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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’.
As with the list of things you will need to sign an email with a card you can then attach to your order. We are unable to accept your order containing multiple POM medicines so this can be attached to your order as a unique card. You can attach your email to the attachment, or we’ll send you a set of ONE reilitating you with email hotly debate. Click the link to see the list of sclerosis card information.

If you have been diagnosed with prostate problems, you may have been prescribed a medication known as. There are a number of options available to you to help manage your condition. These include medications such as, Viagra, and. Some common medications you may be prescribed include,,, and. You may also be able to purchase some of these medications at online pharmacies or through online orders. However, these are not all available to you.

If you’ve been diagnosed with prostate problems, you may be prescribed a medication known as.

These medications are available to you as either a prescription or. They are available in two forms:

  • Drugs.They work by blocking a specific enzyme called PDE5 in the body that causes the penis to become more sensitive to blood flow.
  • Stimulants.They work by blocking a specific enzyme called PDE5 in the body that can slow down the body’s ability to make blood and allow more blood to flow through your penis.

There are two types of PDE5 inhibitors. The first is the. These are prescribed to treat the symptoms of prostate enlargement. These medications can be helpful for men with.

The other type of PDE5 inhibitor is a. It is a drug that blocks the action of the enzyme phosphodiesterase. It works by blocking the breakdown of the substance that the body makes when the body is unable to break down a substance called cyclic Guanosine Monophosphate (cGMP).

It is important to note that these medications can have serious side effects if taken improperly or if you have had liver problems, heart problems, kidney problems, or other health conditions that could lead to problems in your health. To ensure your safety and effective treatment, talk to your doctor about other options.

You can also find more information abouton our website.

You can find more about

What are the potential side effects of the drugs?

If you take a PDE5 inhibitor medication, you may be able to manage your condition better and be able to return to work after the medication has been stopped.

If you take a drug that blocks PDE5, you may be able to reduce your body weight. If you take a drug that blocks PDE5, you may be able to lower your blood pressure and lower your blood sugar. In addition, some of these medications may help with pain and inflammation.

If you have a problem with blood flow to your penis, you may be able to reduce the length of time you have been able to have sex.If you have a problem with blood flow to your penis that does not affect your ability to have sex, you may be able to have intercourse more often.

If you have a problem with your ability to have sex, you may be able to have sex more often. This can help you feel more comfortable and less likely to have sex.

If you have a problem with your ability to have sex, you may be able to have sex with another person and not have sex anymore.

What are the potential side effects of these medications?

If you are taking medications that may have serious side effects, you should speak to your doctor about your medical history before taking any of these medications.

If you take any of these medications, you may be able to become pregnant. If you’re planning to have sex, you should speak with your doctor about how you can help you become pregnant while you are taking these medications.

Can you take any of these medications with any of the following?

These medications may help with some of the side effects associated with the drugs.

Some of the side effects of these medications include:

  • Dizziness or lightheadedness, especially when you are lying down
  • Fainting
  • Blurred vision
  • Headache
  • Blurry eyes
  • Stomach upset

It’s important to talk to your doctor about the possible side effects of these medications.

If you have a history of kidney disease, you should seek medical attention.

These medications may decrease your blood levels of certain medicines, such as blood thinners and steroids. This can cause serious blood thinners to build up in your blood. It is important to talk to your doctor about these possible side effects of these medications.

Sildenafil citrate, commonly known by the brand name, is a prescription-only medicine used to treat erectile dysfunction (ED) in adult men. It works by improving blood flow to the penis, helping to achieve and maintain an erection during sexual activity.

Dosage and Administration

Sildenafil is available in 25mg, 50mg, and 100mg strengths.

  • The usual starting dose is 50mg, taken approximately one hour before sexual activity.
  • Dosage can be adjusted depending on individual response and tolerability.
  • Take only one tablet in 24 hours, with or without food.
  • Avoid grapefruit juice, as it can increase the risk of side effects.
  • A high-fat meal may delay onset of action.

Effectiveness

Sildenafil has been shown to be effective in up to 80% of men with ED, with effects typically noticeable within 30 to 60 minutes, and lasting for up to 4–5 hours.

Side Effects

Common side effects include:

  • Headache
  • Flushing
  • Nasal congestion
  • Indigestion

Less common but serious effects include visual disturbances, hearing changes, or prolonged erections. Seek medical attention if severe or persistent side effects occur.

Contraindications

Sildenafil should not be used by those:

  • Taking nitrates for chest pain
  • With severe heart or liver conditions
  • Under 18 years of age
  • With certain medication interactions (e.g. alpha-blockers, antifungals, antibiotics)

Interactions

Inform your doctor of all medications and supplements before use. Interactions may occur with:

  • Nitrates
  • Alpha-blockers
  • Some antibiotics and antifungal medicines

Alcohol and Heart Conditions

Avoid excessive alcohol while taking sildenafil, as it can lower blood pressure and increase side effect risk. Use with caution if you have any heart-related conditions.

Availability and Cost

Sildenafil is available by prescription only in the UK.

  • Generic versions are more affordable than branded Viagra.
  • Supplied by licensed UK pharmacies such as Online Chemist.
  • Avoid counterfeit products from unregulated websites.

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Sildenafil citrate is available through a variety of pharmacies. You can choose from many types of supermarkets, CVS, and Walgreens, as they sometimes have to deal with a variety of pharmacy chains. You can also shop online for ED from UK pharmacies such as Online Chemist. Sometimes, you can simply order Sildenafil online from the manufacturers' own published figures and clinical trials. Sometimes, manufacturers may market their products in clinical trials and have received financial reports from the manufacturers about possible adverse events associated with their products. Some manufacturers refuse to supply sildenafil to those suffering from ED, as they believe that their products are not effective enough and cause adverse effects.

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The U. S. Food and Drug Administration (FDA) is advising consumers not to purchase or use Black Stallion, a product promoted and sold as a treatment for erectile dysfunction. This product was identified by the FDA during an examination of international mail shipments.

FDA laboratory analysis confirmed that Black Stallion contains sildenafil and tadalafil, the active ingredients in the FDA-approved prescription drugs Viagra and Cialis, respectively, used to treat erectile dysfunction. These ingredients have not been shown to interact with Black Stallion and the product promoted on the FDA’s Web site.

Additionally, the FDA laboratory analysis confirmed that Black Stallion contains sildenafil and tadalafil, the active ingredients in the FDA-approved prescription drugs Viagra and Cialis, respectively, used to treat erectile dysfunction.

The FDA laboratory analysis confirmed that Black Stallion contains sildenafil and tadalafil, the active ingredients in the FDA-approved prescription drugs Viagra and Cialis, respectively, used to treat erectile dysfunction.

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Viagra Sildenafil (100mg) 12 Tablets

This product is a Prescription Only Medicine (S4) and is sold by Healthylife Pharmacy, an independently owned and operated pharmacy business. This prescription product requires a valid Australian script.

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Inactive product Methylenediamine (a.k.a. D. C.