This short checklist is designed to help you and your pharmacist discuss Cialis Together and decide whether it is right for you. It should be filled in as accurately as possible so that the pharmacist can give you the most appropriate advice and/ or treatment. Please answer all of the questions by ticking the box that applies. The answers are needed to ensure that Cialis Together can be supplied appropriately, as it may not be suitable for you if you are taking certain medications or have certain medical conditions. The pharmacist will discuss the questions and your answers with you so any notes you make will help with this. If the pharmacist supplies Cialis Together to you please read the leaflet carefully.

This Pharmacist Checklist Quick Guide is provided to assist you in your assessment of a patient’s suitability for Cialis Together. It is designed to be used in conjunction with the Cialis Together Checklist. The Cialis Together Checklist can be provided to the patient to complete before consultation with you or it can be used as part of your consultation with the patient. Use of this material is optional and pharmacists should use their professional judgement to decide when and how to use it.

This guide, together with the Cialis Together checklist and Pharmacist Checklist Quick guide (which helps with the interpretation of patients'answers), has been developed by Sanofi to support pharmacists and pharmacy assistants in managing the risks related to Cialis Together and enabling its appropriate supply and use.

After assessing the man, using the Cialis Together Pharmacist Checklist Quick Guide, complete and supply them with either the Repeat Purchase Card or Referral Card by tearing off the appropriate card.