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1. Buy Reload Online

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It is important to note that sildenafil should not be taken if you are allergic to any of its ingredients.

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 thousands of medicines are repackaged under the name of ‘Tadalafil’, which has been available to buy OTC, without a prescription, since it was introduced in 2018.

off-label

has an applicationiencies that make it less expensive than off-label. When used off-label, it helps with ED. For example, the off-label price for Cialis 10mg is around 50p per tablet, when compared to 40p per tablet used as a P – prescription medicine.

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The ED medication, Levitra, is a popular pill that can be taken on an as-needed basis to treat erectile dysfunction. While Cialis is a popular option for many men, it is also not without its risks. Here are some tips on how to get the most out of Levitra:

1. Choose a reputable online pharmacy:You can find Levitra online from the comfort of your home. Many pharmacies offer discounts on prescriptions, allowing you to buy the medication at a more affordable price. Look for pharmacies that require a prescription from a licensed healthcare provider, such as a doctor or a physician.

2. Find a pharmacy that is licensed and accredited:Pharmacies are considered reputable, and they are accredited by the state board of pharmacy. Check for reviews and ratings from other pharmacies to find the best deal on medications.

3. Use the product:The Levitra medication is taken by mouth, and you can take it with or without food. However, it is important to take the medication at a consistent time each day. Take it as directed, even if you feel better before the medication.

4. Take the medication with a full glass of water:The medication should be taken with or without food, but it can be taken with or without water. It's important to take the medication with a full glass of water, even if you feel better before the medication.

5. Use the medication with a meal:A meal containing the medication can provide additional benefits. However, it may not be enough to fully enjoy the effects of the medication. It's essential to make sure you take the medication at the right time each day to maintain the medication's benefits.

6. Consult a doctor:Your healthcare provider can help you determine the best treatment plan for your specific needs. They may recommend a doctor or a healthcare professional, but it's important to consult with a doctor before taking any medication.

7. Take the medication with food:Cialis may be taken with or without food, but you should take it with or without food to ensure it remains effective. It's important to take the medication at the right time each day to maintain the benefits of the medication.

8. Limit time:It's important to limit the time it takes for the medication to work. For example, if you are taking Levitra for erectile dysfunction, it may take up to one hour to work, whereas if you are taking it for the treatment of pulmonary arterial hypertension, it may take up to four hours to work.

9. Take the medication with water:Taking Cialis with water can help reduce the effect of the medication, which is known as priapism, which is a medical emergency. It is important to follow your doctor's instructions carefully and to be aware of any side effects that may occur.

10. Take the medication at night:If you have any underlying health conditions, such as high blood pressure, low blood pressure, or heart disease, it is important to take the medication at night. It is also important to avoid taking the medication with food and alcohol, as they can exacerbate side effects.

11. Don't take the medication without a doctor's advice:If you have questions about the dosage or timing of the medication, it's essential to consult with your doctor. They can help determine the best course of treatment based on your specific needs.

12.Taking Cialis with food can help reduce the effects of the medication, which is known as priapism. It is important to avoid taking the medication with food, as they can exacerbate side effects.

13.