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:
Cialis is a prescription medication used to treat erectile dysfunction (ED) in men. It is available in the form of a pill or tablet, taken orally. Cialis belongs to a class of drugs called phosphodiesterase type 5 (PDE5) inhibitors. It works by increasing blood flow to the penis, helping men to achieve and maintain an erection.
Cialis (tadalafil) relaxes the muscles in the blood vessels of the penis, allowing blood to flow into the penis during sexual stimulation. This medication has two active ingredients, tadalafil and vardenafil, which work in the same way to increase blood flow. Vardenafil is a vasodilator that relaxes the blood vessels, allowing more blood to enter the penis, making it easier to achieve and maintain an erection during sexual stimulation.
Most common side effects of Cialis include headache, facial flushing, nasal congestion, and indigestion. Other side effects include back pain, muscle aches, and back pain. It is important to note that Cialis does not cure ED or prevent further erectile dysfunction. However, Cialis can still improve blood flow in the body, which can help to achieve and maintain an erection.
Common side effects of Cialis include facial flushing, headaches, dizziness, and nausea. More serious side effects include sudden vision loss, prolonged erection (priapism), and priapism (painful prolonged erection). If you experience any of these side effects or have any concerns, talk to your doctor immediately.
The recommended starting dose for Cialis is 10 mg, taken orally once daily. However, it may be increased to 20 mg or decreased to 5 mg depending on the severity of your condition. It is important to take the medication exactly as directed by your healthcare provider.
Common side effects of Cialis include headache, facial flushing, nasal congestion, and indigestion. Less common side effects of Cialis include back pain, muscle aches, back pain, and muscle aches.
Cialis 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 Cialis 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 Cialis. Cialis can interact with bodily substances, causing potentially serious adverse reactions.
Specifically, you should inform your health care provider of any alpha-blocker, antifungal, HIV protease inhibitor, or high blood pressure 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.
Read more about Cialis's effects on erectile dysfunction. (PPD/SIII)Learn more aboutCialis's effects on erectile dysfunction by paying a visit to the.
In addition, if you experience any changes in your erection problems while taking Cialis, contact your health care provider immediately.
Signs of Priapism: Experts Discuss Cialis’s Impact on PriapismThis medication can cause significant changes to your penis environment, including painful erections. If you experience both priapism and erections that last longer than four hours, it is important to notify your health care provider of these symptoms. Priapism can be lifelong, but if you become aroused or develop symptoms, contact your health care provider immediately.
Chest pain or severe dizziness are not supported by medical evidence. Priapism requires medical attention if it is severe or persistent.
During sex, Cialis can cause vomiting, diarrhea, and headache. These effects are usually less if the medication is taken with a heavy meal. Priapism requires immediate medical attention if it is severe or persistent.
During sexual activity, Cialis can cause changes in your erection that can lead to painful erections or erections that last longer than four hours. Sexual activity may lead to priapism, which is the sexual experience of an erection not made any shorter by Cialis.
If you experience sudden dizziness, lightheadedness, fainting, fainting, fainting, or no blood in your penis, contact your health care provider immediately.
If you experience sudden dizziness, lightheadedness, fainting, fainting, or no blood in your penis, contact your health care provider immediately.
Cialis Together tablets are a treatment for adult men with erectile dysfunction. They can help achieve and maintain an erection, with an increase in blood flow that helps achieve a hard, erect penis. Cialis Together tablets can be taken as needed a certain number of times a day. You’ll get an erection when you sexually experience sexual stimulation and you should get an erection as often as you want. It can happen at any time of day, anyplace, but it’s important to take Cialis Together to maintain an erection when you are sexually aroused.
Do not take Cialis Together if you are allergic to tadalafil or any of the ingredients in Cialis Together. Tell your doctor before you start taking Cialis Together and always read the instructions on your medicine label before you start taking it. Tell your doctor if you have any medical conditions, but you may not be able to speak about them with your doctor. Use of this medicine for longer than directed may increase the chance of experiencing side effects.
Cialis Together is not intended for use by women. Do not use Cialis Together if you are pregnant or breastfeeding without consulting your doctor or pharmacist. Cialis Together is not recommended for use in children above the age of 12 years in the case of high blood pressure, high cholesterol, or use of nitrates used to treat other medicines. Cialis Together tablets can cause dizziness, blurred vision, or other vision changes. Do not drive or use machines to perform these activities. Avoid consuming alcohol while taking Cialis Together as it can increase the likelihood of side effects. Cialis Together tablets are not intended for use by men or women who are pregnant or breastfeeding without consulting your doctor or pharmacist.
Cialis Together tablets can cause drowsiness, so drive or operate heavy machinery. Do not sit or lie down if you feel dizzy, or take any other precautions for dizziness. Do not take Cialis Together if you have severe heart disease, or if you have had a heart attack within the last six months. Cialis Together tablets can cause drowsiness, so avoid driving, operating hazardous machinery, or engaging in hazardous activities that may put your health at risk. Do not use Cialis Together if you have mild heart disease, or if you have had a heart attack in the past six months. Cialis Together tablets can cause dizziness, so avoid alcohol, so avoid tobacco, or operate machinery. Do not drive or operate any tools or machinery if you feel drowsy or dizzy. Do not sit or lie down if you have chest pain or shortness of breath, or if you feel light-headed, fainting, chest pain, fainting, weakness, or faint. Do not take Cialis Together if you have pulmonary hypertension, or if you use nitrates used to treat other medicines. Cialis Together tablets can cause drowsiness, so avoid operating heavy machinery, or operate machinery. Do not sit or lie down if you have chest pain or shortness of breath, or if you have weakness or dizziness. Do not take Cialis Together if you have recently had a heart attack, or if you have had a heart attack in the past six months. Cialis Together tablets can cause drowsiness, so avoid operating a motor vehicle or operate any tools or machinery. Do not take Cialis Together if you are using any of the following medicines: certain medicines for HIV, or medicines to treat erection problems (such as nitrates or guanylate cyclase stimulator medicines), used to treat pulmonary arterial hypertension, used to treat angina, used to treat high blood pressure in the lungs (such as doxazosin or tamsulosin), medicines used to treat menstrual disorders (such as progesterone, etretinate), medicines to treat erectile dysfunction, or used to treat pulmonary hypertension. Do not take Cialis Together if you have severe liver or kidney problems, or if you use recreational drugs or are taking medicines that you might have taken when you are taking Cialis Together. Cialis Together tablets can cause drowsiness, so avoid operating a motor vehicle or operate machinery. Do not take Cialis Together if you have ever had an allergic reaction to this medicine, other medicines, foods, dyes or preservatives. Inform your doctor before you take Cialis Together if you have kidney, liver or heart problems.
Stade de France Pharmacy