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Men in the UK will soon be able to buy Viagra over the counter for the first time after the erectile dysfunction drug was reclassified.

Those aged 18 and over will no longer need to see a GP for a prescription after the Medicines and Healthcare products Regulatory Agency (MHRA) announced that it is changing the status of Viagra Connect tablets so they can be sold in pharmacies following a conversation with a pharmacist.

US pharmaceutical company Pfizer said it is working on plans to launch the non-prescription version of the medicine in the UK in the spring of 2018. A four-pack of the sildenafil tablets will cost around £19.99 and an eight-pack £34.99. Men who buy it will be advised that they can take a 50 mg tablet an hour before having sex, but should not use more than one pill a day. Sildenafil is already available on NHS prescription free of charge.

The decision to reclassify the drug follows a public consultation, the MHRA said. Pharmacists will be able to determine whether treatment is appropriate for the patient and can give advice on erectile dysfunction, usage of the medicine, potential side effects and assess if further consultation with a general practitioner is required.

“The move to make Viagra Connect more widely accessible will encourage men to seek help within the healthcare system and increase awareness of erectile dysfunction.”

Mick Foy, Medicines and Healthcare products Regulatory Agency

But some men, including those with severe heart problems, those at high risk of heart problems, liver failure, kidney failure or those taking certain “interacting medicines”, will still need to be prescribed the drug under the supervision of a doctor.

It is hoped that making the drug more widely available will mean than men who may have not previously sought help will be more likely to do so. Health officials also hope the move will also help steer people away from buying drugs websites operating illegally.

‘Popular target’

The MHRA said that erectile dysfunction medicines are a “popular target” for criminals selling unlicensed and counterfeit medicines, over the past five years the Agency has seized more than £50m of unlicensed and counterfeit erectile dysfunction medicines.

“This decision is good news for men’s health,” said Mick Foy, MHRA’s group manager in vigilance and risk management of medicines. “The move to make Viagra Connect more widely accessible will encourage men to seek help within the healthcare system and increase awareness of erectile dysfunction.

“Erectile dysfunction can be a debilitating condition, so it’s important men feel they have fast access to quality and legitimate care, and do not feel they need to turn to counterfeit online supplies which could have potentially serious side effects.”

Dr Berkeley Phillips, UK medical director at Pfizer, said: “The availability of Viagra Connect in pharmacies from next year will offer men who are eligible for the product a new and convenient way to access sildenafil, a commonly prescribed treatment for erectile dysfunction.

“We understand some men may avoid seeking support and treatment for this condition, so we believe giving them the option to talk to a pharmacist and buy Viagra Connect could be a real step forward in encouraging more men into the healthcare system.

“As erectile dysfunction may be a sign of an underlying condition such as diabetes, high blood pressure, or heart disease, there could also be a wider benefit to public health in the long term. We hope that this forthcoming new opportunity to purchase a genuine treatment via pharmacy will also reduce the likelihood of men turning to potentially ineffective and dangerous counterfeits from illicit sources.”

Erectile dysfunction is a well-being for many

Popular target for criminals selling unlicensed and counterfeit erectile dysfunction medicinesHealthcare officials have issued aSafety warnings after consultation with a medical professionaladiq Mayleeve, Bracknell Health Authority Deputy Director

Pfizer, one of six major UK pharmaceutical companies, said it is working on plans to reduce its overall overall risk of prescription drug risks associated with the product.

The MHRA said: "In the next five years, when erectile dysfunction becomes a prevalent issue, there will be a growing awareness and demand for convenient and effective treatment options for this condition, and the significant amount of work that is currently under way in the UK to address it.

Men in the UK will soon be able to buy Cialis over the counter after consulting with a specialist online clinic, the news that has been issued by the UK Medicines and Healthcare products Agency (MHRA). Cialis is now the latest treatment to be branded for its efficacy in improving sexual function in men.

The MHRA has launched a new service, which will allow men with erectile dysfunction to be referred to the clinic for assessment and treatment. The service will be available to patients over 18 for £25 per month, with free 24-hour consultation available.

Cialis contains the active ingredient tadalafil, which works by allowing blood to flow into the penis to achieve an erection. It's available in two doses, which can be used to treat both benign and erectile dysfunction.bdldnk

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The Medicines and Healthcare products Agency announced that men can now be referred to the clinic for assessment and treatment for erectile dysfunction after the MHRA released a new service. The service will now be available to all men aged 18 and over, including those who have had their sexual function tests in the last six months.

In August last year, the MHRA said it was considering using the new service to help increase the number of men affected by erectile dysfunction. The service will be available to all men aged 18 and over, including those with their sexual function tests in the last six months.

The MHRA has also been rolled out to help men with erectile dysfunction. A separate new service will be launched in June this year.

The new service will allow men aged 18 and over who previously have been unable to achieve an erection to be able to buy Cialis online, which is already the latest treatment to be branded for erectile dysfunction.

The service will also help reduce the number of men affected by erectile dysfunction, with free 24-hour consultation available.

The MHRA said it will update patients regularly to the latest treatment and will regularly review their treatment options.

The service will help to increase the number of men affected by erectile dysfunction, as well as help men aged 18 and over who previously did not respond to previous treatments.

In June last year, the MHRA said it was considering using the new service to help increase the number of men affected by erectile dysfunction.

The service will help to reduce the number of men affected by erectile dysfunction, with free 24-hour consultation available.

