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 is a medication that contains tadalafil, a phosphodiesterase type 5 inhibitor that works by helping to increase blood flow into the penis. This helps men to achieve and maintain an erection during sexual activity. When it comes to taking Cialis, it's important to remember that it's not a cure for erectile dysfunction. When used as directed, it is a safe and effective way to treat erectile dysfunction. When used with a prescription, it's important to take it only as directed and only when needed. Do not exceed one dose of Cialis per day. Cialis is not for women and can be harmful for individuals who are pregnant or may become pregnant. Cialis is only for adult men and should not be used for men under 18 years of age. The use of Cialis is not advised for men over the age of 18 years and should be avoided during the last 3 months of treatment with Cialis. The dosage of Cialis is based on your medical condition and response to treatment. It is recommended to take the medication as directed and do not exceed the recommended dosage. Do not take more than one dose per day. If you have any questions or concerns about Cialis, it's always best to consult with a healthcare professional.
VIDEOCialis is available in various forms, such as tablets, capsules, and oral jelly. It is important to take Cialis as directed by a doctor and to follow their advice. Do not exceed the recommended dose. Cialis is a prescription medicine and should only be taken under the supervision of a healthcare professional. It is recommended to take the medication as directed and only when needed. Do not exceed the recommended dosage. Cialis is a safe and effective treatment for erectile dysfunction. It is important to consult with a healthcare professional before taking any medicine, especially to make sure that the dosage of Cialis is the right one for you. If you have any questions about Cialis, it's always best to consult with a healthcare professional. In conclusion, Cialis is a safe and effective way to treat erectile dysfunction in men. However, it is important to take it as prescribed and to follow the recommended dosage instructions. Cialis is a prescription medicine and should only be used under the supervision of a healthcare professional.
Like any medication, Cialis can cause side effects. Some of the common side effects include headache, facial flushing, nasal congestion, indigestion, back pain, muscle aches, indigestion, dizziness, and back pain. These side effects usually subside as your body adjusts to the medication. However, if you experience any unusual symptoms, it's essential to contact a doctor right away. If you experience any severe or persistent side effects, it's essential to seek medical attention. If you experience any side effects or have any concerns about your condition, you should contact your doctor right away. In the event of any side effects, it's essential to consult a healthcare professional for advice before using Cialis.
Cialis can interact with other medications, and it is important to inform your doctor about any other drugs you are taking. When taking Cialis, it's important to inform your doctor about any medications you are currently taking. If you are taking any of the following medications, it is essential to inform your doctor about all the drugs you are currently taking:
It is important to inform your doctor about any of the following medications, especially if you are already taking other medications:
Cialis is not recommended for women or children.
1.Nitrates (e.g., nitroglycerin, isosorbide dinitrate): Cialis and nitrates both lower blood pressure. Taking them together can cause a significant and potentially life-threatening drop in blood pressure (hypotension), leading to dizziness, fainting, or even heart attack or stroke. It is contraindicated to use Cialis with nitrates or recreational "poppers" (amyl nitrites).
2.Alpha-blockers (e.g., prazosin, terazosin, tamsulosin): Both Cialis and alpha-blockers relax blood vessels, which can lead to excessive blood pressure reduction when used together. This may result in dizziness, fainting, or orthostatic hypotension (a sudden drop in blood pressure when standing). If needed, your doctor may adjust the dosage or recommend spacing the medications.
3.Other antihypertensive drugs (e.g., atenolol, propranolol, enalapril, lisinopril): Cialis can enhance the blood-pressure-lowering effects of these medications. While this interaction is usually less severe than with nitrates or alpha-blockers, it can still cause dizziness or fainting in sensitive individuals. Close monitoring of blood pressure is recommended.
Cialis (tadalafil) can interact with certain foods and beverages, potentially altering its effectiveness or increasing the risk of side effects. Here are the key drug-food interactions to be aware of:
Cialis (tadalafil) can interact with certain foods and beverages, such as grapefruit and grapefruit juice, and may alter the blood pressure-lowering effects of the medication. Avoiding and combating the interaction with these foods and beverages may be beneficial to minimize side effects.
Alpha-Blocker: Tadalafil, an alpha-blocker, is used to manage erectile dysfunction (ED) and can impact blood pressure by blocking an enzyme called alpha-blockers. This may amplify side effects, such as dizziness or fainting in sensitive individuals.
4.Other Anti-fungal Interactions: In addition to gastrointestinal concerns, tadalafil can affect certain medical conditions, including severe cases of prostate cancer. If you notice any unusual interactions, contact your doctor or pharmacist with any questions or concerns about tadalafil.
Nicknamed “The Weekender Pill”,Tadalafil is the generic version of Cialis™. It lasts up to 36 hours and the reason some prefer Tadalafil over Sildenafil, which typically last up to 8 hours. Please select your preferred dosage and number of pills.
* We can ship up to 30 pills at a time. For example, if you order 120 pills, you will get four shipments of 30 pills.
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For your first order with us, after placing an order, you will be prompted to upload your ID and submit our health questionnaire, soour physician canreview your basic health information,in order to mail prescription medications. You will not need to do this for refill orders.
Disclaimer:This is not medical advice. You and our physician will determine if (and potentially how) you should take Tadalafil. Please consult with your physician if you have any further questions.For more information on Tadalafil,.
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Health care Question:
Tadalafil 20mg is a prescription medicine. It is used to treat (ED). Tadalafil does not protect against sexually transmitted diseases, including HIV/AIDS.
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