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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’.
Currently, 5 types of POM medicines are available from various retail outlets,*:
  1. POM 10mg – A low dose taken as a 10mg tablet taken as a 10mg tablet.
  2. POM 20mg – A low dose taken as a 20mg tablet taken as a 20mg tablet.
  3. POM 30mg – A low dose taken as a 30mg tablet taken as a 30mg tablet.
  4. etc. All 3 of these medicines contain the same active ingredient, which we (MHRA) =£.

Order Genuine Viagra Online And Get Relief From Erectile Dysfunction

17 August, 2020|Holy Winter - Healthcare Writer

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Viagra is a prescription medication – whether you want to online or offline, you will need a prescription. Regulated internet pharmacies provide confidential and convenient services where you simply select the preferred treatment and answer a few simple questions relating to your health. Your answers will be reviewed by a qualified doctor to assess your suitability for the treatment. If you’re found to be eligible, the doctor will provide a free e-prescription and the pharmacy section of the establishment will dispatch the medication at the earliest.

Select From Different Options

Viagra tablets are available in different strengths ranging from 25 mg to 100 mg. While buying Viagra tablets online, you can choose the desired strength and the number of tablets – delivery is still subject to approval by the qualified doctor. You also have the choice of opting for low-cost generic Sildenafil (the active ingredient in Viagra) or genuine Viagra manufactured by Pfizer. If cost is not an obstacle, original Viagra is a great option since it’s trusted worldwide.

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Reviewed By

Omar El-Gohary

The superintendent and lead pharmacist - registration number 2059792.

Omar is passionate about developing healthcare technology to empower our patients.

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IMPORTANT NOTICE: Please be aware, prior to sale, you are advised to have a short phone call consultation with our Pharmacist. Automatic purchase consents the Pharmacist to give you a quick call.

Viagra Connect is available without a Prescription but requires a brief consultation with the Pharmacist. It is available in a 4 pack or an 8 pack. Viagra Connect contains Sildenafil 50mg which works by relaxing the penis blood vessels, allowing blood to flow when you get aroused causing erections and potency. Viagra Connect will only help men become erect if you are aroused. Only for adult use, men 18 years plus.

How to be taken:

  • The recommended dose is one 50 mg tablet taken with water approximately one hour before bedtime activity
  • The maximum recommended dosing frequency is once per day
  • The onset of sexual activity may be delayed if Viagra Connect is taken with food, compared to without food
  • Please read Instructions provided with the product carefully before taking.

VIAGRA CONNECT is not to be taken if:

  • There is no problem with gaining erections.
  • Nitrate medicine is taken for chest pain or heart failure
  • Amyl nitrite, so-called “poppers”, is taken as recreational drugs
  • Riociguat (or other guanylate cyclase stimulators) is taken for high blood pressure in the lungs
  • Ritonavir is taken for the treatment of HIV
  • Your Doctor has advised you to avoid activity because of a problem with your heart or blood vessels
  • You have a heart problem such as a recent heart attack or stroke (within the last 6 months), Chest pain (Angina) or severe Heart failure (reduced pumping capacity of the heart)
  • You have a liver problem
  • You have low blood pressure (below 90/50 mmHg) which can cause symptoms such as tiredness, dizziness, light-headedness, feeling sick, clammy skin, depression, loss of consciousness, or blurry vision
  • Loss of vision has occurred before because of nerve damage in the eyes, such as non-arteritic anterior ischaemic optic neuropathy (NAION); or have a rare inherited eye disease, such as retinitis pigmentosa
  • You have a deformed penis
  • You are a woman
  • You are under 18 years of age
  • You are allergic to sildenafil or any of the other ingredients of this medicine

Please read instructions carefully provided.

Viagra Connect is a fast acting drug for erectile dysfunction which can last up to 4 hours and takes effect within 30 minutes after administration.

Sildenafil Citrate 50 mg Tablets: This tablet is specifically formulated to treat the symptoms of erectile disfunction and is highly effective in treating it, the most common sexual disorder affecting men over the age of 40 years. Provides a solution to erectile dysfunction in men who suffer from impotence due to conditions such as heart disease or diabetes, or who have problems with their physical or mental health.

Viagra Connect ensures fast and effective results that last as long as 36 hours and come without side effects. It works by relaxing the blood vessels in the penis, allowing blood to flow into the phallus when you get sexually excited and causing the desired stiffness.

Side effects are possible from application of the tablet:

• Headache • Viagra Connect may cause a mild drop in blood pressure which is usually not severe

• Stuffy or runny nose (priapism) • Headache (feeling of severe headache or dizziness) • Dizziness, back pain, muscle pain, flushing, nasal congestion, and dizziness • Stomach problems such as heart failure, kidney disease, liver disease, bleeding problems, kidney impairment, retinitis pigmentosa

If you experience any other side effects please talk to your doctor.

We only provide safe medication which is appropriate for your age and ability.

Active Ingredient: Sildenafil

Viagra Connect is available without a prescription.

The active ingredient content of this book is safe and works only with your doctor's supervision.

Sildenafil, commonly known as Viagra, is a medication used to treat erectile dysfunction (ED) in men. It works by increasing blood flow to the penis, helping men achieve and maintain an erection during sexual activity.

It is important to note that sildenafil may not be the right fit for everyone. It should only be used under the guidance and supervision of a healthcare professional, as it may not provide the same level of protection as other medications that require medical supervision.

Sildenafil is available as a generic equivalent, and it can also be found in other forms such as the following:

Generic Viagra (Generic Cialis)

  • Cialis
  • Levitra
  • Stendra

These generic sildenafil formulations are designed to be more affordable than the brand-name versions. Generic sildenafil offers the same benefits without compromising on quality.

Sildenafil (Cialis)

  • Tadalafil

Sildenafil (Stendra)

        Sildenafil (Stendra) is available in generic equivalent, and it can also be found in other forms such as the following:

            The British health authority has seized an order to buy Viagra from a man who had been arrested by a customs official. The man, known as Martin, was arrested by the customs officer, who said he had been arrested for selling a counterfeit Viagra. The man has been charged with the sale of a fake product, and it is alleged that he had the counterfeit product for sale from a British pharmacy, which was also found to be counterfeit.

            In this case, Martin, who was aged 38, was arrested in a north-eastern village in the UK and charged with selling counterfeit Viagra, which is a prescription drug containing sildenafil and the active ingredient in erectile dysfunction drugs. His arrest was part of a large operation by the health authority. A customs officer, who was not part of the investigation, said the operation was a huge operation, with more than 100,000 customs officials being seized each day in England.

            The operation involved the possession of Viagra, an erectile dysfunction drug, by a man at a NewAnyone Clinic in the UK, as well as a prescription drug, Viagra. The man was arrested by the customs officer after an investigation and arrest by the police. He is said to be taking the drug from the pharmacy where it was found. The man told the customs officer he bought it from a New Anyone Clinic and then went to his house and bought it again. The man said he then went to the shop where he was selling the counterfeit product and bought it from a British pharmacy. The man said he went to the store where the fake product was found and bought it from the pharmacy. The man said he bought it from a British pharmacy and then went to the shop where it was found. The man said he then went to the shop where the counterfeit product was found.