<figure id="attachment_469795" aria-describedby="caption-attachment-469795" style="width: 2048px" class="wp-caption alignnone"><a href="#" data-ident_hash="c430c129"><img src="https://res.cloudinary.com/fridaydigital/image/private/t_article_image/wpmedia/2026/06/f9732fda0f6916cda44e32dd8ca89be1.jpg" alt=""></a><figcaption id="caption-attachment-469795" class="wp-caption-text">Cialis is a popular ED drug. Cialis is a popular ED drug, but its popularity has been so great that counterfeit versions have been sold in the market.</figcaption></figure>
 &#8220;You can now buy that drug at the pharmacy without going to the hospital!
 A major tectonic shift is taking place in the medical world today.
 Drugs that for many years required a doctor&#8217;s prescription are now being made available over the counter one after another. 
Among them are the ED drug Cialis (ingredient name: tadalafil) and the sleep disorder drug Rozerem (ingredient name: ramelteon).
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 For those who have been hesitant to see a doctor because of embarrassment For those who have been hesitant to see a doctor because of embarrassment, this is a chance to dramatically improve their quality of life (QOL). There is no doubt that if used correctly, this drug is unquestionably the most effective drug available.
 Dr. Tetsuya Kubota, director of the Kubota Clinic, specializes in ED treatment and male menopause.
 It is a drug with proven efficacy as a medicine. That is why Dr. Kubota and others in the field of medicine are concerned that the commercialization of these drugs will make people treat them like &#8220;easy supplements&#8221; and leave their risks behind.
<h2> The overwhelming power of &#8220;weekend drug&#8221; and &#8220;contraindication&#8221; of concomitant use</h2>
 Cialis is an extremely useful ED drug that is called a &#8220;weekend pill&#8221; because its effects last up to 36 hours. It has no serious side effects, is widely trusted in the medical field, and has helped many men in distress.
 However, Dr. Kubota cautions, &#8220;There is a difference between a highly safe drug and a drug that can be used freely by anyone.
 The biggest risk with Cialis is its use in combination with nitrates, which are used to treat angina pectoris and other ailments.
 If a patient taking nitroglycerin or isosorbide nitrate takes Cialis, there is a risk of a sudden drop in blood pressure. The problem is that patients themselves do not understand exactly what medications they are taking. Many do not bring or look at their medication registers.
 If they do not understand the medications they are taking, they will not know about dangerous drug combinations. From now on, they will be sold only by self-reporting. There is considerable concern in the field as to whether this will really be enough to confirm safety.
 In many cases, the symptom of ED (erectile dysfunction) itself is a sign of a serious disease.
 There are cases where the cause of ED is a vascular disorder such as diabetes, arteriosclerosis, or hypertension. Medical institutions not only provide drugs, but also check for underlying diseases. If pharmacies just &#8216;buy it and be done with it,&#8217; there is a risk that SOS signs will be overlooked.&#8221;
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<div data-friday-nextpage-lead=" How to Prevent the &quot;Psychology of Concealment&quot;? How to prevent the &quot;cover-up mentality&quot;?"></div>
<figure id="attachment_469805" aria-describedby="caption-attachment-469805" style="width: 931px" class="wp-caption alignnone"><a href="#" data-ident_hash="de03f389"><img src="https://res.cloudinary.com/fridaydigital/image/private/t_article_image/wpmedia/2026/06/9a4b2657ba199a910ba489c0bb81e2a0.png" alt=""></a><figcaption id="caption-attachment-469805" class="wp-caption-text">Rozerem news release (from Alinamin Pharmaceuticals website)</figcaption></figure>
<h2> Blind Spot in &#8220;Natural Sleep Inducing</h2>
 Rozerem has been attracting attention since it became available on the market in July. It is known as a safe drug in the medical field, and is highly regarded as a drug that &#8220;induces natural sleep.
 Rozerem&#8217;s ingredient, ramelteon, acts in the same way as the sleep hormone melatonin, regulating the body&#8217;s internal clock and promoting natural sleepiness. Unlike conventional sleeping pills, which strongly suppress brain function, it is unlikely to cause dependence or tolerance.&#8221;
 Although the drug has a high safety profile, there is a &#8220;line you should know.
 The drug is contraindicated in combination with the antidepressants fluvoxamine (Depromer and Luvox). Concomitant use can significantly increase blood levels of ramelteon and may cause side effects such as severe drowsiness, excessive sedation, dizziness, and lightheadedness. The pharmacist should thoroughly check the product at the time of sale.
 Dosage. There is a risk of remaining drowsy or lightheaded the next morning. When combined with alcohol, unexpected adverse reactions such as drowsiness, decreased alertness, impaired judgment, and increased risk of falling may be highly apparent. Particular attention should be paid by those who drive a car or perform hazardous tasks.&#8221;
 If insomnia persists after taking the drug, be careful.
 Depression, sleep apnea, and menopausal disorders often hide behind insomnia. Awareness of the risks is essential to move beyond &#8216;I take it because I can&#8217;t sleep&#8217; &#8230;&#8230;.&#8221;
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 There is no doubt that both Cialis and Rozerem are excellent drugs. The biggest hurdle to the &#8220;safe distribution&#8221; of these good drugs over the counter is the checking system at the pharmacy.
 Many patients do not know the official names of the other drugs they are taking. There is also a concern in the field as to whether 100% safety confirmation can really be achieved just by self-reporting&#8221; (Dr. Kubota).
 In the case of Cialis, due to the nature of the product as an ED drug, the human mindset of &#8220;I really want it,&#8221; raises the risk.
 In the case of Cialis, the risk rises due to the nature of the product and the fact that people &#8220;want it by all means. &#8220;To get a prescription at a hospital, you have to be examined by a doctor, and it&#8217;s a hassle to be asked for details, so there will inevitably be people who think, &#8216;I&#8217;ll hide my chronic disease and buy it at a pharmacy. At medical institutions, risks are carefully checked against the patient&#8217;s medical record, but pharmacies, including pharmacists, are very busy. How much time can we guarantee for risk confirmation? That is the key.
 A system that can check medication information and medical history using a patient&#8217;s my number card would be effective in avoiding risk. However, at present, the system is not yet in place, and there are still issues to be addressed to ensure safety.
 The government is promoting self-medication. The new product has the potential to help many people who are suffering from illness. That is why risk management is essential.
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 Self-medication promoted by the government. Cialis and Rozerem have recently become over-the-counter drugs and have become a major topic of conversation. A doctor explains the risks that the medical community is concerned about while the use of these drugs is increasing.

Sudden drop in blood pressure also&#8230; &#8220;Risks and other diseases&#8221; overlooked with the commercialization of the ED drug Cialis and the sleeping pill Rozerem.

Sudden drop in blood pressure also… “Risks and other diseases” overlooked with the commercialization of the ED drug Cialis and the sleeping pill Rozerem.

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