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:
Sildenafil, commonly known as Viagra, is a medication that contains the active ingredient Viagra. Originally developed as a treatment for pulmonary arterial hypertension (PAH), a high blood pressure in the lungs, Sildenafil has shown promising results in treating erectile dysfunction (ED).
ED can occur due to several factors, including heart disease, diabetes, obesity, and stress. It's important to note that Sildenafil does not have any effect on the cardiovascular system. It is typically taken orally, with or without food, approximately 30 to 60 minutes before sexual activity. However, sexual stimulation can cause the effects to kick in, leading to a beneficial effect.
Incorporating proper dosage and administration guidelines into your healthcare routine can help you achieve and maintain erections without side effects. Sildenafil is a medication that works by relaxing the muscles in the penis and increasing blood flow, providing men with an effective and natural way to achieve and maintain an erection.
When taking Sildenafil, it's important to follow the dosage and administration guidelines provided by your healthcare provider. It's also important to follow the recommended dosage and timing to ensure safe and effective use. By following these guidelines, you can maximize the benefits of Sildenafil and enhance your sexual experience.
AppointmentsAppointmentsSildenafil works by inhibiting the enzyme PDE5, which is responsible for breaking down in blood vessels throughout the body. By blocking PDE5, Sildenafil helps relax these blood vessels, allowing more blood to flow into the penis. This increased blood flow helps achieve and maintain an erection, providing further protection against erectile dysfunction.
Like any medication, Sildenafil can cause side effects. Common side effects may include headache, nasal congestion, indigestion, and dizziness. More serious side effects are rare but could include sudden vision or hearing loss, priapism (prolonged erection), or severe chest pain. If you experience any severe or persistent side effects, seek medical attention immediately.
To ensure maximum effectiveness, follow these tips to use Sildenafil:
Remember, Sildenafil works effectively when sexual stimulation is present, but it's essential to follow the recommended dosage and timing to achieve the best results.
Sildenafil (generic Viagra) is a prescription medicine used to treat erectile dysfunction (ED) in men. It works by increasing blood flow in the penis. This helps men with ED to get or maintain an erection. Sildenafil is taken orally, usually about five times a day. It may take several weeks to show effects. You should take sildenafil exactly as prescribed by your doctor.
Sildenafil (generic Viagra) can be used to treat erectile dysfunction in men. It helps men with ED get and maintain an erection. Sildenafil works by increasing blood flow in the penis. Some other benefits of sildenafil include:
Sildenafil is available in tablets, oral jelly, and injection form. The oral jelly form is available in 50, 100, or 200 mg strengths. The injection form is available in 5, 10, 20, and 40 mg strengths. The recommended starting dose of sildenafil is 50 mg, taken as needed, to achieve the desired effect. If you miss it, take it as soon as possible and continue with as-needed information as needed.
Sildenafil works by relaxing the blood vessels in your penis. This allows blood to flow into the penis, which can lead to an erection when you get sexually excited or when you get aroused. The mechanism of sildenafil is similar to that of Viagra (generic Viagra). When sildenafil binds to said blood vessels, it increases the blood flow to the penis resulting in an erection. Sildenafil can improve control over ejaculation and increase arousal for sexual activity.
The dosage information for sildenafil is provided in the patient information leaflet. It’s taken about one hour before sexual activity. Your doctor may instruct you to take the dose the night before.
Sildenafil can cause side effects. Some common side effects of sildenafil include:
Sildenafil may cause some side effects. Side effects not listed by the manufacturer, such as:
If you experience any serious side effects, it’s best to seek immediate medical attention.
Generic Name: Sildenafil Citrate (VIAGRA) Tablets (Brand Name: Pfizer Inc. and USP) is a phosphodiesterase type 5 (PDE-5) inhibitor used to treat erectile dysfunction (ED) in men. and USP) are indicated for the treatment of erectile dysfunction in men (ED) by increasing blood flow to the penis to facilitate an erection. The primary action of this drug is to treat ED in men by facilitating the relaxation of smooth muscle and increasing blood flow to the penis.
This drug is available by prescription only in the following dosage forms: film-coated tablets (10mg, 20mg, 25mg, 50mg, or 100mg), oral disintegrating tablets (50mg, 100mg, or 200mg), sublingual tablets (20mg), sublingual tablets (20mg), sublingual tablets (25mg, 50mg, or 100mg), sublingual tablets (25mg) and oral disintegrating tablets (100mg).
The recommended starting dose of sildenafil for the treatment of ED is 25 mg taken orally once daily. The dosage may be increased to 50 mg or decreased to 25 mg based on efficacy and tolerability.
The tablet or tablet-based dosage forms may be taken with water. The tablet and tablet-based dosage forms are not recommended for children.
Dosage: The recommended starting dose of sildenafil is 25 mg taken orally once daily. The recommended dosage of sildenafil for the treatment of ED is 50 mg to 100 mg. The dosage may be increased to 100 mg or decreased based on efficacy and tolerability.
Sildenafil is a PDE-5 inhibitor. It is a phosphodiesterase type 5 (PDE5) inhibitor. Sildenafil improves blood flow to the penis, facilitating an erection by increasing the levels of cyclic guanosine monophosphate (cGMP). This mechanism of action increases cGMP levels in the corpus cavernosum, facilitating the relaxation of smooth muscle cells and increasing blood flow to the penis.
Side effects of Sildenafil Citrate (VIAGRA) Tablets (Brand Name: Pfizer Inc. and USP) are generally mild and non-specific including headache, flushing, upset stomach, dyspepsia, nasal congestion, indigestion, back pain, muscle aches, nausea, diarrhea, dizziness, and a decrease in visual acuity.
For the treatment of the following conditions:
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