Viagra Sublingual: Does an Under-the-Tongue Version Exist?
Posted by: Don Amerman in Viagra February 20, 2013 0 29991 Views.
Pfizer’s blockbuster erectile dysfunction (ED) drug Viagra is the most counterfeited drug in the world.
Viagra is a tablet available in dosages of 25 mg, 50 mg, and 100 mg, and is taken by swallowing the tablet with water.
But it has also been reverse engineered by pharmaceutical manufacturers in other countries (like India and Israel) to be sold as a low cost generic version of Viagra.
But here’s the truth: There is currently no generic version of Viagra in the United States, and one probably won’t hit the market until at least 2019.
Some manufacturers of sildenafil (Viagra’s active ingredient) in other countries have created sublingual forms of the drug. “Sublingual” means that the drug is made to dissolve under the tongue and is not taken with water. Usually, these products are given descriptive names, like “Meltabs.” These products are not available in the US, and importing prescription drugs from other countries is illegal.
Some countries manufacture sublingual sildenafil (the active ingredient in Viagra), but you cannot import it to the US.
The website of the National Institutes of Health (NIH) National Center for Biotechnology Information (NCBI) provides access to information from peer-reviewed studies on sublingual administration of sildenafil. One study, which was conducted in the Urology Division of the Ospedale De Lellis in Italy, was a six-month comparison of men taking Viagra as intended (swallowed whole) for three months, followed by three months of taking Viagra that had been crushed into a powder by placing it in the mouth under the tongue. The result was that the time it took for the drug to be effective was basically cut in half: 62.8 minutes for Viagra swallowed whole vs. 29.3 minutes for crushed Viagra placed under the tongue.
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Another study, which took place at the Ba┼čkent University School of Medicine, Ankara, Turkey, compared 20 mg sublingual sildenafil with a placebo in a total of 40 men. Of the men who took the sildenafil, 65% achieved satisfactory erections versus 15% in the placebo group. Mean onset of action with sublingual sildenafil was 15.5 minutes, and the effects lasted for an average of 40 minutes with minimal side effects.
Why People Are Interested in Sublingual Viagra.
Sublingual Viagra appeals to people for three main reasons. For one, some researchers believe that sublingual administration may allow men to get results with a lower dosage than when the tablet is swallowed whole. Another reason for the appeal of sublingual Viagra is the convenience of not having to take it with water. A third reason sublingual Viagra is appealing is that it may be effective more quickly when administered in that way, as the (relatively small) Turkish study indicates.
Options for Obtaining Sublingual Viagra in the United States.
Some compounding pharmacies in the US will specially make Viagra in the form of a dissolvable lozenge.
Though you cannot easily obtain sublingual Viagra in the United States, another sublingual drug, Staxyn, is available. Staxyn contains the same active ingredient that’s in the ED drug Levitra, and it is available in a sleek, black pocket-friendly pack of tablets that are made to dissolve quickly on the tongue. Keep in mind, since Viagra and Staxyn contain different active ingredients, the effective dosage differs. Staxyn is currently only available in a 10 mg dosage, which is also the most common recommended starting dose for Levitra.