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.

What does this mean for patients?

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

Categories of medicine

In the UK have 3 categories:

• POM – Prescription only medicine:supplied by a healthcare professional following a consultation, usually on prescription.
• P – Pharmacy medicine:supplied by a pharmacist ‘over the counter’, sometimes referred to as ‘P’ medicine or ‘PMED’.
• GSL – General sales list medicine:available from many retail outlets ‘off the shelf’.

Healthline Meds. Frustrated by Dr Fox’s application of Cialis Together will this work well

At Frustrated by P's application, Dr Fox will only provide Cialis Together in the following ways:

• Suppose you bought Cialis Together in a pharmacy after you had an assessment with a your doctor. In this case your doctor will provide a prescription for Cialis Together, and then you can purchase the dose depending on your packed Nurofenceptive.

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What is Viagra (sildenafil)?

Viagra (sildenafil) is used to treat erectile dysfunction. Erectile dysfunction is the inability to get or keep an erection for satisfactory sexual activity in men, also known as impotence. Sildenafil belongs to a class of medications called phosphodiesterase type5 (PDE5) inhibitors. Viagra works by relaxing muscles found in the walls of blood vessels and increasing blood flow to the penis during sexual stimulation to get and keep an erection. Keep in mind that Viagra does not cure erectile dysfunction or increase sexual desire.

under the brand Revatio is also used to treat pulmonary atrial hypertension (PAH). If you are taking Revatio do not take Viagra unless directed by your physician.

Buy Viagra Online : Know the Dosage

The recommended dose is 50mg about 1 hour before sexual activity, but it can be taken from 30 minutes to 4 hours before intercourse. The maximum daily dosage is once per day, with or without food. The dosage can be increased to 100mg or decreased to 25mg based on toleration and effectiveness. Viagra 100mg are available in KamaHealth.

Side Effects

Medication	Onset	Duration
Sildenafil (Viagra)	30-60 minutes	4-5 hours

The most common side effects consist of the following:

• Headache, nausea, and dizziness
• Stuffy nose, nosebleed
• Temporary redness of neck and face
• Backache, indigestion

If you are a heart patient, sexual activity could put extra strain on your heart. If you experience the following serious side effects while having sex, stop and get medical help right away. The side effects include:

• Severe dizziness
• Nausea
• Chest/jaw/left arm pain
• Fainting

Some patients may experience serious side effects; if you experience these, get medical help right away. Serious side effects include:

• Temporary memory loss
• Seizures
• Serious allergic reaction, including rash, itching or swelling (especially of the face, tongue, or throat), severe dizziness, and trouble breathing.

We offer more than just lower prices on

sildenafil in Canada and free shipping. Some patients experience side effects that are not listed. If you have any concerns regarding Viagra, contact your physician.

Take note: This medicine is available only with a valid doctor's prescription.Side effects include:

Some patients experience serious side effects; stop Viagra and get medical help right away the following:

• Cardiovascular disease
• Gastric pain, bloating, and gas in the stools ( runny or liquid stools).

• Nausea, vomiting, diarrhea
• Liver damage
• Decreased vision or hearing
• Allergic reactions, including severe abdominal pain, dark urine, pale itchy skin, and nausea, sweating, and dizziness.

Note: This medicine is available only with a valid doctor's prescription.

Viagra is used to treat erectile dysfunction (ED) in men. It occurs when a man is cannot get, or keep an erection due to his low blood pressure. Sildenafil works by helping to correct some of the levels in the body that may short circuit his or her erectile function. This medicine works when erection is extended over an extended period of time, but it does not work to relieve pain or reduce pain associated with a headache. Viagra can be taken with or without food, but it's important to take it just prior to food. Viagra should be used only when directed by a doctor.

Uses of Sildenafil

Sildenafil is used to treat pulmonary arterial hypertension and to improve penile functions.

Therapeutic Category

Sildenafil: Phosphodiesterase type 5 (PDE 5) inhibitors

How Sildenafil works

Sildenafil works by blocking the effects of certain enzymes (PDE5) within the body which limits blood flow to the lungs and penis. As a result, it causes widening of blood vessels (arteries) supplying these organs, increases blood flow and oxygen supply and improves their functions.

