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:
A prescription is required to obtain ED medication. A small number of men, however, who purchase Cialis Together without a prescription purchase Cialis 5mg (tadalafil 10mg) or Viagra Connect (sildenafil 50mg). choice of P – pharmacy medicine for daily use or the need to consult a doctor or pharmacist may be needed ‘over the counter’.
A man has been convicted for trafficking in counterfeit pharmaceuticals, including Viagra and Cialis, in a court in the Philippines.
Tina Lito, 33, was convicted in a special court in the Philippines on February 8 of the same year.
After being sentenced to 20 years' imprisonment and being fined $20,000 (Rs) for trafficking and possessing the counterfeit pills, the court issued a suspension of his arrest on January 29.
The judge sentenced Lito to three months' imprisonment in the state prison for trafficking and possessing the pills. He also stayed a 30-day stay of his arrest in the city of Puntarenas, while the court suspended the sentence on the condition that Lito was released on good behaviour.
Mr Lito was arrested in the western district of Puntarenas City, where he faces a range of charges including illegal importation and trafficking in counterfeit goods.
Mr Lito was also convicted of three counts of trafficking in goods and was fined $20,000 (Rs) for trafficking in goods. He was ordered to pay a fine of $10,000 ($10,500).
The case was prosecuted by Assistant District Attorney (ADA) Paul M. Rocha.
It was learnt that Mr Lito was arrested in the city of Cebu City on February 16 after the trafficking in counterfeit goods and the sale of pharmaceuticals.
In a statement to The Sun, Cebu City Chief Minister Hélène Arroyo said: "This is an extremely serious crime that is very concerning. The law is very clear that the sale of pharmaceuticals, including Viagra, is a crime of distribution, and that the sale of any of those drugs in any other jurisdiction is a crime of distribution. This is a very serious matter and we are committed to ensuring that the police and prosecutors can work to help protect the public.”
According to a press release, the case was transferred to the court after the court heard evidence that the drugs were made by the Ministry of Health to be sold in the town of Tungagorda.
The investigation into the trafficking in counterfeit drugs is continuing.
In the court, police found that the drugs were being sold in the town of Tungagorda and that the drugs were being distributed in the town of Cebu City.
Police also found a bag of tablets, which contained the prescription drugs Viagra, Cialis and Levitra. The tablets were being supplied by the government.
Inspectors at the court said that the case was being prosecuted under the provisions of the Prevention of Counterfeit Act.
Photography by The SunLito was sentenced to 20 years' imprisonment in the state prison for trafficking in goods and a fine of $20,000 (Rs) for trafficking in goods.
The government said that the case was being prosecuted under the provisions of the Prevention of Counterfeit Act.
The court heard that the drugs were being sold in the town of Cebu City. According to the court, the drugs were being sold in the town of Cebu City.
The court also heard that the men were under the supervision of the police.
Viagra has been shown to cause some mild side effects. Talk to your health care provider if these do not go away within a few days. If you begin to experience more serious reactions, seek medical attention immediately.
Common side effects reported from Viagra use include:
More severe side effects include:
If you experience any of these side effects, seek medical attention immediately. These are symptoms of a severe adverse reaction to this medication that require immediate treatment.
As with all prescription medications, inform your doctor of any medical conditions you currently manage. Tell them about any and all medications, prescription drugs, and supplements you are taking before starting treatment with Viagra. Viagra can interact with bodily substances, causing potentially serious adverse reactions.
Specifically, you should inform your health care provider of any nitrate medication you are taking. Remember to mention any herbal products you use, especially St. John’s wort.
In addition, let your doctor know if you have recently had heart surgery or experience chest pain during sex. If you experience any changes in your heartbeat or chest pain during sex, contact your health care provider immediately.
asthma are among 1 in 5 men and 1 in 5 women who have had a heart attack or stroke while using Viagra.Tell them if you have any changes in your vision, such as a change in the amount of light sensitivity.
Hepatouril retentionContinuously for a time, Viagraiberide can cause a high potassium level in the blood. This can lead to a spike in the level of the medication, making you more likely to experience a heart attack or stroke.
As with all prescription medications, inform your doctor if you are allergic to any of the following foods, drugs, or supplements.
As with all prescription medications, inform your doctor if you are taking any of the following medications:
As with all prescription medications, inform your doctor if you have or have ever had any recently found to be hypercholesterolemia.
Cholesterol changes have occurred with Viagra use. Some of these side effects are more common in men taking higher doses of Viagra.
The expiry for this product is 04/2026. It was last checked and updated on 03/2025. This is an estimate and expiry may vary at the time of supply.
Swallow the tablets whole with water as necessary to prevent irritation. Do not break, crush, or chew.
If symptoms persist consult your doctor.
Consult your doctor before using acid relief medicine if pregnant or breastfeeding, as it could cause harm to the unborn child.
Do not take acid relief medicine if you are allergic to any of the ingredients in this medicine.
While using this medicine, inform your doctor about any previous heartburn or heartburn symptoms.
Do not take more than the recommended dose.
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The information provided on this site is for educational purposes only and is not intended to replace professional medical advice. If you have any questions regarding any kind of health condition, please consult with your doctor or pharmacist. This information is not intended to replace the advice of your doctor. It also helps to ensure that your specific health situation does not cover it. A licensed medical professional should determine if acid is the cause of your symptoms and provides you with a diagnosis and treatment should it prove ineffective or harmful.
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You may need to take this medicine with a large glass of water to get the correct dosage. Swallow it as a whole. Do not take this medicine for any other use. Please consult your doctor.
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