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To: Anthony Wong who wrote (1068)11/17/1998 1:24:00 PM
From: Anthony Wong  Respond to of 1722
 
BBC: Consumers' group demands free Viagra
Monday, November 16, 1998 Published at 23:23 GMT

Viagra should be free on the NHS, says the Consumers' Association

Viagra should be available free on the NHS because it
offers benefits that other impotence treatments do not,
says the Consumers' Association.

The association says the drug, nicknamed Pfizer's riser
after its manufacturer, offers a "more natural sexual
experience" than other methods including injections,
implants, inserted capsules and hydraulic and vacuum
constriction devices.

The association's Drug and Therapeutics Bulletin says
the drug produces relatively few side effects and
withholding it was not justified in the light of clinical
evidence.

Editor Joe Collier said: "Drug and Therapeutics Bulletin
believes that treatment with Viagra should be available
on the NHS to men who meet the conditions set in its
summary of product characteristics, which identifies
many men as suitable for treatment.

However, he said GPs would need guidelines on how to
prescribe it to ensure it was not used "inappropriately".

Temporary ban

The government has slapped a temporary ban on NHS
prescription of Viagra because of concerns about the
cost of prescribing it.

Health authorities have been asked not to spend NHS
money on Viagra except in "exceptional circumstances".

The government is expected
to make an announcement
on its policy on Viagra in the
next two weeks.

One in 10 British men is
thought to suffer from
impotence.

Viagra was cleared for sale in
Europe in October.

The government says the
price of the drug - at around
£5 a pill - should come down
and is setting guidelines on how doctors should
prescribe it.

A report in The Observer this week said that the
government was unlikely to put more funding into
impotence than the £12m a year it currently spends.

It added that health officials were also considering only
allowing doctors to prescribe the drug for people who
were impotent because of physical problems.

Doctors say this would be difficult to administer.

Interaction

A spokeswoman for the British Medical Association said
there were only certain medical conditions, such as
diabetes, which would clearly come into this category.

Men who take some heart disease drugs and some
types of prostate problems could also cause impotence.

But the majority of impotence cases were "an interplay"
of various factors, including the psychological, she said.

"Psychological and organic causes can be interactive.
When people have a problem they may begin to worry
which could create a vicious circle. It would be very
difficult to disentangle."

"If people are clinically impotent there is a need for
treatment, whatever the cause," she added.

The King's Fund is discussing the drug rationing issue
on Tuesday morning.

Journalist Melanie Philips will argue that Viagra should
not be available on the NHS because it is a "lifestyle"
drug, but urologist Roger Kirby is expected to say that
impotence is just as real a problem as other medical
ailments.

The debate will involve doctors, commentators, nurses,
patients and voluntary organisations and will encompass
other so-called lifestyle drugs such as Xenical, the new
anti-obesity drug.

news.bbc.co.uk