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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 well as prescription, all 3 are in the following 3 categories:
  • POM – Common ‘prescription only’ medicine:supplied by a pharmacist ‘in office hours’.
  • P – Rare ‘prescription only medicine:supplied by a ‘off-supermarket’ pharmacy.
  • GSL – Generic ‘pOMED’ medicine:available from many pharmacies ‘off the shelf’.

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.

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Viagra can cause a rare but serious side effect named as a few days’ mastalgia in some men. While there is limited evidence on the direct connection, there is increasing evidence that Viagra can have a beneficial effect on lowering symptoms of a mastalgia.

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Viagra can cause a rare side effect named as few days’ mastalgia in some men.

As with all prescription medications, inform your doctor if you are at risk of getting a severe adverse reaction to this medication.

In addition, let your doctor know if you are allergic to any other medicines, including those that you are prescribed or plan to use.

In addition, let your doctor know if you are taking any other medications, includingTABLEts, that are used to treat blood pressure (e.g., antihypertensive medications, certain cardiac medications, certain cholesterol medication, certain cholesterol-lowering medications, some heart medication),heart problems,high cholesterol, orif you take any other drugs, especiallyi your drugsPills, dietary supplements, and medications that are used to treat heart problems.

In addition, let your doctor know if you are taking any other medications, including allyzapentine, para-aminosalicylic acid, para-aminosalicylic acid, prilocaine, xanax, paxil, or oxybutynin.

Viagra 50mg tablet contains an active component such as Sildenafil. This medication is used to treat erectile dysfunction (ED) in men. It contains the active ingredient sildenafil citrate, which belongs to a class of drugs called phosphodiesterase type 5 (PDE5) inhibitors. It increases blood flow to the penis during sexual stimulation, which helps men achieve and maintain an erection. Viagra may have side effects, including headache, flushing, dizziness, upset stomach, nasal congestion, and vision changes. It should not be taken with certain medications or conditions, so it's crucial to consult a healthcare professional before using it. Erectile dysfunction can have a profound impact on a man's self-esteem and quality of life. By addressing ED, this medication can help improve a person's sense of well-being and overall happiness.

Individuals with a history of cardiovascular diseases, such as heart problems (angina, heart failure, irregular heartbeats) or recent heart attack, should exercise caution when using Viagra. The sexual activity itself can strain the heart and can further increase the strain by increasing blood flow. Consult with a healthcare professional to assess the risks and benefits in such cases. This medication can cause a mild decrease in blood pressure. Caution is advised for individuals with low blood pressure or those taking medications that lower blood pressure, as combining these can lead to potentially harmful interactions. People with severe liver or kidney disease may experience slower elimination of Viagra from the body, leading to a prolonged effect. Dosage adjustments may be necessary in such cases.

What is erectile dysfunction?

Erectile dysfunction, or erectile dysfunction (ED), is a condition where a man cannot get or maintain an erection during sexual activity because of heart problems or diabetes. It is often characterized by an irregular heartbeat, impotence, or reduced sexual desire.

According to a study by the University of North Carolina, New York, and the University of Nebraska Health Pharmacy, men between the ages of 40 and 70 were prescribed Viagra 50mg to manage erectile dysfunction. However, the condition can also affect a person's relationships and relationships can become more impotence and want to use risky sexual behaviors. In such cases, it's crucial to address it with a healthcare professional.

What is Sildenafil?

Sildenafil, or Viagra, is a medication that's widely used to treat erectile dysfunction (ED), such as by increasing the blood flow to the penis. It's often prescribed for its ability to improve a man's erectile function. This medication works by helping to relax the blood vessels in the penis, allowing for increased blood flow. It's important to note that Sildenafil does not cause an erection itself and is therefore classified as a non-ED medication.

What is the difference between Viagra 50mg and Viagra 50mg?

Viagra and Sildenafil are essentially the same medication. Viagra is the brand name for the medication sildenafil, which is a PDE5 inhibitor. Sildenafil is an effective drug that's used to treat erectile dysfunction (ED), such as by increasing blood flow to the penis.

On the other hand, Viagra 50mg is a prescription medication and is available only with a doctor's advice.

Who should not take Viagra?

Viagra can interact with various medications, so it's crucial to inform a healthcare professional about any you're taking. Individuals taking certain medications (e.g., medications like alpha blockers, certain blood pressure medications, HIV medications,abolic steroids, and cyclosporine) should inform their healthcare provider about them.

It's essential to disclose your medical history to your healthcare provider, as Sildenafil can lead to aldosterone production, a potent element that can interfere with certain medications. Therefore, it's crucial to take Viagra exactly as prescribed by your healthcare provider.

Individuals allergic to sildenafil or Viagra can have an increased risk of other sexual disorders, such as infertility. In such cases, a healthcare professional can provide appropriate medical guidance.

It's advisable to inform your healthcare provider of any pre-existing medical conditions you may have, as Sildenafil can contribute to other potentially dangerous side effects. In some cases, it can lead to potentially life-threatening issues like blood clots or pulmonary veno-occlusive disease (PVOD).

How long should you take Viagra to work?

Viagra should be used for as long as your doctor has directed.

Product Name:Viagra

Ingridients:Sildinafil 100mg

Product Type:Tablet

Product size:6's

Company:Pfizer

Used for:

  • Viagra Tabs is approves for the treatment of men who have difficulty having and maintaining an erection, Otherwise know as impotence.
  • Viagra Tab work faster only 20 minutes as compared to traditional Viagra pills that takes 60 to +0 minutes become effective.

How to take tablets

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.

How to take liquid

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.

If you take too much

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:

  • headaches
  • dizziness
  • indigestion
  • blocked nose
  • changes to your vision
You should always tell your doctor if you have any problems after taking too much sildenafil.

Taking fluids

If you take any liquid sildenafil, it may take a little longer to work.

If you take any liquid sildenafil and it doesn't work, tell your doctor.

Frequency ofx glasses of water may be dangerous if taken on an empty stomach.

Some medicines may interact with sildenafil. It's important to tell your doctor if you are taking any other medicine including blood pressure-killers products as well as antibiotics and protease inhibitors.

Pregnancy and breastfeeding

If you're pregnant or breastfeeding, your doctor should discuss the risks and cautions.

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