HM Medical Clinic


Sanofi and lilly announce licensing agreement for cialis® (tadalafil) otc

Sanofi and Lilly announce licensing agreement
for Cialis® (tadalafil) OTC
- Companies anticipate providing over-the-counter (OTC) product to treat erectile dysfunction after expiration of certain patents -
PARIS, France, and INDIANAPOLIS, May 28, 2014 — Sanofi (EURONEXT: SAN and
NYSE: SNY) and Eli Lilly and Company (NYSE: LLY) today announced an agreement to pursue
regulatory approval of nonprescription Cialis (tadalafil). Cialis is currently available by
prescription only worldwide for the treatment of men with erectile dysfunction (ED).
Under the terms of the agreement, Sanofi acquires the exclusive rights to apply for approval of
Cialis OTC in the United States, Europe, Canada and Australia. Sanofi also holds exclusive
rights to market Cialis OTC following Sanofi's receipt of all necessary regulatory approvals. If
approved, Sanofi anticipates providing Cialis OTC after expiration of certain patents. Terms of
the licensing agreement were not disclosed.
"This agreement provides us with an opportunity to work with Lilly, a leader in men's health, to
transform how this important medicine is offered to millions of men throughout the world
," said
Vincent Warnery, senior vice president, Global Consumer Healthcare Division, Sanofi. "The
opportunity to forge an industry-leading partnership that adds to Sanofi Consumer Healthcare's
leading portfolio and successful track record of over-the-counter switches reinforces consumer
health care as a major growth platform for Sanofi.
"Millions of men worldwide trust Cialis to treat ED. We are pleased to work with Sanofi to pursue
a path that could allow more men who suffer from ED to obtain convenient access to a safe and
reliable product without a prescription
," said David Ricks, senior vice president, Lilly, and
president, Lilly Bio-Medicines. "Switching a medicine to over-the-counter is a highly regulated
process that is data-driven and scientifically rigorous. Together with Sanofi, we look forward to
working closely with regulatory authorities to define the proper actions and necessary
precautions to help patients use over-the-counter Cialis appropriately
Cialis was first approved by the European Medicines Agency in 2002, then by the U.S. Food
and Drug Administration in 2003, for the treatment of erectile dysfunction. Ultimately, Cialis has
received approval in more than 120 countries for indications that vary by country, including
erectile dysfunction and erectile dysfunction and the signs and symptoms of benign prostatic
hyperplasia (BPH). Cialis reached $2.16 billion USD (€1.58 billion) in worldwide sales in 2013
and has recorded total global sales of more than $14 billion USD (€10.2 billion) since launch. To
date, more than 45 million men worldwide have been treated with Cialis.
About Cialis
Currently only available with a prescription, Cialis is a tablet taken to treat erectile dysfunction
(ED), the signs and symptoms of benign prostatic hyperplasia (BPH), and both ED and the
signs and symptoms of BPH. Cialis is the only PDE-5 inhibitor treatment that offers men a
choice when it comes to treatment for erectile dysfunction – Cialis for use as needed and Cialis
for once daily use. To learn more about Cialis, visit

Cialis is not for women or children. It is important to note that Cialis is not to be taken with
medicines called "nitrates" such as isosorbide dinitrate or isosorbide mononitrate which are
often prescribed for chest pain; or with recreational drugs called "poppers" like amyl or butyl
nitrite, as the combination may cause an unsafe drop in blood pressure; or if allergic to Cialis or
Adcirca® (tadalafil), or any of its ingredients. Anyone who experiences any symptoms of an
allergic reaction, such as rash, hives, swelling of the lips, tongue or throat, or difficulty breathing
or swallowing, should call a healthcare provider or get help right away.
About Erectile Dysfunction (ED)
ED is a medical condition in which a man has trouble getting or keeping an erection. It is very
common: more than half of men over 40 years old have ED.[i]
About Sanofi Consumer Healthcare
Sanofi Consumer Healthcare is committed to providing consumers around the world with self-
care solutions that empower them to better manage their health and well-being through leading
brands in the areas of Allergy, Digestive health, Feminine care, Cough, cold, flu & sinus and
Vitamins, minerals & supplements. We place people at the very heart of everything we do and
strive to identify and fulfil their needs by delivering consumer insights-driven innovation,
leveraging our medical & scientific heritage and our close collaboration with healthcare
professionals, easing consumer access via switching relevant prescription medicines to over-
the-counter solutions and applying the pharmaceutical quality standards delivered by our
Group's global manufacturing network. In 2013, Sanofi Consumer healthcare achieved a €3.0
billion ($4.1 billion USD) turnover representing a 5.2% growth vs. 2012 (constant exchange
rates) and ranked #3 worldwide consumer healthcare player (Nicholas Hall- 2013).

