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:
1.Nitrates (e.g., nitroglycerin, isosorbide dinitrate): Cialis and nitrates both lower blood pressure. Taking them together can cause a significant and potentially life-threatening drop in blood pressure (hypotension), leading to dizziness, fainting, or even heart attack or stroke. It is contraindicated to use Cialis with nitrates or recreational "poppers" (amyl nitrites).
2.Alpha-blockers (e.g., prazosin, terazosin, tamsulosin): Both Cialis and alpha-blockers relax blood vessels, which can lead to excessive blood pressure reduction when used together. This may result in dizziness, fainting, or orthostatic hypotension (a sudden drop in blood pressure when standing). If needed, your doctor may adjust the dosage or recommend spacing the medications.
3.Other antihypertensive drugs (e.g., atenolol, propranolol, enalapril, lisinopril): Cialis can enhance the blood-pressure-lowering effects of these medications. While this interaction is usually less severe than with nitrates or alpha-blockers, it can still cause dizziness or fainting in sensitive individuals. Close monitoring of blood pressure is recommended.
Cialis (tadalafil) can interact with certain foods and beverages, potentially altering its effectiveness or increasing the risk of side effects. Here are the key drug-food interactions to be aware of:
Please refer to the B. V. (Viagra, brand name Cialis) or C. (Viagra, generic Viagra) medications. and C. (Viagra, brand name Viagra) medications are only available with a Vigrx phone order. No other online pharmacies are offering B. or C. (Viagra, brand name Viagra, generic Viagra) medications.
Cialis manufacturer and/or manufacturer limitedCialis, generically, is available in various dosage forms, including:
Cialis is a drug that is used to treat erectile dysfunction. It is a PDE-5 inhibitor, and it is available as a generic medication. The active ingredient in Cialis is Tadalafil. The generic name of the drug is Tadalafil, and its active ingredient is.
This medication can be taken with or without food. It is best taken about one hour before sexual activity. Do not take more than one dose in 24 hours.
If you are taking a low-dose version of this medication, it may not be enough for you. It is important to follow the dosage instructions from the doctor, and to not to take more than one dose in 24 hours.
In addition, the dosage for Cialis will depend on the age and the severity of the erectile dysfunction. For the highest dose of Cialis, the dose is 50 milligrams.
The dosage of Cialis for men can be found in the dosage section. Cialis is available in the form of a tablet. It should be taken once a day with or without food, but do not take more than one dose of this medication every day. To ensure the safety of the medication, avoid taking more than one dose in 24 hours.
It is recommended to take the medication as directed, with or without food, as instructed by your doctor. Do not exceed the recommended dose. Follow the instructions carefully. Do not stop taking your medication without your doctor's advice.
Cialis is an oral drug that is prescribed to treat erectile dysfunction. It is available in the form of a tablet. It is taken orally. The drug is taken once a day.
Cialis is also available in the form of a capsule, which is taken orally. The dosage is based on the dose and the symptoms of the disease. Cialis is taken for the treatment of erectile dysfunction. The dose of Cialis is determined by your doctor.
Cialis works by increasing blood flow to the penis. When this happens, the erection will be harder. The effects of Cialis can last for up to 36 hours. The medication will not cause an erection for a shorter period.
It is taken orally, with or without food.
The side effects of Cialis may include the following:
These effects usually go away after a few days. If you continue to experience side effects after a few days, talk to your doctor.
If you experience any of the following symptoms, stop using the medication and contact your doctor immediately:
The dosage for Cialis will depend on the severity of the erectile dysfunction. For the highest dose of Cialis, the dosage is 50 milligrams.
1.Nitrates (e.g., nitroglycerin, isosorbide dinitrate): Cialis and nitrates both lower blood pressure. Taking them together can cause a significant and potentially life-threatening drop in blood pressure (hypotension), leading to dizziness, fainting, or even heart attack or stroke. It is contraindicated to use Cialis with nitrates or recreational "poppers" (amyl nitrites).
2.Alpha-blockers (e.g., prazosin, terazosin, tamsulosin): Both Cialis and alpha-blockers relax blood vessels, which can lead to excessive blood pressure reduction when used together. This may result in dizziness, fainting, or orthostatic hypotension (a sudden drop in blood pressure when standing). If needed, your doctor may adjust the dosage or recommend spacing the medications.
3.Other antihypertensive drugs (e.g., atenolol, propranolol, enalapril, lisinopril): Cialis can enhance the blood-pressure-lowering effects of these medications. While this interaction is usually less severe than with nitrates or alpha-blockers, it can still cause dizziness or fainting in sensitive individuals. Close monitoring of blood pressure is recommended.
Cialis (tadalafil) can interact with certain foods and beverages, potentially altering its effectiveness or increasing the risk of side effects. Here are the key drug-food interactions to be aware of:
Here are the key antiretroviral interactions:
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