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:
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's side effects. told which medications to take during sexual activity. If you are taking, or have taken, any other medications, enzyme supplements, or dietary supplements, tell your health care provider if you are using any of the following drugs:stavudine (Stendra), sildenafil (Zithromax), tadalafil (Cialis), and vardenafil (Dardenafil).This may not be a problem if you are taking these drugs for a medical condition, but it may not be a good idea if you have, or have had, these side effects on sexual activity. If you are taking any of these drugs, do not take them justify sexual activity.
If you are taking any of the following medications before, during, or after sexual activity:
This is a side effect of these drugs, but it can be treated withattention.attention. Do not drink alcohol while taking these drugs, as it can increase the risk of dizziness and fainting.
If you experience any severe side effects, seek medical attention immediately. These conditions require close monitoring.
As with all prescription medications, inform your doctor of any medical conditions you experience, especially those that can cause you to feel dizzy, lightheaded, or experience severe dizziness during sex.
Cialis Together for Erectile Dysfunction
Cialis Together tablets are a treatment for adult men who have erection problems (erectile dysfunction). This is when a man cannot get, or keep an erection hard enough for satisfactory sexual activity.
Cialis Together tablets contain the active substance tadalafil. It belongs to a group of medicines called phosphodiesterase type 5 (PDE5) inhibitors. It works by relaxing the blood vessels in your penis, allowing blood flow into your penis.
It is important to know that you will not get an erection just by taking Cialis Together tablets. This medicine works with your body’s natural function to get an erection only when you are sexually stimulated.
Cialis Together contains the active ingredient Tadalafil. The ingredient is a phosphodiesterase type 5 inhibitor medicine that temporarily improves blood flow to the penis by relaxing the blood vessels in and around the area.
The Cialis Together medication is available over-the-counter and begins to work about 30 to 60 minutes after taking it. The effects are expected to last up to 36 hours. Cialis Together comes in 10mg tablets and should only be taken when needed.
The active substance Tadalafil is also useful in treating other conditions along with erectile dysfunction. Please consult a Doctor, a Pharmacist or relevant product literature for more information.
Is Cialis Together right for me?
If you suffer from erectile dysfunction (impotence) Cialis Together may be an effective treatment. However, it may not be suitable for you if you have the following:
Cialis Together is a safe and effective treatment for men who have erection problems (erectile dysfunction).
For erectile dysfunction consult your doctor,physician or a qualified professional. You must not buy Cialis Together if you have severe heart, liver or kidney problems, diabetes, if you are not taking any other medicines, are healthy enough to eat and drink, are not pregnant, or are not planning to become pregnant.
Not necessary
Cialis Together is a prescription medicine and must not be used in women. Cialis Together may cause dizziness, lightheadedness, fainting and heart attack. If you suffer from these symptoms, sit up or go down in conversation. You can take Cialis Together with or without food. Avoid lying down for at least 30 minutes for most of the medicine and 1 hour for most of the medicine for a day. Take Cialis Together 1-2 hours before planned sexual activity. Avoid taking more than one tablet within a 24-hour period. Take Cialis Together 1-2 hours before anticipated sexual activity. Avoid taking more than one tablet in a 24-hour period. Avoid taking Cialis Together for more than a day. Take Cialis Together at the same time each day.
Cialis Together is not suitable for men with heart disease, if you have a history of heart attack or stroke Cialis Together may not be as effective as other phosphodiesterase-5 inhibitors. Use caution if you have had a heart attack, bypass, peripheral artery disease or other risk factors for erectile dysfunction.
Avoid taking or exceed the recommended daily dose. Men who take nitrates for chest pain when they take Cialis Together should not take Cialis Together.
Women should not use Cialis Together.
How should I take Cialis Together?
Take Cialis Together as directed by your doctor, usually once or twice daily. The dose will depend on your condition, your doctors instructions, and any side effects you can expect. For men who take nitrates for chest pain Cialis Together should be taken at the same time each day for 3 months. The benefits of Cialis Together for adult men are expected to be for 2 years or more.
Cialis and Tadalafil: a TADALAFIL alternative
TADALAFIL is a TADALAFIL alternative that can be used to treat the signs of benign prostatic hyperplasia. This drug is also a phosphodiesterase type 5 inhibitor (PDE5i). This drug is also a selective serotonin reuptake inhibitor (SSRI) that can be used to treat depression.
Before taking TADALAFIL, it is important to read the label and speak with your doctor. TADALAFIL is an oral medication that is approved by the FDA to treat erectile dysfunction (ED) in men. TADALAFIL is also a PDE5 inhibitor that can be used to treat the signs of benign prostatic hyperplasia (BPH).
In addition to taking TADALAFIL, you should also know that it is safe to take TADALAFIL during and after sex. However, it is important to note that TADALAFIL can cause serious side effects such as low blood pressure, prolonged erection (lasting more than four hours), and vision loss. If you experience any of these symptoms while taking TADALAFIL, contact your doctor immediately.
This drug is not approved by the FDA for treating the signs of BPH. If you have any questions or concerns about this medication, your doctor or pharmacist may be able to provide a more affordable alternative to TADALAFIL. We offer a free consultation to discuss how to safely use TADALAFIL safely.
TADALAFIL is an oral medication that is approved by the FDA to treat the signs of benign prostatic hyperplasia (BPH). TADALAFIL is also a PDE5 inhibitor that can be used to treat depression.
TADALAFIL is not intended to treat any other medical conditions, and it is not a drug for the treatment of BPH. However, it is important to mention any of the above medical conditions to your doctor or pharmacist if you have any questions. It is also important to mention any other drugs you take or are taking that interact with TADALAFIL. If you have any questions about TADALAFIL, talk to your doctor or pharmacist before using it.
Stade de France Pharmacy