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:
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.
aspId = aspidite Attribution Perfomanceaspidite Attribution Attribution Perfomanceaspidite Attribution PerfomanceIf you are experiencing a side effects, you should contact your doctor. A side effect you have been reported to be aware of is called "perfomance." Perfomance is defined as a prolonged, painful erection that doesn't go away or get better.
As with all prescription medications, inform your doctor of any medical conditions you typically manage. If you experience a Perfomance side effect, such as sudden dizziness, chest pain, or heart palpitations, seek medical attention immediately.
aspId = aspidite Attribution Attribution Perfomance perilsAs with all prescription medications, inform your doctor of any medical conditions such as tumors that have been placed in the penis or those that are cancer-related.
Viagra Connect is a new erectile dysfunction treatment which does not require a prescription.
The first of its kind, Viagra Connect is a safe and discreet over-the-counter medication that can legally be bought online without a trip to your doctor.
We need to ensure that this medicine is suitable for the person it is intended for. Therefore, it should only be purchased by the person taking it.
A pharmacist may need to contact you by phone before providing the product. If they cannot reach you within 72 hours, your order may be delayed, or this item may be cancelled from your order.
Please ensure your contact details are correct before ordering this medicine.Suitable forViagra Connect is for men 18 years and older who have difficulty getting and/or keeping an erection hard enough for sex
Age RestrictionYou must be at least 18 years old to purchase this product.
Directions for use:Please read the enclosed leaflet carefully before use.
• take 1 tablet approximately one hour before sexual activity• swallow tablet whole with water• do not take more than 1 tablet a dayViagra Connect starts to work within 30-60 minutes. You may take it up to 4 hours before sexual activity.
Hazards and Cautions
Do NOT take if you:
Talk to your pharmacist or doctor before taking if you:
As with all medicines, please ensure you read the patient information leaflet before taking this item.
For every producing relief believe 4 read as follows:| COVID-19ina | 2025 |
| Treatment is as follows (with an application Fee: £15) | Medicine for severe symptoms |
| Treatment is as follows (without an application Fee: £45) | Medicine for nothing |
As with all medicines, this is a general medical advice only service and the information provided in ourpatient information centremay contain expert advice. We may be able to offer you individualised treatment, based on your unique needs and circumstances.
On request you may have the following information written on it: information about how much is medicine and how to take it on an individual basisThe supplied information can be used by any health professional for their health professional to decide if this medicine is suitable for you. You should also be cautious about items that may be used in combination with this medicine. You should also be cautious about items that come with onlinehence
On request you can expect to receive a fee if you place an order with us before 1:30 p.m. on 12/01/2024We have an additional fee of £15.00 per order.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.
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This is not a complete list of the ingredients in these products.
Use with caution
Potent for erectile dysfunction
Verify product qualityStorage
Keeps 200mg tabletsStore in a cool, dry place, away from direct sunlight
Do not use if the packaging is torn or shows signs of tampering.
Sildenafil for erectile dysfunction
Keeps at room temperatureIWant to Help You
I am taking Viagra, and I am very worried. I am taking it because I am having problems with my erection.
I will get it when I get to the pharmacy. I will talk to my pharmacist about it and ask him about the cost and availability.
I have tried to make an appointment with my pharmacist, but there is no appointment. I will go to the pharmacy, buy Viagra, and they will ask me questions. I do not want my pharmacist to know.
I will get it when I get there. I do not want to go to the chemist.
I want to talk to my pharmacist about it. I am sure that the pharmacy will have this.
I have not been able to find any pharmacies that have this.
I am in the United States. I am from the United Kingdom.
I am going to the Pharmacy. I will call my pharmacist, and he will show me.
I am going to the pharmacy and ask him about the cost. I will ask him about it and I will ask him to tell me what the cost is. I will ask him to say it is not that expensive.
I will ask him to tell me the cost.
Stade de France Pharmacy