Last updated 14 September 2023
On 14 March 2023, the UK Medicines regulator approved an application to reclassify the erectile dysfunction medication Cialis. When marketed asCialis Together(tadalafil 10mg), it will be a ‘P’ (pharmacy) medication, and so available ‘over the counter’ in pharmacies – see. This follows the 2018, ‘P’ classification of (sildenafil 50mg) which has been available OTC, without a prescription, since then.
This decision is good news for men’s health …. Erectile dysfunction can be a debilitating condition, so it’s important men feel they have fast access to quality and legitimate care
Dr Laura Squire, MHRA’s Chief Officer for Healthcare, Quality and Access
Unfortunately, there is a strong black market in the UK for ED medicines, which are often unlicensed or counterfeit. UK Border Force and the MHRA seize millions of pounds of these fake products from criminals annually. This new classification of tadalafil 10mg will enable men who suffer from ED to obtain it safely from a local pharmacy.
Sanofi, the drug manufacturer, is expected to launch Cialis Together later in 2023. Cialis Together will be available to purchase in pharmacies without a prescription by men over 18 with erectile dysfunction. Cialis Together tablets will contain 10mg tadalafil and the maximum pack size will be 8 tablets. Other doses and pack sizes of Cialis and tadalafil will still be available on prescription through doctors and specially trained pharmacists. Before purchase in a pharmacy there must be an assessment with a pharmacist, who will check that Cialis Together is appropriate and safe, or whether consultation with a GP is necessary.
Men suffering with ED will have another treatment option with the convenience of purchasing it in their local pharmacy, including pharmacies found inside supermarkets (eg. Tesco, Asda, Sainsbury’s). The pharmacist will ask some health questions, may check blood pressure, and will advise on treatment with Cialis Together or Viagra Connect, or the need to consult a GP. Pharmacies usually have a private room for such discussions.
Cialis Together is a 10mg tadalafil product for use at least 30 minutes prior to anticipated sexual activity. Its effects can last. It is not recommended for daily use. The maximum recommended dose of Cialis Together will be one tablet in 24 hours. Prescription Cialis and tadalafil will still be available at different doses.
Dr Fox welcomes the wider access to ED medication for men that Cialis Together classified as a ‘P’ OTC medication will provide. We at Dr Fox are aware of the difficulties men have in discussing ED with their GPs and in accessing ED medication. We know that Cialis is effective and safe for most men and this change provides another option for obtaining ED treatment. Pharmacists are health professionals who are able to give ED advice but they will also know when to refer men who would benefit from a doctor’s assessment. ‘P’ medicines can also be supplied on prescription, and we will offer Cialis Together, when available, alongside our other competitively priced ED products.
Dr Claire Pugh, Dr Fox Medical Director
In the UK have 3 categories:
Sildenafil citrate, commonly known by the brand name, is a prescription-only medicine used to treat erectile dysfunction (ED) in adult men. It works by improving blood flow to the penis, helping to achieve and maintain an erection during sexual activity.
Sildenafil is available in 25mg, 50mg, and 100mg strengths.
Sildenafil has been shown to be effective in up to 80% of men with ED, with effects typically noticeable within 30 to 60 minutes, and lasting for up to 4–5 hours.
Common side effects include:
Less common but serious effects include visual disturbances, hearing changes, or prolonged erections. Seek medical attention if severe or persistent side effects occur.
Sildenafil should not be used by those:
Inform your doctor of all medications and supplements before use. Interactions may occur with:
Avoid excessive alcohol while taking sildenafil, as it can lower blood pressure and increase side effect risk. Use with caution if you have any heart-related conditions.
Sildenafil is available by prescription only in the UK.
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View MoreSildenafil is used to treat erectile dysfunction (ED) in men. It is also used to treat vaginal atrophy (a persistent dryness or itching in the vagina) and an shrinkage of the prostate gland. Sildenafil does not protect against sexually transmitted diseases, including HIV, hepatitis, and other infections.
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Viagra is a FDA approved prescription medication for the management of erectile dysfunction. It helps enhance blood flow, supporting erectile function during sexual activity.
Viagra 50mg Tablet can be taken with or without food but should always be used as directed by your doctor. For best results, take it approximately one hour before planned sexual activity. While the time it takes to work may vary from person to person, it usually starts acting within 30 minutes to an hour. This medicine works only when there is sexual stimulation. Do not exceed the recommended dose of one tablet in 24 hours.
