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To: Anthony Wong who wrote (798)9/15/1998 9:20:00 AM
From: Anthony Wong  Respond to of 1722
 
BBC: Viagra firm hits out at Dobson
Tuesday, September 15, 1998 Published at 10:10 GMT 11:10 UK


Demand for Viagra's little blue pills will be huge

The makers of Viagra have hit out at
the government for slapping a ban on
NHS prescription of the
anti-impotence drug.

Pfizer says the government has had a
year to decide what to do about the
drug.

It submitted its application for a European licence a year
ago.

Pfizer's UK chairman Ken Moran said: "I am amazed to
find at the eleventh hour the day before Viagra is
approved for use across Europe that doctors in the UK
cannot prescribe it."

Health Secretary Frank Dobson says that, although the
drug has been licensed for use throughout Europe,
doctors in the UK will not be allowed to prescribe it on
the NHS until the government has made a considered
decision about it.

No money

He told the BBC's Today programme that the price of the
drug - at around œ5 a pill - would have to come down.

"That money isn't there, so therefore
we have to take the money away from
maternity services for women having
babies or people who are being
treated for cancer or people who are
being treated for heart disease," he said.

He added: "Most people in this country don't think we
should finance it through the health service as a sort of
recreational drug at the expense of doing things which
are more important."

He is worried that demand for the drug could drain NHS
resources. One in 10 British men is reported to have an
impotence problem.

However, Mr Dobson said Viagra should be available for
some people who have had accidents or "suffer from
certain physical conditions".

He also suggested the drug could be used in certain
circumstances to treat infertility.

Depression

But impotence doctors say Mr Dobson is
underestimating the impact of impotence on couples,
both in health and emotional terms.

They say it can lead to broken relationships and clinical
depression.

Ken Moran said using Viagra could
cut other NHS costs, such as the
price of treating impotent men for
depression.

He added that, far from the government being concerned
about the cost of the drug, Pfizer had received a letter
from the Department of Health on Monday, confirming
that the price of the drug was acceptable.

The company says making people pay for Viagra could
be "devastating" for men who have become impotent
because they have conditions such as diabetes or spinal
chord injuries.

"We are very disappointed," said a spokeswoman.

Doctors with private practices have been able to
prescribe Viagra for some time on a named patient
basis. This is where the doctor takes personal
responsibility for what happens to the patient.

Viagra has been hailed as a "wonderdrug" because it
can successfully counter the effects of impotence.

However, doubts have been raised over the safety of the
drug following reports of Viagra-related deaths in the US.

Mr Dobson said the government will seek "further expert
guidance" and definitive advice on prescribing would be
issued in the next few weeks.

Regret

The British Medical Association (BMA) has expressed
regret at the announcement, although it does not want
GPs to have to make a decision about who should and
should not get Viagra.

Dr Ian Bogle, chairman of the
association, said: "There has
been an enormous amount of
publicity about Viagra and
this will have increased the
expectations of patients with
erectile dysfunction.

"Therefore I regret the
postponement of a decision
about the use of Viagra in the
NHS."

He continued: "What is now
required is a very clear decision from ministers based on
evidence and professional advice as soon as possible."

news.bbc.co.uk



To: Anthony Wong who wrote (798)9/15/1998 9:24:00 AM
From: Anthony Wong  Read Replies (1) | Respond to of 1722
 
BBC: Europe says yes to Viagra
Tuesday, September 15, 1998 Published at 09:58 GMT 10:58 UK

The top-selling anti-impotence drug
Viagra has been the go-ahead for
immediate sale in the European
Union.

The EU's Industry Commissioner Martin Bangemann
signed authorisation for the drug on Tuesday morning,
but said the drug should only be available on
prescription.

The signature was part of a six-month approval process,
which included a scientific assessment by the European
Agency for the Evaluation of Medicinal Products and
clearance from its committee of experts and a standing
committee of representatives from all 15 member states.

However, it is unclear how many governments will agree
to pay for Viagra.

The UK has decided to ban the prescription of Viagra on
the NHS until it can decide on how to ration the drug,
which could cost up to œ100m.

Safe

Other governments may adopt similar positions, but
Pfizer says the UK is the only one so far to announce a
ban.

Each member state has to decide for itself what it will do
about the drug.

Patrick De Boyser of the European
Commission said the drug had been
found to be safe and effective.

He stressed: "It is a medical product
treating a condition, erectile dysfunction."

However, he added that demand for the drug was likely
to be high across Europe and there were "serious
concerns" in several countries about funding the cost of
it.

The EU's body of pharmaceutical experts - the EMEA -
cleared the way for approval of Viagra in August when it
voted to approve a European marketing licence for the
revolutionary drug.

Best-selling drug

Viagra has become the fastest-selling new medicine
since its launch in the US in April.

However, over 100 deaths
around the world are being
investigated in connection
with the drug.

In the US, most of the people who have died are thought
to be elderly people with heart problems and over two
million people have taken the drug without problems.

The EU says Viagra should not be prescribed for
women, people under 18 and those with heart problems.
It recommends that Pfizer warn of the drug's possible
side effects, inlcluding headaches and painful, prolonged
erections.

Pfizer, which plans to have the drug available for sale in
the next two to three weeks, already warns that Viagra
should not be taken in conjunction with nitrate-based
drugs as it could lower blood pressure to dangerous
levels.

The EU will monitor Viagra for five years and, if demand
subsides, it could be made available over the counter.

news.bbc.co.uk