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
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As with any drug product, there may be side effects. Generally, patients who experience side effects usually get them within 12 to 24 hours after taking Tadalafil. Side effects usually resolve on their own within 48 hours. Daily Tadalafil use is usually associated with lower incidents and severity of side effects compared to as-needed Tadalafil dosing.
Most common Tadalafil side effects
Some more serious side effects have been reported. While rare, it is important to stop taking Tadalafil and contact a doctor right away if any of the following occur:
For a complete list of possible side effects,.
Possible drug interactions
Some drugs/medications may interact with Tadalafil. You should not take Tadalafil if you are taking nitrates (such as nitroglycerin tablets or patches) because the combination of these with Tadalafil could significantly lower blood pressure and lead to fainting or even death. Additionally, do not take Tadalafil if you are taking Cisapride, other ED medications (e.g. Viagra), Adcirca, or Riociguat.
On your intake form, please be sure to provide AgelessRx with all medications, herbs, non-prescription drugs, or dietary supplements you use. Also be sure to report if you smoke, drink alcohol, or use illegal drugs, as some may interact with your medication.
For a complete list of possible drug interactions,.
Other important safety information
Patients who have a condition called “left ventricular outlet obstruction” from valvular problems or heart muscle enlargement may get side effects such as fainting or light-headedness. Because patients with recent heart attacks or stroke, heart pains (angina), heart failure, uncontrolled blood pressure or uncontrolled irregular heart beats, severe liver disease, and retinal eye problems have not been studied, Tadalafil (Cialis) is not recommended for these patients. There may be rare occurrences of priapism or painful, prolonged erections. This is a serious condition that requires immediate medical attention. Patients should seek prompt medical attention if their erection lasts longer than four hours.
After taking a single tablet, Tadalafil can remain in the body for up to two days. It can remain longer if patients have problems with their kidneys or liver, or they are taking certain other medications.
Note:All information included on this page is a summary. It may not cover all possible information. If you have questions about this medication, talk to a doctor, pharmacist, or healthcare provider.
Note: The above statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.
| Medication Name | Drug Class | Duration of Use | Potential Interactions |
| Tadalafil (Cialis) | Nitrates | 30-60 minutes Cialis can improve blood pressure and increase sexual ability. | 20-30 minutes |
| Tadalafil (Adcirca) | Stroke medications | 2-4 weeks Tadalafil is not recommended for patients with sickle cell anaemia or multiple myeloma. | 24-36 hours Adcirca is not recommended for patients with sickle cell anaemia or multiple myeloma. |
Cialis 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 Cialis 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 Cialis. Cialis can interact with bodily substances, causing potentially serious adverse reactions.
Specifically, you should inform your health care provider of any alpha-blocker, antifungal, HIV protease inhibitor, or high blood pressure 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.
Read More About Cialis [Cialis] [Sexual Health]As with any medication, Cialis should be taken as prescribed by a doctor. If you have any questions or if you need help taking Cialis, call your doctor or a health care provider who can discuss more details.
Take Action [By Prescription]Cialis is a safe and effective medication for men who suffer from erectile dysfunction. Erectile dysfunction can affect men who use Cialis or other ED medications. Take these questions as soon as possible if you have had a heart attack, stroke, or life-threatening irregular heartbeat during treatment with Cialis. Do not take Cialis more often than once a day or as advised by your health care provider.
Key Takeaways From The FDA [By Prescription]The Food and Drug Administration (FDA) has found that Cialis can cause a dangerous fall in blood pressure. Men taking any type of Cialis could experience this side effect.
Warnings and Precautions [By Prescription]
Cialis can cause a potentially serious condition called. This side effect is rare. However, the chance is higher if you have had a heart attack, stroke, or heart attack, have a stroke, or are faint or have a heart attack recently. Cialis can also cause a potentially serious reaction when it is taken with other medications that can interact with Cialis.
If you experience any signs or symptoms of a severe adverse reaction to Cialis, seek medical attention immediately.
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:
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 do not take Tadalafil citrate before bed as it may increase the risk of seizures or dizziness.ed medication may be taken with Tadalafil dosage; details about side effects may be required when no better option is available based on the condition being treated.
ForabandSource https://www.bitmap.com/Content/ discourage future research and development of unlicencedildement drugs. It is recommended that researchers continue their exploration of Tadalafil and its uses in order to establish valid and trustworthy evidence based treatment protocols.
More information on the uses of Tadalafil can be found at the end of the Patient Information Leaflet. Please review this information before you start taking Tadalafil generic. Wanlan WeiTadalafil generic has been approved for use in the treatment of male erectile dysfunction (ED). Generic Cialis is FDA approved for the treatment of erectile dysfunction and is also approved for the treatment of BPH. Tadalafil generic has been approved for use in the treatment of male erectile dysfunction.
ReferencesGeneric Cialis is FDA approved for the treatment of erectile dysfunction and the use of tadalafil generic Tadalafil Tadalafil is FDA approved for the treatment of BPH.
Stade de France Pharmacy