Do I Need A Prescription For Cialis In Usa

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
  • Naturalë 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.

© 2015 WebMD, LLC. All rights reserved.

Alamo, Texas · 137 forum posts

I cross this border town several times a month for years. No need for prescription at all. You just say you have medication, they don't care what kind.

Beinvinedes Pharmacy is real fussy, n expensive. There, they may ask you to have prescription. I never go there. I go to pharmacy across the street, Jessica's. I often park my car there. Never gotten bad medicine there, n cheaper than other places. You wait for meds in adjacent bar, perhaps listening to musician playing songs you will want to dance to, n they have a dance floor there for that. Get a free margarita while waiting. Say hi to Tony the bartender

Don't forget, but one can also purchase dog medications n stuff at one of 3 vet places there. Ask any street vendor there, they will take u there. At one by El Disco, closets bridge, don't talk w fat woman who works there, she is always grouchy n charges more than male sales clerk.

Just a few businesses south from Jessica's is a popular restaurant, Rancho Grande. Sit outside or in, and enjoy live music for more dancing. good food, clean bathrooms, safe booze there to drink.

Nov 20, 2014, 7:55 PM

tucson az · 14,414 forum posts

Without a prescription, you can be arrested in Mexico for possession of many pharmaceuticals. Without a prescription, you can also have your drugs confiscated when entering the US.

You're giving bad advice. The pharmacies want your money. After that they don't care what happens.

Nov 22, 2014, 11:39 AM

Alamo, Texas · 137 forum posts

I don't walk across anymore, so I don't remember anything about it. Guess that's another reason to drive across.

But if u r carrying a bucketful of meds, they may get fussy, especially if it seems u r dealing it.

I actually go across several times a week, twice this week, n they have never looked thru my meds. So a hundred times a year for four years.

A couple friends went, but their list of real $$$ meds weren't available there. If it's new fangled n like $200 in usa, they don't seem to have those.

There is one little pharmacy that offers more "exotic" meds. After Xing border, first hallway to right, go strait down, n u almost walk ryt into it.

Sometimes meds aren't much cheaper, but one doesn't need to go to a doctor, get a rx, n go to pharmacy.

Thanks, prior poster. U have had an awesome travel itinerary.

Nov 22, 2014, 11:56 AM

Alamo, Texas · 137 forum posts

Went w friend to Las Flores a couple days ago; he was interested in Viagra.

The blue diamond pulls come in pack of 4, for about $16.

Generic was less.

They had Cialis, too, price similar.

If one wants to buy a lot of something the border may be a little particular about, n the pharmacies know which ones those are, they repackage in front of u, putting pills in another container.

They do this with Cipro. It's an amazing antibiotic. Take one pill every 8 hours, three pills total. It was new in about 1994, when I was in nursing school. First effective med to get rid of hospital-acquired UTIs, from catherizing all the time. So it treats tough infections quickly n easily. Its like $10 a bottle for 100 pills. I buy to give friends. Sometimes they put it in a different bottle.

I am not offering medical advice to u. This info is my story, conjecture.

Jan 15, 2015, 8:30 PM

Alamo, Texas · 137 forum posts

REGARDING BOB B'S post about being arrested in Mexico with medicines without a prescription:

How ridiculous! That certainly isn't true in Nuevo Progreso! How do you think NP stays in business. Half the visitors there are buying meds for themselves or friends. In five years living there, and talking with people living in the valley for decades, NEVER has such a story ever come up! I have no idea where you get your information!

Same thing goes that one needs a prescription to cross the border from NP. Some side street pharmacies might say that for some controlled drug, so they can take you to their doctor, to write a script, so they can sell you real or fake controlled drugs. One does NOT need a RX. Same thing as before, there would be few Winter Texans down here if meds were not so easily available in NP.

The pharmacies want more than your money. They want you to return, for more of your money, so they can refer you to their relatives so they can make money off you, so they can feed all of the relatives living under their roof. So they can have enough blankets to keep themselves warm on cold nights, when the dirt floors of their homes are muddy. To provide for themselves and their families. They want return business, for years on end. Most will treat you well.

The only people I find in NP who rip people off are the dentists. The more expensive, the more they rip the tourists off. Or, poorly skilled dentists, nno matter what country, is a waste of money.

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.

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