Can You Buy Cialis Over The Counter In America

Cialis: Fast-Acting Treatment of Erectile Dysfunction

Men who have ever had a problem of erectile dysfunction are familiar with medications that stimulate erection. Nearly every one knows that drugs of this group mechanically cause sustained erection. Indeed, stimulants are composed of complex chemical substances which create a relaxing effect on the smooth muscles of the cavernous bodies of the penis, thus stimulating active blood supply.

Viagra is the first and one of the most popular erection stimulating drug on the market. Its main chemically synthesized active component is 1-[4-ethoxy-3-(6,7-dihydro-1-methyl-
7-oxo-3-propyl-1H-pyrazolo[4,3-d]pyrimidin-5-yl)phenylsulfonyl]-4-methylpiperazine. Initially this chemical compound was developed by scientists to improve blood flow to the myocardium (heart muscle) in order to help decrease blood pressure. However, clinical trails haven’t shown the expected results but it was found that men taking this drug experienced substantial blood flow to the genitals. Several years later this medication entered the market under the brand name Viagra. It was positioned as the drug aimed to fix problems with poor erection. As far as it was the only medication for ED at that time, it got the reputation of the fastest-selling drug generating nearly $2 billion from sales worldwide.

But now there is a number of analogical medications on offer and Cialis is one of them. It contains the same active ingredient (sildenafil), which creates absolutely identical effect as Viagra. Cialis should be taken about an hour before having sex and not more than once a day. Remember that Cialis as well as other erection stimulating drugs do not increase libido, so proper sexual stimulation is required to get the maximum pleasure. But there is one distinctive feature of Cialis that makes it stand out among other ED pills – it can be taken on a daily basis in smaller doses. Unlike Viagra or any other drugs Cialis can be prescribed for a daily use for ED treatment depending on the severity of the disease. So there is a choice for a man: either to use Cialis once right before intercourse or to take it daily.

Since Cialis is being sold for many years already, there are lots of reviews of men whose sexual health has been restored due to these pills. One can easily find them online on men’s forums where they share their experience of taking Cialis. You can also order the medication via online pharmacies without a need to leave your house. The best thing of buying Cialis online is that you can do it without prescription, though it’s always recommended to visit your doctor before starting to take any medication.

FAQ

Drug maker wants to sell Cialis over the counter

INDIANAPOLIS — The maker of erectile dysfunction drug Cialis wants its pill sold to men without a prescription. Under a licensing deal between Eli Lilly and Co. (LLY) and French drugmaker Sanofi, Cialis could become the first prescription drug for male impotence to be sold over the counter.

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Drug maker wants to sell Cialis over the counter

Jeff Swiatek, The Indianapolis Star 4:21 p.m. EDT May 28, 2014

Eli Lilly’s Cialis tablet has been approved in the United States to treat impotence since Nov. 21, 2003. (Photo: AP)

INDIANAPOLIS — The maker of erectile dysfunction drug Cialis wants its pill sold to men without a prescription.

Under a licensing deal between Eli Lilly and Co. (LLY) and French drugmaker Sanofi (SAN), Cialis could become the first prescription drug for male impotence to be sold over the counter. The plan still needs approval from regulators, who would weigh the risks of allowing the drug to be sold without a doctor’s visit.

The two companies hope for a 2018 launch of what they’re calling Cialis OTC. That’s the same year patents for Cialis are expected to expire in the United States and Europe, allowing cheaper generics to take over and effectively dry up Lilly’s considerable profits from the drug.

Cialis generated $2.16 billion in sales last year and was Lilly’s fourth best-selling drug.

A plan to sell Cialis over the counter would allow the Indianapolis drugmaker to continue to profit from the drug as an impotence treatment.

Lilly didn’t reveal financial details of the deal with Sanofi. Under the deal, Sanofi will be responsible for commercializing nonprescription Cialis wherever it receives approval while Lilly will manufacture Cialis for Sanofi. The drug, sold in tablet form, is made by Lilly in Puerto Rico.

“Men don't want to go through the hassle and sometimes discussions with doctors. There is a need to self-diagnose.”

Dave Ricks, Eli Lilly and Co.

