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:
The original (the ‘P’) generic version of Viagra, sildenafil citrate, was approved by the MHRA in 2023. Applicationalternatives to this change have also interest.
Viagra 100mg tablet contains an active component such as Sildenafil. This medication is used to treat erectile dysfunction (ED) in men. It contains the active ingredient sildenafil citrate, which belongs to a class of drugs called phosphodiesterase type 5 (PDE5) inhibitors. It increases blood flow to the penis during sexual stimulation, which helps men achieve and maintain an erection. Viagra may have side effects, including headache, flushing, dizziness, upset stomach, nasal congestion, and vision changes. It should not be taken with certain medications or conditions, so it's crucial to consult a healthcare professional before using it. Erectile dysfunction can have a profound impact on a man's self-esteem and quality of life. By addressing ED, this medication can help improve a person's sense of well-being and overall happiness.
Individuals with a history of, such as heart problems (angina, heart failure, irregular heartbeats) or recent heart attack, should exercise caution when using Viagra. The sexual activity itself can strain the heart and can further increase the strain by increasing blood flow. Consult with a healthcare professional to assess the risks and benefits in such cases. This medication can cause a mild decrease in blood pressure. Caution is advised for individuals with low blood pressure or those taking medications that lower blood pressure, as combining these can lead to potentially harmful interactions. People with severe liver or kidney disease may experience slower elimination of Viagra from the body, leading to a prolonged effect. Dosage adjustments may be necessary in such cases.
Is it safe to take Viagra tablet with alcoholConsuming alcohol with Viagra can cause it to interact with other medications, increasing risk for serious side effects. Consult with a healthcare professional before using this medication to assess its suitability and to determine if it is suitable for you. This medication can be dangerous for those taking nitrates or recreational drugs with “poppers” added to delayed- erection episodes. Consult with a healthcare professional before using Viagra to determine if it is suitable for you. As it is an oral medication, ingestion of alcohol by men should be avoided should use of Viagra. The interaction should be treated as there is a potential for serious side effects when taken with Viagra.
What is nitratesThe use of nitrates can lead to an increase in blood pressure, potentially leading to dizziness, drowsiness, or other adverse effects. Initiation of nitrates following a traumatic (cr--------) or serious heart disease event is rare, but can lead to unsafe drops in blood pressure.udden death can occur if a person is blood pressure readings are not seen within 30 minutes to 4 weeks of taking Viagra. Viagra can interact with certain medications, such as riociguat, used to treatufficient blood pressure, such as alpha-blockers, and can cause dizziness or drowsiness in some people. Therefore, people taking Viagra should be cautious when using it due to the potential interaction.
Individuals taking nitrates for heart failure or certain medications for high blood pressure should inform their healthcare provider before taking Viagra, as it can cause potential complications. Initiation of nitrates following heart failure or heart failure symptoms is not recommended. Therefore, healthcare providers may adjust the dose of Viagra until the person becomes aware of the interaction and decides whether to take it.
Is Viagra safe to take during pregnancyViagra can pass into breast milk. However, the effects can be seen after breastfeeding, and it is advisable to consult a healthcare professional before using Viagra. Consult with a healthcare professional before breastfeeding, as it can disrupt the regular supply of Viagra in the form of drops in blood. Viagra can interact with certain medications, such as riociguat, used to treatufficient blood pressure, such as alpha-blockers, and can cause drowsiness or dizziness in some people.
What should I avoid while using ViagraCertain medications can pass into breast milk, and it is advisable to avoid taking Viagra if you are breastfeeding. It is essential to consult a doctor before taking Viagra, as it can disrupt the regular supply of Viagra in the form of Viagra drops in your breastmilk. Viagra can pass into breast milk faster than taking a pill, and it may pass into your milk faster than taking a tablet.
What conditions will I avoid while using ViagraViagra can cause several side effects, but some of these may be mild and manageable. However, it is crucial to mention any adverse reactions to help minimize the risk of complications. Also, it is important to note that Viagra is not suitable for everyone, and there is a risk of side effects if taken by people with certain medical conditions.
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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As with all prescription medications, inform your doctor of any and all medications, prescription drugs, and supplements you are currently taking as they may interact with Viagra. If you are using other medications, check with your health care provider, as Viagra can interact with these products.
Viagra belongs to a group of medicines called phosphodiesterase type 5 inhibitors. These medicines work by relaxing blood vessels in the body, allowing for increased blood flow. This helps you get and maintain an erection.
Viagra works by blocking the action of an enzyme called PDE5. This enzyme breaks down an chemicals called cyclic guanosine monophosphate (cGMP).
During sexual stimulation, cGMP causes the smooth muscle cells in the blood vessels to relax. This allows the blood vessels to narrow, allowing more blood to flow into the penis. As a result, there is more blood flow to the penis.
Viagra can also temporarily increase the amount of time it takes for the penis to get hard. This can help you achieve and maintain an erection.
In rare cases, Viagra can cause symptoms such as:
If you experience any severe erectile dysfunction, such as delayed erection, sexual dysfunction, or inability to get or maintain an erection, seek medical attention immediately.
Pfizer’s patent for Viagra has expired, allowing Pfizer to sell generic versions of Viagra as early as 2024.
The US patent for Viagra (sildenafil citrate) expired in June 2013, making it the earliest generic competitor to Pfizer’s blockbuster erectile dysfunction drug.
The US patent expires in November 2017, giving Pfizer the opportunity to market its generic version of Viagra in the US.
Generic Viagra, produced by Pfizer, is the only drug on the market that contains the active ingredient sildenafil citrate. The drug is used in the treatment of male erectile dysfunction, a condition in which a man cannot get or keep an erection.
This patent expired in May 2014, giving Pfizer the ability to sell generic versions of Viagra at a lower price, but allowing the company to sell Viagra to patients who may have to pay higher prices.
Pfizer still hasn’t fixed a price for its Viagra, but it has paid out over the counter for the privilege, leading to the company expanding its market in the UK.
In August 2014, the US Food and Drug Administration (FDA) approved a new class of drugs called “pharmacological” drugs to treat erectile dysfunction. These include the brand-name drug Viagra, the generic drug Sildenafil (Viagra), the generic drug Levitra (Vardenafil), the generic drug Cialis (tadalafil), and the generic drug Stendra (Avanafil).
In October 2014, Pfizer’s patent on Cialis expired in the US, allowing other drug makers to launch generic versions of the erectile dysfunction drugs.
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