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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.

What does this mean for patients?

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

Categories of medicine

In the UK have 3 categories:

  • POM – Prescription only medicine:supplied by a healthcare professional following a consultation, usually on prescription.
  • P – Pharmacy medicine:supplied by a pharmacist ‘over the counter’, sometimes referred to as ‘P’ medicine or ‘PMED’.
  • GSL – General sales list medicine:available from many retail outlets ‘off the shelf’.
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A�plentis Together is a 90% effective men’s prescription medicine. It is a prescription-only drug, available for purchase on the A3. PBW (Pharmacist Property) principle, we ensure that prescription medicines are used correctly and are appropriate for them.

Viagra 50mg tablet contains an active component such as Sildenafil. This medication is used to treat erectile dysfunction (ED) in men. It contains the active ingredient sildenafil citrate, which belongs to a class of drugs called phosphodiesterase type 5 (PDE5) inhibitors. It increases blood flow to the penis during sexual stimulation, which helps men achieve and maintain an erection. Viagra may have side effects, including headache, flushing, dizziness, upset stomach, nasal congestion, and vision changes. It should not be taken with certain medications or conditions, so it's crucial to consult a healthcare professional before using it. Erectile dysfunction can have a profound impact on a man's self-esteem and quality of life. By addressing ED, this medication can help improve a person's sense of well-being and overall happiness.

Individuals with a history of cardiovascular diseases, such as heart problems (angina, heart failure, irregular heartbeats) or recent heart attack, should exercise caution when using Viagra. The sexual activity itself can strain the heart and can further increase the strain by increasing blood flow. Consult with a healthcare professional to assess the risks and benefits in such cases. This medication can cause a mild decrease in blood pressure. Caution is advised for individuals with low blood pressure or those taking medications that lower blood pressure, as combining these can lead to potentially harmful interactions. People with severe liver or kidney disease may experience slower elimination of Viagra from the body, leading to a prolonged effect. Dosage adjustments may be necessary in such cases.

What is Erectile Dysfunction? Viagra is a medication used to help men achieve and maintain an erection. It belongs to a class of drugs called phosphodiesterase type 5 (PDE5) inhibitors. It works by increasing blood flow to the penis during sexual stimulation, which can help to achieve and maintain an erection. Dosage: 50mg + 80mg taken in the morning. The recommended dose is only one itself, taken as a one-time decision. For adults who do not achieve an erection through sexual activity, a lower dose may be used. It can be taken anywhere in the body, including the penis, for maximum benefit. It's crucial to consult a healthcare professional before using Viagra, as they may change the dose or recommend a lower dose. The potential side effects of this medication may include dizziness, blurred vision, headache, diarrhea, and anxiety. states the product's product information and contains no inactive ingredients.

The Food and Drug Administration (FDA) has approved this medication for eligible individuals. It is recommended to consult your healthcare provider to determine if it's still appropriate for you. It may not be, but it remains the most commonly prescribed treatment for Erectile Dysfunction, making it a crucial option for those who do not exercise their hand fullest].

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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:

  • Headache
  • Heartburn
  • Congestion
  • Nasal bleeding (bloody nose)
  • Nausea
  • Diarrhea
  • Muscle aches or pains
  • Flushing
  • Facial pain or tenderness
  • Vision changes
  • Light sensitivity

More severe side effects include:

  • Painful erections or erections that last longer than 4 hours
  • Sudden loss of vision
  • Sudden loss of hearing
  • Ringing in the ears
  • Chest pain
  • Shortness of breath
  • Painful urination
  • Increased urination frequency
  • Fainting
  • Dizziness
  • Skin rash
  • Hives
  • Facial swelling

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 are not known to be caused by Viagra

What is Viagra and how does it affect the body?

Viagra is a prescription medication that’s used to treat erectile dysfunction (ED). It’s available as a oral tablet, a liquid suspension, and a tablet form. Viagra can interact with the body to affect how it’s taken. This medication can also affect how the body uses Viagra.

Viagra can cause the following reactions:

  • Nitrates
  • Stylazium
  • Cancer-causing medications
  • Alpha-blockers
  • Blood pressure medications
  • Antifungal medications
  • HIV/AIDS medications
  • Rifampin

In addition, let your doctor know if you currently have an allergic reaction to Viagra or other medications it’s prescribed.

If you have an allergic reaction, disciplined usage is recommended. If you experience an rash, difficulty breathing, or swelling of the face, lips, tongue, or throat, discontinue Viagra and inform your health care provider as soon as possible.

What is the purpose of Viagra?

Viagra is primarily used to treat erectile dysfunction (ED) in men.

Viagra works by increasing blood flow to the penis so you can get and maintain an erection.

Viagra works only when the person is sexually stimulated.

Viagra isn’t prescribed for children or those who are pregnant or breastfeeding.

Viagra isn’t recommended for children or those who are breastfeeding.

When it comes to women, one of the most important aspects of treating low sexual desire is to be able to experience pleasure. Viagra (sildenafil) is one of the most popular medications used to treat this sexual problem. Viagra has become a popular treatment option for women as it offers several benefits to those affected by low sexual desire. One of the most significant is that it has the ability to reduce the distress and frustration experienced by women who suffer from low sexual desire. Viagra works by inhibiting the reuptake of serotonin in the brain, a key neurotransmitter that plays a crucial role in the regulation of mood and pleasure. By increasing the availability of serotonin, Viagra allows women to experience the benefits of sexual satisfaction without the discomfort that comes with a drug such as this. It is important to note that Viagra can be taken only as a pill, and women who are not sexually aroused should not take Viagra. It is also important to note that Viagra is not a substitute for sexual stimulation. It is designed for women who are in the mood, and it does not work for men or women who are not sexually aroused.

When it comes to female Viagra, there are a variety of different forms that have been developed. The most common is the generic form of Viagra. This generic form is made up of two different formulations, which are called ‘female Viagra’ and ‘Viagra for Women’. Each of these formulations have their unique benefits and drawbacks to consider. One of the main differences between these forms is the way the medication works. Female Viagra works by increasing blood flow to the genitals, which leads to increased pleasure and satisfaction. The generic form of Viagra is also available as a liquid formulation, which has the same active ingredient as the brand name version.

Female Viagra is also available in tablet form, which is convenient for many women. The tablet form of Viagra is taken orally, usually in a tablet form. The generic form of Viagra is also available in various forms such as tablets, effervescent tablets, or creams. Both of these forms have the same active ingredient and have the same side effects.

It is important to note that each of these formulations have their own benefits and drawbacks.