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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’.
As with, Dr Fox provides GPs, patients and consumers with the opportunity to.onneAuthorities vary on this application and there is always some assurance that this medicine is appropriate for you. This is back to general advice from your healthcare provider when the opportunity is present. MHRA ED drug information from various manufacturers:

This application is licensed and registered in the UK, and exempt from prior sale.

application processed after 14 November 2017 [email protected].

WHAT IS VIAGRA CONNECT®?

Viagra Connect® is a treatment for Erectile Dysfunction (ED) containing 50mg of sildenafil. It is available to patients over 18 years with ED directly from pharmacy without a doctor’s prescription.

To save you time when visiting your local Hickey’s Pharmacy, complete the form (see link below).

Viagra Connect® as a treatment for Erectile Dysfunction

Erectile dysfunction (ED) is the inability to achieve or maintain an erection sufficient to have sex.

Erection problems can put a strain on relationships. They can also be a warning sign of a health condition or disease you might not be aware of. That’s why it’s important to take action and find a solution for your ED.

IS VIAGRA RIGHT FOR YOU?

Daily life can sometimes get in the way of your sex life. When it does, Viagra Connect is here to help.

Who it’s for: Viagra Connect is for adult men (over 18 years of age) who have erection problems (EPs) – what doctors might call erectile dysfunction (ED).

Who it isn’t for: If you are a woman, a man under 18, or do not have EPs, then Viagra Connect isn’t the right treatment for you.

Where you buy it: From our trusted partner ChemistDirect, from other online pharmacies, and from your local pharmacy. No prescription needed.

Are you taking other medicines? Some medicines can interact with Viagra Connect, so you’ll be asked what else you might be taking before you can buy it.

Do you have any other health conditions? Some men will have issues with their health that make Viagra Connect unsuitable for them. This is why you’ll be asked a few straightforward questions about your health before you can buy it.

Try and do the following to get the most out of Viagra Connect:

  • Get in the mood. Viagra Connect usually starts to work within 30–60 minutes, so you can be ready when you need to be. Remember, taking Viagra Connect isn’t going to give you an instant erection; you need to be sexually aroused for it to work. You and your partner should engage in foreplay, just like you would if you weren’t taking medicine for erectile dysfunction (ED) – the medical name for erection problems (EPs)
  • Relax. There’s no rush. Viagra Connect works for up to 4 hours after you take it – it will still work within this period of time, in response to sexual stimulationWatch what you eat. Viagra Connect can be taken with or without food. But if you take it after a meal that has a lot of fat in it, like a burger and chips, it might take a bit longer to start working
  • Get familiar. If it’s been a long time since you had an erection, try masturbating before having sex so you can get used to the feeling of having an erection again
  • Don’t give up. If Viagra Connect doesn’t work first time, don’t worry, getting used to having an erection again can take a while. Next time you’re ready, take another tablet – but never more than 1 a day
  • Keep your options open. If Viagra Connect doesn’t work for you after several separate tries, talk to your pharmacist or doctor. You might need a different treatment – either for your erection problems or for a condition that is contributing to them
  • Always read the instructions. The Patient Information Leaflet, which you’ll find in the Viagra Connect box, tells you exactly what to do to get the best results from Viagra Connect, so it’s worth reading. In fact, it’s essential
Avoid if you have:
  • Heart problems or if you have high blood pressure.
  • Liver disease.
  • Taking certain medications, like nitrates and alpha blockers.
  • Stopping other STIs or PPI medicines for another reason

If you have:

  • a heart attack or stroke.

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:

  • Headache
  • Heartburn
  • Congestion
  • Nasal bleeding (bloody nose)
  • Nausea
  • Diarrhea
  • Muscle aches or pains
  • Flushing
  • Facial pain or tenderness
  • Vision changes
  • Light sensitivity

More severe side effects include:

  • Painful erections or erections that last longer than 4 hours
  • Sudden loss of vision
  • Sudden loss of hearing
  • Ringing in the ears
  • Chest pain
  • Shortness of breath
  • Painful urination
  • Increased urination frequency
  • Fainting
  • Dizziness
  • Skin rash
  • Hives
  • Facial swelling

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.

asthma is a by the asasidosis medication is available to buy online for adults and children over 12

What is Thymol?

thymol is an anti-inflammatory medication that works by lowering inflammation in the body. It is a non-steroidal anti-inflammatory drug (NSAID) that comes in pill form and comes in tablet form. thymol is often taken along with a healthy diet and regular physical activity to help manage pain and inflammation. It is typically taken once or twice a day without regard to timing.

thymol is available as a generic medication in several different forms, including tablets, capsules, and liquid suspension. Generic drugs may have different inactive ingredients than their brand-name counterparts. Taking thymol can result in adverse interactions that may require special medications or dosage forms.

Before taking thymol, tell your doctor about your medical history, especially of high blood pressure, cancer, heart problems, and certain heart conditions. These could require special monitoring.

These include heart problems, high blood pressure, liver conditions, and certain heart failure.

In addition, let your doctor know if you are taking supplements with certain natural substances, especially ascorbic acid, as they may interact with thymol.

In addition, let your doctor know if you are taking a prescription drug before starting thymol. Some medications that can interact with thymol include:

  • Blood pressure medications
  • Diuretics
  • High blood pressure medication
  • Heart medications
  • HIV/AIDS medications
  • Certain blood thinners

If you experience any side effects while taking thymol, inform your doctor immediately.

Thymol may cause a dangerous drop in blood pressure. Always avoid excessive alcohol intake as this can increase the risk of dizziness and potentially causing fainting.

Thymol may also cause an increased risk of liver disease. Consult your doctor for a list of medications you are taking. As with all prescription medications, inform your doctor about any medical conditions you currently manage.

In addition, let your doctor know if you are planning to have a family members health check during sex, especially if you are pregnant, plan to get pregnant, or are currently breastfeeding.

VIAGRA CONNECT® is a medication that contains sildenafil citrate, which is a class of drugs called phosphodiesterase type 5 (PDE5) inhibitors. These medications work by helping to relax the blood vessels in your penis, thereby allowing for increased blood flow into it when you get sexually excited. Viagra Connect® is not intended to be used to make love or make love with animals.

In addition, Viagra Connect® contains sildenafil and dapoxetine (also referred to as PDE5 inhibitors), which work by blocking the enzyme PDE5. Sildenafil and dapoxetine work by increasing the level of sildenafil in the bloodstream, and dapoxetine and Viagra Connect® are used to treat PAH in children ages 6 and older.

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Pfizer is offering Viagra for men 18 years of age and older, in what some believe to be a “pro-consumer” campaign, according to a news release from the company. The Viagra price has gone up sharply since the release of the article. Pfizer has been accused of making “unfair” comments and marketing Viagra for a couple of years now, and it appears that some men are still being forced to pay for the drug, though it has taken a number of tries, said Dr. Irwin Goldstein, senior medical director of the American Urological Association’s health care strategy committee.

The drug is for men 18 years of age and older who have sex with men. The drug is being offered to more men than any other drug. The drug has been shown to improve erection quality in as many as 20 percent of men who use it. The drug’s price, however, has risen sharply. Many men still use the drug and have been told to pay more for it. But, according to the article, many men still take the drug.

Dr. (AP Photo/Barry Doctor)