Plainly speaking, Sildenafil and Viagra contain the same active ingredient. It might be a while before MED is available at your local pharmacy. Important note: The bioequivalence also means you need to steer clear of both Sildenafil and Viagra if you have been medically advised against taking either of them. The Food and Drug Administration just granted over-the-counter sale marketing authorization for MED, a topical gel created to treat erectile dysfunction ED. Like Viagra, Sildenafil has a high rate of success — whatever the underlying reasons behind your ED. Manual Health Centre In 30 seconds Sildenafil is the active ingredient in Viagra and in generic, unbranded Sildenafil tablets. The medication was developed by U.Certain over-the-counter (OTC) supplements may help with erectile dysfunction, such as: L-arginine in combination with pycnogenol Has been shown in studies to improve sexual . Yes, penile pumps (also known as ED pumps) are over-the-counter devices that work to treat erectile dysfunction, similar to Viagra. Viagra (sildenafil) is usually . 1. It Targets the Problem and Works Quickly. Being a topical means MED targets your penis directly and offers a “quick onset of action,” Dr. Pearlman .