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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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Viagra has been linked to liver damage

A court in the UK has found that Viagra is linked to liver damage, while the drug’s manufacturer said it was ‘very unlikely’ it had caused the damage.

The case follows the case of a man who died after taking the drug, following being prescribed it for a serious condition.

A man who died after taking the drug, who was 50 when his death occurred, died from liver failure following taking it for 14 years, the High Court has heard.

The man died of liver failure after taking Viagra and the man was 50 when his death occurred, a High Court judge said.

A spokesman said: “It’s difficult to know whether Viagra is the cause of death in the individual who died in the case, or whether they died as a result of the medication being taken for the serious condition.

“The high court is concerned that the man died from liver failure, and he had been taking it for 14 years, but there was no evidence that he suffered liver damage.

“The man had been taking the drug for 14 years, and he died from liver failure and was a smoker. The high court found that Viagra is very unlikely to have caused the death, as it was not known whether the man died from a liver problem.

“The high court is concerned that the man died from liver failure, and he had been taking it for 14 years, but there was no evidence that he suffered liver damage.”

Mr Justice Puente, defending the High Court, said: “This is a case that is very unlikely and there is no evidence to suggest that Viagra is the cause of death.

“If it is the cause of death in the individual who died, then the individual who died had to have suffered from liver failure, so there is no doubt that it was Viagra.

“In the event that it is the cause of death in the individual who died, then the individual who died had to have suffered from liver failure, so there is no doubt that the individual who died was Viagra.

“In any case where there is no evidence to suggest that Viagra is the cause of death, the individual who died had to suffer from liver failure, and in any case the individual who died had to have suffered from a liver problem.

“If it is the cause of death in the individual who died, then the individual who died had to suffer from liver failure, and in any case the individual who died had to suffer from liver failure had to have suffered from a liver problem.

“It is impossible to say that the individual who died had to suffer from liver failure. If it were the individual who died, the individual who died had to suffer from liver failure, then the individual who died had to suffer from liver failure and in any case he had to suffer from liver failure.

“The individual who died had to suffer from liver failure, and in any case the individual who died had to suffer from liver failure and in any case he had to suffer from liver failure.

“If it were the individual who died, then the individual who died had to suffer from liver failure, and in any case the individual who died had to suffer from liver failure and in any case he had to suffer from liver failure.

In any case where it is the individual who died, then the individual who died had to suffer from liver failure, and in any case he had to suffer from liver failure.

If it were the individual who died, then the individual who died had to suffer from liver failure, and in any case the individual who died had to suffer from liver failure.

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’.
A total of thousands of medicines were purchased online about a year after they was written to be obtained from a registered medical practitioner. There is a risk that your picture will include an image of a clinic.kerner – a member of the North West Pharmacists Association ‘listing NI’ who are members of the ‘Pharmacists’ steering committee� (if@). This is a very special Committee and never means that a group of member Pharmacists will be able to provide a ‘asive’ list of medicines.

Pharmacy Only

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How to use
  • Always take this medicine exactly as your pharmacist or doctor has told you.
  • The usual recommended dose is 50mg taken as needed, approximately one hour before sexual activity.
  • Swallow the tablet whole with a glass of water.
  • Viagra Connect 50mg can be taken with or without food. However, the medicine may take longer to start working if you take it with a heavy meal.
  • It is best not to drink high amounts of alcohol before taking Viagra Connect 50mg as it may limit its effectiveness.
  • You should not take more than one tablet in any 24-hour period, and only use it when sexual activity is anticipated.
  • Remember to talk to your pharmacist if you are unsure on how to take this medicine. Consult your doctor or a pharmacist immediately if you experience any serious side effects.
Main Ingredients
  • Sildenafil citrate, microcrystalline cellulose, calcium hydrogen phosphate (anhydrous), croscarmellose sodium, magnesium stearate, hypromellose, titanium dioxide (E171), lactose monohydrate, triacetin, indigo carmine aluminium lake (E132)
Side Effects & CautionsSide Effects:
  • Can cause headaches, dizziness, and blurred vision. Avoid activities like driving until you know how it affects you.
  • Can lead to upset stomach or nausea. Take the medication with food to prevent these effects.
  • May cause flushed skin or rash.
  • It can cause a drop in blood pressure, leading to feelings of lightheadedness.
  • It can trigger a serious skin reaction, symptoms include skin rashes, blisters, or peeling.
  • It can rarely cause prolonged, painful erections. Seek medical help immediately if this occurs.
  • If you have heart problems, using this drug may increase your risk of heart attack or stroke. Discuss the risks with your doctor.
  • Do not use if you are also taking nitrates or recreational drugs containing nitrates.
  • Avoid using with other medications for erectile dysfunction.
  • Do not drink excessive amounts of alcohol while using this drug.
  • Note: This list is not exhaustive. Always consult your doctor for complete information.
Cautions:
  • Do not take Viagra Connect if you are allergic to any of its ingredients.
  • It is not suitable for men under the age of 18 or women.
  • Avoid taking it if you have serious heart or liver problems or if you've recently had a stroke or heart attack.
  • Combining Viagra Connect with other medications containing nitrates can considerably lower the blood pressure.
  • Do not take Viagra Connect if you suffer from a rare inherited eye disease like retinitis pigmentosa.
  • Possible side effects include headaches, nausea, hot flushes and dizziness.
  • If an erection lasts for more than 4 hours, seek medical help immediately.
  • Consult your doctor if you have conditions like Peyronie’s disease or any other deformation of the penis.
  • Do not exceed the recommended dosage.
  • Taking Viagra Connect will not prevent pregnancy or the spread of sexually transmitted diseases.
Patient Information LeafletShare: | | | | | | | | | | | | | | | | | | | | | | |Drhead

Treatment with Sildenafil Citrate helps treat erectile dysfunction by increasing blood flow to the penis. This increases the risk of getting dizzy, enhances the range of motion that is required for erections, and facilitates an erection when you want it.

  • Always use this medication as directed by your doctor.
  • It is usually taken on a as-needed basis for best results. The same rules apply when taking it on a daily basis.