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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’.
As with the whole group, Cialis Together will be available in both both prescription and OTC forms, depending on the application. The maximum allowed amount of tadalafil can be purchased over the counter is 20 years and in most cases the medication is considered ‘P’ medicine.
  • Dr Fox – Do NOT use Cialis Together if you are taking:a class called ‘Do not use’.
  • Product Description

    Product Name:Viagra 25mg Tablet

    Product Form:Tablet

    Company:Pfizer

    Marketed by:India

    Company some other brands have also appeared in this Medicine

    Side Effects:Flushing, dizziness, trouble sleeping, stomach pain, headache, nausea, backache, rash, itching or skin reactions

    Warnings:Not for use in children under 18 years of age.

    How to use

    Please read the enclosed leaflet carefully before use.

    Warnings

    Do not use this medicine if you are allergic to sildenafil citrate, vardenafil or any other ingredients of this medicine

    Do not take this medicine if you are taking medicines containing nitrates.

    Tell your doctor and pharmacist any other medicines you are taking regularly

    If you are planning to buy any online pharmacy, you should check the required information or go to the shopping cart before use

    Pregnancy and breastfeeding

    Before using this medicine, tell your doctor if you are pregnant, planning pregnancy, breastfeeding, or if you are breastfeeding.

    If you think you are pregnant, you should avoid driving or using tools or machinery while using this medicine.

    The medicine is not recommended in the children below 18 years of age group.

    The medicines in this medicine are not recommended in the treatment of erectile dysfunction, impotence or decreased libido

    Tell your doctor if you are allergic to it, or if you have any other allergies.

    Tell your doctor about all the medicines you are taking, including any drugs

    You should check the list of medicines you are taking regularly

    Your doctor might prescribe another medicine to treat your condition

    You may need to stop taking this medicine if you are pregnant or breast-feeding, if you have liver or kidney problems, if you have diabetes, if you are having surgery on the penis or prostate, if you are having sexual activity, if you have any other medical conditions, diseases that are known as "overuse cases", if you are having problems with the circulation of blood or pain from urination.

    How to take

    Take the tablet by mouth once or twice a day. It is usually taken on an empty stomach or with meals. The dose is to be taken 1 tablet a day. Your doctor may tell you how much to take.

    How often should I take this medicine?

    Take this medicine on an empty stomach or with meals. Your dose will depend on your condition.

    It is not advisable to stop taking this medicine suddenly, as it could cause unpleasant side effects and unwanted weight gain

    Take the tablet on an empty stomach or with meals, as long as you follow the instructions on the leaflet carefully

    If you forget to take your dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not take 2 doses at once.

    Side effects

    The most common side effects are usually mild and go away on their own.

    Viagra 25mg Tablet is a phosphodiesterase type 5 (PDE5) inhibitor and helps to treat erectile dysfunction in men by increasing blood flow to the penis.

    Viagra 25mg Tablet can cause an erection that lasts for 4-6 hours and may last up to 36 hours. However, it is important to note that it may not work as well if you have not taken it before.

    Do not take other medicines while using this medicine as they may affect the effect of this medicine.

    Viagra 25mg Tablet should not be used by women, or children.

    Do not use it for more than 3 days at a time if you are on nitrates, as it may lead to a serious condition called "angina".

    Viagra 25mg Tablet may cause a lower blood pressure than other PDE5 inhibitors, therefore you should not use it while you are using this medicine.

    Erectile dysfunction is a common condition that affects millions of men. It is often referred to as impotence, and it can be caused by various factors, such as stress, relationship problems, or underlying health problems. However, there are many effective treatments available for ED. The most common medications used for ED are the medication sildenafil (Viagra). These medications work by increasing blood flow to the penis, which helps to achieve an erection. However, there are also many other medications that can be purchased over the counter, such as Tadalafil (Cialis). This medication works in a similar way to sildenafil, but it is also available as an alternative for men with ED. Tadalafil is a newer medication that is sold under the brand name Cialis. It is used to treat ED in men. Tadalafil works by relaxing the smooth muscles in the blood vessels, which helps to increase blood flow to the penis and promote a healthy erection. Tadalafil works by relaxing the smooth muscles in the blood vessels, which increases the blood flow to the penis and makes it more difficult to achieve an erection. However, Tadalafil is not available over the counter in the United States. As a result, it has not been tested in clinical trials and is only available in pharmacies in Canada and the United States.

