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:
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 recommended for the treatment of erectile dysfunction. It helps enhance blood flow, supporting erectile function during sexual activity, providing men worldwide relief from erectile dysfunction. Viagra 50mg is a pill that 50mg tablets must be taken daily. It is crucial to follow a careful dosage instructions given by your healthcare provider but safe and effective for optimal results.
Viagra 50mg Tablet is acause of sexual dysfunction. Whilst Viagra 50mg Tablet is effective in treating erectile dysfunction, it can cause serious health risks, including heart attack and stroke. This medicine cannot be taken lightly, and caution is advised. Viagra 50mg Tablet should be taken as a whole, as it can affect the way the patient will respond to the treatment. Dose adjustments may be made based on your individual response and medical history.
Viagra 50mg Tablet may take up to an hour to work if taken before planned sexual activity. While the time it takes to work usually doesn’t require you to take sexual stimulation as a side effect, it may act faster if you take it with food or alcohol compared to not taking Viagra during a meal. This will ensure this medicine is effective when there is aren’t any fatty foods or alcohol consumption. Do not exceed the recommended dose in 24 hours.
The most common side effects of Viagra 50mg Tablet include: nausea, vomiting, high blood pressure, and diarrhea. Contact your doctor if you experience prolongedness or discomfort. Notify your doctor if you experience severe or persistent side effects, such as muscle pain, swelling, or tenderness,angele-typenism (a condition where the muscles do not function as well as they should),fairlywelling (a condition where blood vessels are healthy but continue to function well even if they are overweight),verywelling (a condition where you feel you are well),verywelling (a condition where you experience flu-like symptoms,especially if accompanied by chest pain, back pain, or shortness of breath).
Zambian language may be more appropriate if you have a history of cardiovascular conditions or are on other medications that increase heart rate or increase blood pressure. This medicine will not cause heart attack or stroke. If you notice any side effects,such asdyspepsia, vomit changes, or changes in the makeup, stop and seek medical attention immediately. Your doctor may need to adjust the dosage or suggest an alternative treatment.
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In Thailand, there are two main types of sexual stimulant, Viagra and Cialis, but one of them is also the most popular. A number of men find that they have a different preference for Viagra and Cialis. But what is the difference between Viagra and Cialis?
In Thailand, the main difference between Viagra and Cialis is that Viagra is a tablet you take orally and Cialis is a pill you take orally. In Thailand, the main difference is that Viagra is taken before the anticipated sexual activity and Cialis is taken only as needed. Viagra is taken on an empty stomach and Cialis is taken once a day. The most common side effects of Viagra include headache, upset stomach, and dizziness.
In Thailand, there are two main types of sexual stimulant. Viagra is taken only as needed and Cialis is taken once a day. Viagra is taken on an empty stomach and Cialis is taken only as needed. Both Viagra and Cialis are used to treat erectile dysfunction and can be taken to improve sexual performance and enhance physical satisfaction. They also help to relax the muscles of the penis and improve blood flow to the area. Cialis is taken on an empty stomach and Cialis is taken once a day.
The main difference between Viagra and Cialis is that Viagra is taken before the anticipated sexual activity. Cialis is taken once a day and Viagra is taken as needed on an empty stomach. They are taken on an empty stomach and Cialis is taken only as needed.
In Thailand, Viagra and Cialis are taken only as needed and Viagra is taken only as needed. Cialis is taken once a day and Viagra is taken once a day.
What is it:A prescription-only medicine used for treating erectile dysfunction. Erectile dysfunction is the inability to achieve or maintain a penile erection sufficient for satisfactory sexual performance. Sildenafil is the active ingredient in this medication. It is a type of phosphodiesterase type 5 (PDE5) inhibitor.
How to use:Take this medication by mouth, about 30 minutes before sexual activity, with or without food. However, it is best to take this medication at the same time every day. Avoid heavy meals or exceeding the dosage of this medication. Take this medication regularly to get the most benefit from it. It is best to take it on an empty stomach or with meals rich in fluids.
Dosage:Swallow the oral tablet whole with a drink of water. The dosage is based on your medical condition and response to treatment. It is important to follow your doctor’s instructions.
Possible side effects:Side effects are usually mild and short-lived when treatment is stopped. Rarely, it can lead to serious side effects, including priapism (a prolonged and painful erection). If you experience any of these or other side effects, stop taking this medication and consult your doctor immediately. Do not take this medication more than once a day, and consult your doctor if you feel these symptoms disappears after at least three months.
Contains:Each 500mg oral tablet has an contents of 2.25MG. Do not exceed the maximum dose of 2.5MG before sexual activity.
Precautions:Do not take this medication if you are allergic to sildenafil or vardenafil. Do not take it if you have a history of priapism, chest pain or severe heart failure. Do not drive after discontinuing the medication. Do not use this medication for more than three months. It is not known if it can affect a woman’s libido or not. Do not use this medication on your breasts. Avoid heavy meals and exceeding the dosage of this medication. Consult your doctor for more information.
References:Sildenafil (Viagra) Tablet (sildenafil) 1. Erectile dysfunction. 2013;7(2):79-80.
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