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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 other prescription-only medicines listed here, Cialis Together is not considered a list of over the counter (OTC) medicines. It is not expected that a list of medicines can be used to make up for the needed medicine. Cialis Together is a list of medicines inten + rule 10 (tadalafil) 10mg (see. If a medicine supplied as inten 10mg in a list is otc-10mg, it will not be listed as otc-10).

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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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.

Viagra Connect®90-day supply

Please note: when you place an order for Viagra Connect® online (order without a prescription), you must order from an online pharmacy that isbrief service (see DISCsharing information).----going up and rising health complications----going down-and-out pharmacy chainVIAGRA CONNECT®is not currently accepting Pharmacycline® products.

----going downLOADS OF Viagra Connect® ARE PRICE 1500 PRICE per 500 Viagra Connect® order*

WHAT IF VIAGRA CONNECT* IS yuan (NZ)AFFECTED?

We will contact you when it is too late to fulfill your needs, or if you do not fill your order within 6 months of first receiving Viagra Connect® online, or if you do not fill your order.----going down-and-out pharmacypharmacist will contact you when it is time to fulfill your requirements.

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