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?Erectile dysfunction, or erectile dysfunction (ED), is a condition characterized by the inability to achieve or maintain an erection sufficient for satisfactory sexual performance. It can be caused by various factors, including physical, psychological, or a combination of both. The cause can vary depending on the patient's age and the underlying cause of the ED. Symptoms of erectile dysfunction can include trouble getting or keeping an erection, engaging in sexual activity, and causing pain or discomfort in the future. This condition often gets treated with medications like Viagra (Sildenafil) or Cialis (Tadalafil), but the mechanism of action for these two medications is not known. While there are various symptoms associated with ED, such as mood swings, anxiety, unsatisfying intimate interactions, headaches, or anxiety, most people experience a short-term improvement within a few hours. However, the symptoms can be more severe if the person is sexually aroused or has underlying anxiety about losing an erection. Long-term effects
Viagra can increase blood flow to the penis, causing sudden pain or pain in the penis when you sexually excited. This can be experienced as a heart attack or a stroke, and can further increase the strain on the heart in response to sexual activity. The use of Viagra or its generic version, Cialis, can result in potentially dangerous interactions with these medications. The use of Viagra or its generic version, Tadalafil, can further increase the risk of developing erectile dysfunction. Therefore, people trying to achieve or maintain an erection should consulting a healthcare professional for further guidance.
If you miss a dose, take it as soon as possible. If it's almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not take a double dose to make up for a missed dose. If you still have tenses, oral jelly, or a>[...]>(
Sildenafil (Viagra) can cause a risk of depression and mood disorders if taken with other medications, leading to a worsening of symptoms and a higher risk of suicidal thoughts. Therefore, it is important to seek medical advice if you have any such symptoms.
If you've been enjoying sex with your partner for the past two weeks, you might be wondering whether Viagra or other drugs might be able to be bought over the counter, depending on your age, medical history and other factors. Here's a look at some of the most common questions for both men and women, along with a guide to help you decide what you want to know.
What is Viagra?
Viagra is a brand name for a drug called sildenafil, which is similar to Viagra. It's taken in a pill form, but it can also be taken by mouth. Viagra comes in two forms: the brand name and the generic.
Viagra's active ingredient is sildenafil citrate, which is also used to treat high blood pressure. It's the same active ingredient found in other ED drugs such as, which is used to treat heart problems. Viagra's active ingredient is tadalafil, which is also known as Cialis.
What are the side effects of Viagra?
The most common side effects of Viagra include headache, flushing, and upset stomach. These are generally mild and temporary, but they can be serious if you take the medication with alcohol or nitrate medications. Some people may also experience allergic reactions, including rash, itching, or swelling.
The most common side effects of Viagra include:
If you experience any of these symptoms, it's important to speak with your doctor as soon as possible. If you get a headache or have an upset stomach, stop taking Viagra and talk to your doctor.
What to avoid while taking Viagra?
Viagra can be taken with or without food, but it's important to take it at the same time each day. If you're not sure what to avoid, take it as directed. It's important to note that Viagra is only intended for use as an erectile dysfunction (ED) drug, not for the treatment of erectile dysfunction. This means you should not take it if you're not sexually stimulated, as it can cause an erection that can't be aroused. Some ED medications can also have side effects such as vision changes, headaches, or dizziness.
Is Viagra safe to take while on Viagra?
Yes, Viagra is safe to take with Viagra. However, it's important to talk to your doctor before taking Viagra if you have any underlying health conditions or are taking other medications that could interact with Viagra. Be sure to ask your doctor about other medications you're taking, as they may interact with Viagra.
How long does Viagra last?
Viagra typically starts working within 30 minutes of taking the first dose of the medication, but it may take up to an hour to start working, depending on your medical condition and response to Viagra. It's important to take Viagra exactly as prescribed by your doctor. If you have any concerns or questions about how long Viagra will work, your doctor will be able to provide more information or prescribe a different dosage.
Can women take Viagra?
No, Viagra is not recommended for women who are pregnant or breastfeeding. Viagra is only used for treating ED, not for treating any other conditions, including heart conditions. Women who are pregnant or breastfeeding should not take Viagra.
Can I take Viagra with other ED medications?
Viagra can interact with some other drugs, such as blood pressure medications or high blood pressure medications, and it's important to tell your doctor before taking Viagra. Your doctor may also recommend some other medications that are safe to take with Viagra.
Can I get Viagra without a prescription?
No, Viagra is not available without a prescription. Viagra is only available as an oral tablet. Viagra should not be taken with nitrates, as this can cause a dangerous drop in blood pressure.
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