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:
Viagra Connect is available in Ireland for erectile dysfunction treatment which does not require a prescription. The first of its kind, Viagra Connect is a safe and discreet over-the-counter medication that can legally be bought online or over the counter in your pharmacy, without a trip to your doctor.
We need to ensure that this medicine is suitable for the person it is intended for. Therefore, it should only be purchased by the person taking it.
You can select your convenient store to collect your product and fill in the online form required.APharmacist will contact you to let you know your product is ready for collection, or you can buy onlineand complete the questions included.
When purchased online, a pharmacist will contact you by phone if they have any further questions and to advise you on the safe use of this medicine. If they are unable to speak to you when required your order may be delayed or the pharmacy medicine part of your order cancelled.
Please ensure your contact details are correct before ordering this medicine.Suitable for
Viagra Connect is for men 18 years and older who have difficulty getting and/or keeping an erection hard enough for sex
Age RestrictionYou must be at least 18 years old to purchase this product.
Directions for use:
Please read the enclosed leaflet carefully before use.
• take 1 tablet approximately one hour before sexual activity• swallow tablet whole with water• do not take more than 1 tablet a dayViagra Connect starts to work within 30-60 minutes. You may take it up to 4 hours before sexual activity.
Hazards and Cautions
Do NOT take if you:
Talk to your pharmacist or doctor before taking if you:
If you are worried about erectile dysfunction you should let your doctor and pharmacist know you are taking this medicine.
This includes any other things that can affect the operation of the surgery boxThis includes any other things that can affect the work of the PharmacistThis all includes any changes in the operation of the surgery boxDuring the operation, the surgeon will need to read all the patient information before prescribing. You should read it each time to see if it is necessary. The pharmacist may need to speak to you about any other medicines you are taking.
If you do not understand the instructions on the label, ask your pharmacist for help. You are more than welcome to pay any attention to the instructions on the product package if you are being treated as if it were your own. You will need a prescription for this medicine.
If you are being treated as if you were your ownatuati, you will require a prescription to buy Viagra Connect.
When you purchase prescription medications online, the question often arises: What is the FDA-approved generic version of Viagra?
Before we dive into the specifics of this medication, let's be clear:Viagra is a prescription medication. It’s typically a prescription medication that’s used to treat erectile dysfunction (ED).
The generic version of Viagra is Sildenafil (the generic name). When Viagra comes on the market, it’s typically prescribed for the treatment of erectile dysfunction. This medication is known as a phosphodiesterase type 5 (PDE5) inhibitor because it increases the levels of PDE5 in the body. By inhibiting this enzyme, sildenafil helps to maintain a firm and lasting erection.
PDE5 is the enzyme that breaks down cyclic guanosine monophosphate (cGMP), a molecule that promotes relaxation of smooth muscle cells and blood flow. This relaxation is critical for the smooth muscles to relax and blood flow, making it effective for treating ED.
This medication works by relaxing the smooth muscles, which in turn, allows blood to flow into the penis. This results in a firm and lasting erection.
Sildenafil’s effect is short-term and lasts for up to 36 hours. It’s also available in generic form, making it more affordable.
Sildenafil is a generic medication. It’s the same active ingredient as its branded counterpart, Viagra.
Sildenafil, the active ingredient in Viagra, works by blocking the action of an enzyme called PDE5. This allows cGMP to remain in the smooth muscles and increase the flow of blood into the penis.
This increased flow of blood into the penis makes it an effective treatment for ED. If you’re looking to buy generic Viagra online, it may be more affordable than Sildenafil.
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:
More severe side effects include:
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.
asda offers sildenafil onlineayneTadacip is a great option for men interested in treating their erectile dysfunction. This medication can help improve erections while also helping with symptoms of premature ejaculation. In addition, there is a small amount of sildenafil available in Tadacip. This medication can help men with erectile dysfunction get and keep an erection when it is needed.
asda offers sildenafil citrate onlineallerbTadalafil is a prescription medication that can be used as a medication for men who are looking to treat their erectile dysfunction. This medication can help improve erections while also helping symptoms of premature ejaculation.
asda offers sildenafilSildenafil works by blocking the effects of an enzyme called phosphodiesterase type 5 (PDE5), which occurs in the smooth muscle of the penis. By blocking PDE5, Sildenafil allows the walls of the blood vessels in the penis to relax, allowing for increased blood flow into the penis.
After a dose, the blood vessels in the penis become relaxed, allowing the smooth muscle to fill with blood during sexual stimulation.
Sildenafil works for about four hours.
Viagra is a prescription medication that blocks the action of an enzyme called phosphodiesterase type 5 (PDE5). This blocking of an enzyme occurs when blood vessels in the penis become stiff and cause the smooth muscle to relax.
Viagra increases the amount of cGMP in the penis, a peptide substance that relaxes the blood vessels to allow blood to flow into the penis.
Viagra enhances the effects of cGMP, the substance that causes the blood vessels to bulge out of their normal size and flow. This increases the amount of time it takes for the blood vessels in the penis to start working.
Viagra can also cause the blood vessels in the penis to expand, which can increase the risk of getting an erection if you are sexually aroused.
Because sildenafil works in the same way as cGMP, it does not automatically work as expected when sexually stimulated.
Stade de France Pharmacy