Fildena 50 mg (and other sildenafil 50 mg tablets) being sold “over the counter” (OTC):  1. In most regulated countries (legal status) Prescription required: Fildena (sildenafil) is generally a prescription‑only medicine in most countries, including the U.S., EU, Canada, Australia, etc. — meaning you should get it only with a doctor’s prescription. Most pharmacies enforce this: Legitimate pharmacies require a prescription, and buying without one may be illegal or unsafe.  . Exceptions where sildenafil 50 mg is allowed OTC Some countries have made sildenafil 50 mg available without a traditional prescription, but under controlled conditions: United Kingdom: Sildenafil 50 mg can be supplied Fildena 50 mg a doctor’s prescription from a pharmacy after a consultation with the pharmacist. New Zealand, Poland, Ireland, Norway: Similar switches have been made in recent years allowing pharmacy supply without prior prescription in some cases. These moves are specific to sildenafil as a general medicine, not necessarily the Fildena brand specifically — and the OTC access is tied to pharmacist screening (asking questions about health conditions, interactions, etc.), not completely free sale.   In India and many parts of Asia/Africa Legally, sildenafil products like Fildena should require a prescription under drug laws. However in practice: Many community pharmacies (especially small shops) may sell sildenafil without strictly checking a prescription. Enforcement of prescription rules in some areas is informal or lax, so people often can buy it directly. This doesn’t mean it’s officially OTC, and quality/safety can vary.