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
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LAS VEGAS (athomlet) is a form of medicine that treats men with erectile dysfunction (ED).
In a study of 40 men, men who took an erection drug like Viagra experienced a reduction in the frequency of sexual intercourse (a common issue in men with ED).
But the study of erectile dysfunction drugs showed that a drug that boosts blood flow to the penis does not lead to ED. The results of the study show that men who take sildenafil (the active ingredient in Viagra) might be more likely to experience ED.
But if you take Viagra, you may be more likely to experience ED as well.
Viagra (sildenafil citrate) is the only medicine known to increase the blood flow to the penis. Viagra does not cure ED. Viagra will only help you get an erection if you have erection problems, such as low blood pressure, diabetes, and heart disease.
If you have erectile dysfunction, it may take several months for the effects of sildenafil to wear off. Some men may be able to get an erection after four to six months.
However, if you do not get an erection after four to six months of taking Viagra, you may still need to try again.
Men who take Viagra for a long time may be at risk for a serious condition called erectile dysfunction called impotence, which is a medical term for erectile dysfunction that does not go away without medical intervention.
Viagra, a new treatment for erectile dysfunction, does not cure ED, but helps men with erectile dysfunction get and keep an erection when they are ready to. This helps them get and keep an erection.
Viagra will only help you get an erection when you have erection problems, and is not a cure for ED. You should only take one pill a day, and should not take more than one pill a day.
However, if you take Viagra, you may be at risk for a serious condition called erectile dysfunction called impotence. If you are experiencing erectile dysfunction, you may be at risk for getting impotence, a medical term for impotence that does not go away without medical intervention.
If you take Viagra, you may be at risk for a serious condition called erectile dysfunction called impotence, which does not go away without medical intervention.
Viagra will only help you get an erection if you have erection problems, and is not a cure for erectile dysfunction.
If you are taking other medications or taking any other treatment for erectile dysfunction, talk to your doctor about taking Viagra to get the best results.
The Food and Drug Administration (FDA) has issued safety warnings about taking sildenafil.
Some of the side effects of Viagra include headache, flushing, stuffy or runny nose, low blood pressure, vision problems, and an allergic reaction.
If you have erection problems, it may take a few months to see an improvement in your erection problem. If you experience an erection problem, it may take a few months to see an improvement in your erection problem. You may also experience some side effects if you take Viagra. If you do not see any improvements in your erection problem after several months of taking Viagra, talk to your doctor.
Viagra is not approved for use in women, and may not be suitable for men with diabetes. You should not use Viagra if you are allergic to sildenafil or any ingredients of the medication.
You should only take one pill of Viagra a day, and should not take more than one pill a day.
Viagra should not be taken more than once a day. This means that it will not be effective in treating your condition.
You should not use Viagra if you have:
You should not take Viagra if you are allergic to sildenafil or any ingredients of the medication.
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:
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 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.
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Date:April 13, 2025
Hello everyone,
I’m currently looking into purchasing prescription Viagra (sildenafil) in Canada from a Canadian pharmacy. The price is very reasonable compared to other pharmacies I’ve looked into and the cost per tablet is reasonable. However, I’m looking for an alternative option where I can purchase Viagra without compromising my health. What is the most suitable way to get a prescription without compromising my health?
Reply:Hi!
You should definitely speak to your doctor first. They can assess your health and help you determine the best course of action for your condition. They’ll also recommend your prescription and suggest other medications you may be taking. Depending on your individual circumstances, this could be a combination of Viagra and Cialis, or an alternative.
Yes, it’s important to discuss these options with your doctor. They can provide you with the most appropriate treatment and dosage, and can help determine which medication is right for you. If they decide to prescribe Viagra over-the-counter, you can consider doing some exercise to improve your overall health.
My doctor, can you give me some guidance on what I should do if I have an issue with my erectile dysfunction?
You’ll be able to buy your medication from the pharmacy on the website, but the cost is always a concern. If you’re unsure of what you’re on, I’d suggest looking into an online pharmacy or a reputable online pharmacy that requires a prescription and requires a prescription. Some pharmacies offer discounts on purchases, while others may offer a free trial.
The cost per tablet is reasonable for me, but if you’re considering a cheaper option, consider buying a larger quantity. This is especially important if you have health insurance, or if you’re paying out of your own pocket.
Thank you for your question! Yes, it’s important to discuss the options with your doctor, who can help you determine the best course of action for your health needs.
You’re welcome, everyone. If you need further guidance on how to obtain Viagra without compromising your health, feel free to.
Stay safe and healthy!
Dr. Emily Thompson, DNP, MS, FACS, has over 30 years experience in the field of sexual health and is a dedicated educator and advocate for sexual health professionals. Thompson is also a member of the Sexual Medicine Advisory Council, and is a board member of the American Society of Association of Sexual Health Professionals, the American Society of Reproductive Medicine, and the American Society of Reproductive Medicine’s Sexual Medicine Advisory Board.
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