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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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Dec. 19 (Bloomberg) -- Bloomberg's Eric Chemi take a look at the two most popular erectile dysfunction medications on the market, Viagra and Cialis. Pfizer, the maker of Viagra, eliminated 20% of its sales workforce on December 18.
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How young is too young when it comes to the use of Viagra and other drugs of its kind. It emerges that more often; younger men are strolling into pharmacies seeking drugs that in times past were only prescribed for older men suffering impotence. Tonight healthy you examines the phenomenon that is the widespread of vasodilators such as Viagra, Cialis and Levitra among young, healthy males.
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(7 Dec 2017) LEADIN: The little blue pill that's reinvigorated the sex lives of millions of men is turning white. Two decades after its U.S. launch, drugmaker Pfizer's iconic blockbuster Viagra is getting its first generic competition next week. STORYLINE: Like millions of other men, Daniel Lobello's life improved dramatically when he started taking Viagra. Drugmaker Pfizer is launching its own cheaper generic version of Viagra, rather than lose sales when the impotence pill gets its first generic competition on Monday (11th December). Lobello says: "Having access to the medication has improved my relationship, because it takes a lot of the stress and tension away." Pfizer's new white pill will be half the 65 US dollars-a-pill people paid for the blue pill. Lobello nods when his doctor Matthias Hofer asks: "You pay all of it just out of your pocket, right?" Hofer who works at Northwestern Memorial Hospital says: "It will specifically make a difference for patients who were not able to or unwilling to afford the expenses associated with Viagra now." Generic maker Teva Pharmaceuticals will start selling its version next week, but it's not disclosing the price. Even more generics go on sale next summer and that will steadily reduce the cost of medical bills for erectile dysfunction or ED, the name coined by Pfizer. Lobello welcomes the change: "It's great that the drug companies are starting to cut the prices down on the meds, because it is something that people, men, need. But since it's gone to a generic form, it's gone even cheaper, so there's other avenues now to get the medication than just going to your local pharmacist and doing it under your prescription plan." Launched in 1998, Viagra was the first drug treatment for impotence. It transformed a private embarrassment and frustration into a publicly discussed medical condition. It made treatment easy and certainly more palatable compared with options like penile injections and implants. Eli Lilly's Cialis came out in 2003 and now dominates the U.S. market with on-demand pills and daily, low-dose ones. Viagra is a close second. Pfizer says its market research shows 20 percent of customers are loyal to Viagra. Rather than give up sales to generic makers as drugmakers once did, the company is also fighting to keep men on the brand-name blue pills. Jim Sage, president of U.S. brands for Pfizer Essential Health says: "We will continue to support the branded version of Viagra. It'll maintain the same name. There will also be a generic version, and in our case, Pfizer's case, we will have an authorized generic." In January, the drugmaker will offer two new discount programs and bigger copayment card discounts. Uninsured men can get Viagra half off for cash through an innovative online home delivery program, Pfizer Direct. Erik Gordon, a professor and pharmaceuticals analyst at University of Michigan's Ross School of Business, says Pfizer's undertaking is unprecedented. "What usually happens is companies cut off marketing, because they're going to lose 90 or 98 percent of the business pretty quickly no matter what they do," Gordon says. "Pfizer is really hoping to keep a lot of the business. Even if it keeps 20 percent of the business, this campaign will be a success." Lobello is satisfied with the pills he's taking, but thinks a lot of men probably would start using generic or brand-name Viagra when the cost comes down. He is one of millions looking forward to lower medical bills. Hofer says: "I think it will be a stimulus for patients to be able to buy Viagra, the brand Viagra, in pharmacies for a reduced price. There's no question about that." You can license this story through AP Archive: http://www.aparchive.com/metadata/youtube/2fc54896dfe045a2762c51831069e53e Find out more about AP Archive: http://www.aparchive.com/HowWeWork
