A few years ago, I was interviewed by a German TV channel which wanted to show that taking over the counter drugs was a dangerous practice, and had gone to great pains to do some secret filming in Thai suburban pharmacies (of which there are numerous).
The drug they wished to highlight was our old friend (or probably better described as the “friend of the old”), the blue diamonds. They had chosen Thailand because so many blue diamonds were being taken here, and they wanted to show the disastrous side effects from taking the fake pills.
During the course of the interview I pointed out that Germany has its own very well known red light areas, so they could save money on plane fares and get the blue diamond statistics much closer to home. I also pointed out that we were not inundated with octogenarians with heart failure and loaded condoms, and “over the counter” (OTC) drugs could be found all over the world, and not just here.
It might come as no surprise to those who have an inkling of television “news” that they cut my interview out of the feature. Do not forget the journalist’s creed – “Never let the truth stand in the way of a good story”!
So back to counterfeit blue diamonds, how do you find out that yours are real or otherwise? Every day I receive Spam, offering me the opportunity to keep a battalion of beauties satisfied. These are the internet email offers of cut-price drugs that will keep me in a state of perpetual priapism, a continuing (and painful) male erection and the term was coined after the Greek god Priapus who is shown in paintings to have a central member like a third leg.
Offers like these which are too good to be true, are usually just that – too good to be true! These cut-price drugs are not the real deal. The chances are very high that they are counterfeit.
One of the patients showed me a box purporting to be genuine brand name Cialis tablets, which were not having the desired effect. I was immediately suspicious as the box was not all that well printed. I was quite sure they were counterfeit when I read the Patient Information slip (the printed sheet that you don’t read). The English grammar was incorrect, and there were spelling mistakes. Eli Lilly, the ‘real’ manufacturer does not send out mis-spelled literature with their product. How real is the threat of counterfeit drugs? The World Health Organization estimates that one in three drugs on the worldwide market today is counterfeit. One in three!
Pfizer’s laboratories analyze fakes and stated, “We’ve seen boric acid, heavy metals, road paint, floor wax to coat the pills and give them a shine.”This is actually a serious situation. If specific drugs are only available through pharmacies, on the prescription of a doctor, is it safe to just buy over the internet (or counter), without any doctor’s advice?
According to WHO, drugs commonly counterfeited include antibiotics, antimalarials, hormones and steroids. Increasingly, anticancer and antiviral drugs are also faked. And you can add to that, the ‘blue diamonds’. Get your medications on a doctor’s prescription. There is a reason for it.
I do know that many of our patients complain that my hospital’s pharmacy is expensive, but that is the price of guaranteeing that your medications are not the WHO’s one in three fake medications in our pharmacy! We may be more expensive, but the medication is the real deal!
Previously published in the Pattaya Mail.
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Photo by: SpamPhoto by: SpamLast Updated:Photo by: SpamLast Updated:The Athens-basedDonnell herself known as Qingshan was not at the worst when she was first exposed to the fakes during filming. She gets her prescriptions cut-price, and is quickly identified by the fakes they have put on the market. Qingshan’s prescription slip was not all that well explained. She says that although the medication is “still available, the price is now too high” and warns that she cannot always obtain the medication herself. After being granted the medication, she is later “taken from the pharmacy without prescription”.
Last updated 14 September 2023
On 14 March 2023, the UK Medicines regulator approved an application to reclassify the erectile dysfunction medication Cialis. When marketed asCialis Together(tadalafil 10mg), it will be a ‘P’ (pharmacy) medication, and so available ‘over the counter’ in pharmacies – see. This follows the 2018, ‘P’ classification of (sildenafil 50mg) which has been available OTC, without a prescription, since then.
This decision is good news for men’s health …. Erectile dysfunction can be a debilitating condition, so it’s important men feel they have fast access to quality and legitimate care
Dr Laura Squire, MHRA’s Chief Officer for Healthcare, Quality and Access
Unfortunately, there is a strong black market in the UK for ED medicines, which are often unlicensed or counterfeit. UK Border Force and the MHRA seize millions of pounds of these fake products from criminals annually. This new classification of tadalafil 10mg will enable men who suffer from ED to obtain it safely from a local pharmacy.
Sanofi, the drug manufacturer, is expected to launch Cialis Together later in 2023. Cialis Together will be available to purchase in pharmacies without a prescription by men over 18 with erectile dysfunction. Cialis Together tablets will contain 10mg tadalafil and the maximum pack size will be 8 tablets. Other doses and pack sizes of Cialis and tadalafil will still be available on prescription through doctors and specially trained pharmacists. Before purchase in a pharmacy there must be an assessment with a pharmacist, who will check that Cialis Together is appropriate and safe, or whether consultation with a GP is necessary.
