Kidney disease that needs to be treated with dialysis. Some examples of nitrates are nitroglycerin Nitro-Dur, Nitrostat, others , isosorbide mononitrate Monoket and isosorbide dinitrate Bidil. It might be a while before MED is available at your local pharmacy. An inherited eye disease that affects the retina. Both Viagra and Viagra Connect contain the same active ingredient: Sildenafil.Currently, there are no over the counter alternatives to Viagra available. Viagra (sildenafil) is a prescription medication, meaning it’s not available over the counter from your local. Viagra is an effective drug for treating male erectile dysfunction, but it targets sexual performance, not sexual arousal. There is limited evidence that Viagra may be . Viagra vs. over-the-counter products. Many over-the-counter (OTC) products may be advertised to help with ED. Examples of these products include: dehydroepiandrosterone .