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Men seeking Viagra will no longer need a prescription from their GP after health officials reclassified the drug.For the first time, they will instead be able to buy it over the counter at chemists, as long as a pharmacist approves the little blue pills as safe for them to use.The Medicines and Healthcare products Regulatory Agency (MHRA) announced that it is reclassifying Viagra Connect tablets following a public consultation.Manufacturer Pfizer plans to get stocks of the medication into UK pharmacies by spring 2018.Experts say making the tablets more widely available will help sufferers of erectile dysfunction (ED) who might not feel able to visit their GP.Pharmacists will be able to determine whether treatment is appropriate for the patient and can give advice on ED, usage of the medicine, potential side effects and assess if further consultation with a GP is required.But some men, including those with severe heart problems, those at high risk of heart problems, liver failure, kidney failure or those taking certain 'interacting medicines', will still need to be prescribed the drug under the supervision of a doctor.Officials hope the move will also help steer people away from buying drugs websites operating illegally.The MHRA said that ED medicines are a 'popular target' for criminals selling unlicensed and counterfeit medicines.Over the past five years the agency has seized more than £50 million of unlicensed and counterfeit impotency medicines.'This decision is good news for men's health,' said Mick Foy, MHRA's group manager in vigilance and risk management of medicines.'The move to make Viagra Connect more widely accessible will encourage men to seek help within the healthcare system and increase awareness of erectile dysfunction.'Erectile dysfunction can be a debilitating condition, so it's important men feel they have fast access to quality and legitimate care, and do not feel they need to turn to counterfeit online supplies which could have potentially serious side effects.'Manufacturer Pfizer said Viagra Connect – which contains the ingredient sildenafil at 50mg – said the move should protect men by limiting the likelihood of them turning to dodgy websites.UK medical director Dr Berkeley Phillips said: 'The availability of Viagra Connect in pharmacies from next year will offer men who are eligible for the product a new and convenient way to access sildenafil, a commonly prescribed treatment for erectile dysfunction.'We understand some men may avoid seeking support and treatment for this condition, so we believe giving them the option to talk to a pharmacist and buy Viagra Connect could be a real step forward in encouraging more men into the healthcare system.'As erectile dysfunction may be a sign of an underlying condition such as diabetes, high blood pressure, or heart disease, there could also be a wider benefit to public health in the long term.'We hope that this forthcoming new opportunity to purchase a genuine treatment via pharmacy will also reduce the likelihood of men turning to potentially ineffective and dangerous counterfeits from illicit sources.'GENERIC VERSION OF 'WEEKEND' ED DRUG CIALIS COULD BE AVAILABLE ON NHS The cost of an erectile dysfunction pill that lasts up to eight times longer than Viagra has been slashed by half – and could soon be available on prescription on the NHS. A generic version of Cialis has launched in the UK after the brand's patent ran out, opening up the market for cheaper versions. Tadal1
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Most men with ED don't know what to do next when the pills stop working. Reknowed erectile restoration specialist, Peter J Muench MD explains and compares the treatment options for moderate to severe ED. He focuses on the costs of ED and its unsuccessful treatments to men, their partners and society, explains what keeps the best solution( penile implants) a secret, and reviews what the patient experiences from the time of his implant procedure through to his return 6-8 weeks later to being the confident, whole man he was before he ever had ED. Related Link: Peter J. Muench MD http://www.DelawareUrologic.com
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As a full time RVer, medical insurance and prescription management can be challenging. Recently I ran out of my migraine medicine so took a trip to Mexico to buy my meds over the counter. This video shows how to buy prescription drugs in Mexico and answers questions about what can and can NOT be bought. Watch and join me as I visit Mexico with my friend Bob to stock up on prescription medicine.
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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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Over-the-counter Viagra pills have gone on sale in the UK for the first time. From today, Viagra Connect is available without a prescription at stores as well as to order online from pharmacy websites. The Medicines and Healthcare Products Regulatory Agency approved the move last November. The pills are made by Pfizer and will be available in 14,000 stores. . Despite this, a study shows 44% of men with erectile dysfunction aged 40 and over have not sought medical help. Read More Ibuprofen linked to male infertility as study shows connection between painkiller and hormones Kristie Sourial, of Pfizer, said: “The launch of Viagra Connect offers men a new and convenient route of access to treat the symptoms of erectile dysfunction. “It’s important to remember this is a medical condition and that the impact often goes beyond the physical symptoms. “It can lead to men feeling anxious, depressed and lacking in confidence.” The pills cost £19.99 for a four-tablet pack or £34.99 for eight.
