Performance & Grey-Market Pharma
Tadalafil (Cialis)
Street names: Cialis, Tadalis, Weekend pill
Overdose? Act now. Call emergency services — say "unresponsive, not breathing". Give naloxone for opioid-like signs. Hotlines
⚡What it does
- 36-hour erectile enhancement
⚠Key risks
- Counterfeit ED pills are a major fentanyl/adulterant channel in some regions
- Dangerous blood pressure drop with nitrates
✚Overdose signs
- Prolonged erection (>4 h — medical emergency)
- Chest pain, dizziness
📋Quick facts
Also known asCialis, Tadalis, Weekend pill
CategoryPerformance & Grey-Market Pharma
Schedule / classRx-only — not controlled
AppearanceYellow almond-shaped 10/20 mg tablets; yellow film
Street price~$2–$15 per tablet (counterfeit); Rx ~$10–$70
Legal statusRx-only everywhere listed; large counterfeit trade
Last updated2026-09-12
Sources: FDA, EMA, Interpol
Category comparison — Performance & Grey-Market Pharma
| Substance | Class | Top risks | Street price |
|---|---|---|---|
| Tadalafil (Cialis) | Rx-only — not controlled | Counterfeit ED pills are a major fentanyl/adulterant channel in some regions; Dangerous blood pressure drop with nitrates | ~$2–$15 per tablet |
| AICAR (Acadesine) | Unscheduled | No human safety data — cancer-risk flags in cell studies; Sold as research chemical, zero quality control | ~$50–$150 per gram |
| Clenbuterol HCl | Not approved for human use | Racing heart, arrhythmia, tremors; Overdose: dangerous potassium shifts, cardiac events | ~$0.50–$2 per 40 mcg tablet |
| Anastrozole (Arimidex) | Rx-only | Bone density loss, joint pain with long-term use; Crash estrogen too low → depression, libido loss | ~$2–$8 per 1 mg tablet |
| Liraglutide (Saxenda) | Rx-only — not a controlled drug | Sold grey-market at huge markups with counterfeit/refilled pens; Nausea, pancreatitis risk | ~$200–$500 per pen grey-market |
| Naltrexone–Bupropion (Contrave) | Rx-only — not controlled | Bupropion lowers seizure threshold; Misuse for stimulant-like effect is possible but weak | ~$1–$4 per tablet grey-market |
Street prices are regional estimates. Potency and cuts vary constantly.
?Frequently asked questions
What does Tadalafil (Cialis) look like?
Yellow almond-shaped 10/20 mg tablets; yellow film
What are the signs of a Tadalafil (Cialis) overdose?
Prolonged erection (>4 h — medical emergency); Chest pain, dizziness Call emergency services immediately.
How addictive is it?
Counterfeit ED pills are a major fentanyl/adulterant channel in some regions Dependence can develop with regular use.
🔗Sources & further reading
Facts on this page are compiled from these primary sources. External links open in a new tab.