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Startup Roman Diagnoses Erectile Dysfunction and Sells Meds—All Online
 
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Zachariah Reitano was 17 when he took his first stress test. His heart rate peaked to 240 beats per minute and he collapsed on the treadmill. It was a scary thing that never would've happened if he hadn't talked to his dad about his erectile dysfunction. Zachariah says 17 is a shockingly early age to experience ED, which in his case was the first sign of a far more serious underlying heart condition. He says he was incredibly lucky to have a father who was both a physician and an expert in sexual health. For other men who might not have a doctor for a dad, Zachariah, Saman Rahmanian, and Rob Schutz created Roman, a direct-to-consumer men's health company that diagnoses ED and delivers medication right to your door. Something most people don't know, Zachariah says, is that ED is often the first sign of a far more serious underlying condition—such as diabetes, heart disease, high blood pressure, or high cholesterol. It is also commonly associated with obesity and depression. Roman works with men to treat their ED, identify the underlying cause, and try to improve their overall health, Zachariah says. And the brand handles the sensitive subject matter with some humor. The first Roman commercial, which has more than a million views on Facebook, pokes fun at the clichés in so many ED ads. Rob says 20 years of ridiculous ED ads showing guys throwing footballs through tire swings and couples in separate bathtubs didn't make a lot of sense and were easy to poke fun at. Roman's humor makes it a little easier for men to start a conversation about ED. But Roman takes the medical side of things seriously. The company's leadership team of 10 doctors includes former U.S. Surgeon General Jocelyn Elders. Licensed physicians handle every online visit. Saman says that after that initial conversation with a physician, that same doctor also follows up with the patient to make sure the treatment is working well, to ask about any side effects, and to answer any questions. Online doctor's visits cost $15, which Roman will refund if you're not a candidate for meds. Prescriptions average $30 a month with free shipping. Those prescriptions arrive in a completely unmarked box, Saman says. The package has no branding until you open it privately at home. And that discreet approach is resonating with a lot of men. Rob says the company did more volume in their first month and a half than they anticipated doing for the entire year. And now Roman does more business on a daily basis than they had projected doing in its first few months. Roman prescribes Cialis, Levitra, and Viagra as well as sildenafil, the generic version of Viagra. —ALISON MORRIS For more information visit: www.getroman.com
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PHILIPPINES: VIAGRA GOES ON SALE NATIONWIDE
 
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Tagalog/Eng/Nat Viagra, the headline grabbing anti-impotency pill, is now on sale in the Philippines. Pfizer, who manufacture the drug, have started delivering to local drugstores in Manila, two weeks after the local Bureau of Food and Drug gave its approval for its sale in the country. Pharmacies in the Philippines have finally begun to receive their stocks of Viagra. The manufacturer Pfizer, started deliveries of the new wonder drug at drugstores in Manila this week. Some stores already began selling the drug on Tuesday. With Viagra becoming the talk of the town, drugstore owners are anticipating a huge demand. Pharmacy owner Bhoyette Vizconde sold five tablets on the first day. SOUNDBITE: (English) "I already hoard (laughs) stocks because I'm really expecting that being the first to have Viagra here in our vicinity, I'm sure a lot of people will come here and inquire or buy Viagra." SUPER CAPTION: Bhoyette Vizconde, Owner of Marcelo's Pharmacy Pharmacy Plus received its first supply early this week. Owner James Sandoval, who owns several stores in the capital, put a few boxes of the pill on the shelf to show clients that the drug is now available. But before the drug was put on sale in his stores, Sandoval issued a memo to all his store managers to ensure that safety precautions are practiced before the drug is dispensed to patients. The B-F-A-D says it is important the pill is only sold to patients who come with a legitimate prescription from their doctors. Each pill comes with a leaflet giving warnings of possible side-effects if the drug is not taken properly. Pfizer warned that the drug should not be taken by people being treated with nitrate-based medication for heart problems. While he expects a huge demand for the drug, Sandoval said Filipino men may be a little shy of asking for the drug themselves. He says the men here will probably not want to admit they need Viagra and so he is arranging a home delivery service to put them out of their misery. SOUNDBITE: (English) "Because maybe at the secrecy of their own home, they can acquire the product because they might be too embarrassed to come forward to admit that they have a sexual problem. Any person that comes forward asking about the product - they're so defensive, they say right away "Hey listen I don't have a problem with this. I'm just inquiring". That goes to tell you how sensitive the issue is." SUPER CAPTION: James Sandoval, Owner of A-B Sandoval Drugstore Dr. Jesus Mendoza is a local doctor who has been checking out the testing of the Viagra drug. SOUNDBITE: (English) "Well, I was pretty excited and wanted to find out whether it was really going to work. Of course, there was some degree of skepticism at first. But when we started seeing back the patients who were on the study, then it was confirmed that my gosh, this works." SUPER CAPTION: Dr. Jesus Mendoza, Urologist In a press conference early this month, Pfizer said the approval from B-F-A-D came after they completed a six-month study of its effects on 500 men from six Asian countries, including the Philippines. The man who discovered Viagra, Dr. Peter Ellis, was in Manila last week and spoke of how his drug differs from the others already available in the market. SOUNDBITE: (English) "And I think the beauty of the drug is that it works to enhance the natural process. All the other products that are out there, you take the product, you get an erection. But Viagra, you take the product, you don't get an erection but it's only when sexually aroused. So it's basically enhancing a perfectly natural function and restoring it back to normal." SUPER CAPTION: Dr. Peter Ellis, Discoverer of Viagra SOUNDBITE: (Tagalog) You can license this story through AP Archive: http://www.aparchive.com/metadata/youtube/82332744ffb865c4de45bb3f42e9c31f Find out more about AP Archive: http://www.aparchive.com/HowWeWork
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Viagra: What men really need to know
 
