Last updated 17 February 2022
The headlines read “Pharmacy counters Tadalafil over fake Cialis” and “Pharmacy in Bangkok says to stop selling prescription drugs without doctor’s prescription”. On the positive side, many pharmacies in Thailand have stopped dispensing Cialis (Tadalafil) tablets and other drugs after receiving a tip-off about fake Cialis (Tadalafil) being available for sale.
PharmacyCheck.com reports that a tip-off, sent to a pharmacy from a UK-based online medical online clinic, confirmed that Tadalafil was being offered for sale on the pharmacy’s website. PharmacyCheck.com does not check on all online pharmacies, so it is impossible to determine if a particular pharmacy is trustworthy or not.
Many of the sites that offer Tadalafil (generic Cialis) on the pharmacy’s website have varying addresses. These addresses include – as of this writing (17 February 2022 – HealthCheck.com), all UK pharmacy chains except CIPLA Pharmacy in the U. K. and the U. K..
The UK-based pharmacy chain LloydsPharmacy.com also offers a UK-based pharmacy called LloydsPharmacyDoctor.com. This is a legitimate online clinic that dispenses Tadalafil without a prescription at a licensed pharmacy in the UK. The pharmacy can then assess if it is a trustworthy source of Tadalafil and can issue a valid prescription for Tadalafil – if approved. PharmacyCheck.com is probably the best evidence-based pharmacy on the market, followed by PharmacyCheck.com (with a few minor exceptions), My Pharmacy, which only sells Tadalafil but not generic Cialis, and PharmacySafe.com.
Both these online clinics have been recognised by the MHRA as safe and effective, and the pharmacy is the only Thai country without a pharmacy clinic. The MHRA does not regulate these clinics.
UpdateThe original article has been updated with spelling and digests. The original article notes that the clinic is Thai and that the clinic’s name is given on the registration forms.pharmacyCheck.com forms. This may not describe all the information that is displayed on the clinic’s registration forms.
You can find more information about the pharmacy in Thailand on their.
The Thai version of the online clinic clearly states that it is a ‘safe, licensed, and regulated’ clinic and ‘there are no restrictions on its registration’. However, the clinic does not explain why the clinic did not have a doctor’s prescription for Tadalafil.
A legitimate online clinic can be found for example at. If a clinic does not have a doctor’s prescription for Tadalafil, it could be unsafe and could be in any of the following categories:
Many pharmacies in Thailand do have a pharmacy clinic, however. Many clinics operate in the U. S., Canada, Australia, and many other countries. The clinics may have a doctor’s prescription and could even be regulated by the FDA.
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.
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:
Cialis is a prescription medication used to treat erectile dysfunction (ED) and pulmonary arterial hypertension (PAH). It is available in various dosage strengths, including 5 mg, 10 mg, and 20 mg tablets.
Cialis 5 mg Tablet is available in astrength 20 mg/5 mL and may be used with other medications to manage erectile dysfunction (ED).
Cialis 10 mg Tablet is available in a dosage of 20 mg/10 mL.
Cialis 20 mg Tablet is available in a dosage of 20 mg/10 mL.
Cialis Together for Erectile Dysfunction
Cialis Together tablets are a treatment for adult men who have erection problems (erectile dysfunction). This is when a man cannot get, or keep an erection hard enough for satisfactory sexual activity.
Cialis Together tablets contain the active substance tadalafil. It belongs to a group of medicines called phosphodiesterase type 5 (PDE5) inhibitors. It works by relaxing the blood vessels in your penis, allowing blood flow into your penis.
It is important to know that you will not get an erection just by taking Cialis Together tablets. This medicine works with your body’s natural function to get an erection only when you are sexually stimulated.
Cialis Together contains the active ingredient Tadalafil. The ingredient is a phosphodiesterase type 5 inhibitor medicine that temporarily improves blood flow to the penis by relaxing the blood vessels in and around the area.
The Cialis Together medication is available over-the-counter and begins to work about 30 to 60 minutes after taking it. The effects are expected to last up to 36 hours. Cialis Together comes in 10mg tablets and should only be taken when needed.
The active substance Tadalafil is also useful in treating other conditions along with erectile dysfunction. Please consult a Doctor, a Pharmacist or relevant product literature for more information.
Is Cialis Together right for me?
If you suffer from erectile dysfunction (impotence) Cialis Together may be an effective treatment. However, it may not be suitable for you if you have the following:
Directions for Use
Take Cialis Together orally a day. The dosage is 1 Cialis Together tablet a day.
If you do not take more than one Cialis Together tablet in a day please consult your doctor so that we can monitor your condition.
Cialis Together may take one hour to usually feel faster than that of sildenafil citrate or it may be taken anywhere from an hour before any sexual activity. Please take it at the same time each day.
We take care of your safety. We only provide products for our customers.
Active Ingredients
TadalafilCialis Together tabletsCialis Together tablets contain the active ingredient Tadalafil. The active ingredient is a phosphodiesterase type 5 inhibitor medicine. It temporarily improves blood flow to the penis by relaxing the blood vessels in and around the area by relaxing the blood vessels in and over the area. This improves blood flow helps to get and keep an erection.
Ingredients
Tadalafil is a phosphodiesterase type 5 inhibitor medicine. It temporarily improves blood flow to the penis by relaxing the blood vessels in and over the area by relaxing the blood vessels in and over the area.
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:
More severe side effects include:
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.
Read More This Part I LabelCialis 100mg+30mg Tablets
Cialis can interact with other medications and substances, causing potentially serious adverse reactions that require immediate medical attention. Tell your health care provider if you are taking any other medications, including prescription drugs, over-the-counter medications, and dietary supplements.
In addition, if you have low blood pressure, stroke, heart disease, or liver disease, please tell your health care provider. Cialis can interact with nitrates used to treat chest pain, so nitrates should not be used if you are taking Cialis.
In addition, let your health care provider know if you are pregnant or plan to become pregnant. Cialis can interact with certain medications, so you should not take more than the recommended amount without discussion with your health care provider.
In addition, let your health care provider know if you are underweight, having or within 1.5 kg, using a>[narcotime>] or[narcotene>]codaprinone,[topical alprostadil] or[topical alprostramine]
Cialis can interact with other medications, so you should not take more than the recommended amount without discussion with your health care provider.
In addition, let your health care provider know if you are taking any other medications, including prescription drugs, over-the-counter medications, and dietary supplements.
In the US, Cialis can interact with the following medications:
Cialis can cause potentially serious adverse reactions that require immediate medical attention:
Cell therapies that contain nitrates such as nitroglycerin may be involved.
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