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:
Men can suffer from several different butrelated medicines. These include:
Product Name:Viagra
Ingredients:Sildinafil 50mg
Product Type:Tablet
Product size:6's
Company:Pfizer
Used for:
Swallow tablets whole with a drink of water or juice (but not grapefruit juice).
For erectile dysfunction, it's best to take sildenafil on an empty stomach. It may take longer to work if you take it with food.
If you or your child are taking sildenafil as a liquid, 1ml is usually the same as taking a 10mg tablet, but it's important to always check the medicine label.
Liquid sildenafil will usually be made up for you by your pharmacist.
The medicine will come with a plastic syringe or spoon to help you take the right amount. If you do not have a plastic syringe or spoon, ask your pharmacist for one. Do not use a kitchen teaspoon as it will not measure the right amount.
Taking too much sildenafil can cause unpleasant side effects.
Talk to your doctor if you take too much sildenafil and you're worried about any of these side effects:
Headache may be where tablets don't work as they usually are. If so, you should contact your doctor.
PDE5 inhibitors like sildenafil can cause further symptoms such as:
If you have a heart problem or stroke, your doctor may be able to help with further tests or treatments.
If you're diagnosed with belongs to the class of medicines known as Tic disorder (fits). They stop working quickly and easily. Warn your doctor if you have a history of heart problems or drugs that can slow down or stop the working of Tic disorder.
Taking too much sildenafil can cause symptoms such as stomach pain, a firm, foul-smelling discharge, or a sudden erection that lasts more than 4 hours.
Sildenafil (Viagra Tab) can cause unpleasant side effects.A recent study, which has focused on the efficacy of various medications in treating erectile dysfunction (ED) in men, has found that sildenafil citrate, the active ingredient in Viagra, was effective in treating ED, the study concluded.
“ED is a common problem that is commonly treated with medications like Viagra,” said Dr. John M. Johnson, a leading urologist at Johns Hopkins Hospital in Baltimore. “Sildenafil citrate, or Viagra, works by increasing the blood flow to the penis during sexual stimulation, which enhances the ability to achieve and maintain an erection.”
Viagra, sold under the brand name Revatio, is one of the most well-known and widely prescribed drugs in the world, and Viagra’s popularity continues to grow. Viagra’s success has been attributed to its ability to relax blood vessels and increase blood flow, making it easier to achieve and maintain an erection, according to Dr. Johnson.
He and colleagues conducted a study to analyze the effectiveness of sildenafil citrate in treating ED. The study found that men taking sildenafil citrate were able to achieve and maintain an erection that was comparable to that of a placebo.
The study analyzed results from 12 clinical trials involving more than 1,300 men with ED, and found that sildenafil citrate had an impressive success rate of 83% in treating ED, with the majority of men reporting satisfactory results.
The results indicate that the drug’s success rate was similar to the placebo and that it was well-tolerated by the men, although the men had some side effects. In terms of efficacy, sildenafil citrate produced a significant improvement in ED symptoms, with patients reporting improved erections and an overall improvement in their ED.
In addition, the study found that sildenafil citrate was well-tolerated by the men, with no serious adverse events noted.
The research was published in the February 2015 issue of the Journal of Sexual Medicine. It was the first study that used sildenafil citrate as a treatment for ED, and it was the first trial of a drug to treat ED.
Sildenafil citrate is a medication that is FDA-approved to treat ED. It works by increasing blood flow to the penis, helping to achieve and maintain an erection. However, the drug is not a first-line treatment for ED and is not indicated for patients with a known medical condition such as diabetes or cardiovascular disease. Sildenafil citrate is also not FDA-approved for the treatment of diabetes and other sexual disorders, including ED.
The FDA has granted approval to a class of drugs called phosphodiesterase type 5 inhibitors (PDE5 inhibitors), which work by relaxing blood vessels, including the penis, and increasing blood flow, particularly when taken with nitrates.
Sildenafil citrate is FDA-approved for the treatment of ED and is also not a first-line treatment for ED. It is also not FDA-approved for the treatment of heart disease and stroke.
The study, published in the January 15, 2016 edition of the Journal of Sexual Medicine, found that sildenafil citrate was effective in improving erectile function in men with ED. It was also found to improve sexual desire and satisfaction, making it easier for men to maintain a strong erection. Sildenafil citrate is a medication that is FDA-approved for the treatment of ED, and is not indicated for the treatment of heart disease or diabetes.
Sildenafil citrate is a medication that is FDA-approved to treat erectile dysfunction, but is not a first-line treatment for ED. The drug works by relaxing blood vessels, increasing blood flow, and allowing for improved sexual performance. However, it is not a treatment for cardiovascular disease or any type of sexual disorder.
This study was conducted by the University of Maryland School of Medicine and the School of Medicine of Johns Hopkins. The researchers conducted a series of clinical trials involving more than 100,000 men with ED. The results showed that sildenafil citrate was an effective treatment for ED, with the majority of men reporting satisfactory results.
Dr. JohnsonThe study was published in the January 15, 2016 edition of the Journal of Sexual Medicine.
Johnson is a leading urologist and a past president of the Johns Hopkins Hospital.
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