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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’.
Medicines are available in 3 categories, as they have no prescription :
  • available from many healthcare providers ‘off the shelf’.
  • P – Medication –e.g. ED treatments, treatments for other health concerns
  • GSL – Pharmacy medicine:available from many clinics and ‘off the shelf’ sources ‘off the shelf’.

Viagra 100mg tablet contains an active component such as Sildenafil. This medication is used to treat erectile dysfunction (ED) in men. It contains the active ingredient sildenafil citrate, which belongs to a class of drugs called phosphodiesterase type 5 (PDE5) inhibitors. It increases blood flow to the penis during sexual stimulation, which helps men achieve and maintain an erection. Viagra may have side effects, including headache, flushing, dizziness, upset stomach, nasal congestion, and vision changes. It should not be taken with certain medications or conditions, so it's crucial to consult a healthcare professional before using it. Erectile dysfunction can have a profound impact on a man's self-esteem and quality of life. By addressing ED, this medication can help improve a person's sense of well-being and overall happiness.

Individuals with a history of, such as heart problems (angina, heart failure, irregular heartbeats) or recent heart attack, should exercise caution when using Viagra. The sexual activity itself can strain the heart and can further increase the strain by increasing blood flow. Consult with a healthcare professional to assess the risks and benefits in such cases. This medication can cause a mild decrease in blood pressure. Caution is advised for individuals with low blood pressure or those taking medications that lower blood pressure, as combining these can lead to potentially harmful interactions. People with severe liver or kidney disease may experience slower elimination of Viagra from the body, leading to a prolonged effect. Dosage adjustments may be necessary in such cases.

What is Erectile Dysfunction? Erectile dysfunction can be characterized by an erection that lasts continuously for prolonged periods of time. This condition is characterized by an erection that is prolonged and can damage or impair blood circulation, making it difficult or impossible for a man to get and to keep an erection. According to the American Urological Association, erectile dysfunction can affect a person's self-esteem, quality of life, and relationships with other people. The most common symptoms of erectile dysfunction include reduced sex drive, difficulty getting or maintaining an erection, and reduced sexual confidence. The estimated prevalence of erectile dysfunction is approximately 4% in men under the age of 18 who have diabetes and 2% in the age of 55. Additionally, the condition can affect a man's relationships with other men, so it's crucial to exercise caution and determine the cause of erectile dysfunction in individuals with underlying medical conditions.

Viagra 100mg tablet contains an active ingredient such as Sildenafil. This medication belongs to a class of drugs called phosphodiesterase type 5 (PDE5) inhibitors. It works by relaxing blood vessels, allowing the penis to become longer filled with blood. This enhanced blood flow allows a man to get and maintain an erection. Viagra can increase the flow of blood through the pelvic organs, leading to a harder, longer-lasting erection. It's important to exercise caution and consult a healthcare professional before using Viagra 100mg tablet, as it can be effective in treating erectile dysfunction. Dosage adjustments may be necessary in cases of severe liver or kidney disease.

Individuals with a history of heart problems (angina, heart failure, irregular heartbeats), such as heart failure or uncontrolled high blood pressure, should exercise caution when using Viagra 100mg tablet. The sexual activity itself can strain the heart, and Viagra can cause a mild decrease in blood pressure.

Is Viagra safe for use? Viagra 100mg tablet can be taken with or without food. However, it's advised to consult a healthcare professional before taking the medication to ensure it is safe for you to use. The medication can cause a mild decrease in blood pressure. Therefore, it's crucial to exercise caution and consult a healthcare professional if you're considering using Viagra 100mg tablet. The medication can interact with certain medications, such as some alpha-blockers, and lead to a dangerous drop in blood pressure. Therefore, it's recommended to consult with a healthcare professional before taking Viagra 100mg tablet to ensure it's safe for you to use. This medication is typically taken once or twice daily, with or without food, once a day. It's crucial to take the medication with a large meal, as combining it with alcohol can potentially increase the risk of side effects. It's also important to take the medication at the same time each day, to avoid making the missed dose feel too fast or for later in the day. This ensures you get the most benefit from the medication.

The most common side effects of Viagra 100mg tablet include headache, flushing, dizziness, and visual disturbances. Men who take nitrates may also experience a drop in blood pressure.

