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 available in Ireland for erectile dysfunction treatment which does not require a prescription. The first of its kind, Viagra Connect is a safe and discreet over-the-counter medication that can legally be bought online or over the counter in your pharmacy, without a trip to your doctor.
We need to ensure that this medicine is suitable for the person it is intended for. Therefore, it should only be purchased by the person taking it.
You can select your convenient store to collect your product and fill in the online form required.APharmacist will contact you to let you know your product is ready for collection, or you can buy onlineand complete the questions included.
When purchased online, a pharmacist will contact you by phone if they have any further questions and to advise you on the safe use of this medicine. If they are unable to speak to you when required your order may be delayed or the pharmacy medicine part of your order cancelled.
Please ensure your contact details are correct before ordering this medicine.Suitable for
Viagra Connect is for men 18 years and older who have difficulty getting and/or keeping an erection hard enough for sex
Age RestrictionYou must be at least 18 years old to purchase this product.
Directions for use:
Please read the enclosed leaflet carefully before use.
• take 1 tablet approximately one hour before sexual activity• swallow tablet whole with water• do not take more than 1 tablet a dayViagra Connect starts to work within 30-60 minutes. You may take it up to 4 hours before sexual activity.
Hazards and Cautions
Do NOT take if you:
Talk to your pharmacist or doctor before taking if you:
Active Ingredients:
Sildenafil Citrate 0.3 mg (or as prescribed) - Suitable for oral consumption
Manufacturer:
S Float Laboratories
Legal PerMpt - Not Reviewed - Processing - October 2024
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.
Tell them about any and all medications, prescription drugs, and supplements you are taking before starting Viagra.In addition, let your doctor know if you have or have ever had a heart attack or a heart condition that hasANGLEED heartbeat or blood pressure during sex.
As with all prescription medications, let your doctor know if you have or have ever had a heart attack or a heart condition that hasANGLE heartbeat or blood pressure during sex.As with all prescription medications, let your doctor know if you have or have ever had a heart disease, such as heart attack or a heart condition that hasANGLE heartbeat or blood pressure during sex. If you experience any of the above side effects, seek medical attention immediately.As with all prescription medications, let your doctor know if you have or have ever have high blood pressure, diabetes, high blood pressure, high cholesterol, or heart problems such as high blood pressure or heart failure. High blood pressure is relatively rare, and Viagra usually does not cause you pain. If you experience any changes in your heart rate or blood pressure, contact your health care provider immediately.As with all prescription medications, let your doctor know if you are taking any other medications, including other prescription drugs. Some medications are known to interact with vardenafil, including insulin, vardenafil, vardenafil hydrochloride, and dexilantil. Lobstabs.com can help you find medication and nicotine products available. If you are using any of these medications, tell your doctor or pharmacist that you use them.As with all prescription medications, let your doctor know if you are pregnant, plan to become pregnant, or are breastfeeding. Tell your doctor if you are pregnant or are breastfeeding.
Levitra Vardenafil is used to treat erectile dysfunction or male impotence. Levitra Vardenafil works by relaxing the muscles in the walls of blood vessels to increase blood flow, assisting a male in keeping a sufficient penile erection for sexual activity. This medication does not increase sexual desire and works when sexual stimulation occurs.
The recommended dose for Levitra is 10mg taken orally 25-60 minutes before sexual activity. Levitra has shown to take effect within about 15 minutes of taking the medication and, lasts up to 8-10 hours. The dose of Levitra can be decreased to 10mg or increased to a maximum of 20mg, based on the effectiveness and side effects.
is essential for a response to treatment. The maximum daily dose is 20mg once a day (per 24 hours). For Geriatric patients (65 years or older) the initial dose is 5mg once a day as needed about one hour before sexual activity. The doctor may adjust the dosage based on your medical history and side effects. Levitra can be taken with or without food. Do not eat grapefruit or drink grapefruit juice when taking his medication unless your doctor or pharmacist says you may do so safely.
| Medication | Onset | Duration |
|---|---|---|
| Vardenafil | 30-60 minutes | 4-5 hours |
This medication should be stored at room temperature away from moisture and light. Levitra should not be kept in the bathroom. Keep away from children and pets.
Many medications cause side effects and not everyone may experience side effects of Levitra. The following side effects can be mild and manageable.
If you are a heart patient, sexual activity could put extra strain on your heart. If you experience the following serious side effects while having sex, stop and get medical help right away. The side effects include:
Some patients may experience serious side effects, if you experience these get medical help right away. Serious side effects include:
Some patients experience side effects not listed. If you have any concerns regarding Levitra contact your physician.
Take Note: This medicine is available only with a valid doctor's prescription.Lifestyle changes including avoiding alcohol, smoking, and drug use will help reduce the side effects. GLP-1 receptor agonist medicines like Levitra can also be taken with Levitra.Keep out of the reach of children and pets, as well as moisture and light, and useVardenafil bedside glasses only if they are pruned before treatment.Suspensionokingly, contact your local pharmacist if you notice any side effects.See also.Keep out of the reach of children and use Levitra only if you are pruned before treatment.
Stade de France Pharmacy