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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.

Authorized Prescriptions with Industry Leading Online Consultation

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Licensed to Prescribe Online

Cialis (Tadalafil)

What is Cialis?

Cialis tablets are used to treat erectile dysfunction. They work by blocking PDE5, the chemical responsible for stopping an erection. If this chemical is blocked, the arteries in the penis are able to open wider, increasing the blood flow to the penis. This means that men who are unable to achieve or maintain an erection are able to engage in satisfactory sexual intercourse. Cialis tablets contain the active ingredient tadalafil and need only 30 minutes to start working.

Can I buy Cialis online?

There are various online services providing Cialis tablets. However, many of them are illegal and may be dispensing unlicensed or fake versions of Cialis, which may not work or could even be harmful. Before you buy Cialis online, you should check whether the website you are using has been approved by the General Medical Council as well as the Care Quality Commission. If you can buy Cialis without a prescription, you are likely to be ordering from a fraudulent business. Legitimate online doctor services like DrEd offer the opportunity to obtain a prescription online and will ask you to fill in a medical questionnaire.

Cialis vs. Viagra — What is the difference?

The main difference between Cialis and Viagra lies in the time frame during which they are effective. Cialis works for a period of 36 hours. This means, that if you are sexualy stimulated within this period of time, Cialis will help you get an erection. It is often referred to as a “weekend pill”, as it allows you to have spontaneous sex several times during the specified window of time. Viagra, however, will usually only be effective for four hours and therefore requires that you plan ahead. Both Viagra and Cialis take 30 minutes to work, so you should take the tablet half an hour before intercourse.

Can I take Cialis on a daily basis?

You should only take Cialis 10mg and Cialis 20mg tablets if you expect to have sex on the same day. These dosages are not suitable for daily consumption. If you would like to use Cialis everyday, please consult your doctor. You will need to undergo a medical check-up to ascertain whether you could safely be prescribed a daily dose of 5mg to help with your erections.

Do I need a prescription for Cialis tablets?

In the UK, Cialis is only available on prescription. This means, that the tablets have to be dispensed from a licensed doctor or pharmacist. You can go to your GP to buy Tadalafil tablets or you can obtain a prescription for an erectile dysfunction treatment from us. Our team of UK-based online doctors use a questionnaire-based assessment to check which treatment is best for you. If you order before 4pm, your medication will be sent out on the same day.

What is the difference between a 5mg, 10mg and 20mg dose of Cialis?

Cialis tablets come in 5mg, 10mg and 20mg doses. The dose of your Cialis tablets tells you how much of the medicine are in them. As a rule: the higher the dose, the stronger the medication.

10mg or 20mg Cialis tablets are to be taken as and when you need them. Take your tablet about 30 minutes before you are going to have sex.

If you’re expecting to have regular sex, your doctor might recommend that you take 5mg Cialis tablets. 5mg doses of Cialis are suitable for taking everyday.

What effect does Cialis have on blood pressure?

You shouldn’t take Cialis if your blood pressure isn’t under control, or if you have low blood pressure (hypotension). Cialis can dangerously decrease your blood pressure. Make sure to check with your doctor first before taking Cialis if you have a history of low blood pressure, or heart attacks.

Lots of blood pressure medications can actually cause erectile dysfunction. If you’re taking blood pressure medicine, and find that you’re having problems with your erections, talk to your doctor about changing your medication. Most men decide that they can live with their erectile dysfunction in order to keep their blood pressure at a safe level.

Precautions

Tadalafil tablets like Cialis should be taken with extreme caution by anyone who is predisposed to prolonged erections. This includes patients suffering from:

  • sickle cell anaemia
  • multiple myeloma
  • leukaemia
  • a history of recurrent prolonged erections
  • decreased kidney function
  • decreased liver function
  • cardiovascular disease (involving the heart and blood vessels)
  • Peyronie’s disease, severe scarring, curvature or abnormality of the penis
  • anyone taking medication for high blood pressure

Who should not take Cialis?

