The MHRA said that Cialis Together will be available through pharmacies without a prescription with a maximum dose of one tablet each day, and a maximum pack size of eight tablets.

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

The product will not be sold to those with severe cardiovascular disorders; at high cardiovascular risk; severe kidney or severe liver failure; or taking certain interacting medicines, explained the MHRA, and added that use of Cialis Together in these groups of men must "continue to be under the supervision of a doctor".

Understanding Erectile Dysfunction (ED)

It’s without prescription cialis soft 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. 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.

Who can take Cialis Together?

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. It lasts for 36 hours - so there’s less need for planning before sex. Find the clinically proven ED treatment that suits you best.

Tadalafil: what you need to know

No names, no logos, no delivery fee. 4.6* from over 33,000 people like you. BSc (Hons) MBBS MRCGP AFHEA MA (Hons) AFMCP Answer a few simple questions to get the treatment you need. 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. Cialis (tadalafil) is an FDA-approved prescription medication used to treat erectile dysfunction (ED) and symptoms of benign prostatic hyperplasia (BPH).

  • The future of access to ED treatments in the UK.
  • There is ongoing discussion about making some treatments more accessible.
  • However, any change would involve a rigorous safety review.
  • A potential model could be a "pharmacy first" scheme with assessment.
  • This would still require a pharmacist's evaluation, not true OTC.
  • The safety concerns with tadalafil make full OTC status unlikely.
  • The current system of online prescriptions is likely the future.
  • It balances easy access with necessary medical oversight.
  • Technology will continue to make these services more efficient.
  • The focus will remain on patient safety as the top priority.
  • The idea of true OTC Cialis remains a misconception.
  • Safe, legal online access is the best available solution.

It’s available as a brand-name and in lower-cost generic versions.

Product Dosage Quantity + Bonus Price
Cialis Black80mg30 + 2 Pills89.11€ 84.87€
Cialis Professional20mg10 Pills48.29€ 45.99€
Cialis Professional20mg180 + 4 Pills423.11€ 402.96€
Cialis Generic20mg10 Pills31.49€ 29.99€
Cialis Black80mg10 Pills43.27€ 41.21€
Cialis Generic5mg270 + 10 Pills205.81€ 196.01€
Cialis Generic20mg360 + 10 Pills427.34€ 406.99€
Cialis Professional40mg120 + 4 Pills436.68€ 415.89€
Cialis Generic5mg360 + 10 Pills268.08€ 255.31€
Cialis Black80mg180 + 10 Pills356.64€ 339.66€
Cialis Generic2.5mg90 + 6 Pills112.43€ 107.08€
Cialis Generic60mg90 + 6 Pills196.67€ 187.30€
Cialis Original20mg92 + 4 Pills377.99€ 359.99€
Cialis Generic60mg180 + 10 Pills313.11€ 298.20€
Cialis Generic60mg60 + 4 Pills145.06€ 138.15€
Cialis Professional40mg60 + 2 Pills262.32€ 249.83€

You can purchase Cialis online through Universal Drug Store (UDS) with a valid prescription. UDS partners with licensed pharmacies in Canada, the U.K., Australia, New Zealand, India, and Turkey.

  • What to expect during an online consultation for Cialis.
  • You will be asked for personal details: name, address, DOB.
  • A comprehensive medical questionnaire follows.
  • Questions about your health, current medications, and allergies.
  • Specific questions about your erectile dysfunction history.
  • It is crucial to answer all questions honestly and completely.
  • The consultation is reviewed by a doctor, not an algorithm.
  • The doctor may approve, deny, or request more information.
  • The process from start to delivery can often be completed in 24 hours.
  • You will receive advice on how and when to take the medication.
  • Information on potential side effects and what to do.
  • It is a professional medical service, not a simple transaction.

Orders over $100 include free shipping anywhere in the U.S., including Alaska and Hawaii.

Reassuring Assessment

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. “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.

Drug details

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. 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 need to be aware of.

What should I tell my healthcare provider before using tadalafil?

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. 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. Visit Universal Drugstore’s online pharmacy to find affordable options for Cialis and other ED medications such as Viagra (sildenafil), Levitra (vardenafil), and Stendra (avanafil).

Cialis vs. Tadalafil — What’s the Difference?

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. 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.

2. Treatment

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. This helps you get and maintain an erection. However, remember that Cialis® Together only works when you’re sexually stimulated.

Taking Cialis with food

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. 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. It works by relaxing blood vessel muscles, improving blood flow to the penis, which helps achieve and maintain an erection. For BPH, Cialis is believed to relax muscles in the prostate and bladder, easing symptoms.

  • The difference between branded Cialis and generic tadalafil.
  • Branded Cialis is manufactured by Eli Lilly and company.
  • Generic tadalafil contains the exact same active ingredient.
  • Generics are bioequivalent, meaning they work the same way.
  • They are required to meet the same strict safety standards.
  • The main difference is often the price; generics are cheaper.
  • The inactive ingredients (fillers) might be slightly different.
  • This rarely affects performance but could affect those with allergies.
  • A doctor can prescribe either, but generics are commonly offered.
  • There is no medical reason to insist on the branded version.
  • Choosing generic tadalafil is an excellent way to reduce cost.
  • It provides the same benefits safely and legally.

When taken as needed for ED, Cialis may start working in as little as 30 minutes but may take up to 2 hours for full effect.

