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:
JAKADEM: The government has asked the Indonesian Food and Drug Administration to issue a ruling on a case that accused the country’s health officials of illegally selling prescription drugs to unlicensed outlets.
The case, filed by a company in Jakarta, was filed by Indonesian drug-maker Medeo Pharma, which claims it distributed prescription drugs to unlicensed outlets.
The case, filed by Indonesia’s largest drug maker, Jasmir Indonesia, is based on allegations that the agency is illegally selling unlicensed drugs to unregulated outlets in Indonesia. The agency said the products are manufactured in the state of Jakarta, which is not a part of Indonesia, and were sold to unlicensed outlets in the country’s northernmost area, including in the western part of the country.
The agency said the products are marketed as having “no evidence” of human health risk or of the fact that they are manufactured by unlicensed facilities.
The drug company also said that it has received a letter of warning from the Indonesian Food and Drug Administration, which is responsible for ensuring that unlicensed outlets are sold in Indonesia and that consumers are not exposed to such products.
The company said the products were sold under the “Healthy Indonesia” brand name and “Viagra for men” label on the products. It said that while the labels did not state any of the products were safe for consumption, the FDA has not been able to determine if the products are safe for use in Indonesia.
According to the company, the products are sold in a variety of categories including prescription and over-the-counter medicines, vitamins, cosmetics and food supplements. The FDA said that the products were sold in a range of strengths ranging from 0.5 mg to 1 mg. The products are being marketed to consumers only under the brand name “Viagra” or “Sildenafil.”
The FDA said it was concerned that “we may have an increased risk of serious adverse reactions from the use of prescription drugs in Indonesia.”
The agency said it was investigating whether Medeo Pharma had intentionally sold the products to unlicensed outlets.
The company did not immediately respond to a request for comment.
Medeo Pharma is a subsidiary of Jasmir Indonesia, which has offices in Jakarta, Jomo Kenyatta, Sumatra, Tukun and other parts of Indonesia.
The company has been accused of selling a wide range of medicines, including some of the medicines used to treat high blood pressure and angina.
According to Medeo Pharma, the products were being marketed as having no evidence of human health risk or of the fact that they are manufactured by unlicensed facilities.
According to the company, the products were sold under the “Healthy Indonesia” brand name and “Viagra for men” label on the products. The company said that while the labels did not state any of the products were safe for consumption, the FDA has not been able to determine if the products are safe for use in Indonesia.
The company said that it was concerned that “we may have an increased risk of serious adverse reactions from the use of prescription drugs in Indonesia.”
According to the company, the “Healthy Indonesia” label did not state that the products were safe for consumption in Indonesia, but the FDA has not been able to determine if the products are safe for use in Indonesia.
In addition, the FDA said the products sold under the “Healthy Indonesia” brand name were not approved for use in Indonesia and had been sold for less than five years.
The agency said that the product was marketed as having no evidence of health risk or of the fact that it is manufactured by unlicensed facilities.
The company said that the products were sold under the “Healthy Indonesia” brand name and “Viagra for men” label on the products.
The FDA said that it was concerned that “we may have an increased risk of serious adverse reactions from the use of prescription drugs in Indonesia.
VIAGRA TAKEOFFS
Description
VIAGRA contains the active ingredient Sildenafil. It helps relax blood vessels and increase blood flow to specific areas of the body. VIAGRA is used to treat erectile dysfunction in men. It may take several months to see the full effects. You should see your penile erection after sexual stimulation. VIAGRA is not recommended for use by men who have experienced side effects from nitrates or nitric oxide donors. VIAGRA is not a substitute for medical care. It is important to consult a doctor before taking VIAGRA, and to discuss any other medications, supplements, or herbal therapies you are taking.
Indication
VIAGRA is indicated in adult men with mild to moderate erectile dysfunction and a recent history of priapism. In the absence of specific clinical data, appropriate management of VIAGRA-treated men is recommended.
Patient Information
Dosage and Administration
VIAGRA should be taken on an empty stomach; take at least one hour before sexual activity. Do not take VIAGRA for more than three consecutive days. If a man takes more than one dose in a day, sexual activity should be avoided. Avoid alcohol and grapefruit juice while taking VIAGRA. Do not use this medication for longer than one day unless directed by your doctor.
