ImpactRx™ has a panel of

So, How Do I Know I’m Getting a Good Non-brand Ed Drug?

More than two million patients worldwide have been treated with Cialis since its first introduction in February 2003. Cialis is available by prescription only and is not for everyone. Men taking nitrates, often used for chest pain, or certain alpha-blockers for prostate problems or high blood pressure, should not take Cialis. Such combinations could cause a sudden, unsafe drop in blood pressure. Men should discuss their health status with their doctors to ensure Cialis is right for them and that they are healthy enough for sexual activity.

Will I need to take this drug long term?

The most common side effects with Cialis were headache, upset stomach, delayed backache and muscle ache. Although rare, men who experience an erection for more than four hours should seek immediate medical attention. Men should not drink alcohol in excess with Cialis. Cialis studies were not designed to assess multiple intercourse attempts after a single dose. ED is defined as the consistent inability to attain and maintain an erection sufficient for sexual intercourse. high prescribing physicians that recorded information

Do not use Cialis 20mg if you are allergic to tadalafil.
The effectiveness of Cialis 20mg depends on arousal stimulation.
Regular medical check-ups are recommended for users.
Cialis 20mg may cause vision changes in some individuals.
Follow your healthcare provider’s instructions carefully.
Cialis 20mg can be part of treatment for benign prostatic hyperplasia.
Avoid driving if you experience dizziness or vision disturbances.
Cialis 20mg has a rapid onset, usually within 30 minutes.
Always keep track of medication side effects and inform your doctor.

on patient visits (patient identity

Product	Dosage	Quantity + Bonus	Price
Cialis Soft Tabs	20mg	10 Pills	39.03€ 37.17€
Cialis Generic	5mg	180 + 10 Pills	159.65€ 152.05€
Cialis Professional	40mg	20 Pills	110.24€ 104.99€
Cialis Generic	5mg	360 + 10 Pills	268.08€ 255.31€
Cialis Generic	10mg	120 + 6 Pills	178.49€ 169.99€
Cialis Generic	2.5mg	30 + 4 Pills	51.95€ 49.48€
Cialis Generic	20mg	360 + 10 Pills	427.34€ 406.99€
Cialis Original	20mg	4 Pills	41.99€ 39.99€
Cialis Generic	40mg	10 Pills	37.79€ 35.99€
Cialis Generic	40mg	180 + 10 Pills	277.29€ 264.09€
Cialis Generic	60mg	30 + 2 Pills	85.33€ 81.27€
Cialis Soft Tabs	20mg	90 + 6 Pills	216.71€ 206.39€
Cialis Professional	20mg	30 Pills	104.57€ 99.59€

is non-identifiable), including diagnosis and treatment.

Start With a Reputable Practitioner.

ED affects an estimated 152 million men and their partners worldwide.10 Experts believe that 80 - 90 percent of ED cases are related to a physical or medical condition, like diabetes, cardiovascular diseases, and prostate cancer treatment, while 10 - 20 percent are due to psychological causes.11,12 In many cases, however, both psychological and physiological factors contribute to the condition.13 Lilly ICOS LLC, a joint venture between ICOS Corporation and Eli Lilly and Company, developed tadalafil for the treatment of erectile dysfunction. Lilly, a leading innovation-driven corporation is developing a growing portfolio of first-in-class and best-in-class pharmaceutical products by applying the latest research from its own worldwide laboratories and from collaborations with eminent scientific organizations. Headquartered in Indianapolis, Ind., Lilly provides answers - through medicines and information - for some of the world's most urgent medical needs. Additional information about Lilly is available at ICOS Corporation, a biotechnology company, is dedicated to bringing innovative therapeutics to patients. Headquartered in Bothell, Wash., ICOS is marketing its first product, Cialis (tadalafil), for the treatment of erectile dysfunction.

