Tadalista 40 mg (or tadalafil in general) without a prescription in some countries mainly comes down to differences in local drug regulations, healthcare systems, and safety assessments by those countries’ authorities. Here’s why that happens: 1. Regulatory Differences Some countries have more relaxed rules about over-the-counter (OTC) access to certain medications, especially those considered safe enough for self-administration when used properly. If their drug regulatory agency (like the FDA in the US, MHRA in the UK, or CDSCO in India) reviews the safety data and determines the risk is low, they might Tadalista 40 mg tadalafil at higher doses without a prescription. 2. Established Safety Profile Tadalafil has been on the market for a long time with a well-known safety profile. Some regulators may feel confident allowing 40 mg doses OTC if there’s enough evidence that patients can use it responsibly, especially for erectile dysfunction. 3. Public Demand and Access In some regions, there’s high demand for erectile dysfunction treatment, and healthcare access might be limited. Making it OTC increases access for men who might not want or be able to see a doctor for a prescription. 4. Pharmacist Supervision In some countries, even OTC drugs like Tadalista 40 mg require consultation with a pharmacist, which adds a layer of safety. Pharmacists can screen for contraindications (like heart problems or nitrate use) before dispensing. 5. Generic Availability Since Tadalista is a generic, it’s often cheaper and more widely available. Some countries have fewer restrictions on generics, allowing easier purchase without prescription. Important: Even if it’s available OTC in some places, using Tadalista 40 mg without medical guidance carries risks, especially if you have underlying health conditions or take medications like nitrates. Always check with a healthcare professional before starting or changing your dose.