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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

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.

Buy Cialis Online at Our US Internet Pharmacy

CIALIS DRUG INFORMATION, ABOUT CIALIS

COMMON BRAND NAME: CIALIS®

WHAT IS CIALIS?

Cialis is used to treat impotence or erectile dysfunction in men (the inability to get or keep an erection). Cialis is in a class of medications called phosphodiesterase (PDE) inhibitors. It works to increase the blood flow to the penis during sexual stimulation. Increased blood flow can result in an erection. Cialis, however, will not cure erectile dysfunction or your increase sexual desire.

Pregnancy will not be prevented by the use of Cialis. Nor will it prevent the spread of sexually transmitted diseases such as human immunodeficiency virus (HIV).

HOW TO USE CIALIS

Carefully follow the directions on your prescription label. Take Cialis exactly as directed. Do not take more or less or take more often than prescribed by your physician.

Take Cialis tablets by mouth, with or without food, before sexual activity. Your doctor will advise you about the best time frame for you to take Cialis.

CIALIS DOSAGE

Do not take Cialis more often than once every 24 hours. Your physician may advise you to take it less often if you have certain health conditions or are taking certain medications.

If Cialis is not working or if you are experiencing side effects, advise your physician. He may increase or decrease your dosage.

CIALIS DRUG INTERACTIONS and PRECAUTIONS

Before you buy Cialis online, tell your doctor and pharmacist if you

• are allergic to Cialis (tadalafil) or any other drugs.
• are taking alpha blockers like:

• alfuzosin (Uroxatral)
• terazosin (Hytrin)
• doxazosin (Cardura)
• prazosin (Minipress)

Do not take Cialis if you are taking alpha blockers.

However, you may take Cialis if you are taking the alpha blocker tamsulosin (Flomax) at a dose of 0.4 mg a day.

are taking nitrates like:

• isosorbide dinitrate (Sorbitrate, Isordril)
• isosorbide mononitrate (ISMO, Imdur)
• nitroglycerin (Nitro-BID, Nitro-Dur, Nitrostat, Nitroquick, others)

Do not take Cialis if you are taking or have recently taken nitrates.

Nitrates can come in the form of tablets, taken sublingual (under the tongue), or as sprays, patches, pastes, and ointments. Ask your physician if you are unsure whether any of your medications contain nitrates.

• are taking any other prescription and nonprescription medicines, nutritional supplements, vitamins or herbal products, especially any of the following:

• other drugs or treatments for erectile dysfunction
• HIV protease inhibitors like:
  • nelfinavir (Viracept)
  • indinavir (Crixivan)
  • ritonavir (Norvir)

  This information is to supplement and not to be a substitution for the expertise and judgment of your pharmacist, doctor or other healthcare professional. It should not be taken to indicate that use of this drug is effective, appropriate or safe for you. Consult your doctor or healthcare professional before using this medication

• high blood pressure medicine
• antifungal drugs like:
  • fluconazole (Diflucan)
  • itraconazole (Sporanox)
  • ketoconazole (Nizoral)
• carbamazepine (Tegretol)
• clarithromycin (Biaxin)
• cyclosporine (Neoral, Sandimmune)
• cimetidine (Tagamet)
• dexamethasone (Decadron)
• danazol (Danocrine)
• diltiazem (Cardizem, Dilacor, Tiazac)
• delavirdine (Rescriptor)
• ethosuximide (Zarontin)
• erythromycin (E-Mycin, E.E.S. Erythrocin)
• fluvoxamine (Luvox)
• fluoxetine (Sarafem, Prozac)
• isoniazid (Nydrazid, INH)
• metronidazole (Flagyl)
• nefazodone (Serzone)
• phenobarbital (Solfoton, Luminal)
• phenytoin (Dilantin)
• rifabutin (Mycobutin)
• rifampin (Rifadin, Rimactane)
• troleandomycin (TAO)
• verapamil (Calan, Isoptin, Covera, Verelan)
• zafirlukast (Accolate)

Your doctor may change your dosage or monitor you carefully for side effects.

• an erection which lasted more than four hours
• a condition which affects the penis' shape like:

• Peyronie's disease
• angulation
• cavernosal fibrosis

irregular heartbeat

high or low blood pressure

stroke

angina

heart attack

ulcers in stomach or intestine

bleeding disorder

blood cell problems like:

• sickle cell anemia
• leukemia
• multiple myeloma (cancer of the plasma cells)

heart disease

liver disease

kidney disease

have or have ever had an eye disease like retinitis pigmentosa. Also tell you doctor if anyone in your family has had this disease.

have ever been advised by a health care professional to avoid sexual activity for medical reasons.

have ever experienced chest pain during sexual activity.

are having surgery, including dental surgery.

NOTES

Cialis is only for use in males. Women should not take Cialis, particularily if they are or may become pregnant or if they are breast-feeding.

If a pregnant woman takes Cialis, she needs to call her doctor immediately.

Acoholic beverages. Ask your physician how much alcohol is safe to use while you are taking Cialis. Alcohol can worsen the side effects of Cialis.

Sexual activity may be a strain on your heart, especially if you have heart disease. If you experience chest pain during sexual activity, call your physician immediately and avoid sexual activity until you are advised otherwise by your doctor.

Tell any and all of your health care providers that you are taking Cialis. If you ever need emergency treatment for a heart problem, the health care providers who treat you will need to know the last time you took Cialis.

Do not let anyone else take your medication.

SPECIAL DIET INSTRUCTIONS

Ask your doctor about drinking grapefruit juice while taking Cialis.

CIALIS SIDE EFFECTS

Tell your physician if any of these Cialis side affects are severe or do not go away:

• headache
• pain in your back, muscles or any limb
• heartburn or indigestion
• stuffy or runny nose
• flushing

Call your doctor immediately if you have any of the following uncommon but serious Cialis side affects:

• erection lasting longer than 4 hours
• vision change such as
  • seeing a blue tinge on objects
  • having difficulty distinguishing between blue and green

chest pain - Cialis may cause serious side effects if you have a heart condition.

Call your doctor if you experience any other unusual problem. It may be a Cialis side effect.

CIALIS OVERDOSE

In case of an overdose of Cialis, call your local poison control center at 1-800-222-1222. If the victim has collapsed or is not breathing, call local emergency services at 911.

• headache
• pain in your back, muscles or any limb
• heartburn or indigestion
• stuffy or runny nose
• flushing

OTHER INFORMATION

Keep all appointments with your doctor .

Do not let anyone else take your medication. Ask your pharmacist any questions you have about refilling your prescription.

STORAGE

Keep Cialis in the original container, tightly closed, and out of reach of children.

Store it at room temperature and away from excess heat and moisture. Do not store in the bathroom.

Discard any medication that is outdated or no longer needed. Talk to your pharmacist about proper disposal.

Where to purchase an online prescription drug.

About our drug store on line.

Whether you are looking for a prescription, no prescription (non prescription) or over the counter (OTC) medicine, you can be confident when you purchase medications and drugs at our on line, mail order drug store. Compare our prescription price and cost.

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