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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’.
Medicines are available on.

Is it legal?

A. Cialis Together is a quality medicine with a valid supply of the active ingredient. The UKover the countermedicine use a waivers agreement (FAWNA) to ensure that patients receive full protection from the risk of accidental harm or overdose when starting any ED medication.

Viagra Connect is not available OTC:

  • Cialis and sildenafil are not on the FAWNA.

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.

as soon as possible

In addition, if you have ever had an allergic reaction to Viagra or any other Viagra, do not take Viagra if you are taking any kind of drug for any other condition.

Jaime’s father

An hour after taking the tablet, Jaime’s heart rhythm began to beat again. He experienced a rapid weight gain and loss of body hair, and the penis was severely painful. Jaime’s father immediately contacted a doctor and prescribed Viagra, and his condition quickly improved.

In addition, if you experience any changes in your vision, ringing in the ears, pain or dizziness, do not drive, operate machinery, or perform other potentially dangerous tasks that might interact with Viagra, promptly call your doctor.

In addition, if you experience any changes in your hearing, feel the pain during sex, do not cry, or get very drunk, immediately inform your doctor.

In addition, if you experience any unusual symptoms, such as an erection that lasts longer than 4 hours, sudden loss of hearing, or a sudden erection that is less than 4 hours after taking the tablet, contact your doctor.

In addition, if you have sudden changes in your breast tissue, swelling, or tenderness, you should stop taking Viagra and seek medical attention immediately.

In addition, if you experience any other changes in your vision, feel the pain during sex, do not cry, or get very drunk, immediately contact your doctor.

In addition, if you experience any other unusual symptoms, such as an erection that lasts longer than 4 hours, sudden loss of hearing, or a sudden erection that is less than 4 hours after taking the tablet, you should stop taking Viagra and seek medical attention.

In addition, if you experience any other changes in your heartbeat or chest pain during sex, you should stop taking Viagra and seek medical attention.

Viagra 100mg 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, 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.

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Viagra 100mg tablet contains an active ingredient, sildenafil citrate, a�sia medication for erectile dysfunction. The medication belongs to a class of drugs called phosphodiesterase type 5 (PDE5) inhibitors. Viagra may have side effects, including headache, flushing, dizziness, indigestion, blurred vision, and indigestion/blessed. While Viagra can cause serious side effects, these may include: blurred vision increased by sildenafil, increased dizziness, and indigestion/blessed.

Safe for useHarsh reactionsWhile Filling out a medical intake form may make it possible for a doctor to medical advice about a specific medication googled by a pharmaceutical company or social media channel, such as social media channels like Twitter or Facebook, Dr. Fleding said that the information in the form of medical questionnaire interviews with patients was not possible if there was no doctor's consultation. Additionally, there was no assurance that the information in the form of medical questionnaire interviews with men who bought the medication was complete. Filling in for medical questionnaire interviews in advance with a doctor can help avoid this situation. If a doctor's advice is required for a specific patient, an advance copies will be sent to the pharmacy for pickup.

Individuals who have taken medications that interact with sildenafil can potentially have a reaction to the drug, potentially leading to serious health complications. This is especially true if the medication is taken in combination with other drugs that can affect blood flow, such as nitrates or alpha-blockers. If a person takes sildenafil with alpha-blockers, this medication can cause a dangerous drop in blood pressure, leading to dizziness, fainting, or even death. Individuals who take medications such as sildenafil with nitrates or alpha-blockers should exercise caution due to the risk of sudden vision loss or sudden hearing loss. In some cases, it's wise to stop taking the medication and contact a doctor right away if sudden vision loss or hearing occurs. In such cases, sildenafil should be used with caution in order to maintain stable blood pressure levels. A person who experiences blurred vision or sudden vision loss while taking Viagra 100mg can call for medical help right away. If it becomes clear that the person is having a reaction to the drug, such as sudden vision loss or hearing changes, the person should seek immediate medical attention.

Consult a doctor Before using Viagra 100mg tablet, it's crucial to be aware of the possible risks and side effects. In some cases, sildenafil may cause a dangerous drop in blood pressure, leading to dizziness, fainting, or even death. In situations where sildenafil is taken with nitrates, such as alpha-blockers, this medication can cause a dangerous drop in blood pressure, leading to dizziness, fainting, or even death. Individuals who take Viagra should carefully read the patient information before using this medication, including usage details, and any warnings or precautions.

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