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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, 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. But it is not clear whether the Food and Drug Administration or other regulatory bodies overseas would approve such a move: In, abandoned an effort to make Viagra available without a prescription after the European Medicines Agency raised concerns. 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 bought cialis over counter with some heart medications because it could cause an unsafe drop in blood pressure. A spokeswoman for the F. 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. In, AstraZeneca got approval to sell its blockbuster heartburn drug Prilosec without a prescription, and in, it sold over-the-counter rights to a similar drug, Nexium, to. The nonprescription product, Nexium 24HR, went on sale this week. Sales of erectile dysfunction drugs have soared since Viagra was approved in, but the companies that sell them have also struggled against the social stigma of male impotence.

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