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Viagra Sublingual: Does an Under-the-Tongue Version Exist?

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[Espanol]

  • Sublingual Viagra is available in other countries, but not the United States.
  • Sublingual Viagra works faster, but at a lower dose than oral Viagra.
  • Although sublingual Viagra isn’t available in the United States, a sublingual 
  • ED drug called Staxyn is.

Pfizer’s blockbuster erectile dysfunction (ED) drug Viagra is a tablet available in dosages of 25 milligrams, 50 milligrams, and 100 milligrams, and is taken by swallowing the tablet with water. [Español]

Some manufacturers of sildenafil (Viagra’s active ingredient) in other countries have created sublingual forms of the drug. “Sublingual” means the drug dissolves under the tongue and is not taken with water. Usually, these products are given descriptive names, like “Meltabs.” 

Examples of sublingual sildenafil formulations that are commercially available include Wafesil in Australia and Aurogra in Canada.

While sublingual sildenafil is slowly creeping into the global market, these products are not currently available in the U.S., and importing prescription drugs from other countries is illegal. The FDA has only approved tablet formulations of sildenafil. Viagra’s website warns against other alternative formulations of Viagra, like Viagra for women or “fast-dissolving” versions.

When in doubt, shop for Viagra or Staxyn (the FDA-approved sublingual alternative) from a pharmacy you can trust, like eDrugstore.

The Science Behind Sublingual Viagra

There have been many research studies over the last few decades about the potential to administer sildenafil under the tongue. In one such study in 2003, researchers compared the effects of taking Viagra tablets whole and crushed 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.

A study from 2004 compared 20 milligrams sublingual sildenafil with a placebo in a total of 40 men. Of the men who took the sildenafil, 65 percent achieved satisfactory erections versus 15 percent in the placebo group. The average onset time for sublingual sildenafil was 15.5 minutes, and the effects lasted for an average of 40 minutes with minimal side effects. This puts it about on par with Staxyn, the only FDA-approved sublingual ED drug.

More recent trends in research into sublingual sildenafil show the potential for even faster deliveries. A 2018 study explored how quickly serum levels of sildenafil rise in men who take the sublingual version. The results show that serum levels of Viagra are detectable within 15 minutes of taking the sublingual drug. 

Typically, oral sildenafil takes 30 to 60 minutes to work. With human studies showing a 15-minute rise in serum sildenafil levels, sublingual Viagra may prove to be the fastest-acting ED drug of all time.

Why Does Sublingual Viagra Work Faster?

Sublingual is Latin for “under the tongue.” Drugs taken in this way bypass the usual path traveled by medication that’s swallowed and pass directly into the bloodstream. 

Organs and tissues break down a swallowed drug before it works systemically, resulting in first-pass metabolism. Usually, this process occurs in the liver and the small intestine. Sometimes, other organs and enzymes from elsewhere break down the drug.

First-pass metabolism is subjective, to a degree. Several biological factors can affect how much of a drug is affected. They include:

  • Liver enzymes. Cytochrome p450 is an enzyme that metabolizes foreign compounds, including drugs. Factors such as diet, genetics, and alcohol consumption can all impact how it works. 
  • Gut wall. The gut wall must remain permeable enough for drugs to pass through easily.
  • Gut microflora and enzymes. There’s some evidence to suggest that gut microflora can affect how readily the body absorbs certain drugs. Much like the liver, the gut also produces enzymes that metabolize drugs.

Naturally, it’s difficult to predict and measure each factor for every individual. It’s because of first-pass metabolism that drug companies create sublingual medications, so users get more from each dose.

Why Do People Want to Take Sublingual Viagra?

Young man taking out pills from a bottle

Sublingual Viagra appeals to people for three main reasons:

  • Potential for a lower effective dose: This will need to be verified as more sublingual products become available, but sublingual medications typically require lower doses since they move directly into the bloodstream from the mouth.
  • Convenience: Some men like the convenience of not having to take a pill with water.
  • Potential for a faster onset time: If the research studies mentioned above and the onset time of other sublingual medications is any indicator, sublingual medication is likely to be faster-acting than tablets.

How Can You Buy Sublingual Viagra in the United States?

Unfortunately, these products aren’t officially available in the United States yet, and it is illegal to import them. One option is asking if your local pharmacy can formulate sildenafil in the form of “troches,” which are medicinal lozenges that dissolve in the mouth. But not all pharmacies can do this.

Do not crush Viagra and put it under your tongue. It will taste terrible, and it may lead to dangerous side effects. The dosages for sublingual and oral medications are almost never the same, so it’s a bad idea to mix methods.

Staxyn — A Sublingual Viagra Alternative

Though you cannot obtain sublingual Viagra in the United States, another sublingual ED drug, Staxyn, is available. Staxyn contains vardenafil, the active ingredient in Levitra, and it’s available in a sleek, back 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 dosages differ. Staxyn is currently only available in a 10 milligram dose, which is also the most common recommended starting dose for Levitra.

Buy Staxyn Online With Confidence

If you are interested in obtaining Staxyn or another popular ED medication like Viagra conveniently, safely, and at a competitive price, order confidently from eDrugstore. By contracting with U.S.-licensed pharmacists and physicians, we have dispensed medications for ED to hundreds of thousands of satisfied customers for 15 years. We will fill your order quickly, dependably, and discreetly. 

Browse our medication guide and place your order today. When you order through eDrugstore, virtual health visits and shipping are always free.

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