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:
1.Nitrates (e.g., nitroglycerin, isosorbide dinitrate): Cialis and nitrates both lower blood pressure. Taking them together can cause a significant and potentially life-threatening drop in blood pressure (hypotension), leading to dizziness, fainting, or even heart attack or stroke. It is contraindicated to use Cialis with nitrates or recreational "poppers" (amyl nitrites).
2.Alpha-blockers (e.g., prazosin, terazosin, tamsulosin): Both Cialis and alpha-blockers relax blood vessels, which can lead to excessive blood pressure reduction when used together. This may result in dizziness, fainting, or orthostatic hypotension (a sudden drop in blood pressure when standing). If needed, your doctor may adjust the dosage or recommend spacing the medications.
3.Other antihypertensive drugs (e.g., atenolol, propranolol, enalapril, lisinopril): Cialis can enhance the blood-pressure-lowering effects of these medications. While this interaction is usually less severe than with nitrates or alpha-blockers, it can still cause dizziness or fainting in sensitive individuals. Close monitoring of blood pressure is recommended.
Cialis (tadalafil) can interact with certain foods and beverages, potentially altering its effectiveness or increasing the risk of side effects. Here are the key drug-food interactions to be aware of:
The Food and Drug Administration has issued a concerning warning to consumers about the sale of erectile dysfunction drug Cialis and a new drug for the treatment of male impotence. The FDA’s action was prompted by a letter from the U. S. Food and Drug Administration that the drug has caused a nationwide shortage of the medication.
The drug, which treats erectile dysfunction in men by increasing blood flow to the penis and keeping an erection for sexual activity, was also found to be adulterated with other drugs.
The FDA’s announcement follows a similar warning issued by the agency on Tuesday that it had received from the European Medicines Agency.
The FDA’s decision was based on a letter from the European Medicines Agency issued in October 2019, that the drug was linked to the following products:
The FDA also issued a notice to the company that the drug is being sold for sale in the United States under the brand name Cialis (sildenafil).
The FDA has issued the following warning to consumers regarding the sale of Cialis and other products containing the active ingredient sildenafil.
The warning comes just a day after the FDA issued a similar warning to the company’s warning to consumers.
The FDA had earlier issued a notice to a number of pharmacies and drug stores that the drug was being sold online without a prescription. The warning was also issued to the pharmacy and drug stores that the medication was being sold without a prescription.
The FDA has also issued a notice to the manufacturer and retailer of the drug that the product is being sold online without a prescription.
The warning is directed at products that contain sildenafil and other drugs that the manufacturer and retailer has identified as adulterated with sildenafil. The FDA has also issued a notice to the manufacturer and retailer of the drug that the drug is being sold to patients who are in need of a lower dose of sildenafil and that the drug should not be used by patients with serious heart or liver conditions.
The FDA’s warning to the drug is also directed at the product that is being sold online without a prescription.
The FDA’s warning to the drug is also directed at the product that is being sold online. The FDA has issued a notice to the manufacturer and retailer of the drug that the product is being sold to patients who are in need of a lower dose of sildenafil and that the drug should not be used by patients with serious heart or liver conditions.
Are you looking for reliable and effective treatments for ED and premature ejaculation? Loricell (avanafil) is a trusted medication that can help improve sexual health and intimacy in men. This drug is available as a generic product and can be prescribed by healthcare professionals to provide effective treatment for men experiencing both erectile dysfunction (ED) and premature ejaculation (PE). It works by inhibiting the enzyme phosphodiesterase type 5 (PDE5), which is responsible for regulating blood flow to the penis during sexual stimulation. By blocking this enzyme, Loricell increases the level of cyclic guanosine monophosphate (cGMP), a molecule that relaxes the smooth muscle cells in the penis and causes an erection. This medication is available in different dosages to meet different needs of men. If you're looking for a reliable solution, Loricell offers a variety of dosages that can be prescribed by healthcare professionals. It's important to note that Loricell should only be used under the supervision of a healthcare professional, as it may not be suitable for everyone. If you're unsure about whether Loricell is right for you, consult with your healthcare provider. In conclusion, Loricell (avanafil) is a trusted and effective solution for men experiencing both erectile dysfunction and premature ejaculation. It's important to consult with your healthcare provider before starting any new medication to ensure its suitability for you.
Can I take Cialis (Tadalafil)?Do you need a prescription to order Cialis?
YesAre you looking for a reliable and effective solution to help you achieve and maintain an erection? Cialis is a prescription-only medication. It should only be used by men who have erectile dysfunction (ED) or who have symptoms of pulmonary arterial hypertension (PAH). If you are a first-time user, your healthcare provider may prescribe Cialis at a lower dosage or even if you are already taking another medication, depending on your individual needs and health.
How do I take Cialis?Cialis can be taken orally, with or without food. It's best to take it approximately 30 minutes before planned sexual activity. The timing of the dose and the timing of sexual activity should be determined by your healthcare provider, taking into account your individual needs and medical history. It's important to complete the full course of Cialis, even if you feel better before you start the medication. It's also important to avoid taking Cialis more than once, as this may increase the risk of side effects.
What happens if I miss a dose?
Cialis will be taken immediately. If you miss a dose, take it as soon as you remember. However, if it's almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not take two doses at once. If you have any questions or concerns, consult with your healthcare provider.Will I have to take the medication with alcohol?
It's important to limit the amount of alcohol you consume before taking Cialis. You can take the medication with or without food, but it's best to limit the amount if you have any alcohol with you. Consuming alcohol while taking Cialis can exacerbate side effects, such as dizziness and lightheadedness. It's also recommended that you avoid drinking excessively while taking Cialis, as it may increase the risk of side effects.
Can I take Cialis with food?
CialisThe recommended way to take Cialis is with food, but some people may experience side effects such as nausea, headache, and indigestion. If you have a stomach or intestinal ulcer, you can take a lower dose of Cialis (10 mg) with a large glass of water. The medication can be taken with or without food, but it's best to take it approximately 30 minutes before planned sexual activity. Do not take Cialis more than once, as this may increase the risk of side effects.
Stade de France Pharmacy