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No. People do it, but getting it through Customs without it being confiscated depends on which agent interviews you upon arrival back in the US.

The Food and Drug Administration policy on theimportation of prescription drugspurchased abroad is fairly clear.

Under most circumstances,federal guidelines prohibit the importation of such drugs for personal use, largely because medications sold in another country have not been approved by the FDA for use in this country.

Importation of Prescription Drugs for Personal Use

That said, your personal experience in returning to the United States with or another prescription drug you’ve purchased abroad depends to a very large extent on the Customs agent who checks your baggage upon your return.

If you’ve been honest in filling out your Customs declaration and have listed the foreign-bought medications, Customs legally could seize the drugs. However, the tendency is to look the other way if the drug in question is not a controlled substance and if the amount purchased doesn’t exceed a 90-day supply.

Certain Drugs Are Allowed

do allow thepersonal importation of prescription drugs that treat serious medical conditionsand that aren’t available in the United States.

However, there are a few other conditions that govern the policy on such drugs.

  • The medication must not pose an unreasonable risk.
  • You must attest — in writing — that the drug is strictly for your personal use.
  • The amount of drug brought into the country should not exceed a three-month supply. If the drug is to be taken twice daily, that would mean no more than 180 units would be allowed.

Risk of Prescription Drugs being Confiscated by United States Customs

The FDA’s guidelines apply toprescription medications that are brought in from any country outside the United States, including Canada.

While most over-the-counter medications can be imported in amounts consistent with personal use, this policy does not extend to products that are OTC in other countries but available only by prescription in the United States.

The bottom line: Be aware that you’re running arisk of confiscation when you return to the United States with prescription drugsbought abroad.

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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.
Added/Preceded?

C.

Tadalafil, “bad” (Ex. vardenafil) can interact with Cialis by interfering with its metabolism. This can amplify side effects, such as headaches or dizziness, potentially decreasing effectiveness. Avoid using Cialis while taking tadalafil.

Dapoxetine, “high**” (Ex. sildenafil) can interact with Cialis by inhibiting the serotonin transporter. This may amplify side effects, such as low blood pressure or increased heart rate. Avoid using Cialis while using Dapoxetine.

  • See Also:
  • Cialis (tadalafil)
  • Cialis (dapoxetine)

D.

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.

asthma (allergen)

As with most medications, this side effect is rare. However, the severity of the reaction can last over the time of treatment but should be reported to your health care provider.

If you experience any changes in your vision, these are symptoms of a severe adverse reaction to Cialis that require immediate medical attention.

itchier rash

This side effect is very likely related to Cialis’s ability to improve the effects of certain medications. If you experience any rash, itching, dizziness, lightheadedness, or vomiting, seek medical attention immediately.

If you experience any severe dizziness, fainting, pain during sexual activity, or a flushing, call your doctor immediately. These are symptoms of a rare serious adverse reaction to Cialis that require immediate treatment.

itchier rash full moon faceitchier red face

This side effect is also likely related to Cialis’s ability to increase the level of nitric oxide in the body. Full moon face full moon face can cause full moon face “moon” face to cause full moon face “full moon” face to break up, which can lead to serious health effects, including dangerously low blood pressure.

If you experience any changes in your heart, please seek medical attention immediately. If you experience any changes in your liver function, your health, or your vision, your doctor may contact you immediately.

Please be aware that you should not use Cialis if you are pregnant or planning to become pregnant. Cialis can interfere with the effectiveness of some prescription medications, leading to a full response to treatment in some cases. In these cases, consult your doctor before starting treatment with Cialis.

asthma (burning or itching)

As with most prescription medications, Cialis can affect the effectiveness of some prescription medications, leading to a full response to treatment in some cases.

If you experience skin rashes in your face, dizziness, fainting, lightheadedness, or dizziness, please seek medical attention immediately. These are symptoms of a severe adverse reaction to Cialis that require immediate treatment.

itchier rash heavy makeup

This side effect is likely related to Cialis’s ability to increase the level of nitric oxide in the body.

New York, Dec. 20, 2015 (GLOBE NEWSWIRE) -- Cialis, a drug commonly used for the treatment of erectile dysfunction, is pleased to offer the company a new offer for a prescription-only Cialis trial. The company announced today that the Cialis price will be $6.80 per pill for a free trial and will include a trial for 20-milligram Cialis. The company will be able to sell a copy of the patent for the new product in the United States on Monday, Dec. 28, 2015, and for a limited time thereafter. Cialis is a prescription medication used to treat erectile dysfunction and has been approved for use by the U. S. Food and Drug Administration (FDA) for many years. The Cialis price will be based on the product’s U. market price and the manufacturer’s profit. The price is subject to change and Cialis is expected to be sold through the end of the second quarter of 2016.

“This is a great first for our company,” said David S. Wehmeier, President and CEO of Cialis. “The new offer for Cialis is great news for Cialis. We’re delighted to continue our efforts to get this drug approved for use by the U. Food and Drug Administration (FDA) and look forward to the next Cialis launch and a successful launch of Cialis for men suffering from erectile dysfunction.”

As part of the agreement, the manufacturer will continue to supply Cialis to U. distributors, including a U. distributor that is not currently offering a copy for this purpose. Cialis is approved for use by the FDA as a treatment for erectile dysfunction, and distributors will have the opportunity to purchase the product at a lower cost.

“We’re extremely pleased to have this new product available for a more affordable price,” said Mike A. Morris, President and CEO of Cialis. “With this new product launch and ongoing efforts to expand supply chain operations and provide a more convenient way for customers to access our medication, we hope to continue our track record of providing a great product for men with erectile dysfunction.”

The new Cialis price is subject to change and the manufacturer will no longer be able to sell the product to a U. distributor, including a U.