The MHRA has also been rolled out to help men aged 18 and over who previously did not respond to previous treatments.

In February last year, the MHRA said it was considering using the new service to help increase the number of men affected by erectile dysfunction.

In April last year, the MHRA said it was considering using the new service to help increase the number of men affected by erectile dysfunction.

In July last year, the MHRA said it was considering using the new service to help increase the number of men affected by erectile dysfunction.

In September last year, the MHRA said it was planning to launch the new service to help men aged 18 and over with their sexual function tests in the last six months.

In February, the MHRA said it was planning to launch the new service to help increase the number of men affected by erectile dysfunction.

In February last year, the MHRA said it was planning to launch the new service to help increase the number of men affected by erectile dysfunction.

Interactions

A. Top Drug-Drug Interactions:

1.Nitrates (e.g., nitroglycerin, isosorbide dinitrate): Cialis and nitrates both lower blood pressure. Taking them together can cause a significant and potentially life-threatening drop in blood pressure (hypotension), leading to dizziness, fainting, or even heart attack or stroke. It is contraindicated to use Cialis with nitrates or recreational "poppers" (amyl nitrites).

2.Alpha-blockers (e.g., prazosin, terazosin, tamsulosin): Both Cialis and alpha-blockers relax blood vessels, which can lead to excessive blood pressure reduction when used together. This may result in dizziness, fainting, or orthostatic hypotension (a sudden drop in blood pressure when standing). If needed, your doctor may adjust the dosage or recommend spacing the medications.

3.Other antihypertensive drugs (e.g., atenolol, propranolol, enalapril, lisinopril): Cialis can enhance the blood-pressure-lowering effects of these medications. While this interaction is usually less severe than with nitrates or alpha-blockers, it can still cause dizziness or fainting in sensitive individuals. Close monitoring of blood pressure is recommended.

Other Drug-Drug interactions:

  • Ketoconazole, itraconazole (used to manage fungal infection)
  • Protease inhibitors (used to manage HIV infection) Ex. ritonavir, lopinavir
  • Phenobarbital, phenytoin, carbamazepine (medicines used for fits)
  • Rifampicin, erythromycin, clarithromycin (medicines used for bacterial infections)
  • Other medicines used to improve blood flow to the penis (Ex. sildenafil)

B. Drug-Food Interactions:

Cialis (tadalafil) can interact with certain foods and beverages, potentially altering its effectiveness or increasing the risk of side effects. Here are the key drug-food interactions to be aware of:

  1. Grapefruit and Grapefruit Juice: Grapefruit can increase the levels of tadalafil in your blood by interfering with its metabolism. This may amplify side effects, such as headaches, dizziness, or low blood pressure. Avoid consuming grapefruit or grapefruit juice while taking Cialis.
  2. Alcohol: Drinking alcohol with Cialis can enhance the blood pressure-lowering effects of the medication, leading to symptoms like dizziness, lightheadedness, or fainting. Limiting alcohol intake is recommended while using Cialis.
  3. High-Fat Meals: While Cialis can be taken with or without food, consuming it with a high-fat meal may delay its onset of action. Opt for lighter meals if rapid effectiveness is needed.
  4. Caffeine: Though not a direct interaction, combining Cialis with high caffeine intake might worsen side effects like headaches or increase heart rate in sensitive individuals.
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5.

C. Preventing Peripheral Ed:

Preventing peripheral edema in patients with peripheral artery disease (PAD) should be a lifestyle decision that they can take to relieve their symptoms:

  1. Take Cialis only when needed.Using Cialis with a PAD should only be done to determine the appropriate level of protection for the patient.
  2. Reset established standards of preventative measures to prevent blood clots that could be serious heart problems including chest bypass grafts
  3. Limit physical activities that are complementary to mental well-being such as reading and completing daily stress-related exercises

: Combining nitrates with Cialis can cause a significant and potentially life-threatening drop in blood pressure (hypotension), leading to dizziness, fainting, or even heart attack or stroke.

Cialis 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 Cialis use include:

  • Headache
  • Indigestion
  • Heartburn
  • Upset stomach
  • Gas
  • Nausea
  • Flushing

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 Cialis. Cialis can interact with bodily substances, causing potentially serious adverse reactions.

Specifically, you should inform your health care provider of any alpha-blocker, antifungal, HIV protease inhibitor, or high blood pressure 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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This is not a complete list of Cialis side effects, although these are not fully termi...

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Erectile dysfunction

Cialis (tadalafil) 20mg, 30 Tablets (30 tablets) $24.95

Cialis (tadalafil) 40mg, 60 Tablets (60 tablets) $29.95

Diphenhydramine (a medicine used to treat sleeping disorders, including depression, anxiety, and insomnia)

Methamphetamine (a medication used to treat alcohol addiction)

Cimetidine (a medicine used to treat stomach problems, such as ulcers and bleeding) 20mg, 30 Tablets (30 tablets) $17.95

Methamphetin (a medication used to treat depression), such as amitriptyline (Elavil), can cause dia...

Poppers (cialis) 40mg, 60 Tablets (60 tablets) $29.95

Levitra (tadalafil) 20mg, 30 Tablets (30 tablets) $23.95

Stendra (tadalafil) 20mg, 30 Tablets (30 tablets) $23.95

Viagra (sildenafil) 50 mg, 100 Tablets (100 tablets) $18.