Common side effects of Sildenafil

• headache
• flushing
• indigestion, diarrhoea
• pain in the arms or legs
• vision problems
• flu-like symptoms, inflammation of the sinuses, fluid retention
• difficulty in sleeping, anxiety, shaking
• sensation of pins and needles
• vertigo (spinning sensation)
• nosebleed, runny nose, cough, stuffy nose
• nausea, vomiting, stomach inflammation, heartburn, piles, abdominal distension, dry mouth, diarrhea
• hair loss
• skin redness, night sweats
• muscle pain, back pain
• increased erections

When to consult your doctor

Consult your doctor if you experience:

• prolonged or painful erection (priapism)
• sudden decline or loss of vision
• fits or seizures
• pneumonia, abnormal heartbeat, chest pain, fainting
• infections (viral infection of the gut, urinary tract infections and tooth cavities)
• fits, hearing impairment inflammation of digestive tract

Health Tips for Sildenafil

• Sildenafil is not suitable for use in women
• Sildenafil is generally more effective when taken on an empty stomach
• Avoid consumption of alcohol or grapefruit juice while taking Sildenafil as it may increase its side effects
• Avoid using recreational drugs (like amyl nitrate, etc.) while taking sildenafil as it may cause a dangerous drop in blood pressure
• Sildenafil should not be taken more than once in a 24-hour period
• Before taking Sildenafil, inform your doctor if you have any liver, kidney, or heart problems

At Travelpharm

• You should not take sildenafil if you are allergic to Sildenafil or any other,, or
• You should not take sildenafil if you are taking ritonavir as it may cause significant changes in your, sudden death, and heart attack or stroke (reclusive cases)
• For some children, you should not take sildenafil

You should not take sildenafil if you have any problems with your heart or have heart problems

Sildenafil is not for use if you have severe heart problems (such as heart failure, left ventricular hypertrophy, left side heart disease) or if you:

have a heart attack (for example, a heart right heart failure, regional ischemia stroke, a heart attack in which the heart is functioning normally)

sudden side effect of Sildenafil

shielded the lungs from excessive amounts of salbutamol

permitted insulin levels to be higher

managed to stay high for other 24hr protection, such as cisapride

You could be more than 12 years of agensics/Branst, Inc.

• If you are under 18 years of age, you should consult your doctor for Sildenafil
• For other protection, such as cisapride, then you should not take Sildenafil

Branst, Inc.

What is this medication used for?

Sildenafil is a medication used to treat male erectile dysfunction (ED) in men. It helps to achieve and maintain an erection when sexually aroused.

What should I tell my health care provider before I take this medication?

They need to know if you have any of these conditions:

• heart disease, high or low blood pressure, or have recently had a heart attack
• conditions that make it difficult to get or keep an erection
• depression or anxiety
• liver or kidney disease
• a history of stroke or heart attack
• a history of liver problems, including liver problems, including a history of liver problems
• a personal or family history of erectile dysfunction

How should this medication be taken?

The recommended starting dose of this medication is 50 mg per day, taken approximately one hour before sexual activity. The typical starting dose is 25 mg per day for 5-7 days. Do not increase your dose or take it more than once a day. Talk to your doctor about the potential risks and benefits of taking this medication.

What are the possible side effects of this medication?

This medication may cause some side effects, including:

• headache
• flushing
• diarrhea
• nausea
• stomach pain

What other medications have I taken?

This medication may interact with other medications, especially:

• certain drugs for high blood pressure, such as certain medications used to treat high blood pressure
• certain drugs used to treat erectile dysfunction, such as sildenafil
• certain drugs used to treat pulmonary arterial hypertension, such as diltiazem or tazobactam
• certain drugs used to treat seizures, such as carbamazepine or phenytoin
• certain drugs used to treat pulmonary arterial hypertension, such as rifampicin or ritonavir
• certain drugs used to treat HIV infection, including ritonavir, saquinavir, or lopinavir
• certain drugs used to treat seizures, including phenytoin and carbamazepine
• certain drugs used to treat HIV infection, including phenytoin and carbamazepine
• certain drugs used to prevent blood clots, such as phenobarbital or phenytoin

What should I watch for while using this medication?

If you develop severe dizziness, fainting, or visual changes while taking this medication, call your doctor immediately. These symptoms can include:

• chest pain
• irregular heartbeat
• weakness or loss of coordination

What side effects are possible with this medication?

This medication can cause some side effects, including:

How do I store this medication?

This medication should be stored at room temperature, between 68 and 77 degrees F (20 and 25 degrees C). Throw away any leftover medication after the expiration date. Throw away any unused medication after the expiration date.

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Certain medications can interact with this medication, especially:

Some medications may interact with this medication, including:

How do I monitor my symptoms?

These are not all of the possible side effects of this medication.