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 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.
Show More DehydrationIf you have not been prescribed Cialis, you will be instructed to consult your doctor. Cialis can interact with the following:
PregnancyCialis is not intended for use in women and should not be taken by men. Cialis may raise the risk of heart attack or stroke during sex. Cialis should not be taken by women who are pregnant, may become pregnant, or are planning to become pregnant, unless your pregnant people.
Do not take Cialis if you are breastfeeding, or are planning to get pregnant. Taking Cialis with certain medications can affect the absorption of the drug, so it is recommended that you let your doctor know if you are taking any type of birth control. For example, taking Cialis with isftazidest at bedtime may delay the onset of action, so it is recommended that you let your doctor know if you use barrier contraceptives or are planning to use a latex condom.
If you have not heard of Cialis being prescribed to you, consult your doctor before starting any new medication, and if you are currently using any penile steroid products, except Revatio.
As with all prescription medications, inform of all the medication, prescription drug, and supplements you are taking before starting Cialis. Cialis can reduce the amount of nitrates you take, so it is important you talk to your health care provider about this. Cialis can also affect the blood level of nitrates in some patients.
If you have been advised to avoid alcohol while taking Cialis, you should not take any alcohol during this time.
Let your doctor know if you are taking alkyl nitrosympathom nitrogen (NTN) nitrates (often given for chest pain)
coliCialis can affect the levels of certain medications in your blood. You should not take Cialis if you are taking nitrates or are taking nitroglycerin, glycerin, or any nitrates-based medication.
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The use of Cialis is different from that of other medications like Viagra, Cialis, and others. The primary use of Cialis is to treat erectile dysfunction (ED). This medication is also used to treat pulmonary arterial hypertension (PAH), which is high blood pressure in the arteries of the lungs. It helps the arteries to relax and widen during sexual activity.
The effectiveness of Cialis can vary from person to person. It can be effective for many patients. It is also effective for those who do not respond well to other treatments. Cialis daily is used as a daily treatment for ED. It is often the first treatment option for those who have difficulty with sexual activity.
Cialis Daily is available in the form of a tablet. It is a daily medication. It has a long-lasting effect and helps men achieve and maintain a firm erection. The effect of Cialis daily is to enhance the effects of Cialis. It is effective for men who have ED and are able to achieve and maintain a firm erection.
The duration of Cialis daily is not the same. It starts working within 30 to 60 minutes. It works for a longer period of time and can be effective for up to 36 hours. The duration of Cialis daily is also not the same. It is essential to consult with a healthcare professional before starting Cialis daily to determine the right course of treatment.
Cialis Daily is taken daily as needed. It is usually taken with a meal, as this will help the medication to work as quickly as possible. You should take it in the morning before you start the medication. It can be taken before or after meals. You can drink water or water-based medications before taking it and should drink it only when you plan to take it. It is best to avoid alcohol while taking the medication. It is not advisable to increase your intake of Cialis daily as it can increase the risk of side effects.
Cialis Daily is not a long-lasting medication. It works for up to 36 hours. The medication is taken daily as needed. It can be taken before, after, or the evening before the medication. The effects of Cialis Daily are to enhance the effects of the medication.
Cialis Daily is a daily treatment for ED. It is a long-lasting treatment. It helps men achieve and maintain a firm erection.
Cialis Daily is a long-lasting medication. It is taken before, after, or the evening before the medication.
It is taken once per day.