Cialis: A Trusted Solution for Erectile Dysfunction
The MHRA has reclassified Cialis Together (tadalafil), used for erectile dysfunction, so that it can now be made available for purchase over-the-counter without a prescription. Erectile dysfunction becomes more common with increasing age, and is "seen in 50 - 55% of men between 40 and 70 years old", according to the British Association of Urological Surgeons.
Discreet Packaging
There are several treatment options for ED, including lifestyle changes, counseling, medication, and surgery. One of the most popular treatments is the use of oral medications like Cialis® Together. Cialis® Together is an over-the-counter medication for the treatment of erectile dysfunction. It contains an active ingredient called tadalafil, which has been prescribed for over 20 years and trusted by millions of men worldwide. Cialis® Together works by relaxing the blood vessels in your penis, allowing blood to flow into it when you’re sexually aroused.
Comparison with actions of other PDE5 inhibitors
This helps you get and maintain an erection. However, remember that Cialis® Together only works when you’re sexually stimulated. Cialis® Together will be available to purchase from pharmacies without a prescription. This decision followed a positive assessment of the safety of Cialis® Together and advice from the Commission on Human Medicines. When purchasing Cialis® Together, you’ll be required to have a discussion with the pharmacist. Research had identified that in 2021, every 7.5 seconds, a medication for erectile dysfunction was prescribed to people in England and Wales.
| Product | Dosage | Quantity + Bonus | Price | |
|---|---|---|---|---|
| Cialis Super Active | 20mg | 30 + 6 Pills | 128.09€ 121.99€ | |
| Cialis Original | 20mg | 34 + 2 Pills | 183.99€ 175.23€ | |
| Cialis Generic | 40mg | 20 Pills | 59.47€ 56.64€ | |
| Cialis Soft Tabs | 20mg | 90 + 6 Pills | 216.71€ 206.39€ | |
| Cialis Soft Tabs | 20mg | 180 + 8 Pills | 353.17€ 336.35€ | |
| Cialis Generic | 5mg | 360 + 10 Pills | 268.08€ 255.31€ | |
| Cialis Generic | 20mg | 90 + 6 Pills | 154.71€ 147.34€ | |
| Cialis Generic | 20mg | 120 + 8 Pills | 188.15€ 179.19€ | |
| Cialis Generic | 60mg | 360 + 10 Pills | 570.52€ 543.35€ | |
| Cialis Generic | 40mg | 120 + 8 Pills | 206.98€ 197.12€ | |
| Cialis Generic | 40mg | 90 + 6 Pills | 171.35€ 163.19€ | |
| Cialis Super Active | 20mg | 20 + 4 Pills | 92.35€ 87.95€ | |
| Cialis Generic | 10mg | 60 + 6 Pills | 105.81€ 100.77€ | |
| Cialis Professional | 20mg | 120 + 4 Pills | 291.68€ 277.79€ | |
| Cialis Generic | 10mg | 180 + 8 Pills | 236.88€ 225.60€ |
In that same year the NHS spent over £13 million on prescriptions for erectile dysfunction treatments.
Patient Information Leaflet
However, there is not a generic, over-the-counter version of Cialis Together. Cialis Together is only available in one dose, 10mg. Whereas generic Cialis is available in 4 doses with a prescription: Cialis Together 10mg tablets, emc [accessed 28 December 2024] MHRA reclassifies Cialis Together tablets to a Pharmacy medicine, gov.uk [accessed 28 December 2024] Vardenafil 20 mg tablets, emc [accessed 28 December 2024] Viagra Connect 50 mg film-coated tablets, emc [accessed 28 December 2024] Erectile dysfunction (ED) can often become a barrier to spontaneous intimacy. The good news is that there’s a solution that provides you with the flexibility to be ready whenever the moment is right. Meet Cialis® Together, a medication designed to help men with erectile dysfunction maintain an erection for up to a 36-hour window.
