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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’.
Adrian Sher, Pharmacy Super worth Dr Fox

NECTicil (Cialis Together)

This product is not intended to be given to patients under 18 and is not the right, dose or time of administration for men with erectile dysfunction.

Dr Andrew process, Dr Fox

This product is not intended to be given to patients under 18 and is not intended to be used by men who are taking medications that used to be considered prescription only. This product is not intended as a treatment for erectile dysfunction ….

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.

Side effects are rare and areue:

Allergic reactions:

The information on this page applies to its use in its intended use. However, if you are pregnant or planning to become pregnant or experience any other problems while taking this product while taking this prescription, please advise your doctor.

Men taking any other prescription or nonprescription medication may still find it more effective, so it is preferable to take it on a full stomach as recommended by your doctor.

Avanafil Tablets:

This medication is used to treat erectile dysfunction (impotence) in men. It is also used to treat the symptoms of a heart failure (reduced blood flow to the penis, or symptoms of liver problems). Viagra Connect is not suitable for women.

This medication is also used to treat a rare form of male breast cancer called breast cancer 5 year carcinoma in men (caused by non-neoplastic cells in the breast or other targeted tissue). Viagra Connect is not recommended for use in women.

If you are looking for an effective medication for treating erectile dysfunction (ED) in a sexual encounter, this medication can be a great option. It works by helping to restore the natural balance of certain natural substances that make it possible to get and keep an erection. One of the main advantages of this drug is that it doesn’t have the risk of addiction, which is why it is usually prescribed for those who are prone to dependency.

In order to treat ED, the first step is to get your doctor to prescribe medication that will help you get a strong erection. You should also keep an eye out for any unwanted side effects of your medication. If you are in need of this medication, you should contact your doctor or the National Surgical Treatment Center, because they can help you determine the best dosage and treatment plan for you. By following the above steps, you can take a proactive and healthy approach to treating ED. Remember, always be open and honest with your doctor and take the first step toward a healthy and satisfying sex life.

A doctor may recommend several medications to address ED, but these should only be used for the short-term treatment of erectile dysfunction, and they should not be used for long-term treatment. They can help you determine if these medications are right for you and, if appropriate, prescribe them to your sexual partners. When you have sex, you should be sexually aroused regardless of the medication you take.

This information will help you make an informed decision about whether or not medication will be right for you. The first step is to consult with your doctor. He or she will assess your medical history, determine whether any medications are right for you and provide you with the most appropriate choice. You can also ask your doctor if it is safe for you to take any of these medications. They can also discuss any other medications you are taking, including vitamins, herbs, or supplements.

In order to determine if any of these medications are safe for you, you should be sexually aroused and stimulated. Your doctor will need to carefully assess your ability to do sexual activity and perform sexual acts with the aid of medication. You should only take any medication that contains sildenafil, Tadalafil, or Vardenafil (Sildenafil). These medications work by increasing blood flow to the penis to allow for a firm, long-lasting erection. Your doctor will need to rule out other sexual conditions that could put your penis or your partner in danger of an erection. If this is the case, you should also contact your doctor.

As soon as you are sexually aroused, you should consult your doctor. They will need to be able to determine whether any of the following medications are safe for you:

  • Viagra (Sildenafil)
  • Cialis (Tadalafil)
  • Levitra (Vardenafil)
  • Stendra (Avanafil)

These medications should not be used by anyone younger than 18 years old. These medications may not be suitable for you if you are under 18 years old and have a history of cardiovascular disease or heart disease. These medications may also not be safe for you if you have:

  • High blood pressure
  • Recent heart attack or stroke
  • Recent stroke or heart attack
  • Recent liver or kidney disease
  • Seizure (fits)
  • Prostate disorder
  • Low blood count

You should inform your doctor if you are taking any of these medications:

  • Alpha blockers (e.g., Tamsulosin, Adderall, etc.)
  • Beta blockers (e.g., Doxazosin, Spedra)
  • Diuretics (e.g., Demeclocycline)
  • Cimetidine (Tagamet)
  • Levodopa (e.g., Vardenafil)
  • Levoside (Flomax)
  • Nitroglycerin

These medications should only be taken by a doctor, who will evaluate whether they are safe for you to take. If they are safe for you to take, you should consult with your doctor or the National Surgical Treatment Center. You should not take any other medications that can interact with these medications, including those that may cause heart problems, blood clots, high cholesterol, or certain drugs that lower blood pressure.

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