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What is in this leaflet
This leaflet answers some common questions about Cialis. It does not contain all the available information. It does not take the place of talking to your doctor or pharmacist.
All medicines have risks and benefits. Your doctor has weighed the risks of you taking Cialis against the benefits this medicine will have for you.
If you have any concerns about taking this medicine, ask your doctor or pharmacist.
Keep this leaflet with the medicine.
You may need to read it again.
Cialis is a medicine used to treat erectile dysfunction. It contains the active ingredient tadalafil. Cialis is used to increase blood flow to the penis. This can help men get and keep an erection that is hard enough for sex. Cialis belongs to a group of medicines called phosphodiesterase 5 (PDE5) inhibitors. This medicine works by helping the blood vessels in your penis to relax, allowing more blood flow to go through.
Men who have diabetes can also use Cialis to treat erectile dysfunction.
The most common side effects of Cialis include:
If you experience any side effects that become bothersome, ask your doctor or pharmacist for advice.
There is no evidence that Cialis will help with these side effects.
Tell your doctor if you have any questions about why you are taking Cialis.
Cialis is not a cure for erectile dysfunction. It is only a symptom of a serious health problem. However, it helps to treat the condition with time. This may mean that it will help you get and keep an erection that lasts long enough for sex. If you have any questions about why this medicine is being prescribed for you, talk with your doctor or pharmacist.
Tadalafil works by relaxing the blood vessels in the penis. This allows blood to flow into the penis when you are sexually excited.
Cialis belongs to a group of medicines called PDE5 inhibitors. This medicine helps to increase blood flow to the penis, resulting in an erection. This medicine can help men with erectile dysfunction get and keep an erection that lasts long enough for sex. Cialis works by inhibiting the PDE5 enzyme, which is responsible for breaking down cyclic guanosine monophosphate (cGMP). cGMP is a molecule that relaxes smooth muscle cells in the penis, allowing blood to flow more easily.
By blocking PDE5, Cialis increases levels of cGMP, which relaxes the smooth muscle tissue in the penis. This allows blood to flow more easily when you are sexually excited.
This medicine may be taken either alone or with other medicines. Cialis works by helping the blood vessels in your penis to relax, allowing more blood to flow into your penis. cGMP is a molecule that relaxes the smooth muscle tissue in your penis, allowing blood to flow more easily.
It is important to take Cialis exactly as your doctor has prescribed.
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
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This medication is controlled by Phelans Pharmacy (Ireland) and is dispensed under the guidance of a Phelans pharmacist.
Cialis for men 10mg film-coated tablets is a treatment for adult men with erectile dysfunction. This is when a man cannot get, or keep a hard, erect penis suitable for sexual activity. Cialis for men 10mg film-coated tablets has been shown to significantly improve the ability to obtain a hard erect penis suitable for sexual activity.
Cialis for men 10mg film-coated tablets contains the active ingredient tadalafil which belongs to a group of medicines called phosphodiesterase type 5 inhibitors. Following sexual stimulation Cialis for men 10mg film-coated tablets works by helping the blood vessels in your penis to relax, allowing the flow of blood into your penis. The result of this is improved erectile function.
You can safely and conveniently buy Cialis online from Phelans Pharmacy. We understand that discussing erectile dysfunction (ED) can be uncomfortable, which is why we offer a discreet and professional online assessment to ensure Cialis (Tadalafil) is a suitable and safe treatment option for you. Our experienced pharmacists will review your assessment and determine if Cialis is the right choice for you.
Cialis is an over-the-counter medication in Ireland, meaning you do not need a prescription to purchase it. However, a consultation with a pharmacist is required before supply.
The pharmacist will have to have a telephone consultation with you before the supply of this medicine.
The maximum purchase that can be made of any brand of Cialis for men 10mg tablets is 16 tablets.If a quantity exceeding the maximum of 16 tablets of Cialis for men 10mg tablets is ordered, your balance will be refunded.
Always consult the Patient Information Leaflet before using this medication.
The sale of Cialis for men 10mg tablets is limited to the Republic of Ireland. We do not sell internationally.
Keep all medicines out of the sight and reach of children.
cervicalarmaker.com.ie
Occasionally you may be prescribed the help of a pharmacist or physician to evaluate your symptoms, diagnose your diseases, or prescribe the right treatment, for your symptoms.
We can evaluate your symptoms, diagnose your diseases, or prescribe the right treatment, for your symptoms. You should use this medication at the same time every day.
We can also evaluate your symptoms, diagnosis, or prescriptions based on yourotypic symptoms.
You should use the service of the Phelans pharmacist to ensure that the supply of your prescription is direct, worry free, and honest. Contacting if we evaluate your symptoms or tests.
Make sure that all your testing is done before you take Cialis for men 10mg tablets.
We also have a problem verifying the authenticity of any prescription,debit making, Verification Problem and proof of making a payment.
Whether you can take Tadalafil at the same time as your other medications will depend on which medications you are taking.
You are required to complete a short medical consultation questionnaire that asks for any medications that you are prescribed from your GP and will indicate the medications that can’t be taken alongside Tadalafil.
There are several medicines which should not be taken concurrently with Tadalafil. Medicines which can have potentially serious interactions with Tadalafil include :-
• Any alpha-blocker medicines e.g. doxazosin (Cardura), alfuzosin (Xatral), tamsulosin, terazosin, or Flomax, that you can buy in the pharmacy. (These medicines may be used to treat prostate problems or high blood pressure).
• Isosorbide mononitrate, isosorbide dinitrate, or use a GTN spray or tablets
for chest pain or use Rectogesic ointment?
• Nicorandil (Ikorel), used to treat angina
• Cimetidine, used to treat stomach or duodenal (peptic) ulcers
• Theophylline, used to treat asthma
• Antibiotics:- Clarithromycin, Erythromycin and Telithromycin
• Anti-fungals such as itraconazole and ketoconazole
• Seizure medication:- carbamazepine, oxcarbazepine, phenobarbital, phenytoin and primidone
• Heart or blood pressure medication:- disopyramide, amiodarone, quinidine and procainamide
• Anti-viral medication:- telaprevir, atazanavir, retonavir, indinavir, saquinavir and cobicistat
• Recreational drugs:- amyl nitrate (poppers)
If you are taking any prescribed medication from your GP then you can simply write those in the “Is there any other medical information that you think our doctor should know?” section on the medical questionnaire. Then, our doctor will know whether the Tadalafil is safe for you to take.
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You can buy Tadalafil for your medications with either Generic or Brand-name Cialis. Both are available as generic medication brands. Brand-name Cialis contains the original brand-name tadalafil and the original branded Cialis contains the brand-name cialis. You can also order your medications from our website for branded or generic medication brands. Read the “Is there a difference” and “Is there a generic” sections on the medical questionnaire before buying Tadalafil for sale. Once you have decided to order Tadalafil for sale or any other medical condition, your doctor will usually recommend a different medication if it is unsuitable or not possible to take the medicine. If you do have a medical questionnaire, then use the “Is there a Tadalafil for sale?” and “Is there a generic Tadalafil for sale?” options on the medicine page of our website.