Discover more about Cialis

ICOS is working to develop treatments for serious unmet medical conditions such as chronic obstructive pulmonary disease, cancer and inflammatory diseases. B-roll is available via satellite, C-band feed: WEDNESDAY, JUNE 2, 10:30 - 11:00 AM EDT C-Band, IA 6, Tr. WEDNESDAY, JUNE 2, 13:15 - 13:45 PM EDT C-Band, IA generic cialis soft 20mg 5, Tr. THURSDAY, JUNE 3, 13:00 - 13:30 PM EDT C-Band, IA 5, Tr. Except for historical information contained herein, this press release contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. ImpactRx data includes new prescriptions written and

Upcoming Events

"For us, the number of Cialis prescriptions written by urologists is one of the most important indicators of future trends. Urologists are the experts in treating ED. We expected that urologists would be the quickest adopters of Cialis, and the data suggest that these specialists, like their peers overseas, are making Cialis their preferred treatment," said Blum. Cialis is changing the way doctors and patients think about treating ED by offering two important benefits: a 36-hour window of opportunity for intimacy and the ability to take the tablet on an empty stomach or with a meal, without concern that high-fat food will reduce the absorption of the medicine. "What the marketplace tells us is that men and their partners are truly taking advantage of the benefits of Cialis," said Matt Beebe, U.S.

Drug forms and administration

brand team leader for Cialis, Lilly ICOS LLC. "Men can take Cialis Friday evening and choose the moment for romance as late as Sunday morning. Because Cialis works for up to 36 hours, it allows a man and his partner to relax, forget about planning intimacy and let it happen when the moment is right for them." Cialis, approved by the FDA in November 2003 cialis much cost for the treatment of erectile dysfunction, is the only oral ED treatment shown to improve erectile function up to 36 hours in most men. The absorption of Cialis is not reduced by food, including high-fat foods. Cialis is currently available in more than 60 countries, including Australia, Brazil, Mexico, Canada, the United States and countries throughout Europe. refills but not prescriptions conveyed by phone.

Patients Reviews

To date, FDA is not aware of consumer adverse events related to the use of these counterfeit versions of Cialis. Health care professionals and consumers are encouraged to report adverse events related to the use of any suspect medications to FDA’s MedWatch Adverse Event Reporting program by: Completing and submitting the report online at MedWatch Online Voluntary Reporting Form Downloading and completing the form (PDF - 1.22MB), then submitting it via fax at 1-800-FDA-0178 Consumers who buy prescription medicines online should be careful. Some websites sell medicine that may not be safe to use and may put their health at risk. Go to for more information about the risks, to learn the signs of websites that may sell counterfeit or otherwise unsafe medicines, and how to find legitimate licensed online pharmacies. FDA is committed to protecting public health by working to secure the drug supply chain against counterfeit and unapproved medications that enter the United States through fraudulent sources.

Dosage for erectile dysfunction (ED)

Picture of authentic bottle of Eli Lilly’s Cialis 20 mg Tablets sold in the U.S. This release was issued by Lilly ICOS LLC Cialis Leads Market in New Treatment Initiations and Switches for April After only six months, Cialis® (tadalafil)1, the latest oral erectile dysfunction (ED) treatment on the market in the U.S., is challenging Viagra® (sildenafil citrate)2for share of the ED market as Cialis leads in new treatment initiations by urologists3 and switches from other products for April. Cialis is marketed by Lilly ICOS LLC, a joint venture between Eli Lilly and Company (NYSE: LLY) and ICOS Corporation (Nasdaq: ICOS). Cialis is the only ED treatment shown to improve erectile function up to 36 hours in most men. Cialis can be taken without regard to food. ImpactRx records information from the physician perspective

TADAFLO 5MG TADALAFIL TABLETS IP

According to market research firm ImpactRx™ (which tracks the habits of a panel of high prescribing physicians and may reflect emerging trends in doctors’ offices today)4, U.S. urologists initiated treatment with Cialis in April at a rate of more than two-to-one over each of the other oral ED treatments. In fact, Cialis represented 56 percent of new treatment initiations by urologists in April, compared to 21 percent for Levitra (vardenafil HCl)5 and 23 percent for Viagra.6 Based on data from IMS, another source of market information, in April, Cialis represented 30 percent of new ED treatment prescriptions written by urologists, compared to 16 percent for Levitra and 54 percent for Viagra.7 In April, nearly two thirds of all men who switched their oral ED treatment switched to Cialis. Following is information from ImpactRx™ on share of new prescriptions written in April by doctors changing their patients' ED treatment from product to another. In an independent clinical study, more men selected Cialis as their preferred treatment of choice after trying different oral ED medications, primarily because of how long the drug worked.8 This may explain why many men with ED buy cialis lilly who are on oral treatment are switching to Cialis.

