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:
A pharmacy works by selling to people person-parts (eg. night oils, fragrances, remedies, cosmetics, nutritional supplements, medicines,upuncture, shamp......). The product is then available by prescription only, by the same healthcare provider, and by the same pharmacy chain as the day-parts. Whenolescaved by a doctor (usually at least 18 years old) the medicine is then dispensed through the original pharmacy.
SSAI (sales) SAI (teva, viagra, viagra pills) is a medication approved by the FDA for the treatment of erectile dysfunction (ED) in men. The drug is designed to treat ED by increasing blood flow to the penis and to a reduced likelihood of causing an erection.
SSAI is also approved for the treatment of pulmonary arterial hypertension (PH), an age-related condition in which blood vessels that supply blood to the lungs restrict oxygen-rich blood to the lungs. Patients with PH experience worsening of the condition, as pulmonary hypertension often leads to difficulty in breathing and chest discomfort, among other symptoms. In addition to improving breathing, sildenafil can help patients with PH to manage symptoms such as high blood pressure and difficulty breathing. SSAI may be prescribed for patients with PAH who are taking other drugs that affect blood pressure and are not able to do so. SSAI is typically not prescribed for patients who are taking nitrates, as its safety and efficacy have not been studied.
SSAI (teva, viagra, viagra pills) may be prescribed for patients with mild to moderate PAH, as its safety and efficacy have not been studied. SSAI is not a first-line treatment for PAH, and patients may need to be evaluated for PH in the future. It is important for patients to be aware of the risks and benefits of SSAI, including its safety and efficacy, before starting treatment.
SSAI (teva, viagra, viagra pills) is not indicated for patients with severe PAH, and patients with mild to moderate PAH should be evaluated for SSAI before starting treatment. Patients should be monitored for any signs of heart failure or heart attack, as appropriate, and for any signs of dehydration, as recommended by the medical provider. Patients should be monitored for any signs of heart failure or heart attack, as appropriate, and for any signs of weakness and dizziness.
SSAI (teva, viagra, viagra pills) is not indicated for the treatment of erectile dysfunction (ED) or pulmonary arterial hypertension (PAH) in men. SSAI is also not indicated for the treatment of ED in women.
SSAI is not indicated for the treatment of ED or pulmonary arterial hypertension in men.
SSAI (teva, viagra, viagra pills) is not indicated for the treatment of pulmonary arterial hypertension (PH) in men. SSAI is not indicated for the treatment of pulmonary arterial hypertension (PH) in women.SSAI is not indicated for the treatment of ED in women.
SSAI (teva, viagra, viagra pills) is not indicated for the treatment of PAH in men. SSAI is not indicated for the treatment of ED or pulmonary arterial hypertension (PH) in women.
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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.
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