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:
For a full list of available therapeutic uses see the manufacturer’s. There may be other applications worth discussing.
The Food and Drug Administration on Thursday said it would make a voluntary recall of nearly $6.8 million of the erectile dysfunction medication Viagra, used to treat erectile dysfunction.
Viagra, the generic version of the prescription drug Viagra, is made by Pfizer Inc. and is used to treat erectile dysfunction in men and women who have not yet reached menopause, the FDA said in a statement.
The FDA said it is weighing whether the drug could have other medical benefits. It has not yet decided if it may cause serious side effects, but Pfizer is expected to make the drug available to patients in the coming months.
Viagra is also sold under a different brand name, Revatio, made by Bayer AG, which was recalled because it had a problem with heart disease and caused headaches. Viagra is available as a tablet and as a liquid.
The FDA said its decision was based on a report that analyzed the data from the FDA's own website.
It said it was not aware of any studies that showed the drug may cause a serious side effect or other serious side effects. The agency also said it does not know how many patients may have reported these serious side effects.
The FDA said its voluntary recall was due to the safety concerns, but it said it did not know how many cases of serious side effects were reported and that there were no data on the frequency or severity of these side effects.
The FDA said the voluntary recall is not associated with an FDA advisory committee meeting. The FDA said it does not know if the drug has been linked to dangerous side effects.
Pfizer Inc. voluntarily recall erectile dysfunction drug ViagraPfizer said it will make a voluntary recall of Viagra, the generic version of Viagra, for an estimated cost of $6.8 million, or about $1.5 billion, to date.
The FDA said it has not determined if the company was involved in the voluntary recall or it had a "black box" warning on the product that could have led to severe side effects.
Copyright © 2025 KFF Health. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.KFF Health is a national health and medical research company that tracks and analyses health care trends and health conditions. Our content is free ofaternal, postpartum and fetal and prescription/nonprescription drugs. KFF is part of the Health Science Foundation, a not-for-profit biomedical research organization that provides scientific testing and analysis to biomedical research centers around the world.Viagra is a FDA approved prescription medication for the management of erectile dysfunction. It helps enhance blood flow, supporting erectile function during sexual activity.
Viagra 50mg Tablet can be taken with or without food but should always be used as directed by your doctor. For best results, take it approximately one hour before planned sexual activity. While the time it takes to work may vary from person to person, it usually starts acting within 30 minutes to an hour. This medicine works only when there is sexual stimulation. Do not exceed the recommended dose of one tablet in 24 hours.
Avoid alcohol consumption while taking this medicine, as it can increase the likelihood of experiencing side effects such as dizziness or headache and may decrease the effectiveness of Viagra Tablet.
It is essential to avoid using it with nitrate-based medications (commonly prescribed for chest pain or angina) as this combination can cause serious health risks. Additionally, do not use Viagra 50mg Tablet if you have severe heart or liver conditions, have recently experienced a heart attack or stroke, or have very low blood pressure. Always inform your doctor about your medical history before starting this medication.
The most common side effects of Viagra include flushing (a warm sensation), headache, dizziness, blurred vision, muscle pain, indigestion, and rash. If these effects persist or become bothersome, consult your doctor for advice. They may adjust your dosage or suggest an alternative treatment. Patients are advised to seek immediate medical attention if an erection lasts more than 4 hours, as priapism can cause permanent damage to the penis.
What is ViagraViagra 50mg Tablet is a penile supplement that helps men achieve and maintain an erection when they are sexually stimulated. It is commonly prescribed to help enhance sexual function in order to improve his or her relationships and boost confidence in the long term. Viagra is a prescription medication and should only be taken under the supervision of a healthcare provider.
Some common side effects of Viagra can include:
While there is no evidence that Viagra 50mg Tablet can be the best treatment for erectile dysfunction, it is a popular and effective medication for many erectile dysfunction conditions.
There are other FDA-approved treatments for erectile dysfunction, including phosphodiesterase type 5 (PDE5) inhibitors (e.g. Viagra, Sildenafil)
While PDE5 inhibitors are effective, they do not cure erectile dysfunction or will do so sooner than you might think. Inexpensive alternative medications may remain available for erectile dysfunction, such as Viagra and Sildenafil.
For men who have previously used PDE5 inhibitors, Viagra or sildenafil, this medication may beesame for other medications you may be taking during your treatment.
For safety, it's essential to inform your doctor about your medical history in thisannel, as this medication can interact with other medications you may be taking, especially nitrates. Combining Viagra and sildenafil can cause health risks, including chest pain or angina, as well as vein thrombosis and certain uterine cancers.
For men who are managing hypertension or are taking oral selective serotonin reuptake inhibitors, it can be helpful to inform your doctor about any prescription or non-prescription medications you are taking. Let your doctor know if you use any of the non-prescription medications listed before, should you have a history of these conditions. They may adjust your treatment or start with the medications listed.
Consult your doctor before taking Viagra if you are pregnant, planning to get pregnant, or taking any other medications. Your doctor will help you evaluate your suitability for this medication and decide if Viagra is suitable for you.
Is.Viagra safe for youOnly a prescription-based ED treatment is suitable for daily use. The most common side effects include headache, flushing, back pain, muscle pain, indigestion, and stomach pain. Rare but serious side effects, such as, may occur. These effects are usually mild to moderate in severity. Consult your doctor before taking Viagra if you have a history of stroke, high blood pressure, bipolar disorder, depression, bipolar disorder with a history of suicidal ideation, or when taking medications that may cause priapism (a serious physical infection that can throw off your erection).
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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