    VIDEO

    Tadalafil is a phosphodiesterase-5 (PDE5) inhibitor that is used to treat ED in men. Tadalafil works by inhibiting the PDE5 enzyme, which is responsible for breaking down cyclic guanosine monophosphate (cGMP) in the body. By preventing this breakdown, tadalafil reduces the amount of cGMP in the body and helps to relax the smooth muscles in the blood vessels, increasing blood flow to the penis and improving the ability to achieve an erection. When tadalafil is taken for ED, it can be taken continuously, which helps to maintain the medication at a normal level in the body. This medication can be taken once daily or every day for up to three months. The duration of treatment can vary depending on the severity of ED symptoms and individual factors. It is important to note that tadalafil should not be taken by men who have been diagnosed with erectile dysfunction and who are using tadalafil for other reasons. This medication is not available over the counter in the United States and is only available in pharmacies in Canada and the United States.

    Tadalafil is a prescription medication that is used to treat erectile dysfunction. It is available as a generic drug and is manufactured by GlaxoSmithKline. This medication works by relaxing the smooth muscles in the blood vessels, which increases the blood flow to the penis and enhances the ability to achieve and maintain an erection. However, it is important to note that tadalafil may not be the best treatment for ED when used under the guidance of a healthcare provider, which can be risky for some men. It is also important to note that tadalafil can be taken by individuals who are not taking other medications or who are taking other medications for other conditions, such as blood pressure, heart rhythm, or prostate conditions.

    VIDEO

    What is Viagra (sildenafil)?

    Viagra (sildenafil) is used to treat erectile dysfunction. Erectile dysfunction is the inability to get or keep an erection for satisfactory sexual activity in men, also known as impotence. Sildenafil belongs to a class of medications called phosphodiesterase type5 (PDE5) inhibitors. Viagra works by relaxing muscles found in the walls of blood vessels and increasing blood flow to the penis during sexual stimulation to get and keep an erection. Keep in mind that Viagra does not cure erectile dysfunction or increase sexual desire.

    under the brand Revatio is also used to treat pulmonary atrial hypertension (PAH). If you are taking Revatio do not take Viagra unless directed by your physician.

    Buy Viagra Online : Know the Dosage

    The recommended dose is 50mg about 1 hour before sexual activity, but it can be taken from 30 minutes to 4 hours before intercourse. The maximum daily dosage is once per day, with or without food. The dosage can be increased to 100mg or decreased to 25mg based on toleration and effectiveness. Viagra 100mg are available in KamaHealth.

    Side Effects

    MedicationOnsetDuration
    Sildenafil (Viagra)30-60 minutes4-5 hours

    The most common side effects consist of the following:

    • Headache, nausea, and dizziness
    • Stuffy nose, nosebleed
    • Temporary redness of neck and face
    • Backache, indigestion

    If you are a heart patient, sexual activity could put extra strain on your heart. If you experience the following serious side effects while having sex, stop and get medical help right away. The side effects include:

    • Severe dizziness
    • Nausea
    • Chest/jaw/left arm pain
    • Fainting

    Some patients may experience serious side effects; if you experience these, get medical help right away. Serious side effects include:

    • Temporary memory loss
    • Seizures
    • Serious allergic reaction, including rash, itching or swelling (especially of the face, tongue, or throat), severe dizziness, and trouble breathing.

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    sildenafil in Canada and free shipping. Some patients experience side effects that are not listed. If you have any concerns regarding Viagra, contact your physician.

    Take note: This medicine is available only with a valid doctor's prescription.Alli is not approved for use in men.Take special note of:

    Viagra is an oral medication that blocks voltage stimulation in the penis. This causes blindness. Viagra can be taken with or without food. Do not take Viagra more than once per day.

    How much Viagra to buy?

    The recommended dose is about 50mg about the first hour, which can be increase or decrease in strength up to or away from sexual activity. The maximum daily dosage is 100mg. The recommended dosage for PAH is 5mg. Do not increase or decrease the dosage of Viagra if you have not been prescribed Viagra.

    Take special care with Viagra:

    Do not use Viagra if you are taking:

    • Nitrate drugs for chest pain or heart problems, use nitroglycerin to treat chest pain or heart problems, or change to sildenafil for you, if you are taking this class of medications. It is highly effective in treating erectile dysfunction.awi drug store or physician's prescription of sildenafil without proper medical guidance.