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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’.
As with theaxes, Dr Fox specialises in providing a wide range of different 'over the counter' medicines and doloxifene inhibitors.

Categories of tadalafil

Cialis Together will be a ‘P’ when used as a 'P’ OTC product due to ‘no substitute for the works’. The workältestag of Cialis Together will not produce levels above the normal therapeutic levels for at least 60 minutes.

A Viagra prescription filled at a local drugstore prompts men to visit the back door of some of the nation’s most notorious drugstores and health reassure public health services.

The “Viagra back-up” feature, which purport to serve men to see the “Pfizer’s” little blue pill in cost-conscious stores such as CVS and Walgreens, is a straightforward affair. But as the name suggests, the pill comes in the form of a pill. According to the drugstore, “It’s a generic Viagra that’s available without a prescription.”

Pfizer, the health insurer that holds the company’s market share, was among the first to welcome its Viagra back-up, a move that some experts say is a direct response to the recent rise of online pharmacy purveyors operating within the United States.

The move is a major stride in the fight against the online drugstore phenomenon, which has been blamed for fueling the nation’s rise in prescription drug prices.

How Viagra Works

Pfizer’s Viagra is a medication that treats erectile dysfunction by increasing blood flow to the penis, which is crucial for a man to get and maintain an erection. But it comes with side effects and contraindications, which require a doctor’s prescription.

While some doctors prescribe Viagra for certain conditions, others will prescribe a different medication, sometimes to address another condition. For example, certain men may be more prone to heart problems, or may be at a higher risk of low testosterone levels, which can affect their sexual performance.

The practice of prescription drug sales is growing, and its popularity has been matched by online pharmacies that specialize in erectile dysfunction drugs. This trend has been particularly evident in the past.

How CVS and Walgreens Work

Walgreens, which also owns the nation’s two biggest prescription drugstores, CVS and Walgreens, was among the first to welcome the Viagra back-up. According to the website, “[i]n the past, Walgreens [gave] away more than 100,000 prescriptions filled in its stores each year.”

A CVS spokeswoman said that the retailer’s “[cited] a few of the most popular and widely known online pharmacies in the country, such as Kroger, CVS, and Walmart,” as well as other brick-and-mortar stores.

Walmart has a history of ordering drugs on its website, with the chain’s popular erectile dysfunction drug Viagra serving as its top-selling prescription drug in the US.

CVS also sells its popular cholesterol medication Lipitor, which was introduced in the late 1990s. The online store’s popular Lipitor drug, which is used to treat heart problems, has also become a household name, with its popularity growing.

How CVS and Walgreens are Similar

Both CVS and Walgreens have been known to use different brands of Viagra and its generic version of Lipitor, which is a prescription drug that’s widely used as a treatment for people with cholesterol problems. Both CVS and Walgreens have issued warnings about the online pharmacy phenomenon.

Online pharmacies in the US have been known to sell generic Viagra. A 2013 report from the Food and Drug Administration stated that the generic Viagra was “designed to be the most widely used and widely prescribed medicine on the market.”

But the FDA has recently rejected the generic drug. The agency is also considering approving another generic version of the drug, but one that’s sold as a generic for much less than the brand name. Pfizer, the manufacturer of Viagra, may still hold onto the market share of CVS.

The Problem

For years, men have been able to obtain Viagra without a prescription, even from the online drugstore phenomenon. Last year, in a study conducted at the University of Pennsylvania, researchers examined the online retail market and found that only a fraction of men were able to get the drug. And it’s no surprise that some of those men were unable to find a pharmacy that offered the drug.

In recent years, online pharmacy trends have been changing, and many men are turning to them as a alternative to traditional prescription drugs.

Online pharmacies have also seen a surge in activity, with many offering a variety of ED-friendly medications, such as Viagra.

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:

  • Headache
  • Heartburn
  • Congestion
  • Nasal bleeding (bloody nose)
  • Nausea
  • Diarrhea
  • Muscle aches or pains
  • Flushing
  • Facial pain or tenderness
  • Vision changes
  • Light sensitivity

More severe side effects include:

  • Painful erections or erections that last longer than 4 hours
  • Sudden loss of vision
  • Sudden loss of hearing
  • Ringing in the ears
  • Chest pain
  • Shortness of breath
  • Painful urination
  • Increased urination frequency
  • Fainting
  • Dizziness
  • Skin rash
  • Hives
  • Facial swelling

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.

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In as part of theskinnyovered facts, Viagra can cause a dangerous drop in blood pressure. Doctors sometimes prescribe Viagra with nitrates to treat this side effect. But there’s no evidence that Viagra can cause as much side effects as some other ED medications.

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Viagra can increase the risk of erectile dysfunction in men with a history of heart problems. Erectile dysfunction can be an adverse side effect of Viagra but it’s still a very treatable condition. Erectile dysfunction can make it difficult to get or keep an erection. Erectile dysfunction can sometimes be an early sign of a more serious condition, such as diabetes.

If you experience any dizziness, lightheadedness, fainting, fainting booked at an clinics like our could help reduce the risk. For a prescription-only clinic, walk into our to book an appointment today!

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If you find that you are experiencing erectile dysfunction, you should talk to your doctor. They may need to change the dosage or alternative treatment. Many people experience side effects when taking tadalafil, but many find that taking tadalafil with food does not seem to be a problem.

However, tadalafil can cause a dangerous drop in blood pressure. But there is no evidence that Viagra can cause as much side effects as some other medications.

Tadalafil can interact with alcohol, causing potentially serious adverse reactions. Also, nitrates can interact with tadalafil, causing a potentially dangerous drop in blood pressure. Inform your health care provider if you have any recent heart surgery or are taking any other medications.

In addition, let your doctor know if you are taking any other medicines, including other ED medications. These should be prescribed by your health care provider.

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Viagra can cause a dangerous drop in blood pressure.

As with all prescription medications, inform your doctor if you have recently had heart surgery or experience chest pain during sex. If you experience pain in the chest or chest pain, contact your health care provider right away.

Viagra New Zealand - 1.0 mg/tab

How to buy Viagra online in New Zealand

To order Viagra in New Zealand, you will need to have a prescription from a doctor. When you do, you will be able to order the medication from our website and one of the following will be displayed:

  • The address below will be displayed.
  • The password will be known.
  • The number of tablets will be shown within the tripled “D” boxes.
  • The quantity of medication shown will be in the amount that you buy.
  • The type of Viagra will be “Sildenafil”, “Tadalafil” or “Vardenafil”.
  • The number of doses will be shown within the tripled “D” boxes.

We will need your feedback and comments via email, phone or email on our website or send an email to or where you are available to answer your questions. We strive to be more than the law and we are aware of every one of our patients's symptoms and symptoms have caused them distress and make them understand that they are not alone in their suffering. Please feel free to contact us via our. If you are suffering from any of these conditions, please contact your doctor and we will get back to you”

Side Effects of Viagra New Zealand

How does Viagra work?

Viagra works by relaxing the blood vessels in the penis, allowing the blood to flow into the penis when you get sexually excited. This helps you to achieve and maintain an erection.

Viagra works by improving blood flow to the penis which helps to achieve and maintain an erection. Viagra will only work if you are sexually excited. You must be sexually excited for the medication to work. It does not work if you are not sexually excited. If you are not sexually excited for more than 4 hours (either before or after taking Viagra) you will not be able to have intercourse.

Viagra does not work if you are not sexually excited. Viagra works only when you are sexually excited.