Cialis has been prescribed to more than 45 million men since its launch in Europe in 2002 and in the United States a year later. The drug has been widely used and proven to be safe and effective, so it’s a good candidate to sell over the counter, said Dave Ricks, a senior vice president at Lilly.

In addition, over-the-counter sales would be a safer option for men than buying illicit forms of Cialis online without a prescription, Ricks said. He said many of the Cialis tablets advertised online are fake or adulterated.

A large unmet demand exists for over-the-counter Cialis because many men suffering from impotence don’t feel comfortable talking to a doctor about the problem, Ricks said.

«Half of (American) men over 40 suffer ED,» Ricks said. «But the current market (for prescription ED drugs) only represents a fraction (of potential patients). Men don’t want to go through the hassle and sometimes discussions with doctors. There is a need to self-diagnose. We think that (over-the-counter) availability is key to helping guys» with impotence.

The first prescription erectile dysfunction drug to market was Pfizer’s Viagra, introduced in the late 1990s. Pfizer applied in Europe several years ago to sell Viagra over the counter but later withdrew its request.

Eli Lilly's Cialis orange tablet was the second erectile dysfunction the FDA approved. (Photo: Eli Lilly and Co.)

Lilly said Sanofi will take the lead in pursuing regulatory approval to sell Cialis over the counter. One concern for regulators will be that Cialis isn’t supposed to be taken with medicines called nitrates often prescribed for chest pain. The combination can cause a dangerous drop in blood pressure.

Regulators also might be concerned that impotence is sometimes a sign of other medical problems, which won’t be discovered if men are allowed to buy Cialis without a checkup.

Potentially, regulators could approve over-the-counter sales of Cialis only at certain doses and for some indications, Ricks said.

Lilly said it struck a deal with Sanofi to take the lead in Cialis OTC because Sanofi has experience in conducting consumer studies and gaining approval for over-the-counter formulations of other brand drugs, including allergy medications Nasacort and Allegra.

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Is Generic Cialis On the Way?

Cialis treats both erectile dysfunction and benign prostatic hyperplasia (BPH).

Cialis is a drug used to treat erectile dysfunction in men. It can also be used to treat benign prostatic hyperplasia (BPH).

There are two main differences between Cialis and other drugs in the PDE-5 drug class that are used to treat erectile dysfunction. For one thing, Cialis has a much longer half-life than Viagra and Levitra – up to 36 hours. That has been a primary selling point with Cialis, earning it a nickname as the “Weekend Pill” since theoretically a man could take it Friday night and still feel the effects Sunday morning. This lengthy effectiveness is pitched as allowing couples to be more spontaneous than they could be with drugs like Viagra, which are taken a half-hour to an hour before sexual activity and which wear off within a few hours.

The other difference between Cialis and other drugs used to treat erectile dysfunction is that it’s available as once-daily therapy in a low dose. In this therapeutic regimen, men take a low dosage Cialis tablet at the same time every day for long term relief from erectile dysfunction and increased spontaneity surrounding sexual activity. Competitors have not come up with equivalent daily dosage regimens.

Generics Could Be Introduced in 2016
Cialis was introduced in 2003, and patents in the US and Europe expire in 2016 and 2017. Therefore, it’s possible that generic competitors could be introduced to the market at that time, though there are no specific plans that have been made public to do so. Due to the results of several legal cases in the US court system, the patent for Cialis, which expires in 2016 in the US, expires several years earlier than the US patent for Viagra.

Viagra was introduced in 1998, but has managed to extend its US patent protection until 2020. Viagra has, however, licensed a company called Teva Pharmaceuticals to sell a generic version of Viagra starting late in 2017. Other than that, there really aren’t any generic competitors for erectile dysfunction drugs on the horizon in the US.

But Lilly Could Take Cialis Over the Counter
Viagra worked diligently to hold onto its patent protection in the US. When patents on Viagra expired in Europe, generics flooded the market almost immediately, slashing the cost of treating erectile dysfunction by up to 90%. It forced Viagra in Europe to lower prices in order to remain competitive.

But could Viagra’s insistence on clinging to patent protection in the US backfire? Possibly. French drug maker Sanofi reached an agreement with Lilly (maker of Cialis) to create an over-the-counter version of Cialis sometime in 2017. This could make generic competition for Viagra largely a moot point, if men flock to retailers to buy Cialis without a prescription.