WHAT IS VIAGRA CONNECT®?

Viagra Connect® is a treatment for Erectile Dysfunction (ED) containing 50mg of sildenafil. It is available to patients over 18 years with ED directly from pharmacy without a doctor’s prescription.

To save you time when visiting your local Hickey’s Pharmacy, complete the form (see link below).

Viagra Connect® as a treatment for Erectile Dysfunction

Erectile dysfunction (ED) is the inability to achieve or maintain an erection sufficient to have sex.

Erection problems can put a strain on relationships. They 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.

IS VIAGRA RIGHT FOR YOU?

Daily life can sometimes get in the way of your sex life. When it does, Viagra Connect is here to help.

Who it’s for: Viagra Connect is for adult men (over 18 years of age) who have erection problems (EPs) – what doctors might call erectile dysfunction (ED).

Who it isn’t for: If you are a woman, a man under 18, or do not have EPs, then Viagra Connect isn’t the right treatment for you.

Where you buy it: From our trusted partner ChemistDirect, from other online pharmacies, and from your local pharmacy. No prescription needed.

Are you taking other medicines? Some medicines can interact with Viagra Connect, so you’ll be asked what else you might be taking before you can buy it.

Do you have any other health conditions? Some men will have issues with their health that make Viagra Connect unsuitable for them. This is why you’ll be asked a few straightforward questions about your health before you can buy it.

Try and do the following to get the most out of Viagra Connect:

  • Get in the mood. Viagra Connect usually starts to work within 30–60 minutes, so you can be ready when you need to be. Remember, taking Viagra Connect isn’t going to give you an instant erection; you need to be sexually aroused for it to work. You and your partner should engage in foreplay, just like you would if you weren’t taking medicine for erectile dysfunction (ED) – the medical name for erection problems (EPs)
  • Relax. There’s no rush. Viagra Connect works for up to 4 hours after you take it – it will still work within this period of time, in response to sexual stimulationWatch what you eat. Viagra Connect can be taken with or without food. But if you take it after a meal that has a lot of fat in it, like a burger and chips, it might take a bit longer to start working
  • Get familiar. If it’s been a long time since you had an erection, try masturbating before having sex so you can get used to the feeling of having an erection again
  • Don’t give up. If Viagra Connect doesn’t work first time, don’t worry, getting used to having an erection again can take a while. Next time you’re ready, take another tablet – but never more than 1 a day
  • Keep your options open. If Viagra Connect doesn’t work for you after several separate tries, talk to your pharmacist or doctor. You might need a different treatment – either for your erection problems or for a condition that is contributing to them
  • Always read the instructions. The Patient Information Leaflet, which you’ll find in the Viagra Connect box, tells you exactly what to do to get the best results from Viagra Connect, so it’s worth reading. In fact, it’s essential
Avoid combine with other Tadalafil Tds:::
  • Grapefruit juice – while it can cause heartburn, it can affect your blood pressure and lead to dizziness.

Comparing Viagra and Generic Viagra

Comparing Viagra and Generic Viagra involves the comparison of the active ingredient, Sildenafil, for treating erectile dysfunction (ED) in men. Viagra is a brand-name version of Viagra, and generic Viagra is a generic version. Viagra is a medication that works by increasing blood flow to the penis. It's important to note that Viagra is not a “generic” medication. It is only FDA approved for use in men. However, it is not the same as the prescription medications that are prescribed for ED. Generic Viagra is available by prescription only, and it is not a “generic” medication. Viagra is available in a variety of forms such as tablets, capsules, and liquid. It is important to note that Viagra is not a “generic” medication. It is a medication that has not been approved by the FDA and has not been tested by the FDA or the U. S. Food and Drug Administration (FDA). Generic Viagra is available through an online pharmacy that provides a prescription for a generic version. When purchasing a generic Viagra prescription, it is important to factor in the cost of the medication and the medication itself.

Is Viagra the Right Choice for Me?

is a prescription medication that is FDA approved to treat erectile dysfunction (ED) in men. Viagra is a medication that is used to treat ED in men. It works by increasing blood flow to the penis and to help a man get and keep an erection. It is not a “generic” medication, and it does not have the same benefits as Viagra. It is not the same as a prescription medication, but it is a more affordable and accessible medication.