Publications

This cross-sectional study aimed to assess sildenafil as a potential drug of abuse among sexually active men aged18-45 years in Bushenyi-Ishaka Municipality, Western Uganda. Both qualitative and quantitative data werecollected through questionnaires from selected health facilities, higher institutions, and the general public. Thestudy evaluated the frequency of sildenafil use, reasons for use, and knowledge of associated side effects. Thefindings revealed widespread abuse of sildenafil, supporting the hypothesis. The majority (86%) had used the drugat least once in the preceding month, with 39% using it 1-2 times, 27% using it 3-5 times, and 20% using it morethan 5 times. While sildenafil is indicated for conditions like erectile dysfunction, hypertension, and anginapectoris, the primary reason expressed for use (93%) was to enhance sexual performance, indicating non-medicaluse. Only 8% reported having medical conditions necessitating sildenafil use, with 2% having erectile dysfunctionand 2% having heart disease. A significant portion (47%) were unaware of potential side effects. The mostcommonly experienced side effect was headache (84%), followed by nausea (7%), sleepiness (6%), and dizziness(3%). The study revealed a strong positive relationship between the frequency of sildenafil use and respondents'religion and level of education. However, no significant relationship was found between the frequency of use andthe presence of medical conditions indicated for sildenafil or social problems potentially affecting sexualperformance. The findings indicate widespread abuse of sildenafil for non-medical reasons among sexually activemen in Bushenyi-Ishaka Municipality, highlighting the need for public awareness and regulatory measures toaddress this issue.