How Might Generic Cialis Affect Other Drugs (Like Viagra)?
With PDE-5 drugs for erectile dysfunction, sometimes there are minor differences in effectiveness depending on each individual patient’s physiology. Some men may find that one of the drugs works slightly better than another for whatever reason.

At the same time, if one PDE-5 drug works for a man, chances are the others will work too. So a man who has been waiting around for Viagra to go generic could switch to generic Cialis if it becomes available first, potentially draining sales away from Viagra.

Insurance coverage for erectile dysfunction drugs is minimal, if available at all, and with the high price of medications in the US, consumers are more than willing to shop around if they find a less expensive option that may work just as well as what they have been taking.

How Might OTC Cialis Affect Other Drugs?
If plans go ahead for over-the-counter Cialis, changes could be even bigger. Given the choice of making an appointment to see his doctor to talk about a problem that most men are uncomfortable talking about, asking for a prescription, then taking it to his neighborhood pharmacy to have it filled and the choice of buying an over-the-counter drug with a long track record, with no visit to a doctor necessary, many men are going to choose the OTC option. Even if OTC Cialis is fairly pricey, if the savings in time and expense offsets the time and expense of a doctor’s visit, many men will consider it a worthwhile trade-off.

Beware if You See “Generic Cialis” for Sale
If you live in the US and see an offer for “generic Cialis,” resist the temptation to buy. While generic versions of Cialis are available in some countries, they’re not yet available in the US. and it’s illegal (except under very specific conditions) to import prescription drugs into the US from other countries. And, since most men who order “generic Cialis” from overseas probably aren’t going to file a complaint with US Customs and Border Protection if the product turns out to be counterfeit, there are all too many shady internet dealers ready to send what they claim to be “generic Cialis” to customers in the US.

Be very skeptical if you see “generic Cialis” for sale in the US before 2017.

At best, these customers will spend money on a useless and worthless product. At worst, they could end up with a product containing harmful ingredients, as has happened with many of the fake versions of Viagra that have been sold around the world.

When Will Things Change for the ED Medication Market in the US?
If you’re waiting for significant changes to the price of erectile dysfunction medications in the US, you’re going to have to wait another year or so to see any price movement. Currently it looks like the best case scenario is that Cialis brings an OTC version of Cialis to US store shelves in 2016 or 2017, significantly increasing pressure on Viagra to lower prices in order to compete with the convenience of over-the-counter sales.

Then, in late 2017, the licensed generic version of Viagra should be introduced. Since it will be the only generic competitor for Viagra in the US, there should be some break in price, but you can’t expect the kind of plunging prices they experienced in Europe when Viagra’s patent expired and multiple generics were introduced. It won’t be until 2020 that Viagra’s US patent finally expires, raising the possibility of multiple generics here. By that time, OTC Cialis could have made a significant dent in prescription erectile drug sales anyway.

At AccessRx.com. we’re committed to providing name brand lifestyle medications like Cialis to our customers at competitive prices, with unmatched convenience. Working with US-licensed pharmacists, we deliver products quickly and discreetly, and are committed to providing exceptional customer service and the highest standards of online ordering security.

  • AccessRx is a USA corporation founded in 1998. Since, we have become one of the top online providers in FDA-approved, brand-name medications. We specializes in providing our over 500,000 customers with relevant product and condition information created by our professional editorial staff which includes our team of medical writers, medical practitioners and health educators. AccessRx Staff on Facebook

    Mary Hiers – AccessRx Medical Writer

    Mary Hiers is a full-time writer with a background in engineering and print journalism as well as writing about a wide variety of health care topics. She lives in Tennessee and is the author of two works of fiction. Mary earned her bachelor’s and master’s degrees from the University of Tennessee and the University of Tennessee Space Institute. Mary Hiers on Google+

    Lisa Furgison – AccessRx Medical Writer

    As a journalist Lisa enjoys writing about a variety of topics. Over the course of the last ten years she has been involved in television news as well as print and online publications. Medical news has always been a favorite for this native New Yorker because she gets to stay on top of the latest developments in a rapidly changing field. Lisa Furgison on Google+

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