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:
A new study in theJournal of Sexual Medicineprovides some insights into how Viagra may work. It’s been a big hit with consumers in the United States, Canada, Mexico and Canada. But the results are intriguing, and there is little research on how long-lasting erections are possible. Here is a closer look at how Viagra works.
Viagra is a drug that belongs to the class of medications known as phosphodiesterase type 5 (PDE5) inhibitors. It works by blocking the enzyme PDE5, which is the enzyme responsible for relaxing the muscles of the penis. The result is an erection that lasts for about 4 hours. A person can have more satisfying erections if they continue taking the medication without problems.
Research shows that a higher dose of Viagra may have a better effect than placebo on erectile function, but some studies have suggested that it’s not as effective as the placebo in treating premature ejaculation. In fact, studies have shown that the placebo in these cases can be helpful in reducing premature ejaculation.
Viagra’s effectiveness is based on its effects on inhibiting the PDE5 enzyme. For example, Viagra can help relax the blood vessels in the penis, thus increasing blood flow to the penis. This allows blood to circulate more freely, which can help maintain a firm erection for longer. Another advantage of Viagra is that it does not affect the production of other phosphodiesterase-5 (PDE5) enzymes, such as cyclic guanosine monophosphate (cGMP).
Viagra’s side effects can be mild, such as headaches or upset stomach, but they can also be more severe. For example, if you take Viagra with certain medications, such as nitrates, nitric oxide donors, or guanylate cyclase stimulators, you may experience symptoms such as flushing, dizziness, or nasal congestion. These side effects can be more severe if you have liver disease.
In summary, while the effects of Viagra are generally reversible, some users experience side effects that persist for a longer period of time. In some cases, Viagra may have a longer duration of action than Viagra. The longer duration of action may be more appropriate for older adults or people with certain medical conditions.
If you take Viagra, it’s best to not take it until you’re satisfied with the effect it has. This can make it hard to keep an erection for long enough to get an erection. It’s also important to understand that Viagra is not intended for immediate sexual intercourse. However, it can still be taken if needed. If you take Viagra on a regular basis, your dose may be adjusted based on how you respond to the medication.
If you take Viagra and your erection lasts more than 4 hours, it may be worth talking to your doctor about whether Viagra can help you get an erection. A doctor can help determine whether Viagra is the right treatment option for you, as well as whether Viagra is the best choice for you.
If you have any questions about Viagra or its use, feel free to contact a support group for more information. Take your first step toward a more confident, satisfying life with Viagra.
Many people have difficulty reaching climax during sex, and Viagra is not the only option. Viagra can help to overcome that, making it easier for men to have satisfying sexual experiences. Many men find that they have a better chance of achieving orgasm after using Viagra. For most men, it is recommended to take the pill approximately 30 minutes to an hour before intercourse.
Many men have found that Viagra is effective for treating premature ejaculation. In a study of over 4,000 men, more than 80 percent of those who took Viagra reported successful intercourse within a few hours.
The key to treating premature ejaculation is to have sex consistently, and to use Viagra only when needed. This is because Viagra works more effectively on the brain.
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