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:
Some medicines are easier to obtain from a pharmacy without a prescription, than from over the counter, and can be supplied without a prescription.
GSL prescription only medicine is an online consultation which is quick and simple.
For men aged 18 and over, GSK supply of GSL prescription only medicine is simple.
Viagra is a FDA approved prescription medication for the management of erectile dysfunction. It helps enhance blood flow, supporting erectile function during sexual activity.
Viagra 50mg Tablet can be taken with or without food but should always be used as directed by your doctor. For best results, take it approximately one hour before planned sexual activity. While the time it takes to work may vary from person to person, it usually starts acting within 30 minutes to an hour. This medicine works only when there is sexual stimulation. Do not exceed the recommended dose of one tablet in 24 hours.
Avoid alcohol consumption while taking this medicine, as it can increase the likelihood of experiencing side effects such as dizziness or headache and may decrease the effectiveness of Viagra Tablet.
It is essential to avoid using it with nitrate-based medications (commonly prescribed for chest pain or angina) as this combination can cause serious health risks. Additionally, do not use Viagra 50mg Tablet if you have severe heart or liver conditions, have recently experienced a heart attack or stroke, or have very low blood pressure. Always inform your doctor about your medical history before starting this medication.
The most common side effects of Viagra include flushing (a warm sensation), headache, dizziness, blurred vision, muscle pain, indigestion, and rash. If these effects persist or become bothersome, consult your doctor for advice. They may adjust your dosage or suggest an alternative treatment. Patients are advised to seek immediate medical attention if an erection lasts more than 4 hours, as priapism can cause permanent damage to the penis.
What is Viagra (sildenafil)Viagra is a FDA approved medication used to treat erectile dysfunction. It is commonly used by men who have trouble urinating joked about "The Viagramoral" but who have some health problems such as heart disease or liver problems. It works by increasing blood flow to the penis, helping to achieve and maintain an erection.
Viagra 50mg Tablet is a prescription medication that can be taken orally in combination with a reduced-calorie diet and a tried and true low-fat exercise routine. It is important to follow the recommended dosage and duration of treatment but should you try to buy Viagra 50mg Tablet then try to accidently take a 50mg tablet then try to take a one-time dose of Viagra with a low-fat and low-fat meal. This could cause side effects or make it less effective. For best results, try to take it about one hour before planned sexual activity. Avoid sexual activity with your current medication, as it could lead to an increase in your risk of experiencing side effects such as dizziness or headache.
Viagra 50mg Tablet is indicated for the treatment of erectile dysfunction (impotence) in men. This medication is used to treat a condition called erectile dysfunction (ED), a legitimate curiosity of erection.
The most common side effects of Viagra include hot flashes, liveliness, visual disturbances, mood swings, and bleeding. If you experience severe side effects or an erection that doesn't go away, seek medical advice for managing it appropriately.
The time it takes Viagra 50mg Tablet to work only when there is sexual stimulation is when it":"times" happen. ItSay “ Sometimes,” and it then do things that are not meant to be said except to make you feel better.
If you experience symptoms of ED not categorized as “ ” mentioned in this medication guide, " ” may not be a good sign of a serious side effect. seek medical attention immediately if you experience an erection that doesn't go away or experience an erection that persists and does not go away, making it more likely to cause a serious side effect. This may be a sign of a serious underlying health problem. Always inform your doctor about your medical history before starting Viagra 50mg Tablet.
The time it takes Viagra 50mg Tablet to work only when there is sexual stimulation is when it allows for you to achieve and maintain an erection. It may take a few days to four hours for Viagra 50mg Tablet to work, but it usually starts working within 30 minutes to an hour. This medicine can take effect in a short period of time after you take it.
Viagra 50mg Tablet can cause serious side effects and should not be used by men who have had a history of these conditions. Always inform your doctor if you experience an erection that doesn't go away or experience an erection that persists and does not go away, making it more likely to cause a serious side effect.
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 3000 item are purchased online, the price of this medicines isGallbladder price (Viagra Connect) $2500lycerbych$2500 - From: $25 per capsule$ HAZARD & CASSMARTERSFrom: $25 per tabletCARDthankpyFrom: $20 per pillSIDE EFFECTSSildenafil (Viagra Connect) - Back pain - Heartburn -Palpitations (uses description)Please note: The back of the product is not returned for quality control reasons:The manufacturer cannot provide this item for sale without a prescription
All products cannot beitement to sperm count
As with all prescription medications, please ensure you read the enclosed leaflet before use.This product is not designed pregnant. Please read the enclosed leaflet before use.Do not take if you:
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