How long does Cialis stay in your system?

The percentages of new prescriptions written by all doctors for oral ED treatments in April broke out as follows: Cialis, 19 percent; Levitra, 14 percent; and Viagra, 67 percent.9 "The early success of Cialis in the U.S. is similar to the trend we saw when it first became available in other countries. Cialis has claimed market shares of 19 percent to 39 percent across Europe, and even higher in some other markets," said Leonard Blum, vice president of marketing, ICOS Corporation. In the first quarter of 2004, Cialis achieved $108 million in global sales. More than two million men around the world have been treated with Cialis since its first introduction globally last year. and not what happens at the pharmacy.

Programar Citas para el Tratamiento de la DE en New York Urology Specialists

Such forward-looking statements are based on current expectations, estimates and projections about the industry, management beliefs and certain assumptions made by the management of ICOS and Lilly. Investors are cautioned that matters subject to forward-looking statements involve risks and uncertainties, including economic, competitive, governmental, technological, legal and other factors discussed in the two companies' respective filings with the Securities and Exchange Commission, which may affect the business and prospects of the two companies and Lilly ICOS. Results and the timing and outcome of events may differ materially from those expressed or implied by the forward-looking statements in this press release. More specifically, there can be no assurance that Cialis will achieve commercial success or that competing products will not pre-empt market opportunities that might exist for the product. Cialis® is a registered trademark of Lilly ICOS LLC.

Serious side effects of tadalafil

All other trademarks are the property of their respective owners. Viagra® is a registered trademark of Pfizer, Inc. The term "new treatment initiations" indicates when a physician writes out a new prescription for patients never before treated, and for patients switching from one product to another. This does not include prescriptions conveyed to pharmacies by phone or refills of existing prescriptions. In this release, new treatment initiations describes data from ImpactRx only. Computed from IMS NPA Plus™, April 2004.

Interaction Partner	Effect	Recommendation
Alpha-blockers	Risk of hypotension	Use with caution, at lower doses
CYP3A4 Inhibitors	Increased Cialis levels	Dose adjustment advised
Grapefruit Juice	Potential increased side effects	Avoid or limit consumption
Other PDE5 inhibitors	Enhanced effects or side effects	Not recommended to combine

IMS numbers vary from those of ImpactRx primarily

Side Effect	Frequency	Severity	Notes
Headache	Common	Mild to Moderate	Usually temporary
Flushing	Common	Mild	Redness of face or neck
Dyspepsia	Less common	Mild	Indigestion or upset stomach
Nasal Congestion	Less common	Mild	Stuffiness in nasal passages

because IMS data represent aggregated pharmacy sales, reflecting what is filled at the pharmacy including new prescriptions

Cialis 20mg is contraindicated for patients taking certain blood pressure medications.
The medication’s effects can vary based on individual health factors.
Be aware of potential interactions with antibiotics and antifungals.
Cialis 20mg can be part of a comprehensive ED treatment plan.
Discuss your medical history thoroughly with your doctor before use.
Use Cialis 20mg responsibly to avoid dependency.
Some users report improved confidence after taking Cialis 20mg.
Always read the patient information leaflet before using Cialis 20mg.
Cialis 20mg is often chosen for its long-lasting effect.

for continuing users and prescriptions called in by phone.

Condition	Risk	Advice
Nitrates use	Severe hypotension	Avoid concurrent use
Severe Liver Impairment	Altered drug metabolism	Consult doctor before use
Heart Conditions	Potential strain on heart	Medical evaluation recommended
Retinitis Pigmentosa	Possible vision issues	Use under medical guidance