enjoy its benefits. Be aware that these timings differ if you’ve eaten a big meal of fatty food. This tends to slow the drug’s absorption into your system.

How effective is it?

Viagra has a reputation for being a well-tolerated and effective treatment for ED – and it’s a reputation that is deserved. Sildenafil has been shown in trials to be effective in about 80% of men – and it routinely outperforms other options of erectile dysfunction medication. However, every man is different. If it is not effective the first time, we recommend you try 8 separate occasions before choosing other options.

Are there other options?

Yes. Options for the treatment of erectile dysfunction include other PDE5 inhibitors such as Tadalafil, a drug often sold under the brand name Cialis. It works in the same way, but the drug has a longer half-life – meaning that it can be effective for up to 36 hours. As such, it gives you a little more flexibility on when you can expect an erection and less need to plan sex within a specific 4-5 hour window. Other ED treatments include penile injections and vacuum devices, which are not quite so easy or user friendly.

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Meet our medical team
Enabling the mission of revolutionising how men approach health, they are at the core of the men’s wellness platform. Meet our team.
Earim Chaudry, MD
Medical Director
Eve Agwuncha
Pharmacist, Ind. Prescriber
Bentley Ifediora-Ezike
Pharmacist, Ind. Prescriber
Get a free consultation
Speak with one of our clinicians and get personalised advice. Monday to Friday 9am-4:30pm
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Viagra Connect: Everything You Need to Know
Curated by Dr. Earim Chaudry, Manual Medical Director
Erectile dysfunction is common. As many as 4.3 million men in the UK are thought to be experiencing the condition, and studies have shown that as many as a third of men under 30 have experienced it at some point in their lives. This reaches about half of men in their 50s. However, many men don’t seek help.
You don’t need to be one of these men. While there are many causes of ED – from the psychological to the hormonal, the anatomical to the neurovascular – there are many ways to treat it, too. And Viagra Connect is one of the easiest. Read on for more information about this ED medication.
What is Viagra Connect?
Viagra Connect is an over-the-counter version of the original treatment for ED, made by the pharmaceutical company Pfizer – the first company to manufacture drugs for erection problems.
As you may know, it is powered by Sildenafil, a PDE5 inhibitor that encourages blood flow where you need it. This active ingredient tackles the enzyme, phosphodiesterase type-5, that is responsible for smooth muscle contraction in the blood vessels supplying your penis. When it is inhibited, blood flows more easily – thereby improving your chances of getting (and sustaining) an erection.
You can get Viagra Connect online from Manual after filling out a questionnaire. No big deal – we just need to know, like every online pharmacy – that it is safe for you to take the medication.
How effective is Viagra?
Viagra was the first treatment to be clinically approved to treat erectile dysfunction. 85% of men who take Viagra achieve erections strong enough for sexual intercourse.
Since then, similar medications have come onto the market, such as Tadalafil (Cialis), Vardenafil (Levitra), and Avanafil (Stendra). In a review of 82 trials covering over 47,000 patients, though, Sildenafil 50mg tablets were found to be the most effective of all comparable medications.
Crucially, though, Viagra can’t do everything by itself. You will need sexual stimulation for it to be effective. So, relax and get in the mood.
What you need to know before taking Viagra Connect
As with all medicines, you need to know what you’re doing before taking Viagra. There can be side effects, it can interact with other drugs, and it can be harmful for sufferers of certain medical conditions.
Let’s talk about some of these – to ensure you take Viagra as safely and effectively as possible.
Firstly, don’t take more than one dose of Viagra in a 24-hour period. This increases the chances of side effects. And do not drink large amounts of alcohol before you plan to take Viagra. Drinking too much alcohol can reduce your ability to get an erection and this may prevent you from getting the maximum benefit from the tablets. Alcohol can also reduce your blood pressure, which combined with similar effects of Sildenafil can cause dizziness and headaches
If you feel the tablets are too strong, discuss this with the clinician as your dose may need to be reduced. Likewise, let them know if you don’t get an erection after taking Viagra, or if it doesn’t last long enough for you to have sex. Whatever you do, do not take more tablets than the recommended dose.

Side effects of Viagra Connect

If present at all, the side effects of Viagra Connect are usually mild and temporary. The most common side effects are headache, flushing, indigestion, nasal congestion, dizziness, nausea, hot flushes, and vision changes (such as having a blue colour tinge, or blurred vision).

These should go away pretty quickly. If they don’t, however, seek the advice of a healthcare professional. If you’ve had a persistent erection, lasting longer than 2 hours, it’s time to seek urgent help. Priapism – an erection that is painful and just won’t go away – is an infamous, but very rare, side effect of Viagra. If you are experiencing one, you should go to your local A&E department immediately.

Who shouldn't take Viagra Connect?

Viagra is for the use of adult men experiencing ED only. Women, men under 18, or men who are not experiencing ED simply should not use it.

This also applies to men for whom sexual activity may be inadvisable. It includes men:

  • whose doctor has advised that they are not fit enough for any physical and/or sexual activity.
  • who feel very breathless or experience chest pain with light or moderate physical activity, such as walking briskly for 20 minutes or climbing two flights of stairs.
  • who have had a recent (6 months) acute myocardial infarction (AMI) or stroke

These are not the only men that should be wary. Those who have any of the following should speak to a clinician before taking Viagra Connect:

  • Hypersensitivity to the active substance or to any of the excipients.
  • Anatomical deformation of the penis (such as angulation, cavernosal fibrosis or Peyronie's disease).
  • Loss of vision in one eye because of non-arteritic anterior ischaemic optic neuropathy (NAION) or known hereditary degenerative retinal disorders such as retinitis pigmentosa.
  • Galactose intolerance, Lapp lactase deficiency or glucose-galactose malabsorption.
  • Previously diagnosed hepatic disease or severe renal impairment.
  • Sickle cell anaemia, multiple myeloma or leukaemia.
  • Any bleeding issues (e.g. haemophilia) or that have active stomach ulcers.

Which drug interactions should you be aware of?

Finally, Sildenafil is known to interact with certain other medications. If you are on any of these, please let us – or your healthcare provider – know.

  • Nitrates (nicorandil or other nitric oxide donors e.g. glyceryl trinitrate, isosorbide mononitrate or isosorbide dinitrate) for chest pain.
  • ‘Poppers’ for recreational purposes (e.g. amyl nitrite), or any recreational stimulant drugs such as cocaine or mdma.
  • Riociguat or other guanylate cyclase stimulators for lung problems.
  • Ritonavir (for HIV infection).
  • CYP3A4 inhibitors, e.g. saquinavir (to treat HIV infection), cimetidine (a heartburn treatment), itraconazole or ketoconazole (to treat fungal infections), erythromycin or rifampicin (antibiotics) or diltiazem (for high blood pressure).
  • Alpha-blockers, such as alfuzosin, doxazosin or tamsulosin, which are medicines to treat urinary problems due to enlarged prostate (benign prostatic hyperplasia) or occasionally to treat high blood pressure.
  • Other treatments for ED. Too many PDE5 inhibitors in your system increases the chances of side effects.
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