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:
Many products are available on the ADA's.
What are 3 categories of medicineMedicines are made in variety of ways. The 3 categories help to improve the quality of the drugs available to you. The 3rd category also helps to lower your chances of getting run down.
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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Side Effects: Common side effects: rye, ranitidine, Sildenafil...
Side Effects: Uncommon side effects: erythromycin, SildenafilHow to deal with side effectsSildenafil is a proven medication that helps treat erectile dysfunction (ED) in men. Speak to one of ourporate experts today to learn more and to find out if Sildenafil is right for you.
What is sildenafil?Sildenafil is a prescription-only medicine usually taken to treat erectile dysfunction (ED) in men.
Sildenafil is a registered trademark of PFIZER brand Pfizer.
The first of its kind, Viagra is a brand-name drug in the UK that treats erectile dysfunction by increasing blood flow to the penis. It is also known by its generic name sildenafil.
Viagra is one of the UK’s leading erectile dysfunction drugs. It is available over the counter and is approved by the Medicines and Healthcare products Regulatory Agency (MHRA) for the treatment of Erectile dysfunction. Sildenafil works by relaxing blood vessels in the penis, increasing blood flow and helping to achieve and maintain an erection when sexually aroused.
Erectile dysfunction is a common condition that affects millions of men worldwide. It can have a huge impact on a man’s self-esteem and relationships. It can lead to feelings of embarrassment, anxiety and depression. There may be psychological factors, too.
The UK’s MHRA has established a black box warning on sildenafil tablets for the treatment of erectile dysfunction in men aged 18 and above. This black box warning applies only to prescriptions for erectile dysfunction, not all erectile dysfunction medications are safe and effective in the long term. The MHRA further warns against taking sildenafil if you have a history of heart problems, low blood pressure, a recent stroke or heart attack or if you have a family history of heart disease or stroke.
Erectile dysfunction can have a psychological impact on a man, too. It can lead to feelings of anxiety and depression, low self-esteem, feelings of inadequacy and shame, and isolation. The warning also applies to other forms of sexual dysfunction, such as low libido and performance anxiety.
To make sure Viagra is suitable for you, you must first speak to a doctor or pharmacist. They will determine if sildenafil is right for you and can provide advice on dosage and potential side effects.
A prescription is required. Speak to a GP or a pharmacist directly.
Read more about the MHRA’s ‘black box warning’Viagra pills in the UKSildenafil belongs to a class of drugs called phosphodiesterase type 5 (PDE5) inhibitors. It works by increasing blood flow to the penis. This helps you to get and maintain an erection. The dosage of sildenafil depends on your medical condition and the severity of your erectile dysfunction.
To get the best results from sildenafil, it is important to follow the provided guidelines. While using this medication, let a doctor know if you have any liver, kidney or heart problems. Do not increase the dose without checking with your doctor.
If you are taking sildenafil with other medications, including nitrates, relax the blood vessels in your penis, allowing more blood to flow into the penis and helps produce an erection. However, do not take sildenafil with any of the following:
Sildenafil may cause side effects, although not everyone experiences them. Although not all side effects are serious, if you experience any serious side effects, please tell your doctor. If you experience any side effects that are not listed, please consult your doctor.
Please read the patient information leaflet (PIL) that comes with your medication. You will be charged a small copay. If you split the pencephalemmus into multiple separate pencephalemmes, your doctor may adjust the pencephalemmus based on how long you have used the medication.
If you experience any side effects that you do not see in the patient information leaflet (PIL), please speak to your doctor. Alternatively, you can go to your nearest GP or pharmacist.
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