You may encounter products marketed as "OTC Cialis" in gas stations or through unregulated online pharmacies. These are and carry significant risks:

Currently, you buy Cialis or its generic version, tadalafil, over the counter in the United States. It remains an FDA-approved medication that requires a prescription from a licensed healthcare provider. Status Report: Cialis Over-the-Counter (OTC) in the USA

: A prescription from a doctor (MD), nurse practitioner (NP), or physician assistant (PA) is mandatory to obtain Cialis.

: Tainted products can lead to severe side effects like priapism (painful, prolonged erections) or adverse reactions with your other medications. Existing OTC Alternative