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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 in - -, and, Cialis Together is a ‘GSL’ medicine, and is a ‘pharmacy only medicine’, and is a ‘general sales list medicine’. Also, – in addition to Cialis Together, is the other pharmacy-only medicine POM – Prescription only medicine.

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.

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                A new study finds that the drugs that can make patients more responsive to the effects of Viagra on the penis may actually improve their sexual function. Viagra, the drug that is approved by the FDA, works by making the penis more sensitive to the effects of nitric oxide. Nitric oxide is a chemical that can make the penis more sensitive to the effects of nitrates, which is a group of medicines known as nitric oxide donors. This means that when nitric oxide is present in the blood vessels of the penis, it can act to relax the blood vessels. When nitric oxide is reduced to nitric oxide, the penis is less sensitive to the effects of Viagra. But the study shows that Viagra can actually improve sexual function by reducing the nitric oxide levels in the blood. In other words, taking Viagra will not only make you more responsive to the effects of Viagra, it will also help make you more sensitive to the effects of Viagra.

                What’s the takeaway? The drugs that may help to improve sexual function have been proven to work. Viagra, a medication for erectile dysfunction, works by increasing the blood flow to the penis. It’s the same effect that Viagra has on the blood vessels in the penis, allowing the penis to become firm. The drug can be prescribed by a doctor to treat the underlying cause of erectile dysfunction. This means that taking Viagra will not only help to improve your sexual function, but it will also make you more responsive to the effects of Viagra.

                Reference:Ajaniuk, K. & Zucconi, T. The effects of Viagra on the penis.American Journal of Medicine2005;155(12):1228-1230.

                Read More

                “A new study suggests that Viagra might improve sexual function by improving the amount of blood flow to the penis, which was already much more common in older men’s erectile dysfunction patients.” The study was published in the Journal of Sexual Medicine. Viagra, a medication that helps to treat erectile dysfunction, works by increasing the blood flow to the penis. “The drug, which works in the penile blood vessels, was shown to help improve the ability to perform sexually, and also to improve the ability to keep an erection for longer than the usual length.” In other words, taking Viagra will not only make you more responsive to the effects of Viagra, but will also help to make you more sensitive to the effects of Viagra.

                The researchers from the University of Southern California found that taking Viagra in the dose of 50 mg, twice a day, improved the ability to perform sexually, and the ability to keep an erection for longer than usual. “Viagra was shown to improve the ability to perform sexually for men with erectile dysfunction, as well as to improve the ability to keep an erection for longer than usual,” said study author Dr. Susan M. McClellan, of the University of Southern California. “In addition to the benefits observed in this study, the use of Viagra in the dose of 50 mg is expected to improve the ability to perform sexually for men with erectile dysfunction.”

                The researchers are also interested in the potential to use Viagra in combination with other medications that also help to improve erectile dysfunction.

                A new study suggests that Viagra might improve sexual function by improving the amount of blood flow to the penis.

                The researchers found that taking Viagra in the dose of 50 mg, twice a day, improved the ability to perform sexually, and the ability to keep an erection for longer than the usual length. “It was shown to help improve the ability to perform sexually,” said study author Dr.

                The researchers were led by Dr. David K. Healy, a professor of medicine at California State University in San Diego who is a co-author on the report. He is also a professor of medicine at the University of California, Los Angeles. The study is based on the results of the research conducted at the University of California, Los Angeles.

                Viagra is a well-known medication that has been shown to help men with erectile dysfunction. It is used to treat erectile dysfunction, also known as impotence.

                The Food and Drug Administration's Food and Drug Administration Office of Generic Drugs (FDAO) today approved Pfizer's Viagra (sildenafil), a treatment for erectile dysfunction (ED) that treats male erectile dysfunction. Sildenafil, the generic version of Viagra, treats ED. This drug treats a variety of male sexual health problems, including, but not all of these problems.

                "We've done everything we can to make sure that we make sure that we have our ED treatment in the best possible place possible," said FDA Office of Generic Drugs Special Agent in Charge Stephen K. Klee, FDA Office of Generic Drugs' Office of Generic Drugs. "We want to make sure that we are in a position to offer affordable and reliable generic Viagra."

                Sildenafil is an oral medication that is effective in treating ED, but it does not treat the root cause of ED. It works by increasing blood flow to the penis, enabling a man to achieve and maintain an erection. Generic drugs are available in a variety of forms, including tablets, oral solutions, and capsules. The FDAO Office of Generic Drugs Special Agent in Charge and the Office of Generic Drugs Special Agent in Charge of FDAO's Office of Generic Drugs are the only FDAO Drug Agency agents who are able to provide generic drugs at all times. Generic drugs may be a better option for those who are not able to afford a prescription.

                In addition, Sildenafil is a prescription drug, meaning it is available in the United States under a brand name, as well as in Canada. It is also available as an oral suspension, chewable tablet, liquid formulation, and as an injection.

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