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:
Men are much less likely to be causes for theirenone in a POM, than women, and it is very rare for a problem to occur that is caused by a man’s. However there is a small chance of a small number of men beingmanagement of ED have been linked with a. There is a small chance of a few of a low levellence (eg.
Viagra Connect is an effective treatment for erectile dysfunction (ED). Erectile dysfunction is a common problem that includes difficulty getting or keeping an erection. If you’re affected by erectile dysfunction, there is treatment and support available that can help, including medicines such as Viagra Connect.
If you have a low libido, understanding the cause of this and getting help to increase your libido, may change the way you think and feel about sex. There is support available that may help, including talking to a professional such as a psychologist or counsellor. Your doctor may be able to refer you for counselling, or you can.
Viagra Connect relaxes the blood vessels in the penis to increase blood flow. This means that you can get an erection when you’re sexually aroused. After sexual activity, your erection will go away as it normally would.
If you’ve decided to take Viagra Connect to treat your erection problems you should swallow one whole tablet with some water, about an hour before you want to have sex. Don’t take more than one tablet a day.,
Remember to read the instructions that come with the medicine carefully, or talk to a pharmacist or your GP if you’re not sure how to take Viagra Connect. They’ll be able to give you more information and support.
Viagra Connect isn’t suitable for everyone, including people with some other health conditions such as heart problems. Talk to your GP or a pharmacist about whether Viagra Connect is the best treatment option for you.
It usually takes about one hour for Viagra Connect to start working., Most people take one tablet about an hour before they want to have sex. But everyone is different and for some people, it may take more or less time to get an erection after taking Viagra Connect.
After sex, your erection should go away normally. If it doesn't, contact your GP, a pharmacist, or.
Once you've taken Viagra Connect, it will stay active for up to four hours.
Viagra Connect will take up to 10 minutes after you take it. — Viagra Connect + Read the Patient Information and ConditionsTalk to your GP or a pharmacist about using this to treat your erection problems.
Take one tablet about an hour before you want to have sex. You can take Viagra Connect with or without food.
Some men don't need to take these because they can take Viagra Connect at any time during the day. But for others, there may be a risk of taking Viagra Connect after having had a alcohol or drug reaction to these ingredients.
Tell your GP or a pharmacist if you’re taking any other medicines, including any medicines, vitamins, or supplements that you take regularly.
Sildenafil citrate, commonly known by the brand name, is a prescription-only medicine used to treat erectile dysfunction (ED) in adult men. It works by improving blood flow to the penis, helping to achieve and maintain an erection during sexual activity.
Sildenafil is available in 25mg, 50mg, and 100mg strengths.
Sildenafil has been shown to be effective in up to 80% of men with ED, with effects typically noticeable within 30 to 60 minutes, and lasting for up to 4–5 hours.
Common side effects include:
Less common but serious effects include visual disturbances, hearing changes, or prolonged erections. Seek medical attention if severe or persistent side effects occur.
Sildenafil should not be used by those:
Inform your doctor of all medications and supplements before use. Interactions may occur with:
Avoid excessive alcohol while taking sildenafil, as it can lower blood pressure and increase side effect risk. Use with caution if you have any heart-related conditions.
Sildenafil is available by prescription only in the UK.
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Store Notice: Orders placed after 11:00 AM on Friday, 23 May 2025 will be processed on the next working day, Tuesday, 27 May 2025, due to the bank holiday weekend. Thank you for your understanding.
Side Effects for customersSildenafil is generally well tolerated, with a low incidence of side effects. However, some milder side effects may include:
If you suffer from any side effect, mention this product as soon as possible in the item field and include with your order. This is helpful for people with rare side effects such as:
Side Effects from orderSildenafil is usually well-tolerated, with some cases often managed with food. However, many men may require dose reduction or alternative medications to mitigate side effects.
WIPO Arbitration and Mediation Center
ADMINISTRATIVE PANEL DECISION
Pfizer Inc. v. John H. Leyden
Case No. D2008:08-cv-00166-JN
1. The Parties
The Complainant is Pfizer Inc., of New York, New York, United States of America, represented by Baker & Daniels, United States of America.
The Respondent is John H. Leyden of The Netherlands.
2. The Domain Name and Registrar
The disputed domain name <viagra-london-advice.com> is registered with e-mail services provider e-mail.com and is registered with e-mail services provider e-mail.com.
3. Procedural History
The Complaint was filed with the WIPO Arbitration and Mediation Center (the“Center”) on April 7, 2008. On April 8, 2008, the Center transmitted by email to e-mail service provider e-mail.com a request for registrar verification in connection with the disputed domain name. On April 9, 2008, the Center transmitted by email to e-mail service provider e-mail.com a response confirming that the Respondent is listed as the registrant and providing the contact details. On April 10, 2008, the Center transmitted by email to the Center for verification of registrant and providing the contact details. On April 11, 2008, the Center transmitted by email to the Center for verification of registrant and providing the contact details. On April 12, 2008, the Center transmitted by email to the Center for verification of registrant and providing the contact details. The Center transmitted by email to the Complaint’s contact.
4. Discussion and Findings
In accordance with the servings in the Complaint, the Center has verified that the Respondent is listed as the registrant and providing the contact details in connection with the disputed domain name. In accordance with the servings in the Complaint, the Center verified that the Respondent is listed as the registrant and providing the contact details. The Center verified that the Respondent is listed as the registrant and providing the contact details.
5.
The Complaint was filed with the Center’s registration office for registrant and providing the contact details.
The Center transmitted by email to the Center for verification of registrant and providing the contact details.
On April 15, 2008, the Center transmitted by email to the Center for verification of registrant and providing the contact details. On April 16, 2008, the Center transmitted by email to the Center for verification of registrant and providing the contact details. On April 16, 2008, the Center transmitted by email to the Complaint’s contact details.
6. Findings
In connection with the disputed domain name, the Center verified that the Respondent is listed as the registrant and providing the contact details. On April 16, 2008, the Center verified that the Respondent is listed as the registrant and providing the contact details.
On April 17, 2008, the Center verified that the Respondent is listed as the registrant and providing the contact details.
On April 18, 2008, the Center verified that the Respondent is listed as the registrant and providing the contact details.
Stade de France Pharmacy