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:
Whether you can take Tadalafil at the same time as your other medications will depend on which medications you are taking.
You are required to complete a short medical consultation questionnaire that asks for any medications that you are prescribed from your GP and will indicate the medications that can’t be taken alongside Tadalafil.
There are several medicines which should not be taken concurrently with Tadalafil. Medicines which can have potentially serious interactions with Tadalafil include :-
• Any alpha-blocker medicines e.g. doxazosin (Cardura), alfuzosin (Xatral), tamsulosin, terazosin, or Flomax, that you can buy in the pharmacy. (These medicines may be used to treat prostate problems or high blood pressure).
• Isosorbide mononitrate, isosorbide dinitrate, or use a GTN spray or tablets
for chest pain or use Rectogesic ointment?
• Nicorandil (Ikorel), used to treat angina
• Cimetidine, used to treat stomach or duodenal (peptic) ulcers
• Theophylline, used to treat asthma
• Antibiotics:- Clarithromycin, Erythromycin and Telithromycin
• Anti-fungals such as itraconazole and ketoconazole
• Seizure medication:- carbamazepine, oxcarbazepine, phenobarbital, phenytoin and primidone
• Heart or blood pressure medication:- disopyramide, amiodarone, quinidine and procainamide
• Anti-viral medication:- telaprevir, atazanavir, retonavir, indinavir, saquinavir and cobicistat
• Recreational drugs:- amyl nitrate (poppers)
If you are taking any prescribed medication from your GP then you can simply write those in the “Is there any other medical information that you think our doctor should know?” section on the medical questionnaire. Then, our doctor will know whether the Tadalafil is safe for you to take.
Read available consultation questionnaire informationTadalafil 20mg is a treatment for adult men aged 18 or over who have experienced unintentional erectile dysfunction (ED) and who have a GP available to discuss any concerns about taking Tadalafil. The Tadalafil 20mg is not currently available without a prescription from their GP. If you experience any of the following again after the expiry of the ave of the prescription, then you should not take Tadalafil.
Medical advice about the Tadalafil 20mg
The Tadalafil 20mg is for use by men only. Tadalafil is not suitable for women or children.
Tadalafil is used to aid in men's erections. Do not use Tadalafil if you are under the age of 18 or have or have had a medical problem that caused the unfaqled tablets to not be able to produce a full penile response. Do not use Tadalafil if you have or have had a medical problem that caused the unfaqled tablets to not be able to produce a full penile response, or if you use auesis and this medicine contains a coating that reduces the absorption of Tadalafil into your body.
You should not use Tadalafil if you use auesis with this medicine. You should not use Tadalafil if you use arences and/or are changing the medicines package number or if the expiry date has passed.
If you have any concerns or questions about taking Tadalafil, or about taking this medicine, please read the before taking.
Cialis 20mg is used to aid in making and maintain an erection. This medicine is used to help men aged 18 or over with an unintentional erection related to erectile dysfunction.
20mgis the dose for adults.
The U. S. Food and Drug Administration is advising consumers not to purchase or use the St. Louis, Mo., store Cialis 20 mg, Cialis 20 mg Chewable Tablet. St. Louis, Mo., is a pharmacy chain, and Cialis 20 mg Chewable Tablet is a prescription medication that may be available without a prescription at pharmacies throughout the United States.
Cialis 20 mg, Cialis 20 mg Chewable Tablet is manufactured by GlaxoSmithKline, a pharmaceutical company based in St. Louis, Mo.
Cialis 20 mg Chewable Tablet is sold under the brand name Cialis and is available in tablet form. The price of the 20 mg version of the product may be found at online pharmacies.
The store Cialis 20 mg Chewable Tablet may be taken with or without food. It is important to take the drug as directed by your doctor. If you miss a dose of the 20 mg version of Cialis 20 mg Chewable Tablet, take it as soon as possible. If it is almost time for your next dose, skip the missed dose. Do not take 2 doses at once.
Cialis 20 mg Chewable Tablet is not intended for continuous daily use. It may be used along with a low-dose multivitamin. The multivitamin should be taken at least 6 hours before or 4 hours after taking the drug.
Cialis 20 mg Chewable Tablet should not be used in the treatment of high cholesterol, as it may increase the risk of heart attack and stroke. If you have heart disease, low blood cholesterol, diabetes, high cholesterol or high blood pressure, Cialis 20 mg Chewable Tablet may not be used for treating your high cholesterol.
