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:
We have been lauded for the solution to someOFs, and, last year, we were unanimously endorsed as a possibly answer to a growing unmet demand for Cialis Together medicine.
Over the counter Cialis Together tablets in many some some have not been easy to obtain, and, it may be that products on the new classification work as well as, or offer some additional benefits.
The cheapest erectile dysfunction (ED) pills are generic Viagra, called.
The term "generic" refers to the active ingredient of a medicine or drug rather than to the advertised brand name under which the medicine is sold. It is a term referring to any drug marketed under its chemical name without advertising.
Pfizer made the originaltablet that is often referred to as the “blue pill”.The patent expired in 2013 which then allowed other pharmaceutical manufactures to make a generic version under the name of the active ingredient called Sildenafil. They are exactly the same medically and perform in the same way with the same side-effects.
As with most branded products, Viagra is sold at a higher price,therefore the generic tablets sold asare much cheaper.
Medically there is no difference between a generic medicine and the branded medicine, as they both have the same active ingredients to make them perform in the same way. They only differ in the “bulking” agents used to fill the tablet as the amount of active ingredient required, in this case Sildenafil, is very small. This makes the tablets bigger and easier to handle.
The main difference between generic andbranded named prescription medicines is cost with generics being much cheaper
Every pharmacy can choose what price they sell at, as there are no fixed prices. It will depend on what price the pharmacy can buy the drug from the wholesaler and the cost of their own overheads. They can they decide what mark-up they require and some pharmacies choose to sell some products at higher prices.
At Webmed pharmacy we aim to keep our prices as low as possible, without compromising the quality of service, as we arethe only online pharmacy to offercourier guaranteed next working day as standard
We offer a very fast, confidential and discreet service that isby the General Pharmaceutical Council (GPhC) and the Care Quality Commission (CQC).
A large proportion of our sales are made up of returning customers as they have been delighted with our service.
When you choose to buy any prescription medication online, you must first of check that the pharmacy is with the General Pharmaceutical Council (GPhC).
All pharmacies using a UK General Medical Council, to prescribe their medicines will also be registered with the UK government Agency the Care Quality Commission (CQC).
Those online pharmacies who are not registered with the CQC either use pharmacist prescribers or foreign doctors.
You will then know and have the confidence that all the brands being offered are genuine and will work in the same way. All the pharmaceutical companies are inspected by the Medicines and Healthcare products Regulatory Agency (MHRA) to ensure they manufacturer the drugs to the same quality standard. This means that the key ingredient that is referred to as the “active” ingredient is exactly the same in all brands.
The other inactive ingredients that make up the bulk of the tablet are called “excipients” and can vary.
For those people who are allergic to or have an intolerance to lactose, then the is ideal for you as it is lactose free. You can check the additional excipients on the patient information leaflet supplied with your tablets.
Although medically all the generic tablets are identical, they may look different as they can vary in colour, shape and size due to the varying excipients.
The patent for, owned by Pfizer, expired in July 2013, which then allowed other pharmaceutical companies to produce generic. There are a number of companies now manufacturing which include Accord, Ajanta, Dr Reddy’s, Mylan, Teva, Torrent and Zentiva. Even Pfizer make a that they sell cheaper than Viagra although generally more expensive than the equivalent generic brands.
Author 19th September 2019
Active ingredient:Sildenafil(sourced from the manufacturers) is available as 25mg, 50mg, and 100mg, as sildenafilclass 18, as well as as other brand name and understudy drugs.
Sildenafil, the active ingredient in Viagra, is one of several ED pills that’s considered a PDE5 inhibitor. When this enzyme is inhibited, it maximizes the effect of nitric oxide in your body. (That’s important, because your body naturally releases this gas when you’re sexually aroused. So it’s key to the process of getting and maintaining an erection.)
With more nitric oxide in play, the muscles around your penis can relax. In turn, blood flow to your penis improves. And it becomes easier to hold onto your erection, so you can enjoy a sexual encounter.
Sildenafil also works quickly. You can take our chewable Sildenafil tablets—only available on bluechew.com—about one hour before sex. Avoid taking food with your ED pills, especially fatty meals, since they can impact your body’s ability to absorb the drug.
When taken according to directions, the medication is fast-acting, reaching its peak concentration in your bloodstream about one hour after dosing. Then, the medication stays in your body for up to six hours, so you can enjoy a great night with that special someone.
How does Sildenafil work? Sildenafil works by relaxing blood vessels in the penis, which can lead to a firm and longer-lasting erection. Because of this, you can take Sildenafil for as long as seven or more days, so you can enjoy a great night with that special someone.If you’d like to learn more about Sildenafil, so that you can get the most out of the medication you’re taken for, we’ve got a guide for you. If you’ve been told to take Sildenafil, discuss that guess with your doctor.
When it comes to erectile dysfunction (ED), there’s a lot of confusion. While Viagra and other ED pills target two common receptors, sildenafil citrate (the active ingredient in Viagra) can’t match up to that of Viagra. That’s because the enzyme that produces nitric oxide in your body is not active throughout your life. And while your body naturally produces nitric oxide, without it, your nerves know what they can do and when to perform simple safety checks like taking a food or exercise habit.
On the other hand, sildenafil can inhibit the production of a large number of neurotransmitters that contribute to erectile dysfunction. For example, sildenafil can’t inhibit the activity of the serotonin transporter, meaning it can’t keep up with the production of other chemicals that might be excreted in your brain.
If you’re taking Viagra because it’s working well for you, but you’re not confident that it’s the most effective ED medication, you may be more likely to experience side effects. For example, you might be concerned about your vision or your hearing since you’re taking Viagra without any concern about that. But if you experience side effects that persist or become severe, you should seek medical advice.
When it comes to erectile dysfunction, there are a few things to keep in mind. The most common difference is in the amount of active ingredients—like sildenafil or Viagra—in your body. In other words, you can take both Sildenafil and Viagra even when you don’t have an Erection-Evers face-to-face or physical struggle.
In addition, sildenafil is available in a variety of doses, which can make taking one moreof them easier on your health. For example, if you take Viagra twice a day but struggle with erectile dysfunction after taking Sildenafil, you may be able to make Viagra more effective for you. On the other hand, sildenafil can be taken with or without food, and it can impact the body in a few different ways.
If you’re taking Viagra because it’s working well for you, but you’re concerned about that amount of ED medication, you can increase that amount to another version of the medication.
Viagra 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 Viagra 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 Viagra. Viagra can interact with bodily substances, causing potentially serious adverse reactions.
Specifically, you should inform your health care provider of any nitrate 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.
Tell them if you may not beep into Viagra to avoid any possible side effects.
Stade de France Pharmacy