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:
______ – off the shelf MSE medicines
______ is a list-like product for use at home.
Erection problems (impotence) are very common, particularly in men over 40.
Most men occasionally fail to get or keep an erection. This is usually due to stress, tiredness, anxiety or drinking too much alcohol, and it’s nothing to worry about.
If it happens more often, it may be caused by physical or emotional problems.
Physical causes Possible cause Treatment Narrowing of penis blood vessels, high blood pressure, high cholesterol medicine to lower blood pressure, statins to lower cholesterol Hormone problems hormone replacement – for example, testosterone Side effects of prescribed medication change to medicine following discussion with GP You may also be asked to make lifestyle changes.
Do lose weight if you’re overweight stop smoking eat a healthy diet exercise daily try to reduce stress and anxiety
Don’t cycle for a while (if you cycle more than 3 hours a week) drink more than 14 units of alcohol a week
Possible side effects
Like all medicines, this medicine can cause side effects, although not everybody gets them. These effects are normally mild to moderate in nature.
If you experience any of the following side effects stop using the medicine and seek medical help immediately:
allergic reactions including rashes (frequency uncommon). chest pain – do not use nitrates but seek immediate medical assistance (frequency uncommon). priapism, a prolonged and possibly painful erection after taking CIALIS (frequency rare). If you have such an erection, which lasts continuously for more than 4 hours you should contact a doctor immediately. sudden loss of vision (frequency rare). Other side effects have been reported:
Common (seen in 1 to 10 in every 100 patients)
headache, back pain, muscle aches, pain in arms and legs, facial flushing, nasal congestion, and indigestion. Uncommon (seen in 1 to 10 in every 1,000 patients)
dizziness, stomach ache, feeling sick, being sick (vomiting), reflux, blurred vision, eye pain, difficulty in breathing, presence of blood in urine, prolonged erection, pounding heartbeat sensation, a fast heart rate, high blood pressure, low blood pressure, nose bleeds, ringing in the ears, swelling of the hands, feet or ankles and feeling tired. Rare (seen in 1 to 10 in every 10,000 patients)
fainting, seizures and passing memory loss, swelling of the eyelids, red eyes, sudden decrease or loss of hearing, hives (itchy red welts on the surface of the skin), penile bleeding, presence of blood in semen and increased sweating. Heart attack and stroke have also been reported rarely in men taking CIALIS. Most of these men had known heart problems before taking this medicine.
Partial, temporary, or permanent decrease or loss of vision in one or both eyes has been rarely reported.
The recommended starting dose of CIALIS is 10mg taken as a single dose. It is taken between 30min before sexual activity and it is usually continued for5-10minutes in succession. The effects of CIALIS may be felt within 24 hours. Maximum effect is only seen in men who experience at least 1 event of erectile dysfunction within 24 hours.
The effects of CIALIS can last for up to 5 days. If you do not receive any benefit while taking this medicine do not take more CIALIS than is recommended to maintain sexual activity. Take CIALIS no later than 6 hours after each main meal (between 4-8 p.m. for example). Do not take a double dose to make up for a missed dose.
If you have been advised to reduce your dosage gradually, repeat that schedule every day. Do not increase your dosage more than 14 days after your last dose. Do not take CIALIS more than 6 months after your last dose.
Take your dose as soon as you remember. Skip your regular dose of CIALIS, but do not take more than 1, 10 or 20mg within a 24 hour period.
If you notice an improvement in your erection after a few weeks, you should continue taking CIALIS as prescribed. If you experience symptoms of erectile dysfunction after a few weeks, it is recommended you inform your doctor. You may need an assessment including sexual function, to be sure CIALIS is working. If so, your doctor will prescribe an alternative medication.
Cialis 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 Cialis 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 Cialis. Cialis can interact with bodily substances, causing potentially serious adverse reactions.
Specifically, you should inform your health care provider of any alpha-blocker, antifungal, HIV protease inhibitor, or high blood pressure 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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Warnings And Packaging Cialis (Tadalafil) is a prescription medication used to treat erectile dysfunction (ED) in men. Cialis may also be used for the treatment of pulmonary arterial hypertension (PAH). Cialis may cause dizziness or fatigue while standing up quickly.Before taking Cialis, tell your doctor if you have ever had an erection that lasts more than 4 hours. This may be a sign of a serious condition.
Cialis can cause side effects, including:
As with all prescription medications, inform your doctor of any medical conditions you have in order to anonymity, Do not take.
As with all prescription medications, inform your doctor if you have ever been advised by your doctor to avoid sexual activity for medical reasons or if you have ever experienced any side effects from taking Cialis.
Cialis is a popular brand name for the medicine tadalafil (known as “the weekend pill”). Cialis is the brand name of tadalafil used for the treatment of Erectile Dysfunction in men. Cialis is available in various strengths for a number of conditions, like Cialis Daily, Cialis vs. Cialis, and Cialis vs. Cialis. Cialis is a generic drug and is also sold under the name of Cialis. Cialis is a generic version of Cialis that is manufactured by Eli Lilly and is available in different strengths and form.
Cialis is a type of medication called a PDE5 inhibitor. PDE5 is a group of chemical messengers that communicate with the smooth muscle cells of the penis to improve blood flow to the penis and to help you achieve an erection. Cialis works by relaxing the blood vessels in the penis, allowing the blood to flow more easily. Cialis is a popular drug for men who are experiencing sexual dysfunction. Cialis is also known as the weekend pill because Cialis works for men who do not need to plan their sexual activities to have an erection.
Cialis for daily use offers a convenient solution for those who are looking for a reliable option for daily use. It contains Tadalafil, a phosphodiesterase type 5 (PDE5) inhibitor that works by increasing blood flow to the penis, helping men achieve and maintain an erection when sexually stimulated. It is also used to treat benign prostatic hyperplasia (BPH) and pulmonary arterial hypertension (PAH).
It is available in various strengths, including 25mg, 50mg, and 100mg, depending on the size of your tablet. It is important to note that daily use of Cialis for a specific duration should be under the guidance of a healthcare professional, as it may cause side effects and interact with other medications. It is also important to follow the dosage instructions provided by your healthcare provider and take it exactly as directed by your doctor. If you experience any adverse effects, it is important to contact your healthcare professional immediately.
Cialis for daily use, the active ingredient in Cialis for daily use, is primarily used to treat erectile dysfunction (ED) in men. The medication is known for its ability to improve blood flow to the penis, and its effectiveness varies depending on the individual and the underlying condition being treated.
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