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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’.
A total of 13% of our sales are made by brand-name companies, including Teva, Dr Fox, Glamorgan, Milpharm and A& J. In the UK, a product is branded if it is ‘ hysterogenetic or identical, by any standards any of the abovemedicines should not be called medicines. A list of branded products is called ‘avourable’ products but is not always accurate.

Can a prescription be made for Cialis Together?

Yes.

Viagra 50mg 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 cardiovascular diseases, 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 associated with a number of ages, but the incidence is higher in men aged over 55 years. There are several conditions that can lead with Erectile Dysfunction, including impotence, which involves a persistent ability to achieve and maintain an erection. It can be caused by various factors, such as stress, diabetes, obesity, anxiety, depression, or a history of cardiovascular diseases. People with a history of cardiovascular diseases, such as heart problems (angina, heart failure, irregular heartbeats) or recent heart attack, should exercise caution. The use of Viagra 50mg tablet is not advised for those who have a heart condition or personal problems that require prompt medical management. Consult with a healthcare professional to assess the risks and benefits in this situation.

Individuals with a history of cardiovascular diseases, such as heart problems (angina, heart failure, irregular heartbeats) or recent heart attack, should exercise caution and carefully monitor their blood pressure. The underlying condition can cause a decrease in blood flow, leading to balance between the intense focus and spontaneous erection.

According to a study that is being conducted by the National Institute of Diabetes and Digestive and Kidney Diseases, Viagra can cause a significant decrease in blood pressure. The researchers conducted ablindness in 80 patients with diabetes and 80 healthy volunteers. At the end of the study, they observed the participants in an identity-exide environment. They noted that they did not need to go to a doctor to get the medication and that they were still responding to the experiment. The researchers noted that the loss of response was not a side effect. They further noted that the decrease in blood pressure was due to the reduction in sildenafil levels, which are known to relax the blood vessels and increase blood flow. This medication can also affect the cardiovascular system, so it's important to exercise caution and ensure that you are taking the medication as directed. Consult with a healthcare professional to ensure that you are taking the medication as directed.

Who Should not Use Viagra? Men who are pregnant or breastfeeding should not take Viagra. It's essential to consult a healthcare professional before taking Viagra to ensure it's right for you. It can cause harmful effects on the fetus and could harm the nursing baby. Women should not use Viagra. Men who are planning pregnancy or who are breastfeeding should not take Viagra. Men who are taking any other medications should seek advice from your healthcare provider. This includes vitamins, supplements, and prescription medications, as they may interact with Viagra. Also, individuals with specific medical conditions or those taking medications should seek professional medical advice before using Viagra.

NOTE: The following information is for guidance only and does not constitute medical advice. It is your responsibility to balance your health with yourpotential employment and to seek professional medical advice.

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The FDA has issued a safety warning for the sexual side effects of sildenafil, the active ingredient in Viagra. Sildenafil is used to treat erectile dysfunction in men.

Viagra was developed to improve blood flow to the penis, but the company has been trying to find a way to lower the side effects of the drug. The warning was based on reports of side effects such as headaches, dizziness, flushing, nasal congestion, and stomach upset, among others.

Viagra was approved by the FDA in 2003 and is the first drug approved to treat erectile dysfunction in men. It works by increasing blood flow to the penis, which helps men get an erection.

While sildenafil may be an effective treatment for erectile dysfunction, it does have some side effects, including:

  • Headaches
  • Flushing
  • Nasal congestion
  • Upset stomach
  • Dizziness
  • Rash
  • Trouble sleeping
  • Unexpected muscle pain or weakness

Viagra is not an aphrodisiac and will not work for everyone. In fact, the company has a new warning about its use in men with certain medical conditions. In some cases, men who take sildenafil for erectile dysfunction have experienced sexual side effects.

The FDA said the warning about side effects may not be serious enough to be necessary. For instance, sildenafil can cause headaches, dizziness, and nasal congestion in some men. In rare cases, the side effects may include:

Some men with certain medical conditions may be more sensitive to the side effects of sildenafil. For instance, those with certain heart conditions, liver conditions, or kidney problems may experience side effects that outweigh the benefits.

For instance, sildenafil may increase the risk of blood clots, stroke, or blood clots in certain individuals. These side effects may include:

  • Muscle pain or weakness

If you experience any side effects from taking Viagra, it is important to talk to your doctor immediately.

If you’re experiencing severe erectile dysfunction, your doctor may be able to prescribe medication to help reduce your risk of the side effects.

If you have heart disease, high blood pressure, or liver or kidney problems, talk to your doctor about the best treatment option for you.

Photo by Getty Images

Viagra has been on the market for about a decade, but its side effects, particularly headaches and flushing, have become more common. In 2015, the FDA issued a warning about the side effects of the drug. Men who take sildenafil for erectile dysfunction should see a doctor immediately if they experience any of these symptoms:

In June, the FDA issued a warning about the side effects of the drug. It also issued a black box warning about sexual dysfunction associated with sildenafil, which may increase the risk of erectile dysfunction.

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