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 the list above, Cialis Together will be available in both both prescription and ‘over the counter’ forms, depending on the specific medicine and product. The final classification will be held to the same 3- criterion list as when a medicine is marketed as a ‘P’ medicine.

Viagra Connect – next day list medicine:the generic equivalent of Cialis.

Before you begin taking Tadalafil generic, its important to carefully read the Patient Information Leaflet. Make sure to review it each time you get a refill.

Take Tadalafil dosage orally, either with or without food, as directed by your healthcare provider. Tadalafil dosage should not exceed more than once a day. Swallow the tablet whole. Do not split it or crush unless advised.

Your daily dosage will depend on your medical condition, how you respond to medications, and any other medications you currently take. Before you take ED treatment pills, ensure that you inform your healthcare service provider of any prescription drugs, over-the-counter medicines, and any other supplements you take.

If you are also using finasteride alongside Tadalafil to treat any symptoms of benign prostatic hyperplasia (BPH), discuss the duration of treatment and dosage you will need with your healthcare provider.

For erectile dysfunction (ED), tadalafil citrate may be prescribed in two ways:

• You may take it as needed, usually at least 30 minutes before sexual activity, with its effects potentially lasting up to 36 hours.
• Your doctor may recommend taking generic Cialis regularly, once a day.

Follow your doctors instructions carefully based on your specific needs and condition.

If you are using tadalafil citrate medication for ED dysfunction and BPH, take it daily as directed by your doctor. To ensure you do not forget, take it at the same time each day.

Keep your healthcare practitioner informed if your medical condition does not improve or worsens during treatment.

irlwinds>Generic Cialis is manufactured by Eli Lilly and is available in 20 mg and 50 mg doses.

To ensure you do not need to take more than one dose of generic Cialis, it is important to follow the dosage instructions provided by the healthcare professional.

To treat BPH, tadalafil citrate may be used once daily, with or without meals.

To ensure you do not need to take more than one dose of generic Cialis, it is important to take it at the same time each day.

To ensure you do not need to take more than one dose of generic Cialis, it is important to take it at the time each day you intend to take treatment.

If you have any questions about taking Tadalafil generic for erectile dysfunction, consult your healthcare professional before taking generic Cialis generic for BPH.

Take Tadalafil generic very seriously. Read this Patient Information Leaflet carefully to make sure you are getting the very most out of the medication. Ask your healthcare professional the best dosage information if you have any questions.

This medication is available in a quantity of 2.5 generic Tadalafil. Keep all your doctor and pharmacist appointments. Do not double the dose or take more medication than directed.

If you are using tadalafil for erectile dysfunction and BPH, you may need to take it at least 30 minutes before sexual activity. Do not exceed the length of treatment.

PRECAUTIONS

Take this medication IV to 25 minutes before sex.

Before taking this medication, inform your healthcare provider of any allergy, blood pressure disorder, stomach or intestinal bleeding, seizures, kidney disease, or liver disease.

Tell your healthcare provider about all of your medical conditions including any history of dizziness, heart problems, low blood pressure, severe vision loss, and of remainingbright red in the field.

It is not recommended to take this medication for more than 3 days.

Use this medication for the stipulated duration even if there are no serious side effects. If the side effects become persistent, talk to your healthcare provider.

Tell your healthcare provider about all of your recreational drugs, including stopamed prescription medications.

Consultation

Tadalafil generic may be prescribed for anotherobbiesity like dizziness or fainting, or for erectile dysfunction like BPH or ED.

Before taking this medication, inform your healthcare provider about any of the following:

• Alcohol.
• Blood pressure.
• Composition.
• Food.
• Dosage instructions.

The most common side effects of taking generic Cialis are headache, flushing, dizziness, blurred vision, muscle aches, or upset stomach.

Some of the side effects of this medication may go away on their own after a day or two.

Tadalafil belongs to the group of medicines called phosphodiesterase type 5 (PDE 5) inhibitors, primarily used to treat erectile dysfunction (impotence) and benign prostatic hyperplasia (BPH). Erectile dysfunction is the inability to keep a hard and erect penis suitable for sexual activity. Benign prostatic hyperplasia, also called prostate enlargement, is the non-cancerous growth of the prostate gland.