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Last week Britain became the first country in the world to allow the libido-boosting drug to be bought over the counter from pharmacies at £5 a pill, rather than on prescription.Drug firm Pfizer says it hopes that making sildenafil, sold under the brand name Viagra Connect, more widely available will mean that men who had not previously sought help for impotence would be more likely to do so.It’s estimated that about 4.3 million men in the UK suffer from impotence but very few seek treatment because they are embarrassed about the condition.In truth, the decision was prompted in part by the huge rise of an online black market for unregulated erectile dysfunction drugs. In 2016 alone £17million worth of counterfeit Viagra was seized in the UK.Nevertheless the move has been welcomed by health chiefs who believe that having it available in pharmacies will not only counteract the impact of potentially dangerous counterfeit drugs but also help lessen the stigma of erectile dysfunction (ED).However some medics are urging caution, pointing out that men who have difficulty getting or maintaining a proper erection often have underlying health problems such as diabetes, high blood pressure and stress.Here we look at what you need to consider before buying the little blue pills.What is it and who can buy it?Viagra Connect is the first medicine for the symptoms of erectile dysfunction to be made available over the counter in UK pharmacies.It contains 50mg of the active ingredient sildenafil, which belongs to a group of medicines called phosphodiesterase type 5 (PDE 5) inhibitors.It should only be prescribed to men who have impotence and who are medically fit enough to have .No one under the age of 18 should be able to buy it.It is available in Boots exclusively (both in store and online) until April 10 and after that it will be available in 14,000 pharmacies nationwide and online.GETTYDoes it work for everyone?No, it is thought to be effective in about two-thirds of cases.The drug works by helping to relax the blood vessels, allowing blood to flow into the penis when ually stimulated. This helps to maintain firmer erections.It is quickly absorbed into the bloodstream and takes between 30 and 60 minutes to work and will remain active in the body for up to four hours.NCHow much does it cost? or eight for £34.99.At present GPs can still prescribe it at the cost of a NHS prescription which is £8.80.But in the current cost-cutting climate where some over-the-counter medicines such as hay fever and thrush treatments are no longer funded in some regions, drugs for erectile problems may go the same way.Also Pfizer’s exclusive 15-year patent on Viagra ran out in 2013, enabling cheaper, generic drugs to be available in the UK. Can I buy Viagra off the shelf?No. You need to ask a pharmacist for it. You can ask to have this conversation in a private room.While the consultation won’t require a physical examination, you will have to answer a series of questions ab
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Urdu/Eng/Nat Doctors in Pakistan are warning of the dangers of men buying the impotence pill Viagra on the black market and taking it without prescription. The sale of the drug in the country is currently being debated by the government - it says it wants to make sure the drug will be made available in the safest possible way. But medical experts say the problem of impotency is high in the country and that men are anxious to try out supplies of Viagra introduced illegally at a high price. Viagra, the impotency pill, is proving to be big business in Pakistan. The drug, first released in the U-S in March 1998, is legally available in more than 50 countries worldwide. Many people consider it the beginning of a new revolution in pharmaceuticals. In Pakistan, the government is currently discussing when and how to introduce the drug. But Viagra has already found its way onto the black market in the country's capital Islamabad and can be bought at a high price. One tablet can cost anything from 20 to 50 U-S dollars - a bottle of Viagra tablets can cost anything from 360 to 800 U-S dollars. Some Viagra users say the drug has been freely available to them for some time now and that they're prepared to pay up. SOUNDBITE: (Urdu) "Viagra is a sex drug and I have been using it for about two years and found it very good, because it adds energy to the body if we use it two hours before sexual intercourse. I have found no other medicine better than Viagra and the demand for it is now growing." SUPER CAPTION: Abdul Qadir, Viagra user The country's health department has so far been reluctant to legalise Viagra - but it is aware of the black market problem and is prosecuting anyone found selling the drug. Government officials say they want to make sure that there are no loopholes before Viagra is legally available in Pakistan. SOUNDBITE: (English) "In the West they know that this drug has got side effects and that it is a prescription drug. So nobody can buy it without prescription, while in Pakistan we still have some loopholes, some weaknesses where the drug can be sold over the counter and this is my main worry in resisting to register it." SUPER CAPTION: Professor Ghayyur H. Ayub, Director General of Health Ministry There have been worries that Viagra may have side effects. But Pfizer, the company that produces Viagra, maintains the drug is a safe medicine for erectile dysfunction when used as recommended in the approved package insert. There are already many legal drugs on sale in Pakistan to help enhance sex. Herbal doctors offer remedies for impotency, claiming they're natural products that have no side effects. The herbal remedy sellers can often be found on roadsides doing a roaring trade - but even they now say that the new wonder drug is threatening their trade. Medical experts say there is no official impotency figure in the country because Pakistani men are reluctant to admit they have a problem in a nation where sex is a taboo subject. But doctors say it is an ever increasing problem and they are warning of the dangers of taking the impotence pill without prescription. Doctor Khalid Saeed said it is even more of a worry as impotency affects men of all ages. SOUNDBITE: (English) "There are two basic main groups in which we can find this who come to us commonly. One is the younger age group - they are really people in their early 20s and the other group is somewhere in the late 40s and 50s and both of them have different presentations. People in the younger age group generally come to you just before they are about to get married." SUPER CAPTION: Dr Khalid Saeed, Consultant Psychiatrist at the Institute of Psychiatry, Rawalpindi In the meantime, they are encouraging people to seek alternative remedies. You can license this story through AP Archive: http://www.aparchive.com/metadata/youtube/14195c089563ad5cfdadadb596478314 Find out more about AP Archive: http://www.aparchive.com/HowWeWork
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