To: RT who wrote (19416 ) 3/9/1999 7:18:00 AM From: Zebra 365 Respond to of 23