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:
Yes, you can buy Cialis Together, and it’s also available over the counter with your doctor’s prescription.
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.
Please?
? Your e-mail address may be valuable iniculty!
You must first provide your e-mail address to receive the product.
You must be at least 18 years old to consult a prescriber.
Please consult a prescriberTalk to your prescriber for more informationIf you:Ask your pharmacist or GP for detailed information on the patient information leafletA pharmacist will be able to provide more information on this product:
Active ingredientsEach contains as its own component, which you should read to get to the full list of ingredients. Some other name for the other ingredients is also included. Some other name for the product is flibanserin.
Note: Other medications can affect how Sildenafil is processed in your body, potentially impacting its effectiveness. These include azole antifungals (such as itraconazole or ketoconazole), macrolide antibiotics (such as clarithromycin or erythromycin), HIV protease inhibitors (such as saquinavir), mifepristone, rifampin, and ritonavir.
Combining Sildenafil with other medications for erectile dysfunction (ED) or pulmonary hypertension, such as tadalafil or vardenafil, is harmful.
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Popular sildenafil prices include:$8.50 per tablet
Pricing for sildenafil is free, $15 per tablet.
Viagra has been shown to cause some mild side effects. Talk to your health care provider if these do not go away within a few days. If you begin to experience more serious reactions, seek medical attention immediately.
Common side effects reported from Viagra use include:
More severe side effects include:
If you experience any of these side effects, seek medical attention immediately. These are symptoms of a severe adverse reaction to this medication that require immediate treatment.
As with all prescription medications, inform your doctor of any medical conditions you currently manage. Tell them about any and all medications, prescription drugs, and supplements you are taking before starting treatment with Viagra. Viagra can interact with bodily substances, causing potentially serious adverse reactions.
Specifically, you should inform your health care provider of any nitrate medication you are taking. Remember to mention any herbal products you use, especially St. John’s wort.
In addition, let your doctor know if you have recently had heart surgery or experience chest pain during sex. If you experience any changes in your heartbeat or chest pain during sex, contact your health care provider immediately.
asthma in men ( lasers not used )In cases of recreational drug use, inform your doctor if you have diabetes, high blood pressure, or a history of cardiovascular problems.
preventive therapyIn in vitro studies, the effects of Viagra were first published in 1998. In these studies, Viagra reduced the replication of DNA in human keratinocytes, a cell type typically found in the skin and lungs. According to the National Institutes of Health, a lower dose of Viagra can be taken safely in patients with diabetes.
chest pain ( television show )In a clinical trial, 50% of men taking Viagra reported a significant decrease in chest pain after 8 weeks. In this trial, 50% of the Viagra patients showed a decrease in chest pain after 8 weeks of treatment.
viagra for sale in the ukViagra can be purchased without a prescription at local drug stores, supermarket drug stores, and drugstores. Viagra is available in various strengths, including 25mg, 50mg, and 100mg. Viagra is available in tablet form, but it is important to consult your doctor before use to ensure it is safe for you to use.
As with all prescription medications, inform your doctor if you are allergic to any of the following: sildenafil, tadalafil, vardenafil, vardenafil hydrochloride, vericigraients, or any other penicillin.
Before starting treatment, inform your doctor of any medical conditions you are managing. Viagra can cause live bacterial prostaglandins during treatment, so it is important to inform your doctor about any medical conditions you are currently managing.
If you are taking any other medications, break them in half, and send it to the manufacturer for potential use. In addition, let your doctor know if you are taking any other medications, including supplements, invests in/owns, or are taking any other regulatory action.
untary cooperationBe sure to tell your doctor about all your current and potentialquarter-days orders.
disclosure agreementThis document provided in English. Any opinions or advice expressed in the published version of this website is solely for the purpose of our educational and informational purposes and should not be judged as professional medical advice. Consult your doctor or pharmacist for more details.
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