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’.

Our list of 3 categories is based onasonable prescribing information and reassure patients that there is a wide range of available treatment for general sales list medicines and other similar medicines. We suggest that your general sales list medicine (GSL) that you buy before discussing with your general practitioner any significant changes in your condition. General sales list medicines require an assessment with a pharmacist, who will then assess your neurological condition and produce a list of regularly asked prescriptions. It is then possible to buy medicines off-label for general medicines.

IMPORTANT NOTICE: Please be aware, prior to sale, you are advised to have a short phone call consultation with our Pharmacist. Automatic purchase consents the Pharmacist to give you a quick call.

Viagra Connect is available without a Prescription but requires a brief consultation with the Pharmacist. It is available in a 4 pack or an 8 pack. Viagra Connect contains Sildenafil 50mg which works by relaxing the penis blood vessels, allowing blood to flow when you get aroused causing erections and potency. Viagra Connect will only help men become erect if you are aroused. Only for adult use, men 18 years plus.

How to be taken:

• The recommended dose is one 50 mg tablet taken with water approximately one hour before bedtime activity
• The maximum recommended dosing frequency is once per day
• The onset of sexual activity may be delayed if Viagra Connect is taken with food, compared to without food
• Please read Instructions provided with the product carefully before taking.

VIAGRA CONNECT is not to be taken if:

• There is no problem with gaining erections.
• Nitrate medicine is taken for chest pain or heart failure
• Amyl nitrite, so-called “poppers”, is taken as recreational drugs
• Riociguat (or other guanylate cyclase stimulators) is taken for high blood pressure in the lungs
• Ritonavir is taken for the treatment of HIV
• Your Doctor has advised you to avoid activity because of a problem with your heart or blood vessels
• You have a heart problem such as a recent heart attack or stroke (within the last 6 months), Chest pain (Angina) or severe Heart failure (reduced pumping capacity of the heart)
• You have a liver problem
• You have low blood pressure (below 90/50 mmHg) which can cause symptoms such as tiredness, dizziness, light-headedness, feeling sick, clammy skin, depression, loss of consciousness, or blurry vision
• Loss of vision has occurred before because of nerve damage in the eyes, such as non-arteritic anterior ischaemic optic neuropathy (NAION); or have a rare inherited eye disease, such as retinitis pigmentosa
• You have a deformed penis
• You are a woman
• You are under 18 years of age
• You are allergic to sildenafil or any of the other ingredients of this medicine

Please read instructions carefully provided.

Viagra Connect is a fast acting drug for erectile dysfunction which can last up to 4 hours and takes effect within 30 minutes after administration.

Sildenafil Citrate 50 mg Tablets: This tablet is specifically formulated to treat the symptoms of erectile disfunction and is highly effective in treating it, the most common sexual disorder affecting men over the age of 40 years. Provides a solution to erectile dysfunction in men who suffer from impotence due to conditions such as heart disease or diabetes, or who have problems with their physical or mental health.

Viagra Connect ensures fast and effective results that last as long as 36 hours and come without side effects. It works by relaxing the blood vessels in the penis, allowing blood to flow into the phallus when you get sexually excited and causing the desired stiffness.

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What Do People Want When You Need Viagra

Viagra is a great drug for men, and it is the most commonly used sexual enhancer in the world.

However, Viagra does not cure erectile dysfunction (ED), and it only works to increase the blood flow to the penis and help a man get an erection.

You will need to take Viagra with a prescription and you will need to have a low-fat meal before taking it. This is to help the drug increase blood flow to the penis and to increase the penis size.

Viagra should not be taken with grapefruit or grapefruit juice. You should also avoid taking a high-fat meal if you are already a heavy meal heavy in fat, since this will increase the likelihood of side effects.

You will need to follow these simple guidelines to get the best results from your drug.

Understanding Viagra

Viagra is a very popular drug that is used to treat erectile dysfunction (ED) in men. Viagra is used to help men achieve and maintain an erection during sexual activity. It is a combination of the active ingredientsildenafil citrate and the ingredient in Viagra calledcitrate. The drug works by increasing the amount of blood in the body, which can help to improve the ability to achieve an erection.

Viagra works by increasing blood flow to the penis when a man is sexually aroused, so that the penis is stimulated.

The drug works by helping the body to respond to sexual stimulation, so that the penis remains hard and erect. This will allow more blood to enter the penis, helping to achieve and maintain an erection.

How Viagra Works

Viagra works by relaxing the blood vessels in the penis and increasing the flow of blood to the penis when a man is sexually aroused. This increased blood flow is necessary to get an erection.

Viagra does not increase blood flow to the penis, it only helps to increase blood flow to the penis and the penis.

Viagra works by increasing the amount of blood that the body can produce to help with erections. This helps to achieve and maintain an erection.

Viagra does not directly cause an erection. It works directly by stimulating the blood vessels in the penis and increasing the blood flow to the penis when a man is sexually aroused. The blood vessels in the penis are the main source of blood flow, and they help to cause an erection when a man is sexually aroused.

Side Effects of Viagra

Viagra can cause side effects, although not everyone who takes it will experience them.

Viagra is generally well tolerated and generally well tolerated. In rare cases, some individuals may have side effects like dizziness, headache, or flushing. If you experience side effects while taking Viagra, it is important to speak with your doctor before taking the drug. In some cases, it may be necessary to stop taking Viagra, which can be time consuming.

In rare cases, Viagra may cause side effects like vision changes, trouble speaking or understanding music, and a loss of coordination.

Viagra Dosage

Your doctor will prescribe the dose of Viagra for you based on your medical condition and how your body responds to the drug.

Your doctor will also assess how well you can tolerate the drug. The drug is usually taken 30 to 60 minutes before sexual activity.

Your doctor will also check the effect of Viagra on other body parts, and other medicines you take. They will determine the best time to take the drug for you.

You can take Viagra with or without food. However, it should be taken with a low-fat meal, since this will help the drug increase the blood flow to the penis and help to get an erection.

If you are taking Viagra with a high-fat meal, you should eat a lighter meal before taking Viagra. This will help to prevent side effects from Viagra being absorbed through the body.

If you are not sure how to take Viagra, you can read the label and read the instructions on the pill, to ensure that you are using it safely.

Viagra is a popular drug used to treat erectile dysfunction (ED) in men. Viagra is a combination of sildenafil and tadalafil, which work together to increase blood flow to the penis and help achieve and maintain an erection.

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PlatinumRx is dedicated to delivering dependable and trustworthy information to empower our customers. However, the information presented here is solely for general informational purposes and should not be utilized for diagnosing, preventing, or treating health issues. It is not intended to establish a doctor-patient relationship or serve as a substitute for professional medical advice.

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