Contraindications
VIAGRA should not be used by men with cardiovascular disorders, including unstable angina or severe pre-eclampsia.
Pregnancy
VIAGRA is not recommended for use by men who are pregnant or breastfeeding unless clearly indicated by your doctor.
Lactation
VIAGRA is not indicated for use by men who are breastfeeding, pregnant, or planning a pregnancy. VIAGRA should be used only if clearly needed in a specific patient.
Interaction
Sildenafil may decrease the effectiveness of VIAGRA. Men taking nitrates for chest pain should not take this medication. Men taking nitrates for angina should not take VIAGRA, as it can cause a dangerous fall in blood pressure. Men taking nitrates for pre-eclampsia must use VIAGRA if their blood pressure is not improving. If there is a risk of VIAGRA-induced heart attack, use VIAGRA as directed by your doctor, even if it appears unlikely. Do not take VIAGRA if you are elderly, have a history of stroke, high blood pressure, liver or kidney problems, uncontrolled diabetes, uncontrolled hypertension, or a history of heart attack.
Possible Side Effects
The most common side effects are dizziness, headache, flushing, and nasal congestion. If any of these symptoms occur, contact your doctor immediately. Rarely, VIAGRA may cause changes in vision including blurred vision, double vision, and temporary blindness in children.
Precautions
This is not a complete list of the side effects. Tell your doctor if you notice any of the following: heartburn, indigestion, nausea, skin rash, rash on your arms/ legs, or shortness of breath. Tell your doctor if you have chest pain, irregular heartbeat, shortness of breath, dizziness, or lightheadedness, if you are in a hospital environment, or if you are having a heart attack. You should see your doctor if you notice any of the following signs of an allergic reaction: hives; itching/stomach/chest pain. Stop taking VIAGRA and contact your doctor as soon as possible if you have hives. Contact your doctor if you notice other symptoms of an allergic reaction, such as a rash, swelling of the face, throat, lips, or tongue. VIAGRA should not be used during pregnancy. VIAGRA is not recommended for use by pregnant women unless clearly needed.
Last updated 18 January 2022
Good news for men suffering from : sildenafil is now more widely available on the NHS in England (from 1 Aug 2014), although health managers previously advised limits of 4 tablets per month.
When Pfizer’s, the supply cost of sildenafil (the generic name for Viagra) was slashed from pounds to pennies. Since 1999 the availability of Viagra/sildenafil on the NHS has been subject to certain restrictions. Specifically, the drug was only available to male patients whose erectile dysfunction was associated with any of the following conditions:
Significantly, the price of generic Viagra has dropped by 93%, signRegister.co.uk.
Due to the lower cost of sildenafil on the NHS, health- managers twice the size of the companies that provide the drug in the UK have introduced a limit on the number of male patients who will be able to buy their drug without restrictions. A lastguagedby major drug manufacturer
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Last Updated: February 01, 2025
The Viagra price in Pakistan is Rs 2,890.30 per pill. The drug is available for those who have a certain age from the age of 18, to a certain age from the age of 30 to 45, to a certain age from the age of 50 to 70, and above. This price is a lower limit for the availability of this medication in Pakistan.
The Viagra tablet in Pakistan is manufactured by Pfizer Ltd. The drug is available at Rs 2,890.30 per pill and it is also available for purchase at a price of Rs 2,400.90 per tablet. The drug is available for sale from a generic drug store.
Pfizer has decided to increase the price of the drug to Rs 2,800.30 per tablet for the treatment of ED.
Pfizer has also set a price for this drug at Rs 2,800.30 for the treatment of PAH.
The drug price in Pakistan is Rs 2,800.30 per tablet. The price in Pakistan is Rs 2,800.30 per tablet for the treatment of ED.
The price in Pakistan is Rs 2,800.30 per tablet for the treatment of PAH.
Viagra pills available in PakistanOriginal price of Viagra in Pakistan Rs: 2,800.30/pill.