Tadalafil contains ‘Tadalafil’, which works by relaxing the blood vessels in the penis; this allows the blood to flow into the penis when the person is sexually excited. Thereby, it helps to treat erectile dysfunction. Tadalafil relaxes the bladder and prostate muscles, thereby reducing enlarged prostate symptoms such as difficulty in urination and urgent need to urinate.

You are advised to take Tadalafil for as long as your doctor has prescribed it for you, depending on your medical condition. In some cases, you may experience certain common side effects, such as headache, back pain, muscle pain, pain in the legs and arms, nasal congestion, indigestion, and facial flushing. Most of these side effects do not require medical attention and will resolve gradually over time. However, you are advised to talk to your doctor if you experience these side effects persistently.

Do not take Tadalafil if you are taking nitrates (used to treat angina), riociguat (used to treat pulmonary hypertension) or alpha-blockers; if you have heart problems or stroke, low blood pressure or uncontrolled high blood pressure. Tadalafil is not intended for use in women. Tadalafil may cause dizziness, so drive with caution. Avoid consuming alcohol as it might cause increased dizziness. Tadalafil should not be given to children as safety and effectiveness have not been established. Keep your doctor informed about your health condition and the medicines you are taking to avoid unpleasant side effects.

Read the/preament leaflets ‘Tadalafil’ available for sale online

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Cialis Tablets

Overview

Cialis, also known as tadalafil, is a medication that is used to treat erectile dysfunction (ED) in men. It works by increasing blood flow to the penis, which helps men achieve and maintain an erection during sexual activity. Cialis is also known as Viagra or Cialis, and it belongs to a class of drugs called phosphodiesterase type 5 (PDE5) inhibitors.

Key Features

• It is a prescription medication, which means it is available over the counter.
• It is available in tablet form.
• It is taken as needed, usually 30 to 60 minutes before sexual activity. It is important to note that Cialis should be taken only as needed, and sexual stimulation is necessary to achieve an erection.
• It is important to avoid alcohol as it can increase the risk of side effects.
• It is a fast-acting medication, which means it works as soon as you start taking it, but it can take up to 5 hours for it to take effect.
• It is important to note that Cialis may cause side effects such as headache, flushing, nasal congestion, and indigestion.

What is Cialis?

Cialis, also known as Tadalafil, is a medication primarily used to treat erectile dysfunction (ED). Cialis is available in a variety of forms, including tablets, capsules, and liquid suspensions.

Cialis belongs to a class of drugs called phosphodiesterase type 5 (PDE5) inhibitors. It is a type of drug that works by increasing blood flow to the penis, which helps men achieve and maintain an erection during sexual activity. Cialis is available in the form of a tablet, a liquid suspension, and a chewable tablet.

Benefits of Cialis

• It is a non-prescription, fast-acting medication, which means it works as soon as you start taking it, but it can take up to 5 hours for it to take effect.
• It is a medication that has been proven to be effective for treating erectile dysfunction, which is why it is important to use it responsibly and avoid any potentially harmful interactions.
• It is a medication that can be purchased over the counter (OTC) or under a doctor's prescription.

How to take Cialis?

Cialis is available as a tablet, a liquid suspension, and a chewable tablet, and it is available in various forms, including a chewable tablet. It is important to follow the instructions provided by a healthcare professional when taking Cialis.

It is essential to take Cialis at the same time each day, and in the same order, to avoid any potential interactions between doses.

Precautions and Side Effects

• It is not recommended to take Cialis if you have certain medical conditions, such as heart disease, liver or kidney disease, or if you are taking other medications.
• It is not recommended to use Cialis if you are allergic to tadalafil or any of its ingredients.
• It is not recommended to use Cialis if you are pregnant or breastfeeding, as it may cause serious birth defects if it is taken during pregnancy.
• It is not recommended to use Cialis if you are taking nitrates, as it can cause a dangerous drop in blood pressure when used in high doses.
• Cialis should not be taken with other medications or drugs, as it can interact with the other medications in the same way.