CVS and Walgreens are offering customers new prescription drugs after a joint investigation by the U. S. Food and Drug Administration found that the pharmacy chain used a website promoted to sell “erectile dysfunction drugs.” The website included links to prescription drug listings, including erectile dysfunction drugs like Viagra, Cialis, Levitra, and Stendra, as well as a list of over-the-counter drugs for women that patients were asked to fill out online.

Pharmacy chain CVS and Walgreens are offering customers new prescription drugs after a joint investigation by the U.

“This type of online marketing is becoming increasingly common,” said Karen Bradley, a spokesman for Walgreens, which owns CVS.

Bradley said the FDA has found that online pharmacy promotion “is a significant risk to consumers who buy prescription drugs, including prescription drugs for ED.” That could lead to the loss of prescription drug revenues, she said.

CVS said it has suspended its pharmacy business because of the findings and that, in addition to the investigation, it will not participate in the online pharmacy business. CVS and Walgreens will remain in the chain’s pharmacy business.

The online pharmacy website CVS Drugs.com, which was not associated with the investigation, was used by pharmacy chain CVS to sell prescription drugs after a joint investigation by the FDA found that the pharmacy chain used a website promoted to sell “erectile dysfunction drugs.” The website included links to prescription drug listings, including erectile dysfunction drugs like Viagra, Cialis, Levitra, and Stendra, as well as a list of over-the-counter drugs for women that patients were asked to fill out online.

CVS said it has suspended its pharmacy business because of the findings and that in addition to the investigation, it will not participate in the online pharmacy business.

Sold and Supplied by Healthylife Pharmacy

Generic Tadalafil (5mg) 28 Tablets

This product is a Prescription Only Medicine (S4) and is sold by Healthylife Pharmacy, an independently owned and operated pharmacy business. This prescription product requires a valid Australian script.

Healthylife provides general product information such as nutritional information, country of origin and product packaging for your convenience. This information is intended as a guide only, including because products change from time to time. Please read product labels before consuming. For therapeutic goods, always read the label and follow the directions for use on pack. If you require specific information to assist with your purchasing decision, we recommend that you contact the manufacturer via the contact details on the packaging or email us at [email protected]. Product ratings and reviews are taken from various sources including Bazaarvoice. Healthylife does not represent or warrant the accuracy of any statements, claims or opinions made in product ratings and reviews.

Warnings or restrictionsThis is a not a complete list ofucket needs andihar applicable. You should not take Tadalafil if you are taking or have recently taken rivinal - Cialis 5mg or oral - Cialis 5mg tablets. This product requires a valid Australian script.Browse this drugOveridespread Use of Tadalafil May Lose the Importance of Efficacy

Healthylife is a prescriptiononly medicine, not a health product, which requires a prescription from a GP or your pharmacist. This product requires a prescription from a healthylife doctor or pharmacist. This product requires a prescription in order for Healthylife to work. It is not safe under any circumstances. Healthylife may cause serious side effects or interact with other medicines. Talk to your healthylife doctor about the potential benefits and risks of this medicine before taking it.

Healthylife is a prescriptiononly medicine, not a health product, which requires a prescription from a healthylife doctor or your pharmacist. This product requires a prescription from a healthylife doctor or your pharmacist.

Cialis has been shown to cause some mild side effects. Talk to your health care provider if these do not go away within a few days. If you begin to experience more serious reactions, seek medical attention immediately.

Common side effects reported from Cialis use include:

• Headache
• Indigestion
• Heartburn
• Upset stomach
• Gas
• Nausea
• Flushing

More severe side effects include:

• Painful erections or erections that last longer than 4 hours
• Sudden loss of vision
• Sudden loss of hearing
• Ringing in the ears
• Chest pain
• Shortness of breath
• Painful urination
• Increased urination frequency
• Fainting
• Dizziness
• Skin rash
• Hives
• Facial swelling

If you experience any of these side effects, seek medical attention immediately. These are symptoms of a severe adverse reaction to this medication that require immediate treatment.

As with all prescription medications, inform your doctor of any medical conditions you currently manage. Tell them about any and all medications, prescription drugs, and supplements you are taking before starting treatment with Cialis. Cialis can interact with bodily substances, causing potentially serious adverse reactions.

Specifically, you should inform your health care provider of any alpha-blocker, antifungal, HIV protease inhibitor, or high blood pressure medication you are taking. Remember to mention any herbal products you use, especially St. John’s wort.

In addition, let your doctor know if you have recently had heart surgery or experience chest pain during sex. If you experience any changes in your heartbeat or chest pain during sex, contact your health care provider immediately.

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BACK TO TABLETSDEFERENCES BOOST CIALIS (Tadalafil) is a phosphodiesterase type 5 (PDE5) inhibitor used to treat erectile dysfunction (ED) in men. Cialis, the active ingredient in Cialis, works by relaxing the blood vessels in the penis, allowing for increased blood flow during sexual stimulation.

Cialis, the active ingredient in Cialis, works by inhibiting phosphodiesterase type 5 (PDE5), an enzyme that breaks down cyclic guanosine monophosphate (cGMP). cGMP is a pro-inflammatory mediator that can cause erectile dysfunction. Cialis can also affect the smooth muscle cells in the penis, causing smooth muscle relaxation and increased blood flow. This makes Cialis a useful treatment option for men with erectile dysfunction.

The mechanism of action for Cialis is similar to that of nitrates. By inhibiting PDE5, Cialis can increase the levels of cGMP in the penis, leading to increased blood flow and erections. As a result, men who have ED can achieve firm erections without the need for sex. However, Cialis can also cause a temporary decrease in blood pressure, which may result in fainting or dizziness.

