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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 other medicines on this page, Cialis Together will be available in both both prescription and OTC forms, without a prescription. A prescription is required and Cialis Together tablets will be available in these forms. The maximum pack size of 8 tablets will be in the the application file, which is a special type of file containing a variety of type and size information, usually of the form “1,10mg tadalafil 10”. The application will be sent to the pharmacy from the comfort of the patient’s home, usually by video or facsimile scan.

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.

asthma in men: Viagra can cause in men as they have had had had had had had a heart attack or surgeries. The medicines listed below are not recommended for use in women.asthma in women: Viagra is not available over the counter in women. It is available, under several brand names, including Viagra asso.

The following list contains the most up-to-date information for Viagra, including country, country code, and brand.

lifestyles. body weight. year old.ourage. BMI. height. age. ethnicity. military. military ID. National Diabetes Prevention Program (Nioxidely) diabetes medication. (Stendra) Stendra (Vardenafil) Vardenafil (Spedra) Spedra (avanafil) Vardenafil (Spedra) Spedra (avanafil) Stendra (avanafil) Spedra (avanafil) Levitra (Vardenafil) Staxyn (Vardenafil) Stendra (avanafil) Cialis (Vardenafil) Levitra (Vardenafil)Other information regarding this medication includes:
  • The following table shows the dosage of Viagra that is typically taken with or without food:
  • Indications (each label designates a dosage level):
  • The table below provides an indication of the typical dosage:
  • A typical dosage of Viagra for adults may be determined by your healthcare provider based on the following factors:
  • Your age
  • Your medical history
  • Any underlying medical conditions you experience (such as heart disease, high blood pressure, liver disease, uncontrolled high blood pressure)
  • Blood pressure
  • Liver function
  • Any other medications you are taking (including herbal supplements)
  • Any herbal products you use, including St. John’s wort
  • Note:This information is general, and based on available clinical data and information.

    First-line treatment options include Viagra's active ingredient, Sildenafil, for a maximum of three consecutive daily doses. If Viagra is not effective, second-line treatments can include Sildenafil's generic equivalent, tadalafil, for a maximum of three consecutive daily doses.

    Can you buy Viagra in the UK without a prescription?

    In this article, we will discuss how to access a prescription for the treatment of erectile dysfunction (ED) and discuss the pros and cons of each option.

    What is Erectile Dysfunction?

    Erectile dysfunction is when a man has trouble getting or keeping an erection. It is a condition that causes problems with getting an erection and can be caused by a variety of factors, including diabetes, heart disease, high blood pressure, smoking, drinking too much alcohol, and certain lifestyle factors.

    What is the main reason for erectile dysfunction?

    Erectile dysfunction is caused by a variety of causes. It may be caused by a physical or psychological condition, such as diabetes, heart disease, high blood pressure, or smoking. These conditions may be due to psychological factors such as stress, anxiety, depression, or relationship problems.

    How does Viagra work?

    Viagra is a generic version of the popular erectile dysfunction pill Viagra. It contains the same active ingredient as brand-name Viagra, which works by increasing blood flow to the penis when you are sexually aroused.

    How long will I have to have a sexual relationship?

    Viagra usually takes around 2 to 3 hours to start working, but some people may not respond to the effects of the medication after only a few hours.

    What should I do if I miss a dose?

    If you miss a dose, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not take 2 doses at once.

    Is there a suitable alternative?

    There is a brand name for Viagra called Sildenafil Citrate. This generic version of Viagra is better known by its brand name name sildenafil. It is available in various strengths, including 25mg, 50mg, and 100mg. If you are worried about taking Sildenafil, it is better to consult your doctor before using this medication.

    What are the side effects of Viagra?

    Like all medications, Viagra can cause side effects. Common side effects include headaches, flushing, upset stomach, nasal congestion, and dizziness. Less common side effects include muscle aches and back pain. In rare cases, more serious side effects can occur.

    Can I take Viagra with other medications?

    If you are taking other medications, you may not be able to take Viagra with other erectile dysfunction treatments. It is essential to talk to your doctor about the risks and benefits before starting Viagra.

    Can you get Viagra in the UK without a prescription?

    Erectile dysfunction can affect your sexual health. It can be caused by a variety of factors, including physical and psychological factors.

    It is important to note that erectile dysfunction can also be caused by a combination of all the following:

    • Diabetes

    • High blood pressure

    • High cholesterol

    • Low blood pressure

    • High blood sugar

    • Heart disease

    • Low testosterone levels

    • Stress

    It is also essential to be aware of the following:

    If you have heart disease, diabetes, high blood pressure, or high cholesterol, your doctor may be able to prescribe Viagra or other medications to help manage your erectile dysfunction.

    How long does Viagra take to work?

    Viagra may take between 1 and 3 hours to start working, but some men may not respond to the effects of the medication after only a few hours.

    The cost of erectile dysfunction medication can vary from £10 to over £200 per month, depending on the type of medication you're considering. Some popular medications for ED include Viagra, Cialis, and Levitra. Prices can also vary with other popular ED medications, such as Viagra Connect, Priligy, and Propecia. It's important to consult with a healthcare provider before starting any new medication to ensure it's the right choice for you.

    Tips to getting the best results with erectile dysfunction medication

    • Be aware of potential side effects
    • Compare prices closely
    • Consider other ED treatments
    • Consider other medications

    ED medication cost varies

    • Some popular medications for ED:
    • Viagra (sildenafil) – $65 for 30 tablets – costs between $160 and $160+ per month
    • Cialis (tadalafil) – $25 for 30 tablets – costs between $10 and $25 per month
    • Propecia (finasteride) – $5.

    The most common side effects of Viagra include headache, blurry vision, nausea, and diarrhea. In some cases, the side effects can last for hours or even days after you take the medication.

    If you experience any of these symptoms, it’s important to tell your doctor right away if you have any of these side effects:

    • Diarrhea
    • Nausea
    • Headache
    • Blurred vision
    • Stomach pain
    • Insomnia
    • Fever
    • Constipation
    • Diarrhea after exercise
    • Dizziness
    • Drowsiness
    • Ringing in ears
    • RhoESS syndrome
    • Sudden hearing loss
    • Swelling of ankles and feet
    • Tingling, numbness, or burning in the hands and feet
    • Pain or swelling of joints

    If you experience any of these symptoms within a few days of taking Viagra, it’s important to tell your doctor right away if you have any of these side effects:

    • Drowsiness after eating

    If you experience any of these symptoms after taking Viagra, it may be a sign that the medication is working against you. If you experience any of these side effects after taking Viagra, talk to your doctor right away about whether you should continue taking Viagra.

    It’s important to note that these side effects are not typical of Viagra. If you have any of these side effects, it’s important to tell your doctor right away if you have any of these side effects:

      If you experience any of these side effects after taking Viagra, speak to your doctor right away about whether you should continue taking Viagra.