Can you buy viagra in amsterdam

Overview

Authorisation details

Product details
Name

Viagra

Agency product number

EMEA/H/C/000202

Active substance

sildenafil

International non-proprietary name (INN) or common name

sildenafil

Therapeutic area (MeSH)

Erectile Dysfunction

Anatomical therapeutic chemical (ATC) code

G04BE03

Publication details
Marketing-authorisation holder

Upjohn EESV

Revision

42

Date of issue of marketing authorisation valid throughout the European Union

13/09/1998

Contact address

Rivium Westlaan 142 
Capelle aan den Ijssel
2909 LD
Netherlands

Product information

29/08/2022 Viagra - EMEA/H/C/000202 - IB/0114

Pharmacotherapeutic group

Treatment of men with erectile dysfunction, which is the inability to achieve or maintain a penile erection sufficient for satisfactory sexual performance.

In order for Viagra to be effective, sexual stimulation is required.

Assessment history

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    AMSTERDAM (Reuters) - A Dutch trial with sildenafil, sold under the brand name Viagra, has been immediately halted after 11 babies of mothers using the medication died, one of the participating hospitals said on Tuesday.

    When the trial was stopped on Monday, roughly half of 183 pregnant women participating were taking sildenafil, the Amsterdam University’s Academic Medical Center (AMC) said.

    The study started in 2015 and involved 11 hospitals. It was designed to look at possible beneficial effects of increased blood flow to the placenta in mothers whose unborn babies were severely underdeveloped.

    Around 15 women who took the medication have not yet given birth.

    “Previous studies have shown that sildenafil would have a positive effect on the growth of babies. The first results of the current study showed that there may be adverse effects for the baby after birth,” the AMC said.

    Yet the results showed that 17 babies were born with lung conditions and 11 died. Among the roughly equal control group, just three babies had lung problems and none died.

    Among the women taking sildenafil, 11 of the babies died due to “a possibly related lung condition” that caused high blood pressure in the lungs and may have resulted from reduced oxygen levels.

    An interim analysis found that the chance of blood vessel disease in the lungs “appears to be greater and the chance of death after birth seems to have increased. The researchers found no positive effect for the children on other outcomes,” the AMC said.

    Stephen Evans, a professor of pharmacoepidemiology at the London School of Hygiene & Tropical Medicine, said the small number of trials with pregnant women has limited our knowledge of medicines in pregnant women.

    “There have been other studies in this area, both involving preliminary work using animals and using pregnant women, and there was no indication that the treatment was dangerous based on previous research,” he said.

    The drug was originally developed by Pfizer but is now off patent and available as a generic. Pfizer had no immediate comment.

    Reporting by Anthony Deutsch; Additional reporting by Kate Kelland and Ben Hirschler; Editing by Adrian Croft

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    After New Year, men will no longer need to talk to their regular GP about impotence problems. Is this a good idea?

    Can you buy viagra in amsterdam

    Photo: Einar Nilsen

    From 2020 onwards, men over the age of 18 will be able to buy Sildenafil, marketed as non-prescription Viagra, at pharmacies (1). The drug will be the first to be sold under the scheme 'non-prescription medication with guidance' (2). Pharmacists will use a checklist and must request customers who answer some of the questions in the affirmative to contact their GP for further assessment (3). According to the Norwegian Medicines Agency, the aim of this initiative is to reduce the amount of illegal purchases online (1).

    In 2018, more than 6 million doses in the erectile dysfunction drugs' category were sold in Norway to just over 107 000 users; this came to slightly more than NOK 180 million (4). However, statistics given in the Norwegian Prescription Database provide limited information about the actual use of such drugs. Instead of visiting the doctor, many men choose to buy erectile dysfunction tablets on the illegal market. During an international campaign last year, 37 % of the drugs confiscated in Norway had been sold as erectile dysfunction medication (5). The Netherlands has attempted to chart its use, although this is difficult: analyses of sewage showed that the amount of residue from such drugs was more than twice what could be expected based on the number of prescriptions (6).

    Erectile dysfunction tablets are a gift to producers of counterfeit drugs: low production costs give profit margins that are 2 000 higher than for cocaine, while penalty levels are low (7). But the risk to users is substantial: a study, which admittedly was conducted by the pharmaceutical company that produces Viagra, showed that only 18 % of the internet sites that claimed to sell Sildenafil, delivered genuine products (8). Instead of Sildenafil, buyers ran the risk of being fobbed off with medication that contained talc, amphetamine, paracetamol or metronidazole – and maybe a good dose of bacteria as well (7, 8).

    Why do men choose to do something illegal to obtain a product that doesn't contain what they want? The results of a European survey indicate that the main reasons are men's reluctance to talk to a doctor, and the fact that they want to buy it cheap (9). But will the scheme of non-prescription drugs with guidance feel simpler? It assumes that those who don't want to talk to their regular GP will think that it's OK to talk to a pharmacist. And the men concerned must be willing to pay more, not less. The prices of non-prescription drugs aren't controlled, and it seems clear that non-prescription Viagra will be more expensive than Sildenafil on prescription (1).

    There are many good reasons why men should talk to their GP about impotence problems. Erectile dysfunction has a complex etiology with both somatic and psychological components, and even though drug therapy is the first choice, talking therapy or lifestyle changes can also have a good effect (10). Moreover, erectile dysfunction is an independent risk factor for cardiac disease, particularly in men under the age of 60 (10). Men with erectile dysfunction of unknown cause must be assessed for cardiovascular disease (10). A confidential conversation in private may also be a good thing – the pharmacist's checklist does not include questions about whether the patient has erectile dysfunction or if the young man who wants an erection pill is actually 'just' curious or is suffering from sexual performance anxiety.

    In 2018, there were altogether 214 245 GP consultations in Norway with the diagnosis 'gynaecological problems' (pregnancy, birth and contraception are excluded) (11). None of the 20 diagnostic groups in Statistics Norway's statistics encompass male genital organs. Women are accustomed from an early age to exposing their private parts to healthcare personnel. Maybe it's different for men. Nevertheless, it would be useful to find out more about the taboo surrounding a condition that affects 20–40 % of middle-aged men that can often be treated, but which may also be an indicator of other illness (10). Transferring the conversation from the GP's office to the pharmacy does not appear to be a step in the right direction.

    Is Viagra available in the Netherlands?

    There are three licensed ED products available on the Dutch market (Viagra®, Cialis® and Levitra®). All need to be prescribed by a physician. The use of illicit ED products has increased dramatically during the last decade, most likely due to the ease of purchasing via the Internet.

    Do you need a prescription to buy drugs online?

    Buying controlled substances online without a valid prescription may be punishable by imprisonment under Federal law. Often drugs ordered from rogue websites come from foreign countries. It is a felony to import drugs into the United States and ship to a non-DEA registrant.

    Where do you put medicine in your home?

    Store your medicines in a cool, dry place. For example, store it in your dresser drawer or a kitchen cabinet away from the stove, sink, and any hot appliances. You can also store medicine in a storage box, on a shelf, or in a closet. If you are like most people, you probably store your medicine in a bathroom cabinet.

    How do I find a legitimate Canadian pharmacy?

    Below are two methods to verify the legitimacy of a Canadian online pharmacy..
    Verification with a Canadian Pharmacy Regulatory Authority. Look up the Canadian business address on the online pharmacy's website (usually found in "Home" or "Contact Us" page). ... .
    Verification Through the . Pharmacy Verified Websites Program..