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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 the others 3 medicines are available there are several other. Many other available on the list are not.

Categories of tadalafil

Cialis Together will be available in all of them, with the vast majority from pharmacies on the rx Cialis 10mg list, and also the brand name.

Viagra connect treatment is now available without prescription from Ballybrack Medical Hall, Dublin, as a walk-in service. You may use our Viagra Connect online ordering service for in-store collection.

WHAT IS VIAGRA CONNECT®?

Viagra Connect® is a treatment for Erectile Dysfunction (ED) available from the pharmacy without a doctor’s prescription. Viagra connect contains 50mg of sildenafil. It is available to patients over 18 years directly from Ballybrack Medical Hall Pharmacy.

WHAT IS ERECTILE DYSFUNCTION?

Erectile dysfunction (ED) is the inability to achieve or maintain an erection sufficient to have sex, which can put a strain on relationships.

HOW DOES VIAGRA CONNECT® WORK?

Viagra Connect® is an oral tablet based treatment that is quickly absorbed – it takes 30–60 minutes to work. Do not take more than 1 tablet a day.

IS VIAGRA CONNECT® RIGHT FOR YOU?

  • Who it’s for:Viagra Connect® is for adult men (over 18 years of age) who have erectile dysfunction (ED).
  • Who it isn’t for:If you are a woman, a man under 18, or do not have ED, then Viagra Connect® isn’t the right treatment for you.
  • Are you taking other medicines?Some medicines can interact with Viagra Connect®, so we will need to make sure that there are no contraindications before supplying it to you.
  • Do you have any other health conditions?Some health issues may make Viagra Connect® unsuitable. So before we dispense this treatment you’ll be asked a few straightforward questions about your health.

I NEED VIAGRA CONNECT, WHAT DO I NEED TO DO?

To put in a request order for Viagra Connect you will first need to fill out the online form below. We will review your form and the pharmacist will contact you to let you that you meet the requirements needed to be able to dispense this treatment. A consultation with the pharmacist is required before any supply of Viagra Connect® can be made, you only need to ask for a pharmacist and tell them why you are there. We have discrete & private consultation rooms in our pharmacy where a swift consultation will take place where we will simply ask about any current medication and health conditions to ensure Viagra Connect® is a safe and appropriate treatment for you. Once nothing has changed since your last Connect purchase we can arrange a repeat script for this treatment, so the consultation will only be once.

PLEASE NOTE:The pharmacist will advise you to get a health check-up with your doctor as soon as you can within 6 months of first receiving Viagra Connect®. This is to check for any underlying medical problems that can sometimes be associated with erectile dysfunction.

ONLINE ORDER FORM

To orderViagra Connect® online please fill out ourrequest order form below, the pharmacy will then review your form and then contact you when it is ready for collection.

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Viagra Connect® is a branded oral tablet based treatment from Ballybrack Medical Hall.

Viagra Connect® is a non-prescription oral tablet based treatment from Ballybrack Medical Hall.

Viagra Connect® is for men who have erectile dysfunction (ED) to treat theyoutu.co.boosts (“ED”) work in the body called the penis.

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.

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Damages the penis blood vessels are already beginning to develop severe damage, a condition that can cause erectile dysfunction. It is important to treat this issue as soon as possible to prevent permanent erectile dysfunction. If Viagra can cause mild damage to the blood vessels, it is important to consult your health care provider before using Viagra.

Viagra can cause mild damage to the blood vessels which can help prevent permanent erectile dysfunction. If Viagra is taken with food, it can cause stomach upset. Viagra can also cause blurred vision, increased blood pressure, and fainting. If you experience any of these, seek medical attention immediately.

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Reducing the effects of Viagra can help men with ED achieve and maintain an erection. Viagra is a prescription medication that contains Sildenafil Citrate, the same active ingredient found in the generic Viagra.

Viagra is known as a PDE5 inhibitor. It works by relaxing the blood vessels in the penis, allowing for increased blood flow and allowing for an erection. Viagra can also cause side effects, including headache, flushing, muscle pain, and discomfort. If you experience any of these, contact your health care provider immediately.

Viagra is available in tablet form. This medication is taken about one hour before sexual activity, but it can take up to 4 hours to start working. Viagra should not be taken more than once a day.

Viagra should not be taken more than once a day, or with any other medication. Men with erectile dysfunction should talk to their health care provider about their ED medication options.

How it works:

Viagra works by relaxing the blood vessels in the penis, allowing for increased blood flow and allowing for an erection. Sildenafil Citrate, the active ingredient in Viagra, relaxes the blood vessels and allows an erection.

Sildenafil citrate, commonly known by the brand name, is a prescription-only medicine used to treat erectile dysfunction (ED) in adult men. It works by improving blood flow to the penis, helping to achieve and maintain an erection during sexual activity.

Dosage and Administration

Sildenafil is available in 25mg, 50mg, and 100mg strengths.

  • The usual starting dose is 50mg, taken approximately one hour before sexual activity.
  • Dosage can be adjusted depending on individual response and tolerability.
  • Take only one tablet in 24 hours, with or without food.
  • Avoid grapefruit juice, as it can increase the risk of side effects.
  • A high-fat meal may delay onset of action.

Effectiveness

Sildenafil has been shown to be effective in up to 80% of men with ED, with effects typically noticeable within 30 to 60 minutes, and lasting for up to 4–5 hours.

Side Effects

Common side effects include:

  • Headache
  • Flushing
  • Nasal congestion
  • Indigestion

Less common but serious effects include visual disturbances, hearing changes, or prolonged erections. Seek medical attention if severe or persistent side effects occur.

Contraindications

Sildenafil should not be used by those:

  • Taking nitrates for chest pain
  • With severe heart or liver conditions
  • Under 18 years of age
  • With certain medication interactions (e.g. alpha-blockers, antifungals, antibiotics)

Interactions

Inform your doctor of all medications and supplements before use. Interactions may occur with:

  • Nitrates
  • Alpha-blockers
  • Some antibiotics and antifungal medicines

Alcohol and Heart Conditions

Avoid excessive alcohol while taking sildenafil, as it can lower blood pressure and increase side effect risk. Use with caution if you have any heart-related conditions.

Availability and Cost

Sildenafil is available by prescription only in the UK.

  • Generic versions are more affordable than branded Viagra.
  • Supplied by licensed UK pharmacies such as Online Chemist.
  • Avoid counterfeit products from unregulated websites.

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You will not bekeley your ED symptoms on Pharmacy Planet!FAQs

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