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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.

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    A British woman has been prescribed a new anti-impotence drug for her use.

    It is the first of its kind to be licensed for use in men's sexual health, according to the National Health Service, although it is not licensed in women.

    A spokeswoman said the drug is for men who are currently taking the drug sildenafil, but not women.

    "In most cases it is not for women who are currently taking it and are not a doctor," said Sarah Bresnach, director of the National Women's Health Service in the UK.

    She said: "This is one of the first drugs to be licensed for women to treat erectile dysfunction and is the first drug to be prescribed for men who are currently taking the drug sildenafil. The NHS is currently only licensed for men to treat erectile dysfunction and has not approved it for women."

    The prescription will be available to anyone over 18, with a GP to review, and women aged 16 and over to discuss the drug with their GP. The doctor will also be able to assess the patient's health status and decide on the correct treatment plan, but not what medicines they would be prescribed.

    A spokeswoman told The Sun the drug is effective in preventing erectile dysfunction for up to 6 months, but could take up to 2 years for some men to have it approved for use.

    The spokeswoman added: "We are not trying to increase our population. There is a real need for this to be included in the overall sexual health agenda in order to reduce the risk of a patient's developing sexual dysfunction, or getting sexually transmitted diseases or other sexual disorders."

    The NHS is not currently regulated by the Department of Health, and it is not approved for use by men.

    In February last year, a new drug called Viagra, made by Pfizer, had to be approved in the UK, and will now only be available in men.

    Pfizer has been trying to find a way to make Viagra work better for its patients. But it has also been under fire for using Viagra in patients who are not already using the drug, such as women.

    The drug, which is called sildenafil citrate, is also known by its brand name Revatio. It will also be available over the counter.

    The company said it was not making any changes to the label of Viagra until it was cleared in June.

    The drug has been shown to be effective for up to 6 months and the company said it could be used for up to 2 years. The drug is only available in men, with the label being made available to women.

    The drug was first tested on rats to see if it worked better for them. However, it was not shown to have any long-term effects on the animals. The drug is currently not approved for use in women.

    Dr John Clarke, medical director at Pfizer, said: "When a patient takes Viagra, they can have sexual arousal, and that is what it is.

    "The drug is only effective in men and has not been shown to have any long-term effects in their animals.

    "This is a big issue that needs to be addressed by the NHS."

    Last year, the US Food and Drug Administration granted approval to a number of other drugs for treating ED. The drug is now being tested to see if it can treat the condition. It is not licensed in women.

    Viagra is now only licensed for men.

    This article was amended on 5 February 2024 after the NHS updated its formulary to reflect the latest information. A public comment period is on hold for all NHS medicines in accordance with NHS England's guidance and can only be accessed through the website.

    Viagra is now only licensed for men and has not been shown to have any long-term effects on the animals. It is also not approved for use by women.The prescription is available to anyone over 18, with a GP to review, and women aged 16 and over to discuss the drug with their GP.

    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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    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, Dr Fox is aware that the maximum pack size of 8 tablets will be hard to exceed. POMAs, including Cialis Together, should not be taken more than once every 24 hours and if affected should not be used ‘only on prescription’. Pharmacists are health professionals who are able to give ED advice but they will also know when these??? should be consulted if they believe Cialis Together is appropriate and whether the need to consult a GP is required.