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:
In the UK we have two general sales lists:
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 Moreuspressor Side effects:In addition to the side effects, Cialis can also cause a side effect, which may or may not affectanger. Talk to your health care provider if you experience more unusual side effects
In any way, the -Cialis tablet can cause a side effect, although it should not be confused with the other (or more severe) side effects caused by Cialis.
The -Cialis tablet can also cause a side effect, although this may not significantly differ from the side effects reported by your doctor.
The above is not a complete list of the side effects that may occur. If you notice any of this side effects while taking Cialis, contact your healthcare provider immediately.
Driving/use can cause side effects:Many medications can cause changes in how you feel. However, the -Cialis can cause a side effect, although it should not be confused with the other (or more severe) side effects caused by Cialis.
The -Cialis can cause a side effect, although it should not be used as a substitute for medical attention.
The above is not a complete list of the -Cialis side effects that may occur. However, if you have any side effects that are especially bothersome, please tell your doctor.
Please note that the above may or may not cause side effects. If you experience any side effects that are not listed, please consult your doctor.
Pregnancy and breastfeeding:Cialis can cause a side effect, although it should not be used as a treatment for puffy and watery nose. Contact your doctor if you are breastfeeding.
The -Cialis can cause a side effect, although it should not be used as a treatment for puffy and watery nose.
However, if you have any side effects that are not listed, please consult your doctor.
If you are pregnant or breastfeeding, please consult your doctor before taking this medication.
In my previous post I stated that there is a lot of information on this topic, but I wanted to provide an update on a different aspect of this subject that I think is important to us consumers. This post was taken from my article,The Erectile Dysfunction Cure and Their Impact on the Way Men Obtain Viagra.
The Erectile Dysfunction Cure is the name that came up when the FDA approved the drug Viagra in 1998, and has been the subject of many articles. In this post I will discuss the role of Erectile Dysfunction and its impact on the way men get erections. And, I want to make it clear, I am not saying that these medications are necessarily cures for ED. I am saying that these medications do not cure ED. It is possible to have sexual arousal and even desire for one person to gain a significant amount of sexual pleasure. Sexual stimulation is not necessary for an erection. There are many different sexual dysfunctions, some of which are referred to as “erectile dysfunctions”, and some of which are referred to as “erectile-disorder”. For example, the condition known as impotence can be described as the inability to achieve or maintain a hard erect penis sufficient to produce and maintain an erection. Or, the condition known as erectile dysfunction can be described as the inability to achieve an erection sufficient for sexual intercourse. This condition is called priapism, and it is a condition that occurs when a man has an erection that lasts for more than four hours. This condition can be permanent in some cases and can be reversed on their own.
In my post, I have described how Viagra works to treat this condition, and it is my opinion that this medication is one of many that can help men overcome this condition. In this post, I will talk more about erectile dysfunction and the way men can overcome this condition. But first, a few background information about erectile dysfunction.
Erectile Dysfunction is a condition that is commonly referred to as impotence, and it can be characterized as the inability to achieve or maintain a hard erect penis sufficient to produce and maintain an erection. It can be diagnosed by physical and psychological tests that can help to determine if you are having difficulty with erections, and also by other tests that can help to determine if you have impotence or erectile dysfunction.
For example, a blood test called the International Index of Erectile Function can be used to determine if you have erectile dysfunction, and this test can be used to determine whether you have erectile dysfunction. A physical test called the American Urological Association (AUA) International Index of Erectile Function can be used to determine whether you have erectile dysfunction. And the American Urological Association has also published a test that is called the International Frequency of Erection (IFE) test. Both of these tests have been shown to help with many of the symptoms that you may experience from erectile dysfunction, such as:
Erectile Dysfunction can also be diagnosed by using a variety of different tests. These include:
This test can also be used to determine whether you have erectile dysfunction. If you have erectile dysfunction, you may be able to work with your doctor to determine if you have erectile dysfunction. This test can be used to determine if you have erectile dysfunction if you have the condition known as impotence. A blood test called the International Index of Erectile Function can be used to determine whether you have erectile dysfunction.
Erectile Dysfunction can also be diagnosed by using a variety of tests.
Erectile Dysfunction can be treated by using a variety of different treatments, and some of them are available on the market.
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 This Part I Generic Cialis can cause a few mild side effects, but they include:Headaches
Fatigue
Flu-like symptoms
Sudden decrease in hearing
Sudden decrease in hearing time
Sudden decrease in the duration of erections
Sudden decrease in the frequency of erections
loosening of the throat
Constipation
diarrhea
Stomach pain
Urine growth
Back pain
It’s not known if Cialis can cause serious allergic reactions, so notify your doctor if you notice any allergic reactions.
Stomach pain is not known if Cialis can cause stomach ulcers or blood clot in the leg such as with any antifungal medication. Cialis can also cause heart attack and stroke with chest pain. Tell your doctor if you have heart problems, have high blood pressure, have a liver condition, or experience severe dizziness or fainting. As with all prescription medications, inform your doctor of all the conditions you are currently managing.