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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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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.

Read more about Cialis's effects and how it can affect you. Potential side effects are rare, but may include:What is Cialis? Cialis is a medication used to treat erectile dysfunction (ED) in men. Erectile dysfunction is a condition where a man does not have an ability to get or maintain an erection firm enough for sex. Cialis can cause potentially serious side effects and issues with your sex life. Potential side effects of Cialis are rare, but may include:Cialis is a prescription medication used to treat erectile dysfunction (ED) in men. In addition to pulmonary arterial hypertension (PAH), Cialis should be taken once daily, usually at bedtime, to help reduce the risk of developing heart attacks and strokes. Cialis can also cause potential side effects such as:Cialis is a prescription medication that can be taken by or as needed. This medication can increase your risk of developing side effects like headaches, indigestion, and heartburn. Potential side effects of Cialis are rare, but may include: How it affects you. Cialis can also affect the way other medications in the same group work and how their ingredients work. How it affects you. Cialis can interact with other drugs and substances, causing potentially serious side effects and issues with your sex life. Cialis can affect the way other drugs in the same group work and the way Cialis is absorbed by the body. You should not use Cialis if you are allergic to tadalafil or any of the other ingredients of this medication. You should not take Cialis if you are also using a nitrate drug for chest pain or heart problems, as it can cause a dangerous drop in blood pressure that can cause a heart attack or a stroke.

What is the best way to get Cialis (tadalafil)?

Before you start using Cialis, it is important to talk to your healthcare provider about the best way to get this medication. You may receive Cialis by prescription or you may be able to get it via telemedicine.

Cialis is available in different strengths, including 5mg, 10mg and 20mg. You can take the recommended amount (20mg) for a maximum of 6 hours. The recommended dose of Cialis is 2.5mg, which is the maximum daily dose of 5mg.

Cialis is not recommended to be taken by women or children. It is not recommended to be combined with nitrates or other medications that contain nitrates. Before you start using Cialis, your healthcare provider will discuss with you the risks and benefits of the medication, the potential side effects and precautions.

Is Cialis safe to take by mouth?

You should always take the medication as directed and with your doctor’s guidance. It is important to follow your healthcare provider's instructions and to report any side effects or health issues that occur while taking this medication to your healthcare provider for proper diagnosis and management of the condition.

Cialis dosage and how much is it?

Cialis is available in a 5mg strength, which is usually taken once a day. The recommended dose of Cialis is 2.5mg. The maximum daily dose is 5mg.

You should always take the medication as directed and with your doctor's guidance. It is important to follow your healthcare provider’s instructions and to report any side effects or health issues that occur while taking this medication to your healthcare provider for proper diagnosis and management of the condition.

Is it safe to take Cialis with other medications?

Before you use Cialis, you must inform your healthcare provider about any other medications you are taking. You can also ask your healthcare provider to discuss any allergies or interactions with other medications you are taking. Cialis can interact with certain foods, supplements and herbs, and certain other drugs.

The most common side effects of Cialis include:

  • Headaches
  • Dizziness
  • Nausea
  • Muscle pain
  • Indigestion
  • Back pain
  • Elevated blood pressure

If you experience any of the following symptoms or any adverse effects while taking Cialis, contact your healthcare provider:

  • Stuffy or runny nose
  • Trouble sleeping
  • Loss of vision
  • Unusual tiredness

Cialis can cause a number of adverse effects, including:

  • Itchy rash on the face, neck or chest
  • Itchy, red or swollen skin
  • Trouble falling or staying asleep
  • Trouble passing urine

If you experience any severe side effects while taking Cialis, you may need emergency medical treatment. If you experience any severe side effects, you may need to stop taking the medication and consult your healthcare provider for further assistance.

What precautions should I take when taking Cialis?

If you are taking Cialis, you must take the medication with your doctor’s guidance and follow the instructions for taking it:

  • Take Cialis at the same time every day. This means taking the medication at the same time each day and at the same time each day without chewing or crushing it.
  • Do not take more than one Cialis pill in a day.

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.
EU Intractable Drugabre

Interactions between Cialis (tadalafil) and other drugs can lead to adverse effects, such as headaches, dizziness, or dizziness with or without lightheadedness. Avoid consuming combinations of medications alongside Cialis.