Sildenafil and tadalafil (P medicines)

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Pharmacy guide

This pharmacy guide will help you and your pharmacy teams supply sildenafil/tadalafil over the counter (OTC) for the treatment of erectile dysfunction (ED) quickly and safely, in line with its marketing authorisation.

It covers all the considerations before supply as well as a summary of the product information so you can be satisfied that the supply will be clinically suitable and used responsibly and appropriately.

Sildenafil is licensed as a pharmacy (P) medicine and available OTC as Viagra Connect 50 mg tablet. Tadalafil is also licensed as a P medicine and available OTC as Cialis Together 10 mg.

^{First Published: 30 June 2023}
^{Reviewed: 19 December 2025}

Sections on this page:

Sildenafil and tadalafil
Decision-making process for supply
Quantity to supply and repeat requests
Supply to the person’s representative
Counselling
Record keeping
Summary of product information
Erectile dysfunction
Alternative treatments
Confidence in consultation skills
Education for pharmacy teams
Vulnerable adults and children
Supporting men’s health in the pharmacy – Implementation strategies
Further information

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