Cialis should not be used by:

  • women
  • anyone under the age of 18
  • anyone advised against sexual activity on health grounds
  • anyone taking any form of nitrate medication

The same applies to patients suffering from any of the following conditions:

  • angina
  • serious heart disease or recent heart attack or stroke
  • low or high blood pressure
  • eye conditions i.e. NAION
  • kidney failure or severely decreased function
  • rare hereditary problems of galactose intolerance, the Lapp lactase deficiency or glucose-glucose malabsorption

These are all serious contraindications, please speak to your doctor before taking Cialis.

Warnings

Tadalafil can cause dizziness and affect spacial awareness. Do not drive, operate machinery or engage in any activity that requires intense concentration after consuming tadalafil tablets, until you are confident that it won’t affect your performance. Be wary of mixing tadalafil with alcohol. This may cause a drop in blood pressure and feelings of dizziness. Avoid drinking grapefruit juice when using Cialis, as it may increase the level of the medicine in your blood, resulting in more pronounced side effects. Consult a doctor if you erection lasts longer than 4 hours. Delayed treatment of this condition can result in irreversible damage. Consult a doctor if you experience a sudden, partial or total loss in vision in one or both eyes.

How is Cialis taken?

You should take Cialis 20mg or 10mg tablets on an ‘as needed’ basis. This means taking it around 30 minutes prior to sex.Tadalafil tablets can be taken either with or without food and should be taken with a full glass (not just a gulp) of water. If you expect to have sex on a regular basis, you may prefer to take daily 2.5mg or 5mg doses of tadalafil. You will need to discuss this dosage with your doctor, as it may not be suitable for you.

How do I take Cialis for the first time?

If you have never taken Cialis before, you may wish to start with a 10mg dose, to see whether this dosage is effective for you. We recommend, that you allow one hour for the tablet to work if it is the first time you are using Cialis. If you feel that the effect was too strong or too weak, you can adjust the dosage accordingly the next time you take a tablet. Do not exceed the maximum dosage of 20mg.

What does Cialis contain?

Every Cialis tablet contains the active ingredient tadalafil. Depending on the dosage, each pill may contain 10 or 20mg of tadalafil, as well as the additional non-active ingredients lactose monohydrate, magnesium stearate, triacetin, iron oxide yellow (E172), croscarmellose sodium, hydroxypropylcellulose, microcrystalline cellulose, sodium laurilsulfate, titanium dioxide (E171), talc and hypromellose.

Common Cialis Side Effects

  • headache
  • indigestion or heartburn
  • dizziness
  • flushing
  • nasal congestion
  • back pain
  • muscle pain (myalgia)

Uncommon Cialis Side Effects

  • blurred vision/ eye pain
  • abdominal pain
  • increased heart rate or palpitations
  • increase in blood pressure (hypertension)
  • decrease in blood pressure (hypotension)
  • rash
  • sweating
  • chest pain
  • prolonged erections

Rare Cialis Side Effects

  • swelling of the face or eyelids
  • nosebleeds
  • temporary loss of memory
  • hives
  • seizures
  • sudden decrease or loss of hearing
  • heart attack, stroke or mini stroke (mostly in men with pre-existing risk factors)

For more detailed information, consult a healthcare professional.

Drug Interactions

It is important that you make your doctor or pharmacist aware of any other medicines you are currently taking (including non-prescription and herbal medicines) before you start taking Cialis tablets. Cialis must not be taken with any form of nitrate medication as it can create a severe, even deadly drop in blood pressure. This includes:

  • glyceryl trinitrate, isosorbide mononitrate/ dinitrate. This is used specifically or angina or heart failure
  • nicorandil
  • amyl nitrates (‘poppers’)

It is also not advised to take Tadalafil if you are using any of the following medication:

  • antibiotics such as erythromycin, clarithromycin or rifampicin
  • antifungals such as ketoconazole or itraconazole
  • antivirals such as amprenavir, ritonavir or saquinavir

This list is not exhaustive. Please read the patient leaflet and speak to you doctor if you have any questions.

If you have a question about this service, please email info@dred.com with the question, and one of our doctors will get back to you within 24 hours.

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