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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’.
A total of thousands of products were placed into the POMLast revised 15 June 2020

This list is not a complete listing of all medicines available at specific dosages or for specific health conditions. The prices shown are on the list of all medicines available.

Viagra 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 Viagra use include:

  • Headache
  • Heartburn
  • Congestion
  • Nasal bleeding (bloody nose)
  • Nausea
  • Diarrhea
  • Muscle aches or pains
  • Flushing
  • Facial pain or tenderness
  • Vision changes
  • Light sensitivity

More severe side effects include:

  • Painful erections or erections that last longer than 4 hours
  • Sudden loss of vision
  • Sudden loss of hearing
  • Ringing in the ears
  • Chest pain
  • Shortness of breath
  • Painful urination
  • Increased urination frequency
  • Fainting
  • Dizziness
  • Skin rash
  • Hives
  • Facial swelling

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 Viagra. Viagra can interact with bodily substances, causing potentially serious adverse reactions.

Specifically, you should inform your health care provider of any nitrate 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.

asthma is a brand of Viagra called as 'Sildenafil'. Sildenafil generic contains the active ingredient sildenafil which is a FDA-approved medication to treat high blood pressure. generic contains the same active ingredient as Viagra but is often taken as a tablet during sexual activity.asthma are as an oral medication to treat painful swallowing. can be taken as a tablet or a liquid. can be taken with or without food. can be taken with food. can be taken with alcohol.asthma can cause temporary side effects such as blurred vision, difficulty telling blue and green colors apart, decreased amount of urine, and/or stools. can also make you feel dizzy. If you experience any of these, you should seek medical attention immediately.VIAGRA SANDWICH�ELE is a can be used to form a can into a ball. it is easy to put together and it is a can is easy to carry.

It is a good idea to wear gloves as it becomes more possible to perform cutting, binding, and other activities. If you hear a noise during a cut, tell your health care provider. It is safe to use in this way. If you have any questions or concerns, talk to your health care provider.

Keep it with you. Do not share it with anyone.

Viagra side effects

Common side effects from Viagra include:

  • Upset stomach
  • Vaginal irritation

Less common side effects can be reported, such as:

  • Body warning
  • Back pain
  • Muscle aches
  • Fullness
  • Indigestion

If you notice any unusual or severe side effects, contact your health care provider immediately.

Tell them if you have any conditions or are taking any other medications.

A new study from the Department of Health and Social Care found that Viagra users who took it were at a higher risk of strokes and sudden death compared to those who did not. The study, published in the New England Journal of Medicine, found that men who took Viagra in their twenties were more likely to die from heart disease. They were also more likely to die from cardiovascular disease.

But more research is needed to fully understand the role Viagra has in preventing heart disease. The study was conducted in France and it shows that Viagra can be used to reduce heart attacks. However, the drug may also be linked to a number of other side effects.

The study, published in the British Medical Journal, involved more than 18,000 men from the UK and France. It involved patients who had suffered heart disease or a heart attack. Researchers looked at the side effects and found that men who took Viagra in the twenties were at a higher risk of heart attack compared to those who took placebo. They also found that the drugs did not increase the risk of heart attacks, but increased the risk of death.

The study also found that Viagra users who had a history of stroke were more likely to die from heart disease. The research also showed that Viagra users had lower blood pressure, as well as an increased risk of death.

It's important to note that this study was a very small and small number of men, and it wasn't the results of a large study, but the findings that were presented at the conference.

Dr. Michael J. O'Leary and Dr. David K. Healy from the Department of Health and Social Care said: "We are delighted that this is the first study to reveal that Viagra may be linked to a higher risk of heart disease."

The study was conducted by researchers from the UK Medical Research Institute.

Image: Reuters

Researchers from the London School of Hygiene & Tropical Medicine also published a paper in the journalHealth Affairsin which they found that men who took Viagra in the twenties were at a higher risk of heart attack compared to men who did not.

The study showed that Viagra users who had a history of stroke were more likely to die from heart disease. The study found that men who took Viagra in the twenties were also more likely to die from heart disease. The findings also showed that Viagra users had lower blood pressure, as well as an increased risk of death.

The research was published in the Journal of the American Medical Association.

Viagra, also known as sildenafil, is a medication that's used to treat erectile dysfunction. It works by increasing blood flow to the penis, which can cause an erection when sexually stimulated. In the UK, it's called Viagra Connect. Viagra Connect is available as a prescription medication, but doctors recommend it only if you're taking a "prophylactic" dose.

A study published in the British Medical Journal found that Viagra users who had suffered a heart attack or a heart attack in the first five years of treatment had a higher risk of heart disease. The researchers also found that the drugs did not increase the risk of heart attacks, but increased the risk of death. Viagra users had a lower risk of heart attack and death.

Michael O'Leary, a clinical researcher at the University of Southampton, said: "These findings are of great concern because they reveal that Viagra has been linked to a greater risk of heart disease than other similar medications. These findings are particularly concerning given that erectile dysfunction is the leading cause of death worldwide. The study also shows that men who took Viagra in the twenties were at a higher risk of heart disease compared to men who did not. These findings highlight the importance of a comprehensive approach to cardiovascular medicine, which must include a comprehensive approach to lifestyle and health care."

The research was published in the journalDiagnostic and Statistical Manual of Mental Disorders, 10th Edition.

Researchers from the University of Liverpool conducted a clinical trial in which they assessed men who had suffered a heart attack or had a heart attack in the first five years of treatment. The results showed that men who had suffered a heart attack were also more likely to die from cardiovascular disease.

They also found that men who took Viagra in the twenties were more likely to die from cardiovascular disease compared to men who did not. These findings also showed that Viagra users had lower blood pressure, as well as an increased risk of death.

Viagra is a medication used to treat erectile dysfunction.

Viagra 50mg tablet contains an active component such as Sildenafil. This medication is used to treat erectile dysfunction (ED) in men. It contains the active ingredient sildenafil citrate, which belongs to a class of drugs called phosphodiesterase type 5 (PDE5) inhibitors. It increases blood flow to the penis during sexual stimulation, which helps men achieve and maintain an erection. Viagra may have side effects, including headache, flushing, dizziness, upset stomach, nasal congestion, and vision changes. It should not be taken with certain medications or conditions, so it's crucial to consult a healthcare professional before using it. Erectile dysfunction can have a profound impact on a man's self-esteem and quality of life. By addressing ED, this medication can help improve a person's sense of well-being and overall happiness.

Individuals with a history of cardiovascular diseases, such as heart problems (angina, heart failure, irregular heartbeats) or recent heart attack, should exercise caution when using Viagra. The sexual activity itself can strain the heart and can further increase the strain by increasing blood flow. Consult with a healthcare professional to assess the risks and benefits in such cases. This medication can cause a mild decrease in blood pressure. Caution is advised for individuals with low blood pressure or those taking medications that lower blood pressure, as combining these can lead to potentially harmful interactions. People with severe liver or kidney disease may experience slower elimination of Viagra from the body, leading to a prolonged effect. Dosage adjustments may be necessary in such cases.

What is erectile dysfunction?
Medication dosage
Viagra 50mg1 tablet
Viagra 100mg2 tablets
4 tablets
Individuals with underlying heart or liver disease can experience erectile dysfunction, especially during sexual activity. This is crucial for those who do not feel sexually ready. The use of Viagra can cause potentially dangerous drops in blood pressure, as it can lead to an increased risk of heart attack or stroke. Consult with a healthcare professional to evaluate the risk in such cases.