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How to buy CIALIS

Buy CIALIS safely

You’ve decided to take action. You’ve talked to your partner about your condition. Now you’re ready to talk to your doctor.

If you and your doctor decide CIALIS is right for you, your doctor will give you a prescription. Check with your health insurance provider to see if CIALIS is covered. If it isn’t covered today, check again soon—coverage is expanding. CIALIS is not covered by Medicare insurance for the treatment of erectile dysfunction.

To be sure your prescription is filled with real CIALIS, take it to an accredited US-based pharmacy. And remember to check if your pharmacy fills prescriptions online.

Buying CIALIS safely online

Here are some legitimate online pharmacies where you can order CIALIS

The list of online pharmacies above is not exhaustive and is current as of November 5, 2015. This list is not an endorsement of any online pharmacy or the quality of support it may provide. For specific information regarding the availability and pricing of CIALIS, please contact the pharmacy directly. Eli Lilly and Company, the maker of CIALIS, does not set or control the actual retail price at pharmacies.

If you have a CIALIS $200 Savings Card, contact your pharmacy of choice to find out if
you can redeem the offer online, as the ability to do so may vary by pharmacy. Or, you
can redeem your Savings Card in person at your local pharmacy. If your local or mail order pharmacy cannot redeem the Savings Card with your prescription, you are eligible for reimbursement by going to www.opushealth.com to download then mail in a reimbursement form with your prescription receipt.

If you prefer an online pharmacy not listed here, you can verify its legitimacy at LegitScript.com .

Beware of counterfeit (fake) CIALIS

Counterfeit medication has been known to contain dangerous ingredients, such as pesticides, lead, and mercury Often, counterfeit medication contains little to no active ingredient, and that means you won’t get the results you expect

Only use online pharmacies that are accredited by the National Association of Boards of Pharmacy В® (NABP)

Here are some ways to help make sure you’re getting the real thing when buying online. Beware of sites that: Offer CIALIS at a price that’s much lower than your local pharmacy or at a price that seems “too good to be true” Don’t list a street address or contact information, especially if they’re not located in the
United States More than 50% of drugs bought online from sites that conceal their physical address are counterfeit Sell prescription medications without a prescription, or after a short online survey or review by a remotely located physician Offer generic, “soft tab,” or “fast dissolve” CIALIS There is no generic for CIALIS, and CIALIS only comes as an almond-shaped tablet that is swallowed whole

It’s difficult to tell whether or not drugs purchased online are dangerous because counterfeiters are very good at copying the packaging and appearance of legitimate drugs. Even the makers of legitimate drugs often can’t confirm whether or not a product bought online is real without chemical analyses.

Look for online pharmacies with Verified Internet Pharmacy Practice Sitesв„ў (VIPPS) accreditation. Only online pharmacies with VIPPS accreditation have had their facilities
inspected and their practices reviewed by the NABP.

The trademarks listed above are the property of their respective owners and are not trademarks of Eli Lilly and Company. The owners of these trademarks are not affiliated with and do not endorse Eli Lilly and Company or its products.

Cost of CIALIS

Please check local pharmacies for actual retail prices, which may vary. Be sure to contact your health plan's member services to find out if you're covered for a full month's prescription of CIALIS. Member services information is typically found on your insurance card.

Indications: CIALIS is approved to treat erectile dysfunction (ED), the signs and symptoms of benign prostatic hyperplasia (BPH), and both ED and the signs and symptoms of BPH. Taking CIALIS with finasteride when starting BPH treatment has been studied for 26 weeks. CIALIS is not for women or children.

IMPORTANT SAFETY INFORMATION FOR CIALIS

What Is The Most Important Information I Should Know About CIALIS?

Do not take CIALIS if you:take medicines called “nitrates” such as nitroglycerin or other medications like isosorbide dinitrate or isosorbide mononitrate, which are often prescribed for chest pain as the combination may cause an unsafe drop in blood pressure; or use recreational drugs called “poppers” like amyl nitrite and butyl nitrite. take medicines called guanylate cyclase stimulators such as riociguat (Adempas ® ),* a medicine used to treat pulmonary hypertension as the combination may cause an unsafe drop in blood pressure. are allergic to CIALIS or ADCIRCA ® (tadalafil), or any of its ingredients. Call your healthcare provider or get help right away if you experience any symptoms of an allergic reaction, such as rash, hives, swelling of the lips, tongue or throat, or difficulty breathing or swallowing.

After taking a single tablet, some of the active ingredient of CIALIS remains in your body for more than 2 days. The active ingredient can remain longer if you have problems with your kidneys or liver, or you are taking certain other medications.