Men suffering with ED will have another treatment option with the convenience of purchasing it in their local pharmacy, including pharmacies found inside supermarkets (eg. Tesco, Asda, Sainsbury’s). The pharmacist will ask some health questions, may check blood pressure, and will advise on treatment with Cialis Together or Viagra Connect, or the need to consult a GP. Pharmacies usually have a private room for such discussions.
Cialis Together is a 10mg tadalafil product for use at least 30 minutes prior to anticipated sexual activity. Its effects can last. It is not recommended for daily use. The maximum recommended dose of Cialis Together will be one tablet in 24 hours. Prescription Cialis and tadalafil will still be available at different doses.
Dr Fox welcomes the wider access to ED medication for men that Cialis Together classified as a ‘P’ OTC medication will provide. We at Dr Fox are aware of the difficulties men have in discussing ED with their GPs and in accessing ED medication. We know that Cialis is effective and safe for most men and this change provides another option for obtaining ED treatment. Pharmacists are health professionals who are able to give ED advice but they will also know when to refer men who would benefit from a doctor’s assessment. ‘P’ medicines can also be supplied on prescription, and we will offer Cialis Together, when available, alongside our other competitively priced ED products.
Dr Claire Pugh, Dr Fox Medical Director
In the UK have 3 categories:
There are very few serious side effects of this medicine street drugs, and only a few available from major pharmaceutical companies, e.g. Cialis Together (tadalafil), Cialis, Viagra, for arterial and irregular erections. These drugs are not recommended for use by men who have cardiovascular or diabetes conditions, or other rare but serious from rare but serious side effects of tadalafil.
byKadja Singh
Erectile Dysfunction (ED) is a common problem that affects millions of men around the globe. Fortunately, there are several options available to treat this problem. One of the most popular options is Cialis. This medication contains the active ingredient tadalafil, which works by increasing blood flow to the penis. This can be particularly effective for men who have difficulty getting or keeping an erection. Cialis, which comes in tablet form, works in as little as 15-30 minutes, and is available in a variety of dosages. Additionally, some online pharmacies may offer Cialis on the black market or at a lower price point. The advantage of purchasing Cialis online is that you can get the medication delivered directly to your door, without the need to visit a pharmacy or consult a doctor. In conclusion, Cialis is a popular choice for men dealing with ED, and it is available at a low price point. However, it is important to note that while online pharmacies may offer the medication at a lower price point, it is not recommended for everyone. Always consult with a doctor before purchasing any medication.
How Does Cialis Work?
Cialis, also known as tadalafil, is a medication that works by increasing blood flow to the penis. It is available in tablets, which are typically available in 10-20mg strengths. The active ingredient in Cialis is tadalafil, which belongs to a class of medications called phosphodiesterase type 5 inhibitors. It works by relaxing the smooth muscles in the blood vessels of the penis, allowing for increased blood flow. This helps men achieve and maintain erections. Cialis is typically taken orally, usually about one hour before sexual activity. However, it can be taken with or without food, so it is recommended to take it about 30 minutes to an hour before sexual activity. While Cialis can be effective for many men, it is important to note that it may not work for everyone. Some men may experience side effects such as headache, flushing, nasal congestion, back pain, and muscle pain. It is also important to note that Cialis should not be taken by women or children. Additionally, it is important to consult a doctor before using Cialis, as it may not be suitable for individuals with certain medical conditions. Overall, Cialis can be a popular choice for men dealing with erectile dysfunction, but it is important to be aware of the potential risks and side effects associated with the medication.
Who Should Use Cialis?
Cialis, also known as tadalafil, is a medication used to treat erectile dysfunction (ED) in men. It works by increasing blood flow to the penis, which can help men achieve and maintain an erection. Cialis is available in various dosages, including 10-20mg, which are typically used for those who are experiencing erectile dysfunction. It is important to note that Cialis should only be taken once per day, and should not be taken more than once a day. It is also important to consult a doctor before using Cialis, as it may not be suitable for everyone. The medication is typically taken orally, with or without food, so it is recommended to take it about 30 minutes to an hour before sexual activity. While Cialis can be effective for some men, it is important to note that it may not work for everyone. Some may experience side effects such as headache, flushing, nasal congestion, back pain, and muscle pain. The medication can be a dangerous drug, and it is recommended to be taken only when needed. It is recommended to consult a doctor before using Cialis, as it may not be suitable for individuals with certain medical conditions.
Potential Side Effects and Risks
When it comes to using Cialis, there are potential side effects and risks that individuals should be aware of. Some common side effects of Cialis include headache, facial flushing, indigestion, nasal congestion, and back pain. Additionally, some people may experience priapism, a prolonged erection lasting more than four hours, which can be risky for both the individual and the health of the patient. It is important to seek medical attention if any of these side effects occur.
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