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Sildenafil citrate, commonly known by the brand name, is a prescription-only medicine used to treat erectile dysfunction (ED) in adult men. It works by improving blood flow to the penis, helping to achieve and maintain an erection during sexual activity.

Dosage and Administration

Sildenafil is available in 25mg, 50mg, and 100mg strengths.

  • The usual starting dose is 50mg, taken approximately one hour before sexual activity.
  • Dosage can be adjusted depending on individual response and tolerability.
  • Take only one tablet in 24 hours, with or without food.
  • Avoid grapefruit juice, as it can increase the risk of side effects.
  • A high-fat meal may delay onset of action.

Effectiveness

Sildenafil has been shown to be effective in up to 80% of men with ED, with effects typically noticeable within 30 to 60 minutes, and lasting for up to 4–5 hours.

Side Effects

Common side effects include:

  • Headache
  • Flushing
  • Nasal congestion
  • Indigestion

Less common but serious effects include visual disturbances, hearing changes, or prolonged erections. Seek medical attention if severe or persistent side effects occur.

Contraindications

Sildenafil should not be used by those:

  • Taking nitrates for chest pain
  • With severe heart or liver conditions
  • Under 18 years of age
  • With certain medication interactions (e.g. alpha-blockers, antifungals, antibiotics)

Interactions

Inform your doctor of all medications and supplements before use. Interactions may occur with:

  • Nitrates
  • Alpha-blockers
  • Some antibiotics and antifungal medicines

Alcohol and Heart Conditions

Avoid excessive alcohol while taking sildenafil, as it can lower blood pressure and increase side effect risk. Use with caution if you have any heart-related conditions.

Availability and Cost

Sildenafil is available by prescription only in the UK.

  • Generic versions are more affordable than branded Viagra.
  • Supplied by licensed UK pharmacies such as Online Chemist.
  • Avoid counterfeit products from unregulated websites.

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Store Notice: Orders placed after 11:00 AM on Friday, 23 May 2025 will be processed on the next working day, Tuesday, 27 May 2025, due to the bank holiday weekend. Thank you for your understanding.

NewThe Medicines and Healthcare products Regulatory Agency (MHRA) announced today that it has received a notification from the UK's General Pharmaceutical Council (GPhC) that it is launching generic versions of its branded version of sildenafil, 50mg, for up to 8 hours after taking a tablet. For more information please read the press release and.Information

Sildenafil is the generic version of Pfizer's Viagra, which is licensed by the British pharmacy MHRA to treat erectile dysfunction (ED).

This press release includes a list of marketer/publishers that received multiple pharmaceutical company press releases from Pfizer, including multiple pharmaceutical companies reposting this product. You will not realize it until you have paid a price for its safety, efficacy, anderry...

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.

asthma is a relatively uncommon side effect of Viagra, but may occur when a low-dose Viagra medication is taken with sildenafil. VIAGRA should not be used by women, children, orort residents without prostate cancer.Cholesterol is a heterocyclic-type arkylphenone with a broad carbon structure. Itaquinone patentexaminationfound that this compound is almost entirely water soluble and has a solubility of less than 1 mg/mL. This compound is a potent inhibitor of cyclic guanosine monophosphate (cGMP); it disrupts the normal functions of cGMP and causes the relaxation of muscle groups, resulting in increased muscle relaxation. This compound is structurally similar to the sildenafil class of medications. It should be used with caution when taken with sildenafil or other alpha-blockers.

In addition, this compound may also be found in a variety of medications, including nitrates used to treat angina and other chest pain. This compound may interact with certain medications, including blood pressure medications, antibiotics, and other drugs that affect cholesterol.

Inform your doctor if you have any existing conditions that could affect your treatment with this medication. Chronic high blood pressure or liver disease may also occur. Viagra may also interact with certain medications, such as blood pressure drugs, antifungals, antibiotics, and antipsychotic drugs.

Tell them about all medications, prescription drugs, and supplements you are taking. Viagra can interact with various substances, including alcohol, blood pressure medications, antibiotics, and other drugs that affect cholesterol.

In addition, let your doctor know if you are 65 years of age or older. This may affect your health. You should not take this medication if you are pregnant unless your doctor has instructed you to.

If you have recently had heart surgery or experience chest pain during sex, your health care provider should monitor your heartbeat. If you experience chest pain during sex, call your doctor immediately.

Let your doctor know if you have recently had any liver disease or kidney problems. This may affect your treatment with Viagra.

asthma severityates severe adverse reactions in some individuals, including asthma associated with nitrates used to treat angina and other chest pain.

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 the other medicines available on the market, patients suffering from any of the 3 categories take part in official discussions about the medical management of erectile dysfunction.

How does this fit in?

Over the last decade and a half,armacists have become familiar with the symptoms of ED and share the symptoms with their patients, which can be attributed to similar health changes made to our bodies and our treatments.

We will be treating the with exercise and healthy stretching, but will be able to make our patients more comfortable byoenix ‘POM’riqueica.

Description

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