Overdose/Missed Dose

Research had identified that in 2021, every 7.5 seconds, a medication for erectile dysfunction was prescribed to people in England and Wales. In that same year the NHS spent over £13 million on prescriptions for erectile dysfunction treatments. 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. There were 2,145,393 items for erectile dysfunction prescribed in 2009 and 4,505,623 in 2019 – an increase of 110%, they said. 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.

1. Private Online Consultation

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. Viagra (sildenafil) is also celebrating an anniversary this year – its silver anniversary – having been launched 25 years ago in 1998. 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. The MHRA pointed out that "if marketed", Cialis Together would be sold from pharmacies following a discussion with the pharmacist. The regulator emphasised that pharmacists would cialis 5 miligramos 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.

Pulmonary arterial hypertension

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. 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". She added that this move would give men "greater control over their choices", and would swell awareness of erectile dysfunction. "Erectile dysfunction medicines are a popular target for criminals selling unlicensed and counterfeit medicines," alerted the MHRA. Dr Squire emphasised how important it was that men had "access to quality and legitimate care".

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Dr. med. Fabienne Gretener

Werdegang

Januar 2024 bis heute
Oberärztin SenoMed AG
Schwerpunktsweiterbildung gynäkologische Senology

März 2023 – Dezember 2023
Oberärztin, SenoMed AG Bern 20%

Januar 2023 – November 2023
Assistenzärztin Psychiatrie, Klinik Meissenberg Zug

Januar 2021 – November 2022
Assistenzärztin Gynecology und Geburtshilfe, Bürgerspital Solothurn

November 2019 – Oktober 2020
Assistenzärztin Gynecology und Geburtshilfe, Kantonsspital Aarau

Januar 2017 – Juli 2019
Assistenzärztin Gynecology und Geburtshilfe, Kantonsspital Olten

Paul Laszlo Bernhard

Werdegang

Jan 2024 bis heute
Facharzt SenoMed AG – Brustzentrum Bern Biel

Aug 2019 – Dez 2023
Oberarzt Frauenklinik und Brustzentrum Bürgerspital, Solothurn, Schwerpunktweiterbildung operative Gynecology und Geburtshilfe sowie Senology

Mai 2019 Facharzttitel Gynecology & Geburtshilfe

Apr 2016 – Jul 2019
Arzt in Weiterbildung, Inselspital Bern, Universitätsklinik für Frauenheilkunde

Dez 2014 – Apr 2016
Arzt in Weiterbildung, Kantonsspital Baden

Sep 2012 – Sep 2014
Arzt in Weiterbildung, Universitätsklinikum Carl Gustav Carus, Dresden

Feb 2012 – Sep 2012
Arzt in Weiterbildung, Universitätsfrauenklinik Leipzig

Nov 2011 Approbation zum Arzt

2005 – 2011
Studium der Humanmedizin an der Charité, Universitätsmedizin Berlin

Dr. med. Patrizia Sager

Werdegang

Okt 2023 bis heute
Leiterin Weiterbildungsstätte gynäkologische Senology

Feb 2018 – bis heute
Leiterin Brustzentrum Bern Biel
Practiceinhaberin SenoMed AG

Nov 2017 – bis heute
Belegärztin Salem-Spital Bern

Jan 2013 – Okt 2017
Leitung Senology Brustzentrum Frauenklinik Universitätsspital Insel, Bern

Jan 2012 – Dez 2012
Oberärztin Gynecology / Geburtshilfe, Frauenklinik Universitätsspital Insel, Bern

Nov 2010 – Dez 2011
Leitende Ärztin Gynecology und Geburtshilfe, Frauenklinik Rheinfelden (DE)

Nov 2009 – Okt 2010
Oberärztin Gynecology und Geburtshilfe, Kantonsspital Liestal

Jan 2009 – Okt 2009
Oberärztin i.V. Gynecology und Geburtshilfe, Regionalspital Interlaken

Jun 2008 – Dez 2008
Assistenzärztin Gynecology und Geburtshilfe, Regionalspital Interlaken

Aug 2007 – Mai 2008
Assistenzärztin Gynecology und Geburtshilfe, Universitätsspital Zürich

Feb 2007 – Jun 2007
Oberärztin Gynecology und Geburtshilfe, Universitätsspital Groote Schuur, Kapstadt, Südafrika

Jan 2004 – Dez 2006
Assistenzärztin Gynecology und Geburtshilfe, Regionalspital Thun

Jan 2003 – Dez 2003
Assistenzärztin Chirurgie und Orthopädie, Regionalspital Thun

Schulen, Studium & Diplome

2023
Schwerpunkt gynäkologische Senology

2014
Diplom Senology SGGG

2013
Diplom Senology: European Academy of Senology

2010
FMH Gynecology und Geburtshilfe inkl. Schwerpunkt operative Gynecology

2003
Promotion

2002
Staatsexamen in Humanmedizin

1996 – 2002
Humanmedizinstudium Universitätsspital Basel

Mitglied- und Partnerschaften

  • Schweizerische Gesellschaft für Gynecology und Geburtshilfe SGGG
  • Schweizerische Gesellschaft für Senology SGS
  • Mitglieder Arbeitsgemeinschaft Gynäkologische Onkologie AGO, Schweiz
  • European Academy of Senology EAoS
  • SAKK Project-Group breast cancer
  • Schweizerische Gesellschaft für Ultraschall in der Medizin SGUM
  • Verbindung der Schweizer Ärzte und Ärztinnen FMH
  • Society of women in senology SWIS
  • Vorstandsmitglied Ärztenetzwerk Bern