Stop sexual activity and get medical help right away if you get symptoms such as chest pain, dizziness, or nausea during sex. Sexual activity can put an extra strain on your heart, especially if it is already weak from a heart attack or heart disease.

What Should I Tell My Healthcare Provider Before Taking CIALIS?

CIALIS is not right for everyone. Only your healthcare provider and you can decide if CIALIS is right for you. Ask your healthcare provider if your heart is healthy enough for you to have sexual activity. Do not take CIALIS if your healthcare provider has told you not to have sexual activity because of your health problems. Before taking CIALIS, tell your healthcare provider about all your medical problems, particularly if you have or ever had: heart problems such as chest pain (angina), heart failure, irregular heartbeats, or heart attack pulmonary hypertensionlow blood pressure or high blood pressure that is not controlled strokeliver or kidney problems or require dialysisretinitis pigmentosa. a rare genetic (runs in families) eye disease severe vision loss, including a condition called NAIONstomach ulcers or a bleeding problema deformed penis shape or Peyronie’s disease an erection that lasted more than 4 hoursblood cell problems such as sickle cell anemia, multiple myeloma, or leukemia

Can Other Medicines Affect CIALIS?

Tell your healthcare provider about all the medicines you take, especially: medicines called "nitrates" which are often prescribed for chest pain medicines called guanylate cyclase stimulators, such as riociguat (Adempas ® ), used to treat pulmonary arterial hypertension and chronic-thromboembolic hypertension alpha-blockers often prescribed for prostate problems blood pressure medications medicines for HIV or some types of oral antifungal medications some types of antibiotics such as clarithromycin, telithromycin, erythromycin (several brand names exist, please contact your healthcare provider to determine if you are taking this medicine) other medicines or treatments for erectile dysfunction (ED) CIALIS is also marketed as ADCIRCA for the treatment of pulmonary arterial hypertension. Do not take both CIALIS and ADCIRCA. Do not take sildenafil citrate (Revatio ® )* with CIALIS.

How Should I Take CIALIS?

CIALIS should not be taken more than one time each day. If you miss a dose, you may take it when you remember but do not take more than one dose per day. Take CIALIS exactly as your healthcare provider prescribes it.

What Should I Avoid While Taking CIALIS?

Do not use other ED medicines or ED treatments. Do not drink too much alcohol (for example, 5 glasses of wine or 5 shots of whiskey). Drinking too much alcohol can increase your chances of getting a headache or getting dizzy, increasing your heart rate, or lowering your blood pressure.

What Are The Possible Side Effects Of CIALIS?

The most common side effects with CIALIS are: headache, indigestion, back pain, muscle aches, flushing, and stuffy or runny nose. These side effects usually go away after a few hours. Men who get back pain and muscle aches usually get it 12 to 24 hours after taking CIALIS. Back pain and muscle aches usually go away within 2 days. Call your healthcare provider if you get any side effect that bothers you or one that does not go away.

Uncommon but serious side effects include:
An erection that won’t go away: If you get an erection lasting more than 4 hours, seek immediate medical help to avoid long-term injury.

In rare instances, men taking prescription ED tablets, including CIALIS, reported a sudden decrease or loss of vision or hearing (sometimes with ringing in the ears and dizziness). It’s not possible to determine if these events are related directly to the ED tablets or to other factors. If you have a sudden decrease or loss of vision or hearing, stop taking any ED tablet, including CIALIS and call a healthcare provider right away.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call
1-800-FDA-1088 .

CIALIS does not:
Cure ED, increase a man's sexual desire, protect a man or his partner from sexually transmitted diseases, including HIV or serve as a male form of birth control.

CIALIS is available by prescription only.

*The brand listed is a trademark of its respective owner and is not a trademark of Eli Lilly and Company. The maker of this brand is not affiliated with and does not endorse Eli Lilly and Company or its products.

TD CON ISI 16SEP2015

Cialis and/or Equivalents

Cialis (tadalafil)

Cialis Description

Cialis is the brand name of the drug Tadalafil that is used for treating erectile dysfunction or impotence. The drug is for oral consumption, in the form of pills that are coated. This is a prescription drug; therefore it is not available over the counter. Every pill of Cialis comprises of a combination of croscarmellose sodium, iron oxide, magnesium stearate, hydroxypropyl cellulose, lactose monohydrate hypromellose, sodium lauryl sulfate,titanium dioxide, triacetin and microcrystalline cellulose. The drug can be stored at normal room temperature. Cialis received FDA recognition in November 2003 and is being commercially produced since then.

