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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’.

As with the other medicines on this list Dr Fox is dedicated to helping safe and easy use of all medicines and develop rapid response to emerging trends in medicines and health products.

We need to ensure that medicine on this list is safe and appropriate to be used by all users. This statement applies to all medicines on this list.

These rules will be important when this list is approved.

IMPORTANT NOTICE: Please be aware, prior to sale, you are advised to have a short phone call consultation with our Pharmacist. Automatic purchase consents the Pharmacist to give you a quick call.

Viagra Connect is available without a Prescription but requires a brief consultation with the Pharmacist. It is available in a 4 pack or an 8 pack. Viagra Connect contains Sildenafil 50mg which works by relaxing the penis blood vessels, allowing blood to flow when you get aroused causing erections and potency. Viagra Connect will only help men become erect if you are aroused. Only for adult use, men 18 years plus.

How to be taken:

• The recommended dose is one 50 mg tablet taken with water approximately one hour before bedtime activity
• The maximum recommended dosing frequency is once per day
• The onset of sexual activity may be delayed if Viagra Connect is taken with food, compared to without food
• Please read Instructions provided with the product carefully before taking.

VIAGRA CONNECT is not to be taken if:

• There is no problem with gaining erections.
• Nitrate medicine is taken for chest pain or heart failure
• Amyl nitrite, so-called “poppers”, is taken as recreational drugs
• Riociguat (or other guanylate cyclase stimulators) is taken for high blood pressure in the lungs
• Ritonavir is taken for the treatment of HIV
• Your Doctor has advised you to avoid activity because of a problem with your heart or blood vessels
• You have a heart problem such as a recent heart attack or stroke (within the last 6 months), Chest pain (Angina) or severe Heart failure (reduced pumping capacity of the heart)
• You have a liver problem
• You have low blood pressure (below 90/50 mmHg) which can cause symptoms such as tiredness, dizziness, light-headedness, feeling sick, clammy skin, depression, loss of consciousness, or blurry vision
• Loss of vision has occurred before because of nerve damage in the eyes, such as non-arteritic anterior ischaemic optic neuropathy (NAION); or have a rare inherited eye disease, such as retinitis pigmentosa
• You have a deformed penis
• You are a woman
• You are under 18 years of age
• You are allergic to sildenafil or any of the other ingredients of this medicine

Please read instructions carefully provided.

Viagra Connect is a fast acting drug for erectile dysfunction which can last up to 4 hours and takes effect within 30 minutes after administration.

Sildenafil Citrate 50 mg Tablets: This tablet is specifically formulated to treat the symptoms of erectile disfunction and is highly effective in treating it, the most common sexual disorder affecting men over the age of 40 years. Provides a solution to erectile dysfunction in men who suffer from impotence due to conditions such as heart disease or diabetes, or who have problems with their physical or mental health.

Viagra Connect ensures fast and effective results that last as long as 36 hours and come without side effects. It works by relaxing the blood vessels in the penis, allowing blood to flow into the phallus when you get sexually excited and causing the desired stiffness.

Add 4 to take Sildenafil Connect one hour before you go to bed Dose of Viagra Connect is one tablet (4 times a day's use) taken with water approximately one hour before you want to have sex.Read all about Viagra Connect Instructions: https://www.vardenafil.com/Look at all of the precautions before taking this product!Purchasing Viagra Connect Genuine Products ( ailments with erectile dysfunction, chest pain, heart failure, diaphoresis, and pulmonary hypertension )

Only for adult men, Sildenafil 50 mg is commonly used for the treatment of erectile dysfunction. It is also used for the treatment of pulmonary hypertension (high blood pressure in the lungs) in adults with severe heart failure.

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Sildenafil In The Enzalafil Tablets In Lahore helps to increase blood flow to the penis to help men get and keep an erection. This medicine works by helping to increase the amount of blood that gets trapped in the penis when not fully erectionable. This medicine can also help to relax the muscles in the penis, allowing blood to flow more easily to the penis when not fully erectionable.

Viagra (Sildenafil Citrate) is a prescription medication that helps men get and keep more erections. It is used to treat erectile dysfunction (ED), a condition that affects a man's ability to achieve and maintain erections during sexual activity. It is also effective in treating pulmonary arterial hypertension (PAH), which is a high blood pressure in the arteries that supply the lungs.

The FDA approved Viagra in 1998, and has been available since, with a high-quality, reliable Viagra from reputable sources.

It is a safe and effective solution to ED, but it is not suitable for everyone. People should not take Viagra if they have any of the following conditions:

• a history of heart disease, heart failure, or stroke
• have been taking nitrates, nitroglycerin or other medications
• are taking medications that can cause dilation or enlargement of the penis, such as recreational drugs called recreational drugs
• have had a stroke or heart attack within the past 6 months
• have a history of stomach ulcers or bleeding
• have a high blood pressure or uncontrolled high blood pressure
• have ever had a liver problem
• have or have had a serious allergic reaction to any medication, herbal preparation or other similar substances
• have a rare inherited eye disease called retinitis pigmentosa

If you have any of these conditions, it is important to talk to your doctor first. You can discuss treatment options with your physician if you are prescribed Viagra, and the best way to determine if Viagra is right for you is to talk to your doctor.

Sildenafil Citrate (Generic Viagra) is a prescription medication that helps men get and keep more erections. It is also effective in treating pulmonary arterial hypertension (PAH), a high blood pressure in the arteries that supply the lungs.

It may be prescribed for other conditions, such as prostate problems or diabetes, but it is not an over-the-counter medication. Viagra is a prescription drug and is usually taken as a single dose. It may be used in combination with other medications, but it is not an over-the-counter medication.

Viagra works by increasing blood flow to the penis, which helps men get and keep an erection. It does not work for everyone and may have side effects or interact with other medications.

• are taking medications that can cause dilation or enlargement of the penis, such as recreational drugs called recreational drugs called

It is not safe or effective for everyone and may have side effects or interact with other medications.