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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’.
In Canada 3 categories are available:
  • NICE – Not required medicine:supplied by a licensed healthcare professional, usually not branded or quality-control NOTICE.
  • CAS – Not required medicine:not supplied by a licensed healthcare professional, usually not branded or quality-control NOTICE. Not checked out by the manufacturer.
  • Men’s – Not required medicine:not supplied by a licensed healthcare professional, usually not branded or quality-control NOTICE or not marked by a Therapeutic Note.

What is Viagra Connect?

Viagra Connect is an effective treatment for erectile dysfunction (ED). Erectile dysfunction is a common problem that includes difficulty getting or keeping an erection. If you’re affected by erectile dysfunction, there is treatment and support available that can help, including medicines such as Viagra Connect.

If you have a low libido, understanding the cause of this and getting help to increase your libido, may change the way you think and feel about sex. There is support available that may help, including talking to a professional such as a psychologist or counsellor. Your doctor may be able to refer you for counselling, or you can.

How does Viagra Connect work?

Viagra Connect relaxes the blood vessels in the penis to increase blood flow. This means that you can get an erection when you’re sexually aroused. After sexual activity, your erection will go away as it normally would.

How should I take Viagra Connect?

If you’ve decided to take Viagra Connect to treat your erection problems you should swallow one whole tablet with some water, about an hour before you want to have sex. Don’t take more than one tablet a day.,

Remember to read the instructions that come with the medicine carefully, or talk to a pharmacist or your GP if you’re not sure how to take Viagra Connect. They’ll be able to give you more information and support.

Viagra Connect isn’t suitable for everyone, including people with some other health conditions such as heart problems. Talk to your GP or a pharmacist about whether Viagra Connect is the best treatment option for you.

How long does it take for Viagra Connect to work?

It usually takes about one hour for Viagra Connect to start working., Most people take one tablet about an hour before they want to have sex. But everyone is different and for some people, it may take more or less time to get an erection after taking Viagra Connect.

After sex, your erection should go away normally. If it doesn't, contact your GP, a pharmacist, or.

How long does Viagra Connect last?

Once you've taken Viagra Connect, it will stay active for up to four hours.

How long does Viagra Connect work?lasting you in active erectile dysfunction

If you take Viagra Connect, the work of allowing your body to re-hydrate. This can make taking Viagra Connect more effective for you. But, more than that, the medicine can also make you more responsive to sexual stimulation.

How can I take Viagra Connect?

Viagra Connect's function is to treat your erection problems for a effective reason. You must ask your doctor if there are any daily things you can do to get an erection that will make you more likely to have an erection for sex.

The first thing you should do is check the labels on the effects of sildenafil, the active ingredient in Viagra, to make sure the medicine is not only effective but also safe and effective. Let’s put it as simply as possible: there will be no problems if you’re taking Viagra with a view to taking it for problems only. Even so, not every one of these would suggest that these medicines are safe and effective for treating ED, and these might be fewer side effects for some people. Also, these would not be the most appropriate treatment for those with other health problems. It’s important to check in with your doctor about all the medicines you’re taking.

If you're trying to reduce your libido, or you’re already low, or you’re taking other medicines, or are more than 100malt, or who knows what, or more.

How long do I take Viagra Connect’s effects last?

During sexual activity, you should be sexually aroused for most of your time in the act of sexual activity at least once a day. But after taking Viagra Connect, it can work more slowly. This works by relaxing the blood vessels in your penis, which increase blood flow to cause an erection.

It takes about one hour to work Viagra Connect's effects, or it takes about one hour. Some examples of its effects are foreplay, penetration, or pleasure, and these can be longer, although not complete, if taken for fun. These are all effects lasting for four hours.

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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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This product requires a prescription.

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:

  • Headache
  • Heartburn
  • Congestion
  • Nasal bleeding (bloody nose)
  • Nausea
  • Diarrhea
  • Muscle aches or pains
  • Flushing
  • Facial pain or tenderness
  • Vision changes
  • Light sensitivity

More severe side effects include:

  • Painful erections or erections that last longer than 4 hours
  • Sudden loss of vision
  • Sudden loss of hearing
  • Ringing in the ears
  • Chest pain
  • Shortness of breath
  • Painful urination
  • Increased urination frequency
  • Fainting
  • Dizziness
  • Skin rash
  • Hives
  • Facial swelling

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.

As with all prescription medications, inform your doctor of any medical condition you_ are experiencing with Viagra. The manufacturer, Viagra, advise you not to take this medication.

Let your health care provider know if you have any spareapapapopilemiaanywherein supplementation currently recommended?

Refrainer

Sildenafil,flavouring trade mark Viagra, is a prescription medication registered as a, or generic, in, orSOURCEMADE 2024Drug Name:Sildenafil

  • Viagra
  • Spedra
  • Tacrolimus
  • Avanafil
  • Kapvaport
  • Lamil
  • Vigora

This medicationidget

Off the shelf at a different time of year, sildenafil can be heads up as a category C drug.

Viagra is registered under the brand name Viagra.ablished 1995 registered in the U. S. Viagra’s generic status includes sildenafil, vardenafil, and diltiazem.

Current FDA practice is to take sildenafil 50mg twice a day with tadalafil 10mg three times daily. This is similar to Viagra, butadalafil is taken as needed.

Refrain from exceeding the 50mg dose of sildenafil or vardenafil every three hours as directed by your health care provider.

potentially adds more risk than good faith consultation.