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Expired Cialis - Still safe?
avt1012 posted:
I have a few Cialis pills that I got from my doctor two years ago when I had medical insurance. Like many others, I am now uninsured and visiting a doctor is almost impossible financially. My question is, can I still use these Cialis pills even though the expiration date on the box says 9/2009? It's now 10/2010 so its a little over a year expired.
georgiagail responded:
Yes, you can use these. The worst that can happen is that they have lost their potency.

Sheldon Marks, MD responded:
Most medications are effective and safe for years after the expiration date. Some medications like heart and thyroid are very time sensitive. If you have any questions, go talk to your local pharmacist- they are an excellent and underutilized resource.
An_200425 replied to Sheldon Marks, MD's response:
All of these replies should be ignored. There are definite reasons why pharmaceutical companies put expiration dates on medications. Sometimes it's company policy to only support for X number of years, sometimes it's because they no longer contain the same amount of active drug but sometimes it's due to new impurities forming over time that rise to unsafe levels. Pharmacists will only truly have what information is on the label and the fold out. For a recreational drug such as Cialis, I would ask you not to use it for your own safety as I don't know the stability profile.
zemfir133 replied to An_200425's response:
it will also much depend on conditions you kept the pills. I keep mine in dry and dark place and had no problems at all taking expired pills.
gulberg replied to Sheldon Marks, MD's response:
Dear Sheldon,

yesterday, i also took an expired cialis by mistake. I took 10 mg dose but later after taking cialis, i came to know it was expired 2 years ago. is it ok to take expire cialis? i just feel pain in my head for some time after taking pills and later i felt fine. please tell is can there be any dangerous side effects of taking cialis specially to liver or kidney?
georgiagail replied to gulberg's response:
Since head pain is a common side effect of taking Cialis, this is likely what you experienced. At the most taking an expired ED medication means that, well, nothing happens. There are no dangerous side effects of these expired medications to your liver or kidneys.

miramichi2013 responded:
how long is useful and not toxic Cialis?
regularjoe replied to An_200425's response:
You're way out of line! "Recreational drug"? Many post-op prostate patients need this drug every day just to maintain continence. If you think getting away from pads and special underwear are just a "recreational concern," why don't you try walking around for a couple of years with a urine soaked sponge in your pants pocket?

There's a reason that there's such a high rate of suicide among prostate patients.

But I suppose you were ignorantly and dismissively referring to the role this drug plays in preventing erectile dysfunction. How did being able to carry on a normal sex life become "recreational" in your warped view? Sex is one of the most powerful of human drives. Frustrating that drive affects both husbands and wives adversely and has wrecked many a marriage. Happy married life is one of the greatest single factors associated with longevity. Erectile dysfunction is thus a health condition and it is entirely appropriate to treat it aggressively because of the highly detrimental physical, psychological and interpersonal impacts it can have.

What's truly appalling is the expense. A single USA federal judges' decision was able to extend the patent of Viagra for many years beyond the normal lapse of rights, thus maintaining artificially high prices imposed on the patient not only for that drug, but for Cialis, Levitra and all other ED drugs. These prices put it out of reach of many because insurers take your ignorant view that not only erectile dysfunction but urinary incontinence are no problem.

Would you volunteer for a health study that required you to wear a chastity belt for the next five years, forcing you to sit down to urinate and forego sex? If so, you should seek counseling. Your extreme indifference and lack of empathy for others' personal needs is disturbing, and should have no place in medicine. This was a sensitive question asked by a person with obviously limited access to medical treatment.

You raise all kinds of fear-mongering issues about stability but fail to provide actual information relevant to the user's question. The European Medicines Agency evaluated studies and concluded: "Based on the data, a shelf-life of 3 years can be granted for the existing tablets."

No deterioration was observed under various "stress test" temperatures unlikely to prevail for months at a time in a modern home. So, yes, those tablets are safe!

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