Cialis and herbs and supplements
Erectile dysfunction (ED) is a condition that affects millions of men worldwide. It’s when a man finds it challenging to get or maintain an erection firm enough for sexual intercourse. Understanding ED can help you make informed decisions about your health. Erectile dysfunction can be caused by various factors, including physical conditions like heart disease, diabetes, obesity, and hormonal disorders. Psychological factors such as stress, anxiety, and depression can also contribute to ED. Researchers also revealed that between 2009 and 2019, the rate of primary care prescriptions (measured as the number of items per 1000 men) had doubled.
| Tip | Explanation | Best Practice |
|---|---|---|
| Verify seller credentials | Ensure the seller is licensed and reputable | Use licensed pharmacies or verified sites |
| Check product authenticity | Look for proper packaging, batch numbers, expiry dates | Avoid unbranded or suspicious packaging |
| Read user reviews | Gather feedback from other buyers | Prefer trusted review platforms |
| Consult a healthcare professional | Always seek medical advice before starting use | Even OTC, medical guidance is recommended |
There were 2,145,393 items for erectile dysfunction prescribed in 2009 and 4,505,623 in 2019 – an increase of 110%, they said.
| Dosage (mg) | Common Use Cases | Prescription Requirement | Price Range (£) | Notes |
|---|---|---|---|---|
| 5 | Mild ED symptoms | Usually prescription | 30-50 | Less common, off-label use |
| 10 | Moderate ED | Prescription often needed | 40-70 | Widely available online |
| 20 | Severe ED | Prescription usually required | 50-80 | Most common OTC dose |
In 2003 Cialis was launched, and now 20 years later, as it celebrates its 'China anniversary', the Medicines and Healthcare products Regulatory Agency (MHRA) has announced that Cialis Together – which contains 10 mg tadalafil citrate – will, if marketed, be available to purchase from pharmacies.
When to Take Cialis for the Best Results
They will determine whether treatment is appropriate for you and can provide advice on erectile dysfunction, the usage of the medicine, potential side effects, and if a further consultation with a general practitioner is necessary. It will not be sold to men with severe cardiovascular disorders; at high cardiovascular risk; severe kidney or severe liver failure; or those taking certain interacting medicines. The use of Cialis® Together in these groups of men must continue to be under the supervision of a doctor. Beware of counterfeit erectile dysfunction medicines, which are an attractive target for criminals. The MHRA and UK Border Force seize millions of pounds worth of unlicensed and counterfeit erectile dysfunction medicines every year.
How Long Does Cialis Last?
“This decision is good news for men’s health” said Dr Laura Squire, MHRA’s Chief Officer for Healthcare, Quality, and Access. “Men who suffer from erectile dysfunction will be able to obtain this treatment safely and conveniently from their local pharmacy without a prescription, which not only gives them greater control over their choices but increases awareness of erectile dysfunction.” The Medicines and Healthcare products Regulatory Agency (MHRA) regulates all medicines and medical devices in the UK. It ensures that they work and are acceptably safe. The Commission on Human Medicines advises ministers on the safety, efficacy, and quality of medicinal products. Following their advice, the MHRA has decided to make Cialis® Together available from pharmacies without a prescription for adult men with erectile dysfunction. The decision to make the product available from pharmacies without a prescription for adult men with erectile dysfunction was made following a "reassuring assessment" of the safety of the product and advice from the Commission on Human Medicines, explained an MHRA spokesperson.
Pharmacy Treatments
Is Cialis Together cheaper than Viagra Connect? The prices of Cialis Together and Viagra Connect are similar. For example, a 4-pack of Cialis Together costs £21.99 whereas a 4-pack of Viagra Connect costs £21.95 from Superdrug Online Doctor. Is Cialis Together stronger than Viagra Connect? Cialis Together and Viagra Connect are both PDE-5 inhibitors so they work in the same way to improve erectile function by relaxing the smooth muscles in the blood vessels to increase blood flow to the penis.
How long does it take for Cialis to work?
They are similarly effective but Cialis Together can last for up to 36 hours compared to 4 to 6 hours for Viagra Connect. Yes, generally Cialis Together is cheaper than Cialis. What is the difference between Cialis Together and tadalafil (generic Cialis)? Cialis Together and generic Cialis contain the same active ingredient, tadalafil. This means that they work in exactly the same way. Viagra (sildenafil) is also celebrating an anniversary this year – its silver anniversary – having been launched 25 years ago in 1998.
