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:
Viagra 50mg tablet contains an active component such as Sildenafil. This medication is used to treat erectile dysfunction (ED) in men. It contains the active ingredient sildenafil citrate, which belongs to a class of drugs called phosphodiesterase type 5 (PDE5) inhibitors. It increases blood flow to the penis during sexual stimulation, which helps men achieve and maintain an erection. Viagra may have side effects, including headache, flushing, dizziness, upset stomach, nasal congestion, and vision changes. It should not be taken with certain medications or conditions, so it's crucial to consult a healthcare professional before using it. Erectile dysfunction can have a profound impact on a man's self-esteem and quality of life. By addressing ED, this medication can help improve a person's sense of well-being and overall happiness.
Individuals with a history of cardiovascular diseases, such as heart problems (angina, heart failure, irregular heartbeats) or recent heart attack, should exercise caution when using Viagra. The sexual activity itself can strain the heart and can further increase the strain by increasing blood flow. Consult with a healthcare professional to assess the risks and benefits in such cases. This medication can cause a mild decrease in blood pressure. Caution is advised for individuals with low blood pressure or those taking medications that lower blood pressure, as combining these can lead to potentially harmful interactions. People with severe liver or kidney disease may experience slower elimination of Viagra from the body, leading to a prolonged effect. Dosage adjustments may be necessary in such cases.
What is erectile dysfunction? If it is affecting more than 1 in 10 men, a personal communication with a healthcare professional is necessary. They can provide personalised advice and suggest appropriate treatment options. While erectile dysfunction can be a prevalent condition, it's not the first time penile tissue has been associated with potential complications. In this case, the condition has been associated with symptoms like reduced sexual desire, difficulties in achieving and maintaining an erection, and occasionally, penile shaft bleeding. However, this medication can be an effective option for long-term management, as it increases blood flow to the penis, helping men achieve and maintain an erection. The condition can also lead to penile tissue swelling, which in rare cases can be life-threatening. If erectile dysfunction is causing additional pressure in the scrotum, urethra, or bladder, consulting a healthcare professional is recommended.According to a report by the manufacturer, Viagra 50mg tablet can improve the erectile function in men with pulmonary arterial hypertension (PAH). In PAH, which is a condition characterized by blood vessels that supply blood to the penis, heart failure, or irregular heartbeats, can cause symptoms such as shortness of breath, dizziness, fatigue, and reduced sexual desire. In this case, consulting a healthcare professional is advised to help ensure Viagra 50mg tablet is beneficial. They can discuss other treatment options for ED, such as penile reconstruction, such as Penicillin Prophylaxis, or the use of diuretics, such as alfuzosin, lorazepam, or nebulised medication, such as metoprolol. Dosage should be individualized, and any limitations on use should be addressed by the doctor immediately. Individuals with kidney or liver disorders should not use Viagra. Viagra can also lead to harmful interactions with other PDE5 inhibitors, which can include fenofibrate, repressin, metoprolol, and alcohol. It's essential to maintain open communication with your healthcare professional until pregnancy or if you experience complications from taking Viagra.
While Viagra can increase the blood flow to the penis, it can also cause blood vessels to expand, which can potentially lead to symptoms like difficulty getting and maintaining an erection. It's essential to exercise caution and consult a doctor before taking Viagra to ensure it is suitable for you. They can provide guidance and advice on managing blood pressure and dosage, as well as potential interactions with medications, supplements, or lifestyle changes. It can be effective treatment for erectile dysfunction but, as with any medication, it's essential to consult with a healthcare professional before use. They can help determine if this medication is suitable for you and ensure it is the right treatment option for you.
womens’em HealthViagra belongs to a class of drugs called phosphodiesterase type 5 (PDE5) inhibitors. This class of medications is primarily used for the treatment of erectile dysfunction (ED) in men. It works by increasing blood flow to the penis during sexual stimulation, helping to achieve and maintain an erection. Viagra 50mg tablet should not be taken by men with certain medical conditions, such as heart problems, high blood pressure, or liver or kidney problems.
Viagra Connect is a new erectile dysfunction treatment which does not require a prescription.
The first of its kind, Viagra Connect is a safe and discreet over-the-counter medication that can legally be bought online without a trip to your doctor.
We need to ensure that this medicine is suitable for the person it is intended for. Therefore, it should only be purchased by the person taking it.
A pharmacist may need to contact you by phone before providing the product. If they cannot reach you within 72 hours, your order may be delayed, or this item may be cancelled from your order.
Please ensure your contact details are correct before ordering this medicine.Suitable forViagra Connect is for men 18 years and older who have difficulty getting and/or keeping an erection hard enough for sex
Age RestrictionYou must be at least 18 years old to purchase this product.
Directions for use:Please read the enclosed leaflet carefully before use.
• take 1 tablet approximately one hour before sexual activity• swallow tablet whole with water• do not take more than 1 tablet a dayViagra Connect starts to work within 30-60 minutes. You may take it up to 4 hours before sexual activity.
Hazards and Cautions
Do NOT take if you:
Talk to your pharmacist or doctor before taking if you:
As with all medicines, please ensure you read the patient information leaflet before taking this item.
For every fadesment of 0.5 mL of treatment, this medicine can cause a maximum dose of 2.5 mL per daycoholism medications name and complete list of treatments for erectile dysfunction.There is a maximum time interval between taking this medication and the first event of sexual activity, some medicines may cause flushing or severe vision changes in some cases.
Please note:The product cannot be applied to awomen
This product requires a valid prescription to ensure safe and appropriate usePlease note that the product cannot be purchased by the person taking this medication. If your prescription contains particular care contents, please consult your pharmacist or doctor before using this product.
This medication may be applied to you if you havea low blood pressure, or if you havea severe heart or liver problem, or if you are aged between between between between between between between between between between between between between between between between between between between between between between between between between between between between between between between between between between between between between between between between between between between between between between between between between between between between between between between between between between between between between between between between between between between between between between between between between between between between between between between between between between between between between between between between between between between between between between between between between between between below 3 years of ageYou will be prescribed this medicine? to ensure that the treatment is suitable for you. If you do not get any results after using this product, please consult your pharmacist or doctor.
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