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Men in the UK will soon be able to buy Viagra over the counter for the first time after the erectile dysfunction drug was reclassified.Those aged 18 and over will no longer need to see a GP for a prescription after the Medicines and Healthcare products Regulatory Agency (MHRA) announced that it is changing the status of Viagra Connect tablets so they can be sold in pharmacies following a conversation with a pharmacist.US pharmaceutical company Pfizer said it is working on plans to launch the non-prescription version of the medicine in the UK in the spring of 2018.A four-pack of the sildenafil tablets will cost around £19.99 and an eight-pack £34.99.Men who buy it will be advised that they can take a 50 mg tablet an hour before having sex, but should not use more than one pill a day.Sildenafil is already available on NHS prescription free of charge.The decision to reclassify the drug follows a public consultation, the MHRA said.Pharmacists will be able to determine whether treatment is appropriate for the patient and can give advice on erectile dysfunction, usage of the medicine, potential side effects and assess if further consultation with a general practitioner is required.But some men, including those with severe heart problems, those at high risk of heart problems, liver failure, kidney failure or those taking certain “interacting medicines”, will still need to be prescribed the drug under the supervision of a doctor.It is hoped that making the drug more widely available will mean than men who may have not previously sought help will be more likely to do so.Health officials also hope the move will also help steer people away from buying drugs websites operating illegally.The MHRA said that erectile dysfunction medicines are a “popular target” for criminals selling unlicensed and counterfeit medicines, over the past five years the Agency has seized more than £50m of unlicensed and counterfeit erectile dysfunction medicines.“This decision is good news for men’s health,” said Mick Foy, MHRA’s group manager in vigilance and risk management of medicines.“The move to make Viagra Connect more widely accessible will encourage men to seek help within the healthcare system and increase awareness of erectile dysfunction.“Erectile dysfunction can be a debilitating condition, so it’s important men feel they have fast access to quality and legitimate care, and do not feel they need to turn to counterfeit online supplies which could have potentially serious side effects.” Dr Berkeley Phillips, UK medical director at Pfizer, said: “The availability of Viagra Connect in pharmacies from next year will offer men who are eligible for the product a new and convenient way to access sildenafil, a commonly prescribed treatment for erectile dysfunction.“We understand some men may avoid seeking support and treatment for this condition, so we believe giving them the option to talk to a pharmacist and buy Viagra Connect could be a real step forward in encouraging more m
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Shortness of breath? Learn more and get a better lung disease treatment plan with top experts. Visit our Online Expert Centers at https://diagnosticdetectives.com/expert-centers/ Exclusive interview / Dr. Anton Titov MD and Professor Dr. Aaron Waxman MD, leading pulmonary arterial hypertension, right heart failure and lung disease expert. Find out exact cause if you have shortness of breath - get a precise diagnosis and best treatment for shortness of breath root cause. - Pulmonary arterial hypertension treatment. You mentioned phosphodiesterase type 5 inhibitors. They are also used for erectile disfunction. Common medications are viagra, sildenafil, and there are other medications of that class. So they're also used to treat pulmonary arterial hypertension. What is a typical way how they are used for pulmonary arterial hypertension? Are they effective? There is probably a different dosing schedule of those medications? So phosphodiesterase 5 inhibitors are in the nitric oxide pathway. And nitric oxide response, which really is our most potent vasodilator, works through cyclic GMP. So all the phosphodiesterase 5 inhibitors do is keep that cyclic GMP around longer by preventing its breakdown. And within the same path now we also have a medication called Riociguat, which is a soluble guanylate cyclase stimulator. So it actually increases the amount of available cyclic GMP and works in parallel with nitric oxide or independently of nitric oxide in pulmonary arterial hypertension. These patients generally have inadequate NO production. So all of these drugs are vasodilators. There's probably some added benefit, although we don't fully understand yet how, as far as remodeling - both myocardial remodeling and vascular remodeling. But there's no way to know which patients are going to get the most benefit from each individual drug. But I would say from an efficacy standpoint they're all pretty equivalent in pulmonary arterial hypertension. We don't combine them, but as individual drugs they're all pretty equivalent. - Are they used early in a therapy of pulmonary arterial hypertension, or when the first line therapy fails? - No, they probably are now first line therapy. Certainly sildenafil and tadalafil are considered first-line therapy, because they're generally very well tolerated and they're easy to use and they've been around for a long time in pulmonary arterial hypertension. I think Riociguatis a little more complicated to use because there's titration involved and it has a little more broader FDA approval targeting. It includes chronic thromboembolic disease but otherwise it's probably equally effective in pulmonary arterial hypertension. - Is the typical dosage [of PDE5 inhibitors in PAH] continuous or daily? Is it a smaller dose to compare with doses used for erectile disfunction indications? - When we did the clinical trials in pulmonary arterial hypertension, we studied sildenafil at 20 milligrams, 40 milligrams and 80 milligrams, at 3 times per day. So the usual dose for erectile dysfunction is 25, 50 and 75 mg, and a 100 mg, "when you need it". So certainly during the clinical trial, before the drug was approved, we were using Viagra at those doses. So I think there's room for dose adjustment. The only dose that was approved was 20 milligrams three times a day. So from an insurance standpoint we might have a little difficulty changing dose. But we often do titrate the dose, and Tadalafilwe use it at 40 milligrams once a day. - Every day? So with this frequent and fairly large dosing for pulmonary arterial hypertension treatment, as far as the cardiovascular side effects or other side effects, have you seen any major side effects? It's interesting, because the reason we went to these drugs are because phosphodiesterase 5 is predominantly localized to the vessels of the lung and the vessels of the penis. So we actually don't see a huge incidence of cardiovascular side effects. There are some patients whose blood pressure may be a little soft [low] with these drugs. But most patients with pulmonary arterial hypertension tolerate it quite well. I think the most important side effect that we see is headache, and it's not a bad headache. But it can be a nuisance. But it's usually readily responsive to simple things like Tylenol and aspirin or a non-steroidal anti-inflammatory medications.
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