Before taking Cialis 20 mg Chewable Tablet, tell your doctor or dentist about all the products you use. Cialis 20 mg Chewable Tablet may affect certain foods and beverages, including drinks, and may affect certain vitamins and medications. Avoid drinking grapefruit or drinking grapefruit juice while taking Cialis 20 mg Chewable Tablet. Cialis 20 mg Chewable Tablet may also affect certain foods and beverages, including alcohol, and may affect certain vitamins and medications.
Cialis 20 mg Chewable Tablet should not be used in the treatment of enlarged prostate, as this may lead to serious harm. If you have prostate cancer, Cialis 20 mg Chewable Tablet is not recommended for treatment of enlarged prostate.
Patients with bladder cancer, or those who have previously had bladder cancer, should not take Cialis 20 mg Chewable Tablet. Patients with kidney disease, liver disease, heart disease, high or low blood pressure, a history of stroke, retinitis pigmentosa, or liver disease should not take Cialis 20 mg Chewable Tablet, as it may cause permanent skin rashes, sunburn and photosensitivity.
The Food and Drug Administration has not evaluated the safety and efficacy of Cialis 20 mg Chewable Tablet for the treatment of erectile dysfunction.
Cialis 20 mg Chewable Tablet may cause dizziness, drowsiness, or nausea. Patients should avoid driving, operating heavy machinery and performing heavy tasks due to dizziness. The combination of Cialis 20 mg Chewable Tablet and alcohol may also cause drowsiness and dizziness.
The use of Cialis 20 mg Chewable Tablet along with alcohol may increase the risk of stomach bleeding or blood clots.
Patients should take Cialis 20 mg Chewable Tablet at least 2 hours before or 4 hours after taking alcohol. Alcohol may increase the risk of developing a blood clot in the veins that carry blood from the heart to the lungs, especially in the face.
Cialis 20 mg Chewable Tablet may cause vision problems, including blurred vision. Patients who have had a retinitis pigmentosa should not take Cialis 20 mg Chewable Tablet. Patients who have a history of drug and alcohol use disorder should see their doctor as soon as possible.
Patients who take Cialis 20 mg Chewable Tablet should not use other erectile dysfunction medications. Cialis 20 mg Chewable Tablet may increase the risk of stroke in certain patients.
Cialis 20 mg Chewable Tablet may make it more difficult for your penis to produce an erection. If you have trouble getting an erection after using Cialis 20 mg Chewable Tablet, talk to your doctor about erectile dysfunction treatment options.
Product Description Cialis 20 mg Chewable Tablet is a prescription medication that may be available without a prescription at pharmacies throughout the United States.Before you begin taking Tadalafil generic, its important to carefully read the Patient Information Leaflet. Make sure to review it each time you get a refill.
Take Tadalafil dosage orally, either with or without food, as directed by your healthcare provider. Tadalafil dosage should not exceed more than once a day. Swallow the tablet whole. Do not split it or crush unless advised.
Your daily dosage will depend on your medical condition, how you respond to medications, and any other medications you currently take. Before you take ED treatment pills, ensure that you inform your healthcare service provider of any prescription drugs, over-the-counter medicines, and any other supplements you take.
If you are also using finasteride alongside Tadalafil to treat any symptoms of benign prostatic hyperplasia (BPH), discuss the duration of treatment and dosage you will need with your healthcare provider.
For erectile dysfunction (ED), tadalafil citrate may be prescribed in two ways:
Follow your doctors instructions carefully based on your specific needs and condition.
If you are using tadalafil citrate medication for ED dysfunction and BPH, take it daily as directed by your doctor. To ensure you do not forget, take it at the same time each day.
Keep your healthcare practitioner informed if your medical condition does not improve or worsens during treatment.
Read the "Tadalafil Patient Information Leaflet" investigates BPH and erectile dysfunction activities with patients to ensure you receive a personalized treatment plan.If you need further detailed information about the medication, see your healthcare providerampoo up if you need it the most. Cialis is BPH and tadalafil is for men with ED.To ensure a safe and effective treatment for you, please read the "Tadalafil uses and side effects" section.You should also mention any supplement you are taking before taking tadalafil citrate.
Stade de France Pharmacy