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:
The following are available OTC:
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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Cold symptoms such as stuffy or runny noseSafetySildenafil is not recommended for use in patients with liver or kidney problems. If you are taking any other medication>in your order, always consult with your healthcare provider before starting. VIAGRAis not recommended for use in patients with severe liver or kidney problems.
Viagra Connect is an effective treatment for erectile dysfunction (ED). Erectile dysfunction is a common problem that includes difficulty getting or keeping an erection. If you’re affected by erectile dysfunction, there is treatment and support available that can help, including medicines such as Viagra Connect.
If you have a low libido, understanding the cause of this and getting help to increase your libido, may change the way you think and feel about sex. There is support available that may help, including talking to a professional such as a psychologist or counsellor. Your doctor may be able to refer you for counselling, or you can.
Viagra Connect relaxes the blood vessels in the penis to increase blood flow. This means that you can get an erection when you’re sexually aroused. After sexual activity, your erection will go away as it normally would.
If you’ve decided to take Viagra Connect to treat your erection problems you should swallow one whole tablet with some water, about an hour before you want to have sex. Don’t take more than one tablet a day.,
Remember to read the instructions that come with the medicine carefully, or talk to a pharmacist or your GP if you’re not sure how to take Viagra Connect. They’ll be able to give you more information and support.
Viagra Connect isn’t suitable for everyone, including people with some other health conditions such as heart problems. Talk to your GP or a pharmacist about whether Viagra Connect is the best treatment option for you.
It usually takes about one hour for Viagra Connect to start working., Most people take one tablet about an hour before they want to have sex. But everyone is different and for some people, it may take more or less time to get an erection after taking Viagra Connect.
After sex, your erection should go away normally. If it doesn't, contact your GP, a pharmacist, or.
Once you've taken Viagra Connect, it will stay active for up to four hours.
How long does Viagra Connect work?lasting you in in activity?After taking Viagra Connect, it will stay active for up to 4 hours.
Swallow one tablet with some water, or as advised by your doctor. If you take a tablet about an hour before you want to have sex, you can take your medicine exactly as directed.
Your doctor will decide the correct dose of Viagra tochieve during sexual activity, and do NOT take it lower than that. Some medicines can be taken with Viagra Connect, or you can take it with any other medicine that you have available in the pharmacy.
Some information can be correct, but please read the patient information leaflet that comes with your medicines. There will be some information that will depend on the individual patient. If you’ve decided to opt for the medicines available then your doctor should prescribe the most up to by way of example Dapsone, Eroxon, Spedra, Spedra S, Spedra Soft, and Spedra Connect.
Always take this medicine exactly as claimed by your provider.
The most common side effects of Viagra Connect include headache, facial flushing, indigestion, nausea, vomiting, lightheadedness, and fainting.idepressants and nitrates can cause more serious side effects, including an sudden (20% or more) loss of a blood pressure call-out. These medicines can cause a heart attack or a stroke.uk may be able to help with any side effects that come with Viagra Connect.
Viagra is a medication that is used to treat erectile dysfunction (ED) in men. It contains the active ingredient Sildenafil Citrate, which is a phosphodiesterase type 5 (PDE5) inhibitor. This medication works by relaxing the blood vessels in the penis, allowing blood to flow into the penis when a man is sexually aroused.
Viagra is a PDE5 inhibitor and works by blocking the action of an enzyme called phosphodiesterase type-5 (PDE5) in the body. This enzyme breaks down cyclic guanosine monophosphate (cGMP), which helps increase blood flow into the penis.
Viagra is taken on an empty stomach or after a meal. It can be taken with or without food, but it is important to follow the doctor’s instructions. It is usually taken about 30 minutes to an hour before sexual activity.
Viagra does not work without a sexual stimulation. It is usually taken with water. The effects are felt within 15 to 30 minutes.
Viagra is only available with a doctor’s prescription. You can take it with or without a doctor’s prescription. It is important to only use Viagra as directed by your doctor. Do not use Viagra if you are allergic to any ingredient in it, or if you have heart problems, have low blood pressure, or a heart attack. It can cause side effects.
The most common side effects of Viagra include headache, flushing, upset stomach, nasal congestion, and facial flushing. More serious side effects may include sudden vision loss or hearing loss, chest pain, and shortness of breath. If any of these side effects occur, they may be serious and need medical attention.
If you have any more serious side effects, you should seek immediate medical attention.
If you experience any of the following side effects, you should stop taking Viagra and seek medical help immediately:
It is important to note that Viagra does not work without sexual stimulation. You should not engage in sexual activity while taking Viagra. It is not recommended to do so if you have a history of heart disease, blood pressure, or high cholesterol.
You should not use Viagra if you are allergic to any ingredients in it. If you have a history of stomach ulcers, heart disease, bleeding disorders, high blood pressure, or kidney disease, you should not use Viagra. If you have a history of heart problems, stroke, high or low blood pressure, high cholesterol, high blood pressure, a heart attack, or any other heart condition, you should not use Viagra.
If you are taking medicines called nitrates, such as glyceryl trinitrate (also called nitrate), isosorbide mononitrate (also called nitroglycerin), and isosorbide dinitrate (also called nitroglycerin). These medicines can cause a dangerous drop in blood pressure.
Viagra
It is the world's most famous and renowned medication for erectile dysfunction. However, it is also one of the most popular medicines to use when looking for cheap viagra online. It is a little pill that has proven to help men improve their sexual performance and to improve their confidence. The active ingredient, sildenafil citrate, is the same active ingredient that is used in Viagra, which is the most well-known brand name and the most popular generic form of the drug.
It is the same active ingredient that is used in Viagra which is also the brand name of the drug that is the most popular medicine that is used to treat erectile dysfunction.
Sildenafil citrate
It is the active ingredient in Viagra which is the most popular medicine that is used to treat erectile dysfunction, and sildenafil is the other active ingredient that is used to treat premature ejaculation, and it is the generic form of the drug that is the most popular brand of the medication.
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