As with all prescription medications, inform your doctor if you>:

Take Cialis by mouth; this should ensure that you are taking this product as directed. If you are taking other PDE5 inhibitors, your healthcare provider may prescribe a second medication. Take Cialis at least 30 minutes before sexual activity, and at least 4 hours (or 4 hours) before any drugs that you may take on a regular basis (e.g., medications for high blood pressure, HIV).

Interactions

A. Top Drug-Drug Interactions:

1.Nitrates (e.g., nitroglycerin, isosorbide dinitrate): Cialis and nitrates both lower blood pressure. Taking them together can cause a significant and potentially life-threatening drop in blood pressure (hypotension), leading to dizziness, fainting, or even heart attack or stroke. It is contraindicated to use Cialis with nitrates or recreational "poppers" (amyl nitrites).

2.Alpha-blockers (e.g., prazosin, terazosin, tamsulosin): Both Cialis and alpha-blockers relax blood vessels, which can lead to excessive blood pressure reduction when used together. This may result in dizziness, fainting, or orthostatic hypotension (a sudden drop in blood pressure when standing). If needed, your doctor may adjust the dosage or recommend spacing the medications.

3.Other antihypertensive drugs (e.g., atenolol, propranolol, enalapril, lisinopril): Cialis can enhance the blood-pressure-lowering effects of these medications. While this interaction is usually less severe than with nitrates or alpha-blockers, it can still cause dizziness or fainting in sensitive individuals. Close monitoring of blood pressure is recommended.

Other Drug-Drug interactions:

• Ketoconazole, itraconazole (used to manage fungal infection)
• Protease inhibitors (used to manage HIV infection) Ex. ritonavir, lopinavir
• Phenobarbital, phenytoin, carbamazepine (medicines used for fits)
• Rifampicin, erythromycin, clarithromycin (medicines used for bacterial infections)
• Other medicines used to improve blood flow to the penis (Ex. sildenafil)

B. Drug-Food Interactions:

Cialis (tadalafil) can interact with certain foods and beverages, potentially altering its effectiveness or increasing the risk of side effects. Here are the key drug-food interactions to be aware of:

1. Grapefruit and Grapefruit Juice: Grapefruit can increase the levels of tadalafil in your blood by interfering with its metabolism. This may amplify side effects, such as headaches, dizziness, or low blood pressure. Avoid consuming grapefruit or grapefruit juice while taking Cialis.
2. Alcohol: Drinking alcohol with Cialis can enhance the blood pressure-lowering effects of the medication, leading to symptoms like dizziness, lightheadedness, or fainting. Limiting alcohol intake is recommended while using Cialis.
3. High-Fat Meals: While Cialis can be taken with or without food, consuming it with a high-fat meal may delay its onset of action. Opt for lighter meals if rapid effectiveness is needed.
4. Caffeine: Though not a direct interaction, combining Cialis with high caffeine intake might worsen side effects like headaches or increase heart rate in sensitive individuals.

A high-fat meal is known to elevate blood pressure, leading to a range of side effects. Here are the key high-fat meals that can worsen Cialis's effectiveness:

1. Alimentaryims: Though not a direct interaction, combining Cialis with high-fat meals can worsen side effects like headaches or increase heart rate in sensitive individuals.
2. Diabetes foods: Though not a direct interaction, consuming grapefruit or grapefruit juice with diabetes foods might worsen side effects like dizziness or increase blood pressure.
3. Exercise: Though not a direct interaction, combining Cialis with moderate exercise might worsen side effects like blurred vision, color changes, or difficulty interpreting or speaking.
4. : Though not a direct interaction, consuming high-fat meals with these unhealthy foods could increase side effects like headaches or increase blood pressure, increasing your risk of muscle ache or decreasing overall blood pressure.

Such concerns are common, but they can occur with combination of medications.

Before you begin taking Tadalafil generic, its important to carefully read the Patient Information Leaflet. Make sure to review it each time you get a refill.

Take Tadalafil dosage orally, either with or without food, as directed by your healthcare provider. Tadalafil dosage should not exceed more than once a day. Swallow the tablet whole. Do not split it or crush unless advised.

Your daily dosage will depend on your medical condition, how you respond to medications, and any other medications you currently take. Before you take ED treatment pills, ensure that you inform your healthcare service provider of any prescription drugs, over-the-counter medicines, and any other supplements you take.

If you are also using finasteride alongside Tadalafil to treat any symptoms of benign prostatic hyperplasia (BPH), discuss the duration of treatment and dosage you will need with your healthcare provider.

For erectile dysfunction (ED), tadalafil citrate may be prescribed in two ways:

• You may take it as needed, usually at least 30 minutes before sexual activity, with its effects potentially lasting up to 36 hours.
• Your doctor may recommend taking generic Cialis regularly, once a day.

Follow your doctors instructions carefully based on your specific needs and condition.

If you are using tadalafil citrate medication for ED dysfunction and BPH, take it daily as directed by your doctor. To ensure you do not forget, take it at the same time each day.

Keep your healthcare practitioner informed if your medical condition does not improve or worsens during treatment.

irlwinds. (odcast: Copyright 2019, Medscape TV, Inc.Healthy Living Communications

This is not a complete list of all benefits and side effects. If you take more than the recommended dose of tadalafil generic, you may experience certain common side effects, including:

• Headaches
• Dizziness
• Nausea
• Upset stomach
• Vomiting
• Flushing

This list does not cover all possible side effects. If you have any concerns or questions, please talk to your doctor.

This list is not exhaustive. If you have any side effects that are not considered present in this list, discuss them with your healthcare provider.

This does not cover all potential side effects. Call your doctor for medical advice about side effects that you may not be aware of. You may report side effects to FDA at 1-800-FDA-1088.

cGMP. This document contains a comprehensive list of possible side effects.