The blockbuster drug has now become pretty much a household name, endorsed by celebrities and the subject of many good-natured jokes. Everyone pretty much knows what it is and what it does. The drug itself can now be bought in many different guises, with many different brand names.

| number of pills | price per pill | |
| 360 | - | $1.05 |
| 90 | - | $1.61 |
| 30 | - | $2.36 |
Sildenafil Citrate
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This is all a far cry from the situation ten years ago, when the drug was still pretty much unheard of, and the creators of it were still getting over the shock of realising that their blood pressure treatment was proving useful in a completely different way.
Before Sildenafil arrived, treatments for erectile dysfunction were as far removed from popping a little pill as they could be. Pumps were used to encourage erections. Penile implants were also a favoured method when trying to improve the ability to maintain an erection. Medicine was even injected into the penis. This was all before Sildenafil arrived on the drug scene. Obviously now, men only have to take a quick pill to gain an erection and maintain it for up to four hours. Science has progressed, and men are able to deal with the issue on a more subtle, personal level.
Before Sildenafil the common perception was that men over 65 were the only group that actually suffered from erectile dysfunction. This myth must have left a lot of younger men feeling pretty disillusioned about things. The mental anguish that came along with knowing that their problem was something that was supposed to happen to older men must have been considerable. Obviously, with Sildenafil arriving on the scene and the take up by men of all ages, scientists now know that more than half of men over 40 years of age suffer from erectile dysfunction.
Amazingly, before Sildenafil arrived, many people actually believed erectile dysfunction was something that one had to accept, as part of growing older. Age brought the problem, was the common thinking. As we now know, and again this has been brought about by the massive take-up of the drug, the condition is totally treatable, so much so that men who suffer from it can lead perfectly healthy sex lives using the medication.
Another difference that has come to light is that of psychological factors. Many people thought, before Sildenafil, that psychological factors cause impotence. The underperformance of a man during intercourse was linked to nerves or self-esteem, or even more serious mental health issues. Now we know that the problem can be caused by physiological factors such as diabetes or blood pressure issues.
One final change that has occurred since the advent of Sildenafil is that men are now more willing to talk to their doctors about erectile dysfunction. Before the drug arrived, around 10% of men were open to discussing the problem with their physician. This sorry state of affairs meant that the problem and the myths surrounding it continued to be a taboo issue. Now, the drug has been used with over 25 million men who suffer form erectile dysfunction. Men are talking to their doctors openly about their sexual problems.
And now the drug is reaching even further afield. The Indian pharmaceutical industry is taking on the drug, and it is becoming one of the county’s biggest drugs. The industry as a whole is worth $4.5 billion, and is growing at nearly ten per cent on an annual basis. With over 20,000 individual units within the industry, and with the leading companies dominating 70% of the market.
Now that the Indian pharmaceutical industry has been de-licensed, any pharmaceutical company can produce any drug it wishes to.
The Indian pharmaceutical industry is educated, and has a massive workforce that is committed to a global free market economy. This is a prime spot for Sildenafil to grow as a drug, and many manufacturers are seeing the benefits of manufacturing and selling a drug that has helped over 25 million worldwide already.
Sildenafil has changed the world, literally when one thinks of increased birth-rates. From general shame felt by the men who suffered form erectile dysfunction, to myths about who actually suffered from the condition, the drug has illuminated the scientific world. And now, in massive and prime markets like India, it is about to go form strength to strength.
