Key Points

  • The “blue pill”, or the “little blue pill”, is the nickname given to Viagra, a medication used to treat erectile dysfunction
  • The name is derived from the appearance of Viagra, which is a blue, diamond shaped pill
  • It works by encouraging blood flow to the penis, allowing men to achieve and maintain an erection
  • It can be purchased from pharmacies, after a consultation with a doctor or pharmacist

The “blue pill” is one of the most recognised medications in the world. It helps men achieve and maintain an erection firm enough for sexual activity.

Below, we explain what the blue pill is, how it works, possible side effects, and how to buy it safely in the UK.

What is the Blue Pill?

The term “blue pill” or “little blue pill” usually refers to Viagra, the brand name for sildenafil citrate. Originally developed by Pfizer, Viagra was the first oral treatment approved for erectile dysfunction and has been used safely by millions of men since the late 1990s.

Viagra comes as a distinct diamond-shaped blue tablet, which is why it’s earned the nickname “the blue pill.”

It is available in several strengths, typically 25mg, 50mg, and 100mg.

Generic versions of Viagra, known simply as sildenafil, contain the same active ingredient and work in exactly the same way, often at a lower cost.

Further reading: Sildenafil vs Viagra

How does the Blue Pill work?

The blue pill works by improving blood flow to the penis, helping men achieve an erection when sexually aroused.

Here’s how it works:

  • The active ingredient, sildenafil citrate, is a PDE5 inhibitor.
  • It blocks the PDE5 enzyme, which normally restricts blood flow.
  • By inhibiting PDE5, more blood can enter the penile tissue during arousal, resulting in a stronger and longer-lasting erection.

The blue pill typically starts working within 30 to 60 minutes and lasts for up to 4 to 5 hours.

It only works when there is sexual stimulation (it does not cause an erection on its own.)

Side effects of the Blue Pill

Viagra (sildenafil) is generally well tolerated, but like all medications, it can cause side effects. These are usually mild and temporary.

Common side effects include:

  • Headache
  • Flushing (warmth or redness in the face)
  • Indigestion
  • Blocked or runny nose
  • Dizziness

Less common but more serious side effects:

  • Changes in vision (blurred or blue-tinted vision)
  • Chest pain
  • A prolonged erection lasting more than 4 hours (priapism)

If you experience any severe or persistent symptoms, seek medical advice immediately.

Where can I buy the Blue Pill?

You can buy the blue pill safely from a registered UK pharmacy or a trusted online clinic.

Always ensure that:

  • You complete a consultation before purchase.
  • The pharmacy is GPhC-registered (look for the green pharmacy logo).
  • The medicine is sourced from licensed UK suppliers.

Avoid buying Viagra or sildenafil from unverified websites, as counterfeit pills are common and may be unsafe.

You can also purchase blue pills from your local pharmacy, after you have had a consultation with a pharmacist.

Note: Some vending machines and online sellers offer products marketed as “blue pills.” However, it’s important to note that these do not contain sildenafil, the active ingredient in genuine Viagra. These imitation products have no proven medical effect and are sold purely for marketing purposes, not as legitimate treatments for erectile dysfunction.

Key Takeaway

The blue pill (Viagra or sildenafil) is a proven and effective treatment for erectile dysfunction. When prescribed appropriately and used as directed, it can safely restore sexual confidence and performance.


  1. NHS. Erection problems (erectile dysfunction). Last reviewed 28 July 2023. (Accessed: 4 November 2025). From: https://www.nhs.uk/conditions/erection-problems-erectile-dysfunction/

Whilst all of our content is written and reviewed by healthcare professionals, it is not intended to be substituted for or used as medical advice. If you have any questions or concerns about your health, please speak to your doctor.

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