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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’.
Currently, 3 medicines are available:

Cialis Together will be available in both general sales and list medicine forms, and in special offers. GSL list medicine is afford not sell list medicine. Cialis Together form list list is generally those pharmacies that sell the general list medicine (GLM) including the medicine (e.g. darolact).

Viagra Connect will be available in bothoff-patientmedicine and general list medicine forms, and will be available in both.

Viagra

is a medication that works by blocking the action of an enzyme produced in the body by the body’s natural hormone levels. This hormone helps regulate blood pressure and reduce the pressure in the abdomen, pelvis, and lower abdomen.

Viagra can help to lower the blood pressure and to help men who have heart problems and angina (chest pain).

What is Viagra?

Viagra contains the active ingredient Sildenafil which works by increasing blood flow to the penis, helping you achieve an erection.

It also helps to relax the muscles in the walls of blood vessels to help them fill with blood and make them expand. Viagra does this by inhibiting the action of an enzyme called phosphodiesterase type 5 (PDE5). This enzyme breaks down cGMP which relaxes the muscles in the walls of blood vessels to allow blood to flow in.

What is the active ingredient in Viagra?

The active ingredient in Viagra is Sildenafil which is an inhibitor of PDE5. Sildenafil blocks the action of PDE5 which allows the cGMP to become more effective in relaxing the muscles in the blood vessels and allowing blood to flow in.

How does Viagra work?

The effect of Sildenafil is to increase the amount of blood that is needed to make and maintain an erection. When blood flow to the penis does not cause an erection, the penis does not work as hard as it should.

Sildenafil works in the same way as Viagra but it does not inhibit the action of PDE5.

Viagra does not block the action of PDE5. It only helps to increase the amount of blood that is needed.

Viagra does not improve erectile function. It only helps men to achieve an erection.

How should I take Viagra?

Viagra is taken orally with water. You should swallow the tablet whole with a glass of water. Viagra should not be taken more than once a day.

You can take Viagra with or without food. The amount of food you can take with Viagra is the same as with Viagra. However, it may be easier to take with Viagra if you take it with a high-fat meal.

How long does Viagra last?

Viagra starts working within 1 to 2 hours. Its effect lasts for up to 4 to 6 hours.

It is not known how long Viagra lasts or how long it will work for you. It is important to take it as needed (more than 4 hours) before sexual activity. You can take Viagra on an empty stomach or with a low-fat meal.

Viagra may also not work for everyone. You may experience side effects such as headache, flushing, upset stomach, nasal congestion, dizziness, blurred vision, and blurred vision with or without stimulation. Rare but serious side effects can include priapism (a prolonged and painful erection). If you experience any of these symptoms, stop taking Viagra and call your doctor.

Does Viagra affect fertility?

No, the action of Viagra does not affect fertility. It is not known if Viagra works in the same way as other medications.

In fact, it has not been studied as Viagra does not affect semen quality. The main purpose of Viagra is to increase blood flow to the penis and help men get an erection. However, it does not affect sperm count or motility.

The most common side effects of Viagra include headaches, facial flushing, indigestion, nasal congestion, upset stomach, and dizziness.

Viagra should not be used by men who are at risk of low blood pressure and heart disease, such as heart failure, type 2 diabetes, or have a history of heart attack or stroke.

Can women take Viagra?

No, women should not take Viagra. It is only intended for men who are healthy and are interested in sex.

Viagra should not be taken by men who are taking nitrate medications, as it can cause a serious drop in blood pressure that can be dangerous.

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?
  • Viagra can help men with erectile dysfunctionberady verrucly who are levelling their toe to theiromes. It acts by increasing blood flow to the penis and helps with enhancing erectile function.
  • This medication can be taken with or without food. However, it's advised to take it when 'on' such medications, as certain foods can impact its absorption, so consulting a healthcare professional is advised.
  • It can be taken with or without food. It's essential to avoid taking it if you're taking medications such as Sildenafil or Tadalafil, as they can significantly increase the risk of side effects.

Viagra 50mg tablet contents

The contents of 50mg tablets are supplied for the use of men only. The contents of tablet formulas are available for individuals with mild to severe erectile dysfunction. If individuals are taking medications that contain sildenafil or tadalafil, they should not take Viagra unless they have a prescription from a healthcare professional. If a healthcare professional cannot prescribe a medication, it's beneficial to consult a doctor or pharmacist.

The safety and effectiveness of Viagra tablets have not been verified throughout the United States. Therefore, decisions to use or withdraw from Viagra rests with the medical provider.

If individuals are taking medications which contain sildenafil or tadalafil, they should not take Viagra unless they have a prescription from a healthcare professional. If a healthcare professional does not prescribe a medication, it's beneficial to consult a doctor.

The contents of 50mg tablet formulas are available for individuals with severe erectile dysfunction.

The contents of 50mg tablet formulas are available for individuals with mild to severe erectile dysfunction.

Viagra, the little blue pill for impotence

Pfizer: Viagra as a drug

Pfizer has been selling the little blue pill to make a drug which can be taken by millions of men. The company has launched the drug in South Africa for a variety of reasons, including as an aid to the treatment of impotence, and it is a drug that has been in use since the 1970s.

Pfizer has launched Viagra on the New Zealand market since the company’s patent for the drug expired in 2005. The drug was launched in South Africa in 1998.

Viagra was originally developed as an anti-malarial, and it was eventually re-market to fight against HIV, but Pfizer decided to sell it to be used in its treatment of impotence.

Pfizer has also launched several other products for its impotence treatment, including a pill that can be used by men who are unable to take a drug that has not been approved for use in the United States.

While Pfizer is currently not disclosing the name of the drug’s manufacturer, a company spokesperson said it is “taking all reasonable steps” to keep Pfizer from making further public statements.

The company has no plans to release details about its future sales of Viagra until at least March 2020.

The drug was originally developed as an anti-malarial, and it was eventually re-market to fight against HIV, but Pfizer decided to sell it to be used in its treatment of impotence.

Pfizer has been selling Viagra to make a drug which can be taken by millions of men.

The company has been selling the drug in South Africa for a variety of reasons, including as an aid to the treatment of impotence, and it is a drug that has been in use since the 1970s.

Viagra Vs Cialis

In the world of men looking to get the sexual performance they want, Viagra and Cialis are two of the most popular medications available to treat erectile dysfunction (ED). In this article, we’ll take a look at some of the key differences between them.

Viagra vs Cialis

Viagra is one of the most famous and effective erectile dysfunction (ED) medications, known for its ability to improve sexual performance by enhancing blood flow and sexual stimulation. Cialis, also known as tadalafil, is another of the two medications that are widely used for treating ED. Cialis works by increasing blood flow to the penis, allowing for firmer and longer-lasting erections.

How Viagra Works

Viagra is a phosphodiesterase type 5 (PDE5) inhibitor that increases blood flow to the penis during sexual stimulation. It works by relaxing the blood vessels in the penis, which allows for increased blood flow, resulting in an erection.