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 couple of weeks ago I was at a party and I was talking with a woman who I know quite well. She said the thing you want to see with a Viagra is the Viagra effect. She asked me if there were any ways to make it easier for you to take the drug, as Viagra doesn’t work for everyone.
It was a very strange question and I thought she had been saying that there were ways to make it easier for you to take the drug. It had never really been about getting a Viagra effect but it was something that we had to consider.
We were having a chat about the benefits and drawbacks of taking Viagra with your partner. We were discussing if this could be used to treat erectile dysfunction. She said she had no idea what she was talking about.
This conversation got awkward and we were thinking: “What the heck is Viagra for?”
After a couple of seconds she said: “There are a lot of different things you can do to help with impotence but we don’t think it would be an easy fix to that problem.”
What she really wanted to ask me was, “Do you know how long does the effect last?”
After answering for a couple of minutes, I could see that she was talking about the effect on the penis. I had to ask her how long it was before the effect began. She said it was usually around 30 minutes but this time I wanted to see if it would last that long. I wanted to see how it affected me, how it affected her, and what it could do to me.
What I was thinking was that I could probably get away with taking Viagra on a regular basis, but I wasn’t sure if it would make me feel any better.
My next thought was this: How long does the effect last?
I was thinking that it would be around 30 minutes, and that it could take anywhere from about an hour to an hour to start working.
That was the answer that I wanted to ask her. It took me about an hour for her to be ready to answer.
She did not say how long it was and I was told it was usually around an hour. It was not a long time until we heard the sound of a soft voice behind me. I felt the need to go and get some help.
After we were done talking, she said: “I think that you need to start taking it after 30 minutes, so 30 minutes is the normal time, and you can use a different method of doing that.”
I told her I didn’t think it was safe to take Viagra with me, that I was being too late, and that I could have had a different approach. She said she thought I would feel better but that I wasn’t really sure.
She then asked me how long it was until I was ready to take it.
I had been taking Viagra a couple of times before but I had never experienced any effect until I felt it was around an hour and a half.
I felt good about myself and thought I was going to have a good night. I was very happy and I really had the chance to talk to her about it.
What I wanted to know was the effect on the penis was still there but there was no real difference.
What I was really worried about was the reaction of the woman I was speaking to. I thought she was going to be so happy that I was able to go and talk to her about it.
What I really worried about was the reaction of the woman I was speaking to.
She said she had never felt any improvement after taking Viagra. I was not sure what was going on and I thought that could be what was going on.
She had no idea what was going on and I felt that she was very concerned. She asked me if I had been taking it a couple of times and I said that I had not.
She said that I had. I said that I had been taking Viagra a couple of times but it had not been effective for me.
She had no idea what was going on and I was really worried.
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