About Sanofi
Sanofi, a global healthcare leader, discovers, develops and distributes therapeutic solutions
focused on patients' needs. Sanofi has core strengths in the field of healthcare with seven
growth platforms: diabetes solutions, human vaccines, innovative drugs, consumer healthcare,
emerging markets, animal health and the new Genzyme. Sanofi is listed in Paris
(EURONEXT: SAN) and in New York (NYSE: SNY). To learn more about Sanofi, please visit us
About Eli Lilly and Company
Lilly is a global healthcare leader that unites caring with discovery to make life better for people
around the world. We were founded more than a century ago by a man committed to creating
high-quality medicines that meet real needs, and today we remain true to that mission in all our
work. Across the globe, Lilly employees work to discover and bring life-changing medicines to
those who need them, improve the understanding and management of disease, and give back
to communities through philanthropy and volunteerism. To learn more about Lilly, please visit us
at and
Cialis is available via prescription only and is approved to treat erectile dysfunction, or ED (2.5
mg, 5 mg, 10 mg, 20 mg), and both ED and the signs and symptoms of benign prostatic
hyperplasia, or BPH (5 mg). Taking Cialis with finasteride when starting BPH treatment has
been studied for 26 weeks. Cialis is not for women or children.
Important Safety Information for CIALIS® (tadalafil) tablets
What Is The Most Important Information I Should Know About CIALIS?
Do not take CIALIS if you:

take medicines called "nitrates" such as isosorbide dinitrate or isosorbide mononitrate
which are often prescribed for chest pain as the combination may cause an unsafe drop in blood pressure • use recreational drugs called "poppers" like amyl nitrite and butyl nitrite
are allergic to CIALIS or ADCIRCA® (tadalafil), or any of its ingredients. Call your
healthcare provider or get help right away if you experience any symptoms of an allergic
reaction, such as rash, hives, swelling of the lips, tongue or throat, or difficulty breathing
or swallowing
After taking a single tablet, some of the active ingredient of CIALIS remains in your body
for more than 2 days.
The active ingredient can remain longer if you have problems with your
kidneys or liver, or you are taking certain other medications.
Stop sexual activity and get medical help right away if you get symptoms such as chest pain,
dizziness, or nausea during sex. Sexual activity can put an extra strain on your heart, especially
if your heart is already weak from a heart attack or heart disease.
What Should I Tell My Healthcare Provider Before Taking CIALIS?
CIALIS is not right for everyone. Only your healthcare provider and you can decide if
CIALIS is right for you.
Ask your healthcare provider if your heart is healthy enough for you to
have sexual activity. You should not take CIALIS if your healthcare provider has told you not to
have sexual activity because of your health problems. Before taking CIALIS, tell your healthcare
provider about all your medical problems, particularly if you have or ever had:
heart problems such as chest pain (angina), heart failure, irregular heartbeats, or have
had a heart attack • high or low blood pressure or have high blood pressure that is not controlled
liver or kidney problems or require dialysis
retinitis pigmentosa, a rare genetic (runs in families) eye disease
severe vision loss, including a condition called NAION
stomach ulcers or a bleeding problem
a deformed penis shape or Peyronie's disease
an erection that lasted more than 4 hours
blood cell problems such as sickle cell anemia, multiple myeloma, or leukemia
Can Other Medicines Affect CIALIS?
Tell your healthcare provider about all the medicines you take especially if you take:
• medicines called "nitrates" which are often prescribed for chest pain • alpha-blockers often prescribed for prostate problems • blood pressure medications • medicines for HIV or some types of oral antifungal medications • some types of antibiotics such as clarithromycin, telithromycin, erythromycin (several brand names exist, please contact your healthcare provider to determine if you are taking this medicine) • other medicines or treatments for erectile dysfunction (ED) • CIALIS is also marketed as ADCIRCA for the treatment of pulmonary arterial hypertension. Do not take both CIALIS and ADCIRCA. Do not take sildenafil citrate (Revatio®)* with CIALIS.
What Should I Avoid While Taking CIALIS?

