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 Together will not be available in Dr Fox only medicine, but Dr Fox will be able to offer the product as well.
Whether you can take Tadalafil at the same time as your other medications will depend on which medications you are taking.
You are required to complete a short medical consultation questionnaire that asks for any medications that you are prescribed from your GP and will indicate the medications that can’t be taken alongside Tadalafil.
There are several medicines which should not be taken concurrently with Tadalafil. Medicines which can have potentially serious interactions with Tadalafil include :-
• Any alpha-blocker medicines e.g. doxazosin (Cardura), alfuzosin (Xatral), tamsulosin, terazosin, or Flomax, that you can buy in the pharmacy. (These medicines may be used to treat prostate problems or high blood pressure).
• Isosorbide mononitrate, isosorbide dinitrate, or use a GTN spray or tablets
for chest pain or use Rectogesic ointment?
• Nicorandil (Ikorel), used to treat angina
• Cimetidine, used to treat stomach or duodenal (peptic) ulcers
• Theophylline, used to treat asthma
• Antibiotics:- Clarithromycin, Erythromycin and Telithromycin
• Anti-fungals such as itraconazole and ketoconazole
• Seizure medication:- carbamazepine, oxcarbazepine, phenobarbital, phenytoin and primidone
• Heart or blood pressure medication:- disopyramide, amiodarone, quinidine and procainamide
• Anti-viral medication:- telaprevir, atazanavir, retonavir, indinavir, saquinavir and cobicistat
• Recreational drugs:- amyl nitrate (poppers)
If you are taking any prescribed medication from your GP then you can simply write those in the “Is there any other medical information that you think our doctor should know?” section on the medical questionnaire. Then, our doctor will know whether the Tadalafil is safe for you to take.
Read available consultation questionnaireTadalafil is the generic version of the drug name – Cialis. This medicine is used to help men with high blood pressure, headache and other conditions related to the urethra and penis.
Tadalafil is prescribed as 0.03% of the usual dose and Cialis is only available with a doctor’s prescription.
How much Tadalafil to buy at the pharmacy: Tadalafil is only available with a doctor’s prescription. It is more than likely a a a a a a a a a a a a a a aAt the end of the doctor’s consultation you should have the Tadalafil measured and ordered.
If the doctor has not ordered Tadalafil then he or she can tell your doctor about it at a follow-up appointment.
The most common side effects are dizziness, headache, nausea, fatigue, and diarrhoea.
Take Tadalafil at the same time each day as follows:
Tadalafil can be taken with or without food.
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20 tablets Tadalafil helps reduce blood flow to the penis, aiding in achieving and maintaining an erection. This action can help increase the size of the penis and improve sexual performance. This medication can help men achieve and maintain an erection when sexually stimulated. It is especially beneficial for men who have difficulty getting an erection or who are struggling with erectile dysfunction. Tadalafil belongs to a class of medications known as phosphodiesterase type 5 (PDE5) inhibitors. It works by relaxing the blood vessels in your penis, allowing blood to flow into your penis when you get sexually excited and causing an erection. This way, it can help get an erection, allowing your partner to get an erection. Take as prescribed by your doctor. The recommended starting dose is 20mg. For maximum effectiveness, it is recommended to take this medication on an empty stomach or after a light meal. Do not take more than one tablet a day and do not exceed the recommended dose. This medication should not be taken with nitrates, which are medications often used to treat chest pain or angina. Talk to your doctor or pharmacist before taking this medication if you have any of these conditions: Do not use Tadalafil 2 grams without saying good-bye, taking it 2 grams a day for 14 (or more than a tablet if sexual dysfunction is suspected) Avoid alcohol while taking this medication. Note: This document provides a complete list of as-needed medications and products to ensure you are safe when you take Tadalafil. Do not take larger orders or consult your doctor before following any medication using “Tadalafil” in itsbrand. Some moderate or severe kidney disease may occur. If you experience severe side effects, please consult your doctor or pharmacist. Some prescription medications may interact with Tadalafil:Key Benefits of Tadalafil:
How To Use :
Interactions :
Cialisis a prescription drug made by a pharmaceutical company called Eli Lilly. The drug is used to treat erectile dysfunction (ED) in men. Cialis works by relaxing muscles in the penis, allowing increased blood flow to the penis and facilitating an erection.
Cialis works by increasing blood flow to the penis and helps men get an erection. It can also help to treat other medical conditions, such as benign prostatic hyperplasia (BPH).
How Does This Medicine Work?
Cialis is used to treaterectile dysfunction(ED). Erectile dysfunction (ED) is a condition that can affect men’s sexual health and relationships. While it is a common condition, many individuals do not realize that it can affect their sex life and sexual function.
Cialis works by increasing blood flow to the penis, which helps men achieve and maintain an erection. It can also improve the quality of sex, which can improve a man’s ability to have an orgasm.
What Are Common Side Effects of Cialis?
Common side effects of Cialis include:
Warnings and Precautions
If you experience severe or persistent side effects, it is important to talk to your healthcare provider. They will determine the most appropriate treatment for you. Cialis may cause you to feel dizziness, fainting, or severe muscle pain.
If you experience an allergic reaction to Cialis, stop taking the medication and contact your healthcare provider immediately. If you experience any side effects, they may adjust the dosage or recommend you seek medical attention.
How Long Does This Medication Take?
Cialis typically takes effect within 30 to 60 minutes of taking it. However, it can take longer if you have underlying health conditions or if you are taking other medications.
It is important to note that Cialis is only effective when you are sexually aroused. It does not work if there is no sexual stimulation. This medication may not work for those who are not sexually aroused.
Side Effects and Warnings
Common side effects of Cialis may include:
Missed Dose?
If you miss a dose of Cialis, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.
Interactions
Cialis can interact with certain medications. It is important to inform your healthcare provider about all the medications you are currently taking, including over-the-counter drugs and supplements. This includes prescription drugs, over-the-counter supplements, and herbal remedies.
If you are taking certain medications, it is best to avoid Cialis. It can be dangerous to take Cialis if you are allergic to any of its components.
Stade de France Pharmacy