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    Lorem ipsum dolor sit amet, consectetuer adipiscing elit. Quisque metus enim, venenatis fermentum, mollis in, porta et, nibh. tamoxifen oral side effects Men with erectile dysfunction may be able to avoid the awkwardness of a doctor’s visit by buying the drug Cialis without a prescription, under a proposal announced Wednesday by the drug’s maker, Eli Lilly, and the French pharmaceutical company Sanofi. Under the plan, Sanofi is buying the rights to seek approval to sell Cialis over the counter in the United States, Europe, Canada and Australia after certain patents expire. Cialis is to lose its patent protection in the United States and Europe in 2017, after which sales are expected to drop sharply as cheaper generic alternatives arrive on the market. If approved for over-the-counter use, Cialis could gain an advantage over prescription competitors like Viagra, sold by Pfizer. said the agency would need to review what types of studies would be needed for an erectile dysfunction drug like Cialis to be sold without a prescription. But it is not clear whether the Food and Drug Administration or other regulatory bodies overseas would approve such a move: In 2008, Pfizer abandoned an effort to make Viagra available without a prescription after the European Medicines Agency raised concerns.“Millions of men worldwide trust Cialis to treat E. Ricks, president of Lilly Bio-Medicines, the unit of Lilly that oversees Cialis. Drug companies frequently seek approval to move popular drugs to over-the-counter sales in an effort to hang onto sales when a best-selling product loses its patent protection. “We are pleased to work with Sanofi to pursue a path that could allow more men who suffer from E. to obtain convenient access to a safe and reliable product without a prescription.”Although more than 45 million men have taken Cialis, according to Lilly, the drug is not without risks: Like similar treatments, it should not be taken with some heart medications because it could cause an unsafe drop in blood pressure. In 2003, Astra Zeneca got approval to sell its blockbuster heartburn drug Prilosec without a prescription, and in 2012, it sold over-the-counter rights to a similar drug, Nexium, to Pfizer. The nonprescription product, Nexium 24HR, went on sale this week.

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    If you watch tv, listen to radio, or pay attention to the news, you are familiar with some of the available products that treat erectile dysfunction or impotency in men. Some brands you may recognize are viagra, cialis, and Levitra. Depending on your need or lifestyle, your doctor will determine which medication is the best fit for you. If you wish to have the most flexibility and control for your erection, to ask your doctor about Cialis. Some users refer to Cialis as “the weekend pill” because its effects allow you to achieve an erection any time you want for up to 36 hours following its intake! It may be taken daily when prescribed lower doses, as it also can treat benign prostatic hyperplasia (BPH) and high blood pressure in the lungs. These are just two of the many benefits of name-brand tadalafil. With the agreement, Lilly extends the runway for Cialis, staving off a more immediate blow to revenues. That generic threat still looms in the near-future, however, and will post a challenge to Lilly's financial growth. The Indianapolis drugmaker has committed to hitting 5% annual revenue growth through 2020, betting a wave of new drugs will help see it through another rough patch of patent expiries. Copycat versions of Eli Lilly's ADHD drug Strattera (atomoxetine) launched earlier this year, and the company anticipates losing exclusivity for its blood-thinner Effient (prasugrel) in October. K.'s top court, however, should help Lilly defend its cancer drug Alimta (pemetrexed), which also faces inbound rivals. Cialis is Lilly's second best-selling product and accounted for nearly 12% of total revenues last year with $2.47 billion in sales. S., recent growth has come from higher realized prices as the pharma anticipates the looming patent cliff. "We expect that the entry of generic competition following the loss of exclusivity will cause a rapid and severe decline in revenue," the company stated in its year-end filing with the Securities and Exchange Commission. Such a steep decline will be a heavy blow for Lilly's bottom line, even if it comes a year later than previously expected. In 2013, sales of its antidepressent and pain drug Cymbalta (duloxetine) topped $5 billion — only to collapse down to $1.6 billion the next year after its patent protection expired.

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