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Men in the United States for some time have used the Internet to purchase drugs, including prescription medications like Viagra. But that’s not the whole story. According to a study by the National Institutes of Health, almost one in three men are unaware that they can order Viagra online. That’s why it’s essential to be aware of the risks associated with obtaining Viagra and other prescription drugs online.

“The vast majority of men are unaware that they can order Viagra and other prescription drugs online,” says the new study’s lead author, Dr. Michael Eisenstein, a professor of pharmaceutical sciences at the University of Texas Southwestern. “This is not the first time people have purchased prescription drugs online.”

“For some men, there is the potential for counterfeit drugs to be sold without prescription, which could lead to drug-related health problems,” he adds. “But this is not the first time a man has been exposed to counterfeit drugs.”

Viagra is a prescription drug prescribed to men who have erectile dysfunction. The U. S. Food and Drug Administration has identified the problem by its warning about the potential risk of purchasing the drug without a prescription.

“The U. Food and Drug Administration has established that counterfeit pharmaceuticals may pose a significant health risk,” Eisenstein says. “However, there are no FDA-approved medications that can be sold without a prescription.”

Eisenstein’s team found counterfeit drugs to be worth more than $2 billion a year in revenue each year. In 2016, the total revenue for counterfeit Viagra was $2.6 billion. Today, counterfeit Viagra is sold over the Internet. This can be done with prescription drugs, but even with that, counterfeit Viagra is still worth more than $2 billion a year.

“The counterfeit drug market is growing at a rate of about 1.5 percent per year,” Eisenstein says. “The counterfeit drug industry is in an era of technological advances, which have revolutionized the way we do business.”

Eisenstein says that counterfeit drugs are being sold online, but they are still far from regulated. “A counterfeit drug industry is not a safe and effective way to sell drugs,” he says. “Counterfeit drugs are very expensive.”

“It is hard to get a prescription for a drug without seeing a doctor,” says the author of the new study. “It is important to get the prescription from a reputable doctor, and you can get it for free or as low as $0.50 per month for a 30-day supply of medication.”

If you or a loved one are seeking an online prescription for Viagra, Eisenstein recommends checking out reputable online pharmacies. Some online pharmacies offer secure payment gateways, like PayPal or Stripe, to help save money. Some offer online consultations with doctors, who can assess your medical history and determine if Viagra is a suitable option for you.

You can also explore online drugstore.com for the latest Viagra sales and prices. “If you’re interested in getting a prescription online, check out the online drugstore platform,” Eisenstein says. “Some of the more popular online drugstores are Secure Medical’s website, Secure Medical’s website, and GoodRx’s website.”

Secure Medical’s website is an easy-to-use, secure platform for buying prescription drugs online. “Secure Medical can help you find the right drug for you and save you time and money,” Eisenstein says. “They will ship your prescription to your home or office right away, and you’ll get free delivery of the medication in 5- to 10-day shipments.”

Secure Medical also offers secure payment options for ordering prescription drugs online. “Secure Medical will ship your prescription to your home or office within 2 to 3 business days.”

Some online pharmacy sites sell prescription drugs without a prescription. These include Canadian Pharmacy World, CanadianPharmacyDrugs.com, and American Pharmacy World.

As a rule, drugs are purchased by people who don’t have a prescription. But Eisenstein says it’s important to be aware of the potential risks. “Counterfeit drugs are a serious problem, and if you’re buying prescription drugs, there are ways to avoid the risk,” he says. “However, there are ways to save money on those drugs.

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.
The top drug-food interactions forCitracurricular Dysplasia (CED)are discussed in more detail about the potential interactions betweenand various medications, including Cialis and its generic name, Viagra, just in case you are not aware of which drugs interact with.

C.

Tadalafil can interact with certain foods and beverages, potentially altering its effectiveness. Here are the key drug-food interactions:

  1. : Though not a direct interaction, combining Cialis with alcohol could worsen side effects like headaches or increase heart rate in sensitive individuals.
  2. : While trying to take a high-fat meal, you may experience delayed effectiveness.

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