Over the last five years, health experts in Kenya have raised serious concern about the growing misuse of sexual performance–enhancing drugs, commonly known as the “blue pill.” These drugs are meant to be used only by men with medical conditions such as erectile dysfunction and should only be taken after a doctor’s prescription. However, many healthy men are now using them to boost sexual performance and pleasure.
Although official records are limited, several men are believed to have lost their lives due to the unsafe use of these drugs. Investigations show that weak regulation has allowed many pharmacies and chemists to sell the blue pill freely, without prescriptions or medical checks.
During visits to pharmacies in Nairobi’s Pipeline Estate, reporters easily bought blue pills in different strengths—50 mg and 100 mg—without being asked any questions. No prescription was required, and no medical history was taken. This practice was common across many pharmacies in the area. The pills are clearly labelled and sold under different brand names, making them easy to request.
The blue pill has slowly become a silent addiction in many towns and cities. Men often refer to it using coded names when buying it. One such user is Anthony (not his real name). For over a year, he has been using the pills regularly. With just a small amount of money, he buys several pills that last him weeks, as one pill can stay active in the body for up to three days.
Anthony says the drug gave him confidence after marriage, as he feared he could not meet expectations. Before using the pills, he tried traditional remedies, but they did not help. After a friend introduced him to the blue pill, he noticed quick results and continued using it. Over time, he became dependent on it.
The only guidance Anthony received from sellers was how and when to take the pill. He was never warned about the health risks. He says fear of embarrassment and pressure to perform pushed him deeper into dependence. As time went on, he felt tempted to increase the dose, which led to serious health effects such as chest pain, headaches, and heart problems. At one point, his condition nearly cost him his life.
Health experts warn that such behaviour is extremely dangerous. Reports show that in the past year alone, at least five people died from heart attacks linked to sexual enhancement drugs. Tests found traces of these drugs in their systems.
Doctors say the blue pill is a prescription-only drug and must only be used after medical evaluation. Selling it without a prescription is irresponsible and puts lives at risk. Some cases documented by pathologists include sudden deaths of men who had taken the pills shortly before sexual encounters.
Medical experts explain that while the drug can be helpful for certain heart and lung conditions under strict supervision, misuse can cause severe side effects. These include low blood pressure, vision problems, prolonged painful reactions, heart failure, and even death.
The Pharmaceutical Society of Kenya has admitted there are gaps in how these drugs are sold. They stress that pharmacists should ask questions and ensure the buyer understands the risks. The society works with regulatory bodies to identify and stop illegal sales, especially in unlicensed or careless pharmacies.
Doctors warn that anyone who experiences chest pain, heavy sweating, or discomfort after using the drug should seek medical help immediately.
Mild side effects include headaches, dizziness, stomach pain, and nosebleeds. Severe effects can be life-threatening.
With the growing misuse of the blue pill, health experts are calling for stronger enforcement of pharmacy laws and more public awareness to protect lives and prevent further deaths.