Conditions Treated by Cialis

Cialis or Tadafil is recommended for the treatment of impotence, which in medical terms is called erectile dysfunction or ED. The drug is used as a performance-enhancing drug in intensive sports also. Additionally the drug is also sold by another brand name called Adcirca for controlling high blood pressure. This drug should be taken only with a proper prescription as it can have unhealthy consequences.

Cialis Dosage Information

a.) Typical Dosage Recommendations

As is the case in most prescription drugs, Cialis needs to be taken with medical guidance and also in the prescribed quantity. The dosage is carefully derived by the doctor after a careful review of the patient’s problem and medical history. Hence the patient should not attempt to make any modifications in it by himself. Cialis needs to be taken before sexual intercourse. The medicine does not have to be taken with food. Usually a standard dose of 10mg is prescribed to most patients. However depending on individual needs, the dose could be doubled up to 20mg. If need be the dosage could be reduced by 5mg. But all these changes can take place only under medical supervision. Not more than one pill must be taken within 24 hours.

b.) Missing A Dose

Cialis is not given on a fixed schedule. Although it is a prescription drug, it is linked with sexual intercourse. Hence each time intercourse is planned the drug needs to be taken. Thus the issue of missed dose is not applicable here.

c.) Overdosing

The precise reason why Cialis is not for self-administration is because over dosage can be harmful. To detect an overdose look for typical signs such as pain in the chest, a feeling of giddiness or vomiting sensation. The heart beats could also suddenly uneven. When any of these happen, immediate medical help should be sought.

Cialis Warnings

There are some common warnings for most medications that need to be kept in mind. Firstly, medicines like Cialis must be stored at the prescribed temperature. Cialis must be stored at room temperature, therefore do not keep it in the refrigerator or in the bathroom where the temperature tends to fluctuate. Cialis is a prescription degree that can cause side effects. Hence it should never be shared between different individuals. Further, those patients who have a history of liver dysfunctions and disease, kidney problems, heart related problems, optical disorders or hypertension should be highly cautious before taking Cialis. Mostly in such cases, the drug is simply not recommended as the risks can outweigh the benefits from the drug. Also it must be clear that Cialis is only meant for erectile dysfunction patients not other sexual problems such as loss of libido or any sexual infections. The drug does not provide protection against sexually transmitted illnesses; furthermore those who have been advised against sexual activity should not take the drug at all.

Cialis Side Effects

As stated earlier, Cialis is a potent drug that affects on the biochemical processes in the body, therefore some side effects are likely. However none of them should be easily dismissed. Ideally the patient should not suffer from any side effects. If at all any symptoms are observed, the medication should be stopped and due medical advice needs to be taken immediately. If patient experiences a sudden tingling in the chest or a pain or giddiness, and a numb feeling during sexual intercourse then it is a cause for worry. This indicates intolerance to Cialis and a doctor should be consulted immediately. Following are other major side effects that can occur:

• Swelling of limbs
• Numb sensation
• Heaviness in the chest accompanied by pain in the shoulder and arm region
• Uneasiness and nausea-like feeling
• Problems related to eyesight
• Any changes in hearing abilities, experiencing some sounds in the ears
• Changes in the heartbeat rhythm
• Painful erection

In addition to the above, there are other minor symptoms also:

• Stomach being upset
• Blocked nose or other cold like symptoms
• Sudden warm gushing feeling in the face or upper body near chest
• Memory related changes
• Aches and pains in muscles and the back

These are some of the known side effects of the drug. However, since every individual’s body is unique, it is possible that some people might experience some other symptoms of intolerance. Therefore any unexpected, unpleasant experiences after taking the drug should be reported to the doctor.

Possible Drug Interactions With Cialis

There are some drugs that interact adversely with Cialis’ These include drugs prescribed for:

Therefore when starting Cialis, patients must give all details of medicines being taken so that the doctor can plan the prescription accordingly.

If you have any questions about buying discount Cialis online or any other prescription products you can contact our team of professional Patient Service Representatives or one of our pharmacists 24-7 by calling 1-800-226-3784.

Notice: The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

Buying ED Drugs Online: What’s the Risk?

"You can get hard without expensive prescription drugs that have dangerous side effects!"

It's a familiar claim among sellers of online erectile dysfunction (ED) drugs -- and there are a lot of them. A search for "buy erectile dysfunction drugs" brings up nearly 22 million web sites.

