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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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Product description

For 24-hour convenience, this tablet is available in 25mg, 50mg, and 100mg strengths. It is available in various forms, including tablets, vials, and capsules. The recommended starting dose is 50mg, which may be adjusted based on response. For men taking one tablet daily, the recommended dose is 25mg, as directed by your doctor. For women, the recommended dose is 50mg, as directed by their doctor. The maximum recommended dosing frequency is once per day, and is determined by a doctor. The tablet may be taken with or without food, but it is recommended to take it on an empty stomach for best results....

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 usually OBTAIN their parcel from the 3 categories (POM – Prescription only medicine). This is not the case with Cialis Together. If you havePOMS, your parcel will be referred to you ‘over the counter’ by your pharmacist.

Is it OK to buy POMS?

POMS are types of medicine used to treat erectile dysfunction. They are available as many of them are available only in the pouOTAL (off label) version, 10mg.

How does Sidena (Sildenafil) work?

Sidena works by relaxing the blood vessels in the penis, allowing more blood to flow into it when sexually aroused. This increased blood flow helps to achieve and maintain an erection.

How should I take Sidena?

The recommended dose of Sidena is 50mg (1 tablet) once daily as needed, taken approximately one hour before sexual activity. Swallow the tablet whole with water, and do not take more than 1 tablet daily.

Is Sidena as Effective as Viagra?

Yes, Sidena is as effective as Viagra because they both contain the same active ingredient, sildenafil. The effectiveness of these medications depends on individual responses, but they are medically equivalent.

Can I use Viagra and Sidena at the same time?

No, you should not use Viagra and Sidena at the same time, as both contain the same active ingredient, sildenafil. Taking more than one sildenafil product can result in an overdose.

How do I know if Sidena is right for me?

We offer Sidena both online and in-store for adult men (18 years and older) experiencing difficulties with their erections. It is crucial to consult with a healthcare professional before taking Sidena to ensure its suitability based on individual medical history and current medications, as well as to receive personalised dosage recommendations. Count on Phelans Pharmacy for dependable assistance and convenient access to Sidena. Your health and well-being are our primary concerns.Please notethat Sidena is not intended for use by women, individuals under 18 years of age, or those without erectile dysfunction.

Can I use Sidena if I have underlying medical conditions?

Not all individuals with underlying medical conditions can safely use Sidena. If you have a history of severe heart disease, stroke, liver disease, kidney disease, or certain eye conditions, among others, Sidena might not be suitable for you. Always consult your doctor before starting Sidena.

This is why you’ll be asked a few straightforward questions about your health before we supply you with Sidena tablets.

What are the side effects of Sidena?

Most men find Sidena effective and do not experience significant side effects. However, some men may experience nausea, facial flushing, hot flush, indigestion, blurred vision, visual disturbance, stuffy nose, and dizziness. Very rare side effects include allergic reactions, chest pains, fits, and prolonged painful erections, which require immediate medical attention.

Can I use Sidena with other erectile dysfunction treatments?

You should not use Sidena concurrently with other erectile dysfunction treatments unless directed by a healthcare provider. This includes both other oral medications and topical treatments. Using multiple treatments together can increase the risk of side effects and may not increase efficacy.

Can I take Sidena with other medications?

Some medications can interact with Sidena, notably nitrates used to treat angina and heart disease. Always disclose any medications you are currently taking to your healthcare provider before starting Sidena.

At, our commitment is to provide you with the highest quality of care and discretion. Our team of experienced pharmacists can answer any questions you may have, and provide personalised advice to ensure Sidena (Sildenafil) is the right choice for you. today for more information!

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Who Can Use Sidena?

Sidena is generally a safe and effective treatment for men experiencing erectile dysfunction. However, it is important to be sure to consult a healthcare provider to ensure Sidena (Sildenafil) is suitable for you and to receive a personalised dosage recommendation.that Sidena is not intended for use by women, individuals under 18 years of age, and those without erectile dysfunction.

Be sure to inform your healthcare provider about any medical conditions you have, including heart conditions.atonin is an FDA approved medication for the treatment of men with pulmonary arterial hypertension and is not intended for use by women. For additional information, speak to.

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Viagra Sildenafil (100mg) 12 Tablets

This product is a Prescription Only Medicine (S4) and is sold by Healthylife Pharmacy, an independently owned and operated pharmacy business. This prescription product requires a valid Australian script.

Healthylife provides general product information such as nutritional information, country of origin and product packaging for your convenience. This information is intended as a guide only, including because products change from time to time. Please read product labels before consuming. For therapeutic goods, always read the label and follow the directions for use on pack. If you require specific information to assist with your purchasing decision, we recommend that you contact the manufacturer via the contact details on the packaging or email us at [email protected]. Product ratings and reviews are taken from various sources including Bazaarvoice. Healthylife does not represent or warrant the accuracy of any statements, claims or opinions made in product ratings and reviews.

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