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 Together is available (sildenafil 10mg) as products made by Sanofi, which isevalricted to sales for profit/official use. These products are for personal use ‘over the counter’ not to be used as a treatment for you ‘private party product’ use only.
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Sildenafil citrate, commonly known by the brand name, is a prescription-only medicine used to treat erectile dysfunction (ED) in adult men. It works by improving blood flow to the penis, helping to achieve and maintain an erection during sexual activity.
Sildenafil is available in 25mg, 50mg, and 100mg strengths.
Sildenafil has been shown to be effective in up to 80% of men with ED, with effects typically noticeable within 30 to 60 minutes, and lasting for up to 4–5 hours.
Common side effects include:
Less common but serious effects include visual disturbances, hearing changes, or prolonged erections. Seek medical attention if severe or persistent side effects occur.
Sildenafil should not be used by those:
Inform your doctor of all medications and supplements before use. Interactions may occur with:
Avoid excessive alcohol while taking sildenafil, as it can lower blood pressure and increase side effect risk. Use with caution if you have any heart-related conditions.
Sildenafil is available by prescription only in the UK.
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ShareLikeCancelAddCancelingSildenafil Tablets are a prescription-only medicine. If you are experiencing ED, please consult your doctor before taking this. Sildenafil Tablets are a prescription-only medicine used to treat erectile dysfunction (ED) in men. Dosage for erectile dysfunction may need to be adjusted in real-life situations by a doctor or healthcare professional.
ermanent removal of the original signet ring from the body. This ring contains a substance called sildenafil which is a phosphodiesterase type 5 (PDE5) inhibitor.
Viagra Connect® is a treatment for Erectile Dysfunction (ED) containing 50mg of sildenafil. It is available to patients over 18 years with ED directly from pharmacy without a doctor’s prescription.
To save you time when visiting your local Hickey’s Pharmacy, complete the form (see link below).
Viagra Connect® as a treatment for Erectile Dysfunction
Erectile dysfunction (ED) is the inability to achieve or maintain an erection sufficient to have sex.
Erection problems can put a strain on relationships. They can also be a warning sign of a health condition or disease you might not be aware of. That’s why it’s important to take action and find a solution for your ED.
Daily life can sometimes get in the way of your sex life. When it does, Viagra Connect is here to help.
Who it’s for: Viagra Connect is for adult men (over 18 years of age) who have erection problems (EPs) – what doctors might call erectile dysfunction (ED).
Who it isn’t for: If you are a woman, a man under 18, or do not have EPs, then Viagra Connect isn’t the right treatment for you.
Where you buy it: From our trusted partner ChemistDirect, from other online pharmacies, and from your local pharmacy. No prescription needed.
Are you taking other medicines? Some medicines can interact with Viagra Connect, so you’ll be asked what else you might be taking before you can buy it.
Do you have any other health conditions? Some men will have issues with their health that make Viagra Connect unsuitable for them. This is why you’ll be asked a few straightforward questions about your health before you can buy it.
The VIAGRA (vardenafil) pill is a medication in its own right, also known as a phosphodiesterase 5 (PDE5) inhibitor. It works by increasing the blood flow to the penis during sexual stimulation, which can cause an erection.
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