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:
It is a common misconception that Viagra is better than Viagra. It is a drug that does not work for the user. In fact, it does not work for everyone and may even cause some side effects. It is recommended to take Viagra or Cialis one to two hours before sexual activity. Viagra can be taken before, during, and after sex. The drug is available in two forms: oral jelly, which is similar to the tablet, and topical gel.
It can be taken with or without food. The drug can be taken with or without food. The drug can be taken with or without water. It is recommended to take Viagra with a fatty meal.
The following should be followed:
You should follow these tips:
Canada has a very good reputation for providing online Canadian pharmacies with a wide selection of prescription drugs. With a large number of Canadians using Canadian pharmacies, we hope to encourage Canadians to buy Canadian prescription medications.
The Canadian Pharmacy Association of Canada (CPAC) has set a number of standards and guidelines for the operation of Canada’s online pharmacies. To read more about CPAC, please visit the
The Canadian Pharmacy Association (CPA) is the trade association for Canadian pharmacies in Canada. It is headquartered in Toronto. CPAC is an affiliate of CPA Canada Ltd. The group has made a significant effort to secure the access of Canadian pharmacies through the use of the website, by allowing Canadian pharmacies to buy prescription medications from Canada without requiring a prescription.
Canadian pharmacies are licensed in Canada and the U. S. and are available in more than 500 countries around the world. Canadian pharmacies will also be able to fill the orders of Canadian patients. For more information on Canadian pharmacies, please see the
Canada has a number of important consumer benefits that should be considered when ordering prescription medications from Canada. Canadian pharmacies are able to offer some of the most widely used prescription drugs in Canada:
Canada drugstores are the biggest source of Canadian medications, and have many of the most popular drugs available:
Canadian drugstores are available in Canada for a variety of prescription medications, from over 100 different drugs, and from a variety of different categories.
Viagra Connect is an effective treatment for erectile dysfunction (ED). It contains the active ingredient sildenafil citrate, which belongs to a class of drugs called phosphodiesterase type 5 (PDE5) inhibitors. Viagra Connect works by increasing blood flow to the penis during sexual stimulation, helping men achieve and maintain an erection. Viagra Connect is taken orally, approximately 30 minutes to 1 hour before sexual activity. It is important to note that Viagra Connect should only be used as part of a comprehensive treatment plan for erectile dysfunction, as it may not be effective for all men. It is important to consult with a healthcare professional before taking Viagra Connect to ensure it is safe and appropriate for you. Additionally, it is recommended to avoid alcohol and grapefruit juice while taking Viagra Connect as they may interact with other medications and substances.
Viagra Connect is not a substitute for sexual activity. It is a type of medicine called a phosphodiesterase type 5 (PDE5) inhibitor. It works by relaxing the blood vessels in the penis, allowing for increased blood flow and allowing for an erection when sexually stimulated. The active ingredient in Viagra Connect helps men achieve and maintain an erection when sexually stimulated.
Viagra Connect is not suitable for everyone, particularly those who have certain medical conditions or are taking other medications. Viagra Connect should not be taken by men who have experienced erectile dysfunction (ED).
Viagra Connect relaxes the blood vessels in your penis, allowing blood to flow into the penis when you get sexually excited. This causes an erection to occur.
Viagra Connect is not a cure for erectile dysfunction but it can help to improve sexual function and satisfaction in men with erectile dysfunction.
Men who take nitrates or "poppers" with tadalafil may experience chest pain or heart failure when taking Viagra Connect. Men who take medications to treat chest pain or pulmonary hypertension should not take Viagra Connect.
Do not take Viagra Connect if you:
Viagra Connect can cause side effects, although not everybody gets them.
Viagra Connect can cause common side effects such as headache, nausea, and dizziness. These side effects are usually mild and subside as your body adjusts to the medication. Rarely, Viagra Connect can cause more serious side effects, including chest pain or heart failure, stroke, or blood vessel problems. Seek immediate medical attention if you have any of the following side effects or conditions.
The most common side effects of Viagra include headache, flushing, and indigestion. More serious side effects, however, include muscle aches or back pain, stomach upset (nausea or vomiting), and changes in heart rate or blood pressure.
are the most common side effects of Viagra.
These are usually mild and temporary, but they can be serious when Viagra becomes dangerously low.
If you experience any of these side effects and have underlying health conditions, you should contact your doctor immediately.
Muscle pain is another common side effect of Viagra. This side effect usually gets better as your body gets used to the medicine.
is when there is muscle pain, tenderness, or stiffness that makes youdizzy. This side effect usually gets worse as your body gets used to the medicine.
Viagra can make you feel very warm, so youworrymay be cold if you take it too close to bedtime.
Back pain and muscle pain are also side effects of Viagra. These side effects usually get better with time.
are pain in the back or side of the body that can affect your ability to move.
are other side effects of Viagra that usually get better with time.
Sneezing is a side effect of Viagra. It usually gets better with time.
Difficulty sleeping is a side effect of Viagra.
is another side effect of Viagra.
Weakness is another side effect of Viagra.
can make you more likely to develop Viagra side effects, such as erectile dysfunction, by increasing the side effects of the medicine.
Nausea and vomiting are other side effects of Viagra. They get better with time.
is usually mild and temporary, but it can be serious if Viagra becomes dangerously low.
If you have underlying health conditions and wish to continue using your medicine, your doctor may have you stop taking the medicine.
Viagra has been known to cause side effects for many years. Some of the most common ones include:
have been known to cause side effects for many years.
If you have underlying health conditions, such as high blood pressure or heart disease, and are taking any other medication, your doctor may have you stop taking Viagra.
If you are not sure about which drug is right for you, seek immediate medical advice.
Stomach upset is another side effect of Viagra.
is a stomach side effect that happens when your stomach gets upset. It gets better with time.
Stade de France Pharmacy