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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’.
Currently, 3 medicines are available:

Cialis Together will be available in both general sales and POM pharmacies after a thorough review of the patient list. General sales are some of the most popular (ie self-treatment) are medicines used to treat schizophrenia, short-course, camps and rapid eye tests, while POM pharmacies are a great option for the treatment of ED. You can buy POM and general sales if you book an online consultation with a doctor and are told that you want it available in a POM pharmacy.

The Food and Drug Administration and the Department of Health and Human Services (DHHS) announced a ban on prescription-only medicines in Australia from selling to consumers. Medicines for erectile dysfunction, for example, are not covered by the Federal Government's Medication List for sale. The list was compiled by the Federal Government's Medicines and Healthcare Products Regulatory Agency (MHRA) from its list of approved medicines in Australia. This decision was announced on August 11 and, therefore, will apply to all medicines that the Agency has approved for sale. Medicines are medicines that are prescribed to people with erectile dysfunction, or to men with erectile dysfunction or a problem with an inability to achieve an erection, or to a man who has a problem with an inability to achieve an erection. The Medicines for Medicines list includes medicines that are not approved for sale in Australia. It also includes medicines that are approved for sale in the U. S. and in Australia and New Zealand. Medicines for erectile dysfunction, for example, are approved for sale in the U. and in Australia, but not in New Zealand. The list is not available to purchase in Australia.

The decision was announced on August 17. The decision was made by the MHRA's Standing Committee on Health and Social Care on the application of the Medicines for Medicines List, which covers prescription and non-prescription medicines.

Last week the Department of Health and Human Services announced that it was to stop prescribing erectile dysfunction drugs, including Viagra, and to stop selling Viagra to people who have previously taken the medicine. The decision to stop selling Viagra will take effect on July 1. The Medicines for Medicines list of approved medicines can be found under.

Last week the MHRA announced that it had received an inquiry into the sale of Viagra, the most commonly prescribed medicine to treat erectile dysfunction in men. The inquiry is part of a review of the safety and effectiveness of Viagra, which is currently under review.

2023-08-19

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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 (sildenafil) is a medication that is used to treat erectile dysfunction (ED) in men. It works by increasing blood flow to the penis during sexual stimulation, helping men to achieve and maintain an erection.

What Is Viagra?

Viagra is a prescription-only medicine that is used to treat erectile dysfunction (ED) in men. It is also available over the counter (OTC) in most pharmacies.

Viagra is available as a pill that you swallow. The main ingredient of Viagra is sildenafil citrate. This medicine belongs to a class of drugs known as PDE5 inhibitors. It works by relaxing the blood vessels in your penis, allowing more blood to flow into your penis during sexual stimulation.

How Does Viagra Work?

Viagra works by increasing blood flow to the penis during sexual stimulation. It belongs to a group of medicines known as phosphodiesterase-5 (PDE5) inhibitors. These medicines are used to treat erectile dysfunction (ED) in men.

Viagra works by relaxing the blood vessels in your penis, allowing more blood to flow into your penis during sexual stimulation. It also increases blood flow into the penis following sexual stimulation, resulting in an erection.