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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’.
Our list of 3 categories is based onasonable health needs. Healthcare professionals who are OTC may provide P medicine or PMED, and the categories will be different from by the team that theyeaturing from being experts in one category to ordinary men being able to buy Cialis Together – men who suffer from ED will have another treatment option with the convenience of purchasing it in their local pharmacy.

As per the list of medicines prescribed in the WHO List of Essential Medicines (the WHO ‘ List’) on the basis of its WHO list of medicines, Viagra is also prescribed for erectile dysfunction (ED).

Notethat the WHO List of Essential Medicines (the WHO ‘ List’) contains medicines that are ‘not safe for the person to use’. This list is only general information.

Medicines for erectile dysfunction

Sildenafil citrate is the active ingredient of the drug. Sildenafil is used to treat male impotence (erectile dysfunction) in men. Viagra is the ‘first line’ drug for erectile dysfunction.

The first-line drug is sildenafil citrate. It works by helping to relax the muscles in the blood vessels in the penis. In men with ED, the arteries that supply blood to the penis do not relax, but instead widen and dilate. Sildenafil citrate is the most popular medicine in the UK, but it’s not the only drug for erectile dysfunction. There are also other drugs for ED (for example, tadalafil) which you may find useful as you want to improve your sex life. There are some other drugs for ED which you may find useful too. These drugs are listed in the list of medicines in the WHO Essential Medicines List (see below).

It is a very popular drug and one of the reasons it is prescribed for ED is to improve sexual activity. It works in the same way as sildenafil citrate, by blocking the action of a chemical messenger in the blood vessel walls that signals the penis to dilate. This signal is usually delivered to the penis during sexual arousal.

Sildenafil citrate tablets

The most popular medicine for treating erectile dysfunction is sildenafil citrate. Sildenafil is the most popular medicine for ED and is the most effective drug for treating ED.

Viagra is the most popular medicine for ED and is the most effective drug for ED.

The only other medicine for ED which is the only medicine for ED is tadalafil. It is a PDE-5 inhibitor and works by relaxing the muscles in the blood vessels in the penis, so that blood can flow easily into the penis. Tadalafil is the active ingredient in Viagra, but it’s also a PDE-5 inhibitor. It will only work if you take Viagra if you take it at least 3 hours before having sex. If you take Viagra, you will be able to get an erection in 24 hours, although you will need to get it with a certain amount of food and alcohol. You will also need to have sex with a certain amount of time before you get an erection.

The only other drug for ED which is the only drug for ED is avanafil. This is the active ingredient in Viagra and is a PDE5 inhibitor. It works by stopping the action of a chemical messenger that signals the blood vessel walls of the penis. It is available in the form of a tablet.

Viagra is the only medicine for the treatment of erectile dysfunction. It is the only medicine for ED which is the only medicine for ED. Viagra is not a cure for ED and is a very effective medicine for the treatment of ED.

Sildenafil tablets for erectile dysfunction

Sildenafil is the active ingredient in Viagra, but it’s also a PDE-5 inhibitor. It is available in the form of tablets, and it is available as an oral tablet.

The tablets will work within 30 minutes, and will be taken 1 hour before having sex. If you take Viagra, you will need to have sex at least 30 minutes before having sex.

If you are taking sildenafil, you should take this tablet only when you have an erection for 30 minutes before having sex. You will be able to get an erection in 24 hours.

Sildenafil is a PDE5 inhibitor.

Viagra

The most popular medicine for treating erectile dysfunction is viagra. Viagra is the only medicine for ED which is the only medicine for ED.

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17 August, 2020|Holy Winter - Healthcare Writer

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Reviewed By

Omar El-Gohary

The superintendent and lead pharmacist - registration number 2059792.

Omar is passionate about developing healthcare technology to empower our patients.

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