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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’.
A total of 11 list companies are available on the application, and 1 is a prescription drug product (eg. Viagra, Cialis, Levitra, Stendra, Spedra, Cialis, Spedra Connect, Tadalafil). Dr Fox believes thatforum list ofApplication – see 438 previously.

Categories of medicines for general information

In the UK have 2 categories:

P – Prescription medicine:supplied by a healthcare professional byContents of cookies. Dr Fox uses learn more about general cookies.

Viagra 100mg 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, 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?

Erectile dysfunction, also known as erectile dysfunction in men, is the inability to achieve or maintain an erection during sexual activity. It can be caused by various factors, including physical, psychological, or lifestyle factors. When individuals experience erectile dysfunction, they often describe it as difficulty falling asleep or having a headache, leading to frustration and anxiety. It can be long-lasting and can damage the penis. In this article, we will explore the causes of erectile dysfunction and develop a treatment plan for managing it.

BPH

BPH is a condition that inflates the prostate gland and affects men's health. It can be caused by a variety of factors, including physical conditions, medications, or surgeries. Patients with urinary incontinence often take BPH medication to enhance solifion and void-of- nowhere erectile dysfunction (Viagra) function. This condition, also known as men's incontinence, causes the bladder to become full and the urethra to expand, increasing leakage of urine. Patients with diabetes, high blood pressure, or heart disease often take BPH medication to relax the bladder and muscles, leading to increased urine flow and leakage. Patients with Peyronie's disease may take this medication to enhance solifion and void-of- nowhere erectile dysfunction function.

Although BPH is generally well-tolerated, it may cause side effects in some individuals. Common side effects of Viagra can include headache, facial flushing, indigestion, and nasal congestion. Serious side effects have been reported, including sudden vision loss, hearing loss, chest pain, and severe chest pain when urinating. Viagra can interact with other medications, such as, blood pressure medications, antibiotics, immunosuppressants, or medications for pulmonary hypertension. It's important to discuss any treatment changes with a healthcare professional before starting Viagra or any medication for erectile dysfunction.

Is Viagra safe for use?

Viagra is a prescription medication that is usually taken as a single dose of 25 mg or 50 mg. It is important for a person to understand that Viagra can only be used if they are prescribed by a healthcare professional, as it can cause side effects. However, it is important to discuss any concerns or questions about Viagra with a doctor and to seek professional medical attention if they suspected that a person had serious health concerns or signs of a serious health condition. Generic versions of sildenafil are also available, allowing a person to combine them with another medication.

It is important to note that Viagra should not be taken if you are allergic to sildenafil or any of the ingredients in Viagra. If you are taking medications that can cause. This means that it's important to consult a healthcare professional before taking Viagra.

When should Viagra not be used?

When it comes to deciding what should be taken during a sexual activity, it's important to discuss all of your current medications with a healthcare professional. Some medications can increase the risk of side effects, while others can worsen them. It is important to follow the prescribed dosage and not exceed it without being patient.

The most common side effects of Viagra include headache, flushing, indigestion, and a stuffy or runny nose. In some cases, sexual dysfunction may occur. It’s possible to have an erection that lasts longer than four hours and may cause painful, prolonged erections that last longer than four hours. These effects may be temporary or permanent.

It’s important to note that these side effects do not always disappear as you get older. If you experience persistent side effects or any of the following symptoms, stop taking Viagra and seek medical attention right away. See your doctor right away if you have any persistent side effects. They may be able to help.

Serious side effects of Viagra can include:

  • Headache
  • Indigestion
  • A stuffy or runny nose
  • Chest pain
  • Sudden vision loss
  • Sudden hearing loss
  • Sudden strength or vision loss
  • Sudden priapism (prolonged, painful erection)

Stop taking Viagra and get medical help right away if you have any of these serious side effects:

  • Sudden dizziness
  • Sudden headache
  • Sudden lightheadedness
  • Sudden muscle pain
  • Sudden muscle weakness

If you experience any of the following side effects, tell your doctor immediately:

  • Sudden loss of hearing
  • Sudden loss of eyesight
  • Sudden vision problems
  • Sudden chest pain
  • Sudden fast or irregular heartbeat
  • Sudden prolonged dizziness
  • Sudden severe stomach pain
  • Sudden ringing in the ears
  • Sudden prolonged hearing
  • Sudden rapid weight gain
  • Sudden loss of interest in sexual activity
  • Sudden numbness or weakness in the legs or arms
  • Sudden numbness or weakness in the feet or hands
  • Sudden painful or difficult urination
  • Sudden difficulty in breathing or swallowing
  • Sudden changes in the vaginal discharge or painful changes in the penis
  • Sudden chest pain or other heart problems

If you experience any of the following symptoms, stop taking Viagra and seek medical attention right away:

  • Sudden sudden lightheadedness
  • Sudden prolonged erection (priapism)

It’s important to note that these symptoms do not rule out other conditions that may have caused the symptoms. They only serve to increase your risk of getting a dangerous side effect. If you experience any of the following symptoms, stop taking Viagra and seek medical help right away.

VIDEO

What is Viagra (sildenafil)?

Viagra (sildenafil) is used to treat erectile dysfunction. Erectile dysfunction is the inability to get or keep an erection for satisfactory sexual activity in men, also known as impotence. Sildenafil belongs to a class of medications called phosphodiesterase type5 (PDE5) inhibitors. Viagra works by relaxing muscles found in the walls of blood vessels and increasing blood flow to the penis during sexual stimulation to get and keep an erection. Keep in mind that Viagra does not cure erectile dysfunction or increase sexual desire.

under the brand Revatio is also used to treat pulmonary atrial hypertension (PAH). If you are taking Revatio do not take Viagra unless directed by your physician.

Buy Viagra Online : Know the Dosage

The recommended dose is 50mg about 1 hour before sexual activity, but it can be taken from 30 minutes to 4 hours before intercourse. The maximum daily dosage is once per day, with or without food. The dosage can be increased to 100mg or decreased to 25mg based on toleration and effectiveness. Viagra 100mg are available in KamaHealth.

Side Effects

MedicationOnsetDuration
Sildenafil (Viagra)30-60 minutes4-5 hours

The most common side effects consist of the following:

  • Headache, nausea, and dizziness
  • Stuffy nose, nosebleed
  • Temporary redness of neck and face
  • Backache, indigestion

If you are a heart patient, sexual activity could put extra strain on your heart. If you experience the following serious side effects while having sex, stop and get medical help right away. The side effects include:

  • Severe dizziness
  • Nausea
  • Chest/jaw/left arm pain
  • Fainting

Some patients may experience serious side effects; if you experience these, get medical help right away. Serious side effects include:

  • Temporary memory loss
  • Seizures
  • Serious allergic reaction, including rash, itching or swelling (especially of the face, tongue, or throat), severe dizziness, and trouble breathing.

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