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:
Cialis 5mg Tadalafil 20mg tablet contains the active ingredient Tadalafil which belongs to the group of medicines called phosphodiesterase type 5 inhibitors. This medicine is used to treat erectile dysfunction (ED) in men; this is a class of drugs used to treat benign prostatic hyperplasia (BPH) (also known as an enlarged prostate).
Cialis 5mg Tadalafil 20mg tablet should be taken with or without food in any seven days. Take this medicine in the following ways:
• Take it at about the same time each day • Take it less than a hour before you plan to have sex. Never take it in larger or smaller amounts or without medical advice.
The dosage should be based on your medicine’s effectiveness. The dosage can be increased, decreased or not depending on what you are trying to do. There may be a lower dosage than required by your health condition. Do not make any majori changes in your dosage except when you havedone which may give you more than you wanted.
The time period for which Cialis 5mg Tadalafil 20mg tablet should be used depends on what your health condition is, your medicine’s effectiveness, and what your age group is. Do not give to children or growing children more than once in a 24-hour period.
You should know that Cialis 5mg Tadalafil 20mg tablet should not be used by women, children or men over 16 years of age if they are having any serious side effects.If you have had any of the following symptoms treated with Cialis 5mg Tadalafil 20mg tablet, you may bethia say “Yes, I am a teenager. I have had a lot of Erectile Dysfunction recently, but now it’s affecting my ability to get or keep an erection. My partner was very impotent before I had an erection. My partner also has low blood pressure, and my blood pressure is very low. I can’t get an erection.” You can take Cialis 5mg Tadalafil 20mg tablet as long as you read the patient information leaflet that comes with your medicine. If you do not understand the patient information leaflet, then you can take another Cialis 5mg Tadalafil 20mg tablet, but this time you must wait at least 14 days after you start taking the medicine before you start having sex. You can take another Cialis 5mg Tadalafil 20mg tablet if you have not been advised by your doctor to take this medicine before having sex.”Cialis 5mg Tadalafil 20mg tablet may be taken with or without food.Cialis 5mg Tadalafil 20mg tablet may be taken in the dose of 2.5 mg or 5 mg. The usual dose is 5 mg taken with or without food.
Cialis 5mg Tadalafil 20mg tablet may be taken in the dose of 5 mg.
Cialis 5mg Tadalafil 20mg tablet may be taken in the dose of 10 mg. The usual dose is 10 mg taken with or without food.
Cialis 5mg Tadalafil 20mg tablet may be taken in the dose of 20 mg. The usual dose is 20 mg taken with or without food.
Cialis 5mg Tadalafil 20mg tablet may be taken in the dose of 30 mg. The usual dose is 30 mg taken with or without food.
Cialis 5mg Tadalafil 20mg tablet may be taken in the dose of 60 mg. The usual dose is 60 mg taken with or without food.
Cialis 5mg Tadalafil 20mg tablet may be taken in the dose of 90 mg. The usual dose is 90 mg taken with or without food.
Cialis 5mg Tadalafil 20mg tablet may be taken in the dose of 120 mg. The usual dose is 120 mg taken with or without food.
Cialis 5mg Tadalafil 20mg tablet may be taken in the dose of 130 mg. The usual dose is 130 mg taken with or without food.
Cialis 5mg Tadalafil 20mg tablet may be taken in the dose of 150 mg. The usual dose is 150 mg taken with or without food.
Cialis 5mg Tadalafil 20mg tablet may be taken in the dose of 180 mg. The usual dose is 180 mg taken with or without food.
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.
Show more Cialis can cause:Headache 558-3725Other side effects may also be reported, including:
If you experience any serious side effects, such as an erection that is painful, begun within the first five minutes of taking Cialis, or began five minutes after taking Cialis, notify your doctor.
As with all prescription medications, inform your doctor of any medical conditions you manage, including any of the following:
As with all prescription medications, let your doctor know if you experience any uncomfortable side effects. You may experience some well-being side effects.
As with all prescription medications, let your doctor know if you currently have an allergic reaction to Cialis or any other drug during sex. If you develop any rash, itching, swelling, or difficulty breathing, seek medical attention immediately.
If you have any concerns about a side effect, including a concern over an erection that is painful, begin taking Cialis. As with all prescription medications, let your doctor know if you experience any changes in your heartbeat or chest pain during sex.
Warnings/Precautions When taking CialisAs with all prescription medications, let your doctor know if you experience side effects, which may require a different dosing schedule than what is being taken. Let your doctor know if you are taking any other medications, including other types of oral contraceptives.
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