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:
At most we will only supply Cialis in a list of 1 conditions:
will not be effective.
Sildenafil citrate, commonly known by the brand name, is a prescription-only medicine used to treat erectile dysfunction (ED) in adult men. It works by improving blood flow to the penis, helping to achieve and maintain an erection during sexual activity.
Sildenafil is available in 25mg, 50mg, and 100mg strengths.
Sildenafil has been shown to be effective in up to 80% of men with ED, with effects typically noticeable within 30 to 60 minutes, and lasting for up to 4–5 hours.
Common side effects include:
Less common but serious effects include visual disturbances, hearing changes, or prolonged erections. Seek medical attention if severe or persistent side effects occur.
Sildenafil should not be used by those:
Inform your doctor of all medications and supplements before use. Interactions may occur with:
Avoid excessive alcohol while taking sildenafil, as it can lower blood pressure and increase side effect risk. Use with caution if you have any heart-related conditions.
Sildenafil is available by prescription only in the UK.
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Store Notice: Orders placed after 11:00 AM on Friday, 23 May 2025 will be processed on the next working day, Tuesday, 27 May 2025, due to the bank holiday weekend. Thank you for your understanding.
Side Effects: Side effects: Side Effects: Side Effects: Side Effects: Side Effects: Side Effects: Side Effects: Close dose: 25mg/5mlConsumer Protection and InnovationPersonalised PricingTrim range:A valid and over the counter medical assessment with a valid and accurate and forward-billed copy of the patient information and consent form. This form is packsaed with questions and must be read in conjunction with any treatment, medication, or product you take. The GPhC GP patient information is the over the counter product and is the only information sheet that can be read for over a year with no reference packs.
Viagra, Cialis, Levitra and Spedra are FDA-approved medications for erectile dysfunction. Discover which is the best option for you. However, they are all medications with potential side effects. Learn about common side effects and side effects management tips.
Erectile dysfunction can be a challenging condition, but with the right support and guidance, you can achieve better erections and improve quality of life for men with erectile dysfunction. Learn more about Viagra, Cialis, Levitra and Spedra at our pharmacy.
Tadalafil is a PDE5 inhibitor that relaxes blood vessels, allowing blood to flow more easily. Take tadalafil exactly as prescribed by your doctor. Tadalafil is used to treat erectile dysfunction in men. Read more about Cialis, Spedra at our online pharmacy. Tadalafil is also used to treat pulmonary arterial hypertension (PAH) in adults. Tadalafil is available in a generic form, and it's available under the brand names of Cialis and Levitra.
Common side effects of tadalafil include:
These side effects are usually mild and don't need medical attention. If you experience more serious side effects, stop taking tadalafil and seek immediate medical attention.
Tadalafil can cause low blood pressure. Lower the blood pressure by relaxing the blood vessels in your lungs, allowing blood to flow easier, and the pressure in your lungs will decrease. Lower blood pressure can be dangerous, so avoid exceeding the recommended dosage and seek immediate medical assistance.
Tadalafil can cause erections that don't stick, leading tobles in blood. If you have trouble getting or keeping an erection, consult your doctor. They can help you determine the best treatment for you.
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Viagra connect treatment is now available without prescription from Ballybrack Medical Hall, Dublin, as a walk-in service. You may use our Viagra Connect online ordering service for in-store collection.
Viagra Connect® is a treatment for Erectile Dysfunction (ED) available from the pharmacy without a doctor’s prescription. Viagra connect contains 50mg of sildenafil. It is available to patients over 18 years directly from Ballybrack Medical Hall Pharmacy.
Erectile dysfunction (ED) is the inability to achieve or maintain an erection sufficient to have sex, which can put a strain on relationships.
Viagra Connect® is an oral tablet based treatment that is quickly absorbed – it takes 30–60 minutes to work. Do not take more than 1 tablet a day.
To put in a request order for Viagra Connect you will first need to fill out the online form below. We will review your form and the pharmacist will contact you to let you that you meet the requirements needed to be able to dispense this treatment. A consultation with the pharmacist is required before any supply of Viagra Connect® can be made, you only need to ask for a pharmacist and tell them why you are there. We have discrete & private consultation rooms in our pharmacy where a swift consultation will take place where we will simply ask about any current medication and health conditions to ensure Viagra Connect® is a safe and appropriate treatment for you. Once nothing has changed since your last Connect purchase we can arrange a repeat script for this treatment, so the consultation will only be once.
PLEASE NOTE:The pharmacist will advise you to get a health check-up with your doctor as soon as you can within 6 months of first receiving Viagra Connect®. This is to check for any underlying medical problems that can sometimes be associated with erectile dysfunction.
To orderViagra Connect® online please fill out ourrequest order form below, the pharmacy will then review your form and then contact you when it is ready for collection.
Add your purchase Viagra Connect to cartThank you for equate to this order form
Title | Strength | Quantity | Per Pack | Per Unit RMS | Price |
Item Code | Paxil | 0.3% | 500 mg (25 mg) x 2 Packs | 0. |
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