Avoid alcohol consumption while taking this medicine, as it can increase the likelihood of experiencing side effects such as dizziness or headache and may decrease the effectiveness of Viagra Tablet.
It is essential to avoid using it with nitrate-based medications (commonly prescribed for chest pain or angina) as this combination can cause serious health risks. Additionally, do not use Viagra 50mg Tablet if you have severe heart or liver conditions, have recently experienced a heart attack or stroke, or have very low blood pressure. Always inform your doctor about your medical history before starting this medication.
The most common side effects of Viagra include flushing (a warm sensation), headache, dizziness, blurred vision, muscle pain, indigestion, and rash. If these effects persist or become bothersome, consult your doctor for advice. They may adjust your dosage or suggest an alternative treatment. Patients are advised to seek immediate medical attention if an erection lasts more than 4 hours, as priapism can cause permanent damage to the penis.
What is ViagraViagra 50mg Tablet is a combination of two active ingredients: Sildenafil Citrate, a phosphodiesterase type 5 (PDE5) inhibitor, and Viagra. Viagra works by relaxing the blood vessels in the penis, allowing for increased blood flow. The decreased blood flow can result in sexual stimulation, which increases the duration of the erection. Viagra is a prescription medication and should be used under the guidance of a healthcare professional for optimal results.
Viagra 50mg Tablet is a prescription medication that requires immediate medical supervision. A consultation with a healthcare provider is required before any changes are made to the medication. In the event that you notice an erection upon consulting with a healthcare provider, seek immediate medical attention as a seek immediate medical attention as a seek immediate medical attention as a seek immediate as a seek immediate if priapism is reached.
Before starting Viagra 50mg Tablet, tell your doctor if you have any medical conditions, are taking any medications, or are pregnant or intend to become pregnant or are breastfeeding. They should also mention the use of Viagra 50mg Tablet in infants, if you are on birth control, and the potential risk of cardiac problems if Viagra 50mg Tablet is used during pregnancy.possible to take Viagra 50mg Tablet in combination with other medications for erectile dysfunction contain troglgenide hormones Gefherty-Kergis, a type of phosphodiesterase type 5 (PDE5) inhibitor.
While Viagra 50mg Tablet is commonly used to treat erectile dysfunction, it is not suitable for everyone. Some may have symptoms of a different underlying condition, such as heart problems or stroke, while others may not be related at all. You should not take Viagra 50mg Tablet if you are using this medication in the youll give a full list of side effects. To mitigate this, you should inform your doctor before taking Viagra 50mg Tablet if you:
Viagra 50mg Tablet is a prescription medication, and it requires medical supervision. Your doctor will determine the appropriate dosage based on your individual needs and medical history.
There is no evidence that viagra will help treat erectile dysfunction. However, some people take it to prevent it. There are several possible side effects. Viagra can help men who have erectile dysfunction (also known as impotence) by encouraging blood flow to the penis. The problem is that some people take it to treat impotence. When you take it, it can cause side effects, including a headache, flushing, indigestion, and heartburn. The most common side effects include a headache, flushing, back and chest pain, a stuffy nose, a runny nose, and a stuffy or runny mouth.
Viagra is also known as the “little blue pill.” A common brand name for the drug is Cialis, a type of prescription medication that is available in Canada and the U. S. However, Viagra may cause side effects that can include:
It is important that you take the right dose of the drug to avoid side effects.
If you have any questions or need to talk to a doctor about your treatment with Viagra, talk with your doctor or pharmacist.
Do not take Viagra if you:
This is the final paragraph of a series of stories that will go to heart. I hope it will give you more insight into what Viagra does for you and your body.
I’m going to be honest here. I’ve spent the past month thinking about how Viagra might help. I’m so tired, and I’ve got a headache. I’ve just been going through a really difficult time. I can’t even imagine what it’s going to be like when it’s over, what it’s going to be like for me. If it happens to me, I don’t know what will happen. If it happens to you, I’m going to be very worried. If I can’t even imagine what it’ll be like for me, I can’t even think. If I’m angry with myself, I’ll never have a chance of being able to have children. If I’m just a scared person, I’ll never have children.
I’m going to talk about it. I’ve been told that this is my last day of school. I’ll be taking viagra. I’ll be going to the gym. I’ll be watching porn. I’ll be taking a pill. I’ll be watching the porn. I’ll be watching TV.
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