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Buying Viagra: What you should know
 
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Men can now buy the impotence pill Viagra Connect without a prescription at some pharmacies. experts hope it will mean more men get help for erectile dysfunction - a condition thought to affect up to one in five adult men, 4.3 million in the . Like any medication though, the drug can cause side-effects and should not be misused or abused.What should men consider before buying and trying the little blue pills?Who can have it?Viagra Connect is only for men who have impotence. No-one under the age of 18 can buy it, although women might be able to buy it on behalf of their partner if the pharmacist is satisfied it is appropriate to dispense it.And it will not be sold to men who are not medically fit enough to have sex. This includes men with severe heart or blood vessel problems. As a rule of thumb, men who become very breathless or experience chest pain when doing light exercise, such as climbing two flights of stairs, should not take these pills.Can it be bought off the shelf?No. You will need to ask the pharmacist for it, who will then check it is safe for you to take. A packet of four pills will cost £19.99.Do men wanting to buy have to talk to someone and be examined?You can ask at the pharmacy counter for a quiet word or to have a conversation in a private room if they prefer - most pharmacies now have private consultation facilities.The pharmacist will ask about symptoms, general health, and any other medications you might be taking. They should not ask personal questions about your sex life or sexual preferences. You should not need a physical examination. Will it work?In many cases yes, but it is not effective for everyone. The drug relaxes the blood vessels in the penis to help blood flow and will help achieve an erection in response to sexual stimulation.It can be taken with or without food, although it may take a little longer to start working if you have just had a big meal. You should take it about an hour before you plan to have sex.Do not take it with grapefruit or grapefruit juice, because this can affect how the medicine works.And do not take more than one 50mg tablet per day. If it has been some time since you were able to get or keep an erection, it may take a couple of attempts before you are able to achieve one. Drinking lots of alcohol can also make it more difficult to get an erection.What if it is too strong?Talk to your pharmacist or doctor if you think it is too strong - the drug's effects last too long or are too powerful. Prolonged and sometimes painful erections lasting longer than four hours have been occasionally reported by men taking the drug. Although unlikely, if this does happen, seek immediate medical assistance. What other side-effects might there be?Very common (may affect more than one in 10 people):headacheCommon (may affect up to one in 10): dizziness colour tinge to vision or blurred vision - some people start seeing a blue hue hot flushes blocked nose nausea Stop taking the pills and seek immediate m
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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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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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