On these sites, you can order medications like Cialis (tadalafil), Levitra and Staxyn (vardenafil), Stendra (avanafil), and Viagra (sildenafil) without a prescription. Or, you can get a "natural" herbal remedy that promises to give you the same results. Often these drugs cost far less than they would at your local pharmacy. Buying online also lets you bypass the embarrassment of having to discuss your erection problems with a doctor.

But are ED drugs purchased online safe? Experts say think twice before you buy.

The Truth About ED Drugs Sold Online

The erectile dysfunction drugs and herbal remedies you buy online aren't always what they seem. An FDA investigation found that more than one-third of "dietary supplements " sold for ED actually contained prescription drugs, including sildenafil, the active ingredient in Viagra. Some ED drugs sold online contained entirely different medicines, such as the antibiotic metronidazole and the fertility drug clomiphene.

Even if a drug contains the right medicine, it may not be the right dosage. When samples of 100-milligram Viagra tablets purchased online were tested, only 10% were even close to the advertised strength.

When you buy from an unknown company, you run the risk of getting counterfeit medicines. By some estimates, more than half of all ED drugs sold online are fakes. Some of these drugs include ingredients you wouldn't want to put in your body -- things like talcum powder, paint, and printer ink.

The FDA warns of several products in particular that have contained potentially harmful or undeclared ingredients. Included among them are

• 4EVERON
• Actra-Rx
• Actra-Sx
• Adam Free
• Blue Steel
• Energy Max
• Erextra
• Hero
• HS Joy of Love
• Lady Shangai
• Libidus
• Liviro3
• Lycium Barbarum L.
• Nasutra
• NaturalГ« Super Plus
• NaturalUp
• Neophase
• Rhino V Max
• Shangai Regular, also marketed as Shangai Chaojimengnan
• Shangai Ultra
• Shangai Ultra X
• Strong Testis
• Super Shangai
• True Man
• V.Max
• Vigor-25
• Xiadafil VIP tablets (Lots 6K029 and 6K209-SEI only)
• Yilishen
• Zimaxx

Continued

Health Risks of Online Drugs

Erectile dysfunction drugs such as Cialis, Levitra, Staxyn, Stendra, and Viagra work by increasing blood flow to the penis. Just like any other medicine, these drugs can have side effects.

A real drug masquerading as an herbal remedy can be dangerous -- even life-threatening. Take the drug sildenafil, which the FDA says is hidden in some natural ED treatments sold online; if you're already using nitrates for heart disease. sildenafil can lead to a dangerous drop in blood pressure. In 2008, 150 people in Singapore were hospitalized for low blood pressure after taking ED drugs. Doctors discovered that the drugs actually contained a large dose of the diabetes medicine, glyburide .

ED drugs can be especially dangerous for people with certain conditions, especially heart disease. They can also cause side effects or interact with other medicines you're taking, such as blood thinners and some alpha blockers, which are used to treat high blood pressure and prostate conditions. Even mixing them with grapefruit juice can worsen side effects. These are issues your doctor needs to discuss with you when you get a prescription.

Buying Safely Online

Before buying ED drugs online, see your doctor to find out exactly what's causing the problem. It may turn out that you don't need to take these drugs at all. Health conditions that contribute to ED, such as diabetes or high blood pressure. can be treated. If ED is a side effect of a medicine you're taking, your doctor may suggest that you stop taking the drug or take a lower dose.

The FDA is trying to stop the flow of illegal ED drugs, but these medicines still circulate freely on the Internet. Legitimate online pharmacies do exist. It just takes a little bit of sleuthing to find them.

Here’s what to look for when you buy ED drugs online:

• A licensed pharmacy with an address in the U.S. (Check with your state board of pharmacy or the National Association of Boards of Pharmacy.)
• A pharmacy that requires a prescription from your doctor
• Drugs that are approved by the FDA
• Containers that are clearly labeled with the name of the drug and the dosage
• A licensed pharmacist who is available to answer your questions
• A contact phone number to call if you have questions or problems
• A clearly stated privacy policy that protects your credit card number and other personal information

WebMD Medical Reference Reviewed by Stuart Bergman, MD on August 12, 2015

Sources

FDA: "Hidden Risks of Erectile Dysfunction 'Treatments' Sold Online."

FDA: "The Possible Dangers of Buying Medicines over the Internet."

National Kidney & Urologic Diseases Information Clearinghouse: "Erectile Dysfunction."

American Academy of Family Physicians: "Erectile Dysfunction -- Overview."

Jackson, G. International Journal of Clinical Practice. March 2010.

Anonymous. Bulletin of the World Health Organization. April 2010.

News release, FDA.

В© 2015 WebMD, LLC. All rights reserved.

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