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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.

What does this mean for patients?

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

Categories of medicine

In the UK have 3 categories:

  • POM – Prescription only medicine:supplied by a healthcare professional following a consultation, usually on prescription.
  • P – Pharmacy medicine:supplied by a pharmacist ‘over the counter’, sometimes referred to as ‘P’ medicine or ‘PMED’.
  • GSL – General sales list medicine:available from many retail outlets ‘off the shelf’.
A total of 9 different list medicines are available for purchase at many retail pharmacy online. The 3 list medicines are:
  • Ascendin –a prescriptionlist medicines containing very low levels of a substance that can increase the risk of getting serious heart problems or death.

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.

WHAT IS VIAGRA CONNECT®?

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.

WHAT IS ERECTILE DYSFUNCTION?

Erectile dysfunction (ED) is the inability to achieve or maintain an erection sufficient to have sex, which can put a strain on relationships.

HOW DOES VIAGRA CONNECT® WORK?

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.

IS VIAGRA CONNECT® RIGHT FOR YOU?

  • Who it’s for:Viagra Connect® is for adult men (over 18 years of age) who have erectile dysfunction (ED).
  • Who it isn’t for:If you are a woman, a man under 18, or do not have ED, then Viagra Connect® isn’t the right treatment for you.
  • Are you taking other medicines?Some medicines can interact with Viagra Connect®, so we will need to make sure that there are no contraindications before supplying it to you.
  • Do you have any other health conditions?Some health issues may make Viagra Connect® unsuitable. So before we dispense this treatment you’ll be asked a few straightforward questions about your health.

I NEED VIAGRA CONNECT, WHAT DO I NEED TO DO?

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.

ONLINE ORDER FORM

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.

Viagra Connect®1's/ In-store ORDER FORM

Viagra Connect® online please click below for more information and we will then contact you to ensure this is the right treatment for you.

What IS the right treatment for you?

We have discrete and private consultation rooms in our pharmacy where a brief consultation will take place where we will simply ask if Viagra Connect® is suitable for you. The consultation will be live, so you will not be able to makeruggedotionscerning yourself or talk to your doctor again. The pharmacist will help you fill the prescription in one go by drop of 1/1 usinevall/.Once this prescription is supplied the pharmacist will contact you to ensure this treatment is suitable for you. Once this prescription is made available the pharmacist will contact you by video call to your account to ensure this treatment is suitable for you. If this treatment isn’t available for you the pharmacist will need to fax you a supply of the medication to your next orders. You may report any questions you have “on time” to your health needs.

Viagra Connect is available in Ireland for erectile dysfunction treatment which does not require a prescription. The first of its kind, Viagra Connect is a safe and discreet over-the-counter medication that can legally be bought online or over the counter in your pharmacy, without a trip to your doctor.

We need to ensure that this medicine is suitable for the person it is intended for. Therefore, it should only be purchased by the person taking it.

You can select your convenient store to collect your product and fill in the online form required.APharmacist will contact you to let you know your product is ready for collection, or you can buy onlineand complete the questions included.

When purchased online, a pharmacist will contact you by phone if they have any further questions and to advise you on the safe use of this medicine. If they are unable to speak to you when required your order may be delayed or the pharmacy medicine part of your order cancelled.

Please ensure your contact details are correct before ordering this medicine.Suitable for

Viagra Connect is for men 18 years and older who have difficulty getting and/or keeping an erection hard enough for sex

Age RestrictionYou must be at least 18 years old to purchase this product.

Directions for use:

Please read the enclosed leaflet carefully before use.

• take 1 tablet approximately one hour before sexual activity• swallow tablet whole with water• do not take more than 1 tablet a dayViagra Connect starts to work within 30-60 minutes. You may take it up to 4 hours before sexual activity.

Hazards and Cautions

Do NOT take if you:

  • do not have an erection problem
  • take any nitrate medicine for chest pain or heart failure
  • take riociguat (or other guanylate cyclase stimulators) for high blood pressure in the lungs
  • take ritonavir for the treatment of HIV
  • have been advised by your doctor to avoid sexual activity because of a problem with your heart or blood vessels
  • have a severe heart or liver problem
  • have low blood pressure
  • have ever had severe vision loss or a rare inherited eye disease
  • have a deformed penis
  • have an allergy to any of the ingredients in this product

Talk to your pharmacist or doctor before taking if you:

  • get very breathless or feel chest pain with light or moderate physical activities
  • have a heart problem
  • have high blood pressure that is not controlled
  • take any other medicines listed in the package leaflet
  • take any other treatment for erectile dysfunction
  • ever had a persistent erection that lasted for more than 4 hours
  • have a stomach ulcer or bleeding disorder
  • have diagnosed mild to moderate liver problems
  • have diagnosed severe kidney problems
This is a shared product where questions may be asked

What arerahams Health adds

This product should not be taken if you have had a heart attack, or if you think you have had a heart attack, stroke or kidney, or if you have a weak or non-diabetes medicine (such as a non-aspirin medicine) or any other blood pressure medicine.

Your pharmacist / doctor may tell you to take it with or without food if you have reduced sex drive and erectile problems.

Do not take Viagra Connect if you have severe liver or severe heart problems, if you have diagnosed diabetes or any other medical condition, or if you are HIV positive or have had any problems with your heart.

Do not drive or operate machinery until you know how this medicine affects you.

Do not take Viagra Connect if you have severe stomach or intestinal bleeding and you are under the care of you or your doctor.

Men Who Take Viagra to Treat Male Sexual Problems

In the realm of erectile dysfunction treatments, men who have experienced an erection only to be unable to achieve or sustain an erection has often been asked to try Viagra for a brief period. While these drugs are effective in treating male impotence, they have been found to be ineffective in treating the condition. Men who have a history of cardiovascular disease and/or high blood pressure are often advised against using Viagra. If you are struggling with erectile dysfunction and are worried about the condition, it is a good idea to speak with your doctor or pharmacist to explore options.

How to Find the Best Men Who Are Filing Viagra

Men who have been considering Viagra to treat erectile dysfunction have come up with a myriad of ways to find the right men who have the knowledge and skill to make an informed decision about Viagra. In this article, we'll examine the various methods men use to find the best men who are going to treat their erectile dysfunction and the best options available to them. If you would like to learn more about how to find the best men who are going to treat erectile dysfunction, we also provide a wealth of information on how to do this.

What is Cialis?

The termcialisis essentially a generic version of Viagra. The primary difference lies in the way in which the medication works. Viagra is a phosphodiesterase type 5 (PDE5) inhibitor, and Cialis is a generic name for the drug. The primary advantage of these generics is that they can be purchased over the counter without a prescription.

How does Cialis work?

Cialis works by increasing blood flow to the penis. This increased blood flow can help men get and maintain an erection. It is also effective in the treatment of erectile dysfunction. In order for Cialis to work, the medication must be taken at least 30 minutes before sexual activity. Cialis has no recreational use.

How long does Cialis last?

Cialis may last for up to 36 hours after you take the pill. This is because the medication is taken in the morning. It is important to take the medication at least 8 hours after the pill.

Can I buy Cialis online?

Yes, you can buy Cialis online from Canadian pharmacy. You can do this by filling out a health questionnaire and answering yes or no.