Top 100
Before you start taking Cialis® Together, it’s crucial to read the patient leaflet that comes with the medication carefully. It contains vital information that you 20 cialis need to be aware of. The leaflet provides information about what Cialis® Together tablets are and what they are used for, what you need to know before you take Cialis® Together tablets, how to take Cialis® Together tablets, possible side effects, how to store Cialis® Together tablets, and the contents of the pack and other information. Do not take Cialis® Together if you do not have an erection problem, are allergic to tadalafil, or any of the other ingredients in this medicine, take any medicines called nitrates or nitric oxide donors, have been advised by your doctor to avoid sexual activity because of a problem with your heart or blood vessels. Store Cialis® Together in the original package to protect it from moisture.
What should I do if I accidentally use too much tadalafil?
Do not use this medicine after the expiry date stated on the carton and blister. Cialis® Together is here to help you forget about ED for up to 36 hours, giving you the freedom to choose when the moment is right for both you and your partner. It’s a step towards a more spontaneous and fulfilling intimate life. MHRA reclassifies Cialis Together tablets to a Pharmacy medicine – Gov.UK NowPatient has taken all reasonable steps to ensure that all material is factually accurate, complete, and current. However, the knowledge and experience of a qualified healthcare professional should always be sought after instead of using the information on this page. It has been available to purchase in pharmacies as Viagra Connect (sildenafil 50-mg tablets) since 2018, when it was first reclassified with Pharmacy legal status.
How has Tadalafil Mylan been studied?
Before taking any drug, you should always speak to your doctor or another qualified healthcare provider. The information provided here about medications is subject to change and is not meant to include all uses, precautions, warnings, directions, drug interactions, allergic reactions, or negative effects. The absence of warnings or other information for a particular medication does not imply that the medication or medication combination is appropriate for all patients or for all possible purposes. All content on this page has been medically reviewed by: Hassan Thwaini, Clinical Pharmacist and Copywriter, Master of Pharmacy (MPharm) on 30 March, 2026. Tadalafil is a clinically-proven erectile dysfunction treatment that gives you the freedom to enjoy sex when you want it. The MHRA pointed out that "if marketed", Cialis Together would be sold from pharmacies following a discussion with the pharmacist.
- The risks of counterfeit erectile dysfunction medication are significant.
- Fake pills can contain incorrect amounts of tadalafil.
- They may contain no active ingredient at all, rendering them useless.
- More dangerously, they can contain harmful contaminants like lead.
- Some contain alternative PDE5 inhibitors not stated on the label.
- The dosage of these unknown substances can be dangerously high.
- Interactions with other medications can be unpredictable and severe.
- There is no recourse or accountability if you have a bad reaction.
- You are not a patient but an unwitting test subject.
- The long-term health effects of consuming fakes are unknown.
- The financial loss is minor compared to the potential health cost.
- It is never worth the risk to bypass the legal system.
The regulator emphasised that pharmacists would determine whether treatment was appropriate for the patient, and would also provide advice on erectile dysfunction, usage of the medicine, potential side effects, and if further consultation with a general practitioner was required.
- To get Cialis legally in the UK, see a doctor for assessment.
- Over-the-counter Cialis is not available in the UK by law.
- Many online services falsely claim to sell OTC Cialis.
- Always visit licensed pharmacies with a valid prescription.
- Unapproved online sellers of Cialis pose health risks.
- The MHRA regulates the sale of prescription-only medicines.
- Always ensure your medication is genuine and legally acquired.
- Consult a healthcare professional for safe Cialis use.
- Consider legal alternatives like generic tadalafil with prescription.
- Avoid illegal online markets offering OTC Cialis.
- Under UK law, Cialis must be prescribed and dispensed legally.
- Adhere to medical advice when considering Cialis treatment.
An MHRA spokesperson reassured men that pharmacists would have access to training materials and a checklist that would enable them to advise men on whether the product was appropriate and safe for them to use.
| Trend Factor | Expected Development | Influencing Factors |
|---|---|---|
| Deregulation of ED meds | Possible easing of OTC sales for Cialis | Policy debates, safety data |
| Increased Online Access | Growth in online pharmacies and telemedicine | COVID-19 impact, digital healthcare |
| New Formulations | Development of faster-acting or customizable doses | Pharmaceutical innovation |
| Awareness and Education | Improved public knowledge about safe use and risks | Public health campaigns |
Dr Laura Squire, MHRA's chief officer for healthcare, quality and access expressed that the announcement came as "good news" for men as it would enable men with erectile dysfunction to obtain treatment "conveniently", and "safely".
Understanding erectile dysfunction
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