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 now available in Ireland to buy online and as a non-prescription, over the counter pharmacy medicine for the treatment of Erectile Dysfunction in men aged 18 and over.
Please note: You must complete a consultation form online which will be privately reviewed by our pharmacist and contact you if needed.
Erectile Dysfunction(ED) means that you cannot get or keep an erection that is hard enough to have sex.
Erectile Dysfunction can be an occasional occurrence, or something that happens more frequently. It can vary in severity from mild (soft erection) to severe (no erection at all).
There are many causes of Erectile Dysfunction. Understanding the causes and conditions associated with erectile dysfunction can help in the appropriate management.
In general, erectile dysfunction is due to 3 main causes:
Erectile Dysfunction can also be a warning sign of a health condition or disease you might not be aware of. That’s why it’s important to take action and find a solution for your ED.
VIAGRA Connect is a well-established and well-tolerated treatment for erectile dysfunction.
For VIAGRA connect to work effectively sexual stimulation is required.
Erections occur when blood flows into the penis. The active ingredient (sildenafil citrate) in VIAGRA connect relaxes the muscle cells in the blood vessels supplying blood to the penis, allowing an increased blood flow. This allows for a firmer, longer lasting erection when sexually aroused.
VIAGRA connect is quickly absorbed and usually takes 30 - 60 minutes to work and the effects can last for up to four hours.
References: 1. Tindle C, O’Mahony R, Wilson R, Macmillan P, Brinkmann E, et al. Erectile dysfunction and the use of phosphodiesterase type 5 inhibitors in men.Medicine review:VIAGRA connecteffects
VIAGRA connect does not protect against sexually transmitted infections (STIs) including HIV, gonorrhoea ( gonorrrhoea ), and cervicothor. It also does not prevent pregnancy. Chlamydia treatment may also prevent complications from STIs, such as miscarriage and pre-term delivery.
Tindle C, O’Mahony R, Macmillan P, Brinkmann E, Brinkmann E, et al. VIAGRA connect does not protect against genital herpes infection.Buy VIAGRA connect online in Ireland: What to expect, and deal with itFor further information see.
VIAGRA connect (Cialis) tablets contain the active ingredient tadalafil. VIAGRA connect works by relaxing the blood vessels in your penis, allowing blood to flow into the penis in the event you have an ED that is not controlled.
A few weeks ago, I was interviewed by a German TV channel which wanted to show that taking over the counter drugs was a dangerous practice, after which the drug company removed some of the tablets from their prescription drug store shelves. I don’t know if it was an important or important unknown risk, but I wasn’t quite sure.
The author of the article, possible future life or death for some people taking the PDE5 inhibitor sildenafil, said:
“I have never taken an PDE5 inhibitor before. It has never been a danger to my body.”
“I am 50 years old, and I have been taking it for four years. It has never been known to cause cancer.”
“I have had side effects from it.
“It is not addictive. You can buy it without a prescription.
“It is safe and effective and has never been linked to cancer.”
The drug company said that although the tablets have been removed from their store shelves it was not clear whether they were affected by any existing medical conditions or whether they are a new use for the drug. It said: “The tablet contains sildenafil citrate, the same active ingredient as Pfizer’s Viagra, and it is used to treat male erectile dysfunction (ED).”
The drug company said that although the tablets have never been sold under the brand name Viagra it is unsure whether they are affected by the removal of the placebo pill from their store shelves. It said: “No medication currently sold in the UK currently contains sildenafil, but there is a possibility that it could. Sildenafil is a prescription drug, so it is not known whether it is used by people who take nitrates or recreational drugs.”
The article has been made use of for men who want to learn more about the dangers of taking PDE5 inhibitors.
Daily news itemsIs it safe to take sildenafil as long as you take it for erectile dysfunction? Daily news items from across the UK are available.
Sources:Daily Paper,Press:BMC, Uk:Pfizer, UK: Daily:2023, press@ Daily.ie.
ReferencesDaily Paper: PDE5 Inhibitors And Their Common Names.March 2024..
Daily Paper does not provide medical advice and should not be used for any medical treatment.
Daily Paper..
CitationSildenafil (Pfizer) PDE5 Inhibitors And Their Common Names (2023).
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Current OpinionAus AT.raints..
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.
as soon as possible ( best prices before $30/ potency).In the US, potency is now $29.66 per month.
In the European Union, there are now 24 countries where Viagra is prescribed, all of which have Viagra offer discounts. In the United Kingdom, there are six, all of which have Viagra offer discounts.
possible Viagra side effectsIn the United States, 4% of men experience possible side effects of Viagra. In the United States, Viagra can cause serious side effects that include:
In the European Union, 6% of men experience possible side effects of Viagra. In the United Kingdom, Viagra can cause serious side effects including:
In the European Union, 6% of men experience side effects of Viagra.
In the United States, Viagra can cause serious side effects including:
Men in the UK will be able to buy Viagra over the counter for the first time after the erectile dysfunction drug was reclassified.
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