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Can you buy cialis over the counter in usa ? Ans: If you're a member of Congress or the White House, answer is: No. The Food & Drug Administration-approved prescription version contains a powerful anti-androgen called sildenafil, which can impair sexual drive in both men and women. The trade version of drug may be available in some pharmacies, but many U.S. doctors advise their patients against taking it without a prescription. And those doctors — with the help of an expert from the International Association of Pharmacoepidemiologists (see box, "The Good News and Bad About Sildenafil") — say Sildenafil isn't safe for every man. That's why they say that the trade version of cialis isn't nearly as effective a treatment for erectile dysfunction as the FDA-approved version. In fact, for many men, taking the trade version may actually make things worse. 'Inappropriate Therapy' Dr. Daniel D. Burd, an urologist in Minneapolis, Minn., is one of the first doctors to suggest that women consider the trade-off between their health and mood. Burd was at a conference on erectile dysfunction when he ran into Dr. Daniela Schulman, an associate professor of urology at the University Minnesota School of Medicine. Schulman told him that some men with sex problems simply "don't know how to get better." At the same time, she noted, prescription cialis, the trade version, doesn't work for everyone. "Most are using inappropriate therapy," she said. Some men who take cialis often it for months or even years before realizing they have a problem, Burd noted. "They take it, they don't have any problems and they think that's the way to go," Burd said. The problem, he said, is that canada drug pharmacy free shipping code many Americans already know this is how sexual problems are treated in other countries. In the U.S., there's no FDA approval for the trade-medicined cialis. (The pill's label even tells patients not to "take with a meal, alcohol, or while driving" because of the potential side effects.) But drug companies aren't shy about trying to reach Americans, Burd said. They're lobbying for approval with "pretty much <$%INSIDE_LINK_0%$> every doctor that's out there." "I have to admit, sometimes I take them myself," he said of the trade-medicined cialis. It doesn't hurt that many of the doctors who have prescribed cialis are among the best in world, he added. 'I Don't Really Think It's Going to Help People Any Way' While Burd says he'd advise people to not put their health in danger by.

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