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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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Little blue pills turn white as Viagra goes generic
 
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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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Breaking News  - Impotence drug Viagra to go on sale over the counter
 
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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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PAKISTAN: VIAGRA FINDS ITS WAY ONTO THE BLACK MARKET
 
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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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