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To: Anthony Wong who wrote (321)6/15/1998 8:00:00 PM
From: Anthony Wong  Respond to of 1722
 
Pfizer hard at work on Viagra improvements

Last Update: 05:18 PM June 15, 1998

NEW YORK (AP) -- Moving to protect its wildly successful impotence
drug, Pfizer Inc. is working to develop a second-generation Viagra pill
without the side effects.

In a Sandwich, England, laboratory, where Pfizer (PFE) researchers first
discovered a failed angina drug gave erections to medical students, the
search is on for what might be called Viagra light. The scientists are doing
follow-up research for an improved pill based on sildenafil, the drug now
used in the diamond-shaped blue pill, spokeswoman Mariann Caprino
said Monday.

''Whether that will result in a product ten years down the road, I don't
know,'' Ms. Caprino said.

Viagra became a drug industry phenomenon by working about as well as
previous anti-impotence drugs without the discomfort of penile injections
or suppositories.

Now researchers hope to eliminate side effects experienced by some
Viagra users. They include blue-tinged vision, mild headaches and an
incompatibility with some heart drugs that may have contributed to the
deaths of some of the 16 men who have died after taking the drug.

The fine-tuning comes as the company pursued follow-up studies on
whether Viagra helps patients with diabetes, depression and multiple
sclerosis.

''We're certainly very optimistic that the results will be positive,'' Ms.
Caprino said.

Pfizer scientists in Europe are also pursuing early-stage tests in Europe to
see if the drug aids women with sexual dysfunction, as are private
researchers at Boston University.

Pfizer officials did not outline the company's research. But the New
York-based drug maker is said to be devoting part of its mammoth $2
billion research budget to a version of Viagra that would go under the
tongue like some heart medicines, acting within minutes.

As Viagra's sales rise, so does its potential competition. Zonagen, a Texas
drug maker, hopes to have an impotence pill called Vasomax on the
market by the end of the year that would take less time to work than the
half-hour to an hour Viagra takes.

Pentech Pharmaceuticals of Wheeling, Ill., has a drug in late-stage testing
for both impotence and Parkinson's disease.

Other big drug makers, such as Indianapolis-based Eli Lilly & Co. and
New York-based Bristol-Myers Squibb Co., are looking to make the
drugs from scratch, through partnerships or from drugs now slated for
other uses.

Icos Corp., TAP Holdings and BioTechnology General are working on
rival treatments.

But topping Viagra would be tough. First-of-a-kind drugs tend to retain
their market dominance even after me-too products reach drug store
shelves unless the newer drugs are dramatically more effective, analysts
say.

Since it was introduced in March, doctors have written 1.7 million
prescriptions for 1 million Viagra patients.

''Viagra right now is the most effective oral medication out there,'' said
Joseph P. Riccardo, drug industry analyst with Bear Stearns & Co. in
New York. ''We're getting 50 to 60 percent effectiveness in use.''

cbs.marketwatch.com



To: Anthony Wong who wrote (321)6/15/1998 8:07:00 PM
From: Anthony Wong  Respond to of 1722
 
Deadly Drug Duos, Time.com JUNE 22, 1998 VOL. 151 NO. 24
pathfinder.com



To: Anthony Wong who wrote (321)6/15/1998 8:10:00 PM
From: Anthony Wong  Read Replies (1) | Respond to of 1722
 
BBC: Combining sex drugs could be lethal
Health: Latest News
Monday, June 15, 1998 Published at 16:05 GMT 17:05 UK

Combining the impotence wonder drug Viagra with the
sexual stimulant Amyl Nitrate could endanger lives,
experts have warned.

Viagra has already been linked with the deaths of at
least 16 men in the US, but all were suffering from heart
conditions.

Manufacturers Pfizer warn that Viagra should not be
taken by men who are also taking nitroglycerin or other
nitrate products for heart conditions.

Now the Impotence Association has warned that even
men with no history of heart disease could be at risk if
they also take Amyl Nitrate.

Heighten orgasm

The drug, also known as poppers, is used to heightem
the sensation of orgasm. It is particularly widely used in
the gay community.

Amyl Nitrate is a
gold-coloured liquid which
comes in small glass vials
which are 'popped' open.

Historically, it has been used
to treat angina, but is mainly
used today to treat
emergency cases.

When the vapours are
inhaled blood pressure is
reduced and the heart rate
accelerates which produces
a rushing sensation. The effects last from 30 seconds to
five minutes.

However, the reduction in blood pressure can result in
loss of balance and fainting and puts extra pressure on
the heart. In combination with Viagra the impact could
potentially be devastating.

Ann Craig, director of the Impotence Association, said:
"Doctors have got to be very careful that people are not
taking Amyl Nitrate before they prescribe Viagra."

A helpline set up by the association has been inundated
with calls about Viagra since the drug was launched in
the US this spring.

Flooded with calls

In the first week of May alone the Impotence Association
helpline received more than 3,000 calls - almost a
quarter of the total for 1997.

Calls have tailed off slightly since the news of deaths in
the US.

However Ms Craig said: "There are still a lot of people
desperate for Viagra. There is a worry that people who
are getting it should not be taking it. People need to be
educated about the risks."

Viagra is set to be given a British licence this autumn.

The Impotence Association confidential helpline can be
reached on 0181 767 7791.





news.bbc.co.uk