• Do not use other ED medicines or ED treatments while taking CIALIS. • Do not drink too much alcohol when taking CIALIS (for example, 5 glasses of wine or 5 shots of whiskey). Drinking too much alcohol can increase your chances of getting a headache or getting dizzy, increasing your heart rate, or lowering your blood pressure. What Are The Possible Side Effects Of CIALIS?
The most common side effects with CIALIS are:
headache, indigestion, back pain, muscle
aches, flushing, and stuffy or runny nose. These side effects usually go away after a few hours.
Men who get back pain and muscle aches usually get it 12 to 24 hours after taking CIALIS.
Back pain and muscle aches usually go away within 2 days. Call your healthcare provider if you
get any side effect that bothers you or one that does not go away.
Uncommon but serious side effects include:
An erection that won't go away: If you get an erection lasting more than 4 hours, seek
immediate medical help to avoid long-term injury.
In rare instances, men taking prescription ED tablets, including CIALIS, reported a sudden
decrease or loss of vision or hearing (sometimes with ringing in the ears and dizziness). It's not
possible to determine if these events are related directly to the ED tablets or to other factors. If
you have a sudden decrease or loss of vision or hearing, stop taking any ED tablet, including
CIALIS and call a healthcare provider right away.
You are encouraged to report negative side effects of prescription drugs to the FDA. Visit or call 1-800-FDA-1088
CIALIS does not:
• cure ED • increase a man's sexual desire • protect a man or his partner from sexually transmitted diseases, including HIV • serve as a male form of birth control CIALIS is available by prescription only. For additional information, talk to your
healthcare provider and For more information about Cialis, please see the Full
Prescribing Information, and Medication Guide. You may also learn more about Cialis

* The brand listed is a trademark of its respective owner and is not a trademark of Eli Lilly and Company. The maker of this brand is not affiliated with and does not endorse Eli Lilly and Company or its products. TD Con-F ISI 03FEB2012 TD91306

i Feldman HA, Goldstein I, Hatzichristou DG, Krane RJ, McKinlay JB. Impotence and its medical and psychosocial
correlates: results of the Massachusetts Male Aging Study. J Urol. 1994;151:54-61.

Forward Looking Statements
This press release contains forward-looking statements as defined in the Private Securities Litigation Reform Act of
1995, as amended. Forward-looking statements are statements that are not historical facts. These statements include
projections and estimates and their underlying assumptions, statements regarding plans, objectives, intentions and
expectations with respect to future financial results, events, operations, services, product development and potential,
and statements regarding future performance. Forward-looking statements are generally identified by the words
"expects", "anticipates", "believes", "intends", "estimates", "plans" and similar expressions. Although Sanofi's and
Lilly's management believe that the expectations reflected in such forward-looking statements are reasonable,
investors are cautioned that forward-looking information and statements are subject to various risks and
uncertainties, many of which are difficult to predict and generally beyond the control of the companies, that could
cause actual results and developments to differ materially from those expressed in, or implied or projected by, the
forward-looking information and statements. In particular, there are no guarantees that regulatory authorities will
approve Cialis for nonprescription use. Risks and uncertainties also include, among other things, the uncertainties
inherent in research and development, future clinical data and analysis, including post marketing, decisions by
regulatory authorities, such as the FDA or the EMA, regarding whether and when to approve any drug, device or
biological application that may be filed for any such product candidates as well as their decisions regarding labelling
and other matters that could affect the availability or commercial potential of such product candidates, the absence of
guarantee that the product candidates if approved will be commercially successful, the future approval and
commercial success of therapeutic alternatives, the Companies' ability to benefit from external growth opportunities,
trends in exchange rates and prevailing interest rates, the impact of cost containment policies and subsequent
changes thereto, the average number of shares outstanding as well as those discussed or identified in the public
filings with the SEC and the AMF made by Sanofi, including those listed under "Risk Factors" and "Cautionary
Statement Regarding Forward-Looking Statements" in Sanofi's annual report on Form 20-F for the year ended
December 31, 2013, and in the public filings with the SEC made by Lilly, including those listed under "risk Factors" in
Lilly's annual report on Form 10-K for the year ended December 31, 2013. Other than as required by applicable law,
the companies do not undertake any obligation to update or revise any forward-looking information or statements.


Corporate Media Relations
Investor Relations
Jack Cox, Sanofi Sébastien Martel Tel.: +33 (0)1 53 77 45 45 [email protected]
Celeste Stanley, Lilly
Phil Johnson, Lilly Tel. : +1 317 626 8896 Tel.: +1-317-655-6874 [email protected]


Dc110660 2279.2284

Metformin in Gestational Diabetes: The Offspring Follow-Up (MiG TOFU)Body composition at 2 years of age ANET A. ROWAN, MBCHB MALCOLM BATTIN, MD that because of continued exposure to nu- LAINE C. RUSH, PHD TRECIA WOULDES, PHD trient excess in utero, the subcutaneous ICTOR OBOLONKIN, BSC WILLIAM M. HAGUE, MD fat stores become overloaded and, thus,the fetus develops leptin and insulin re-sistance and deposits excess nutrients as

Autologous fat grafts placed around temporomandibular joint total joint prostheses to prevent heterotopic bone formation Larry M. Wolford, DMD, Carlos A. Morales-Ryan, DDS, MSD, Patricia Garcia Morales, DDS, MS, and Daniel Serra Cassano, DDS the treatment of ankylosis This study evaluated 1) the efficacy of packing autologous fat grafts of the temporomandibular around temporomandibular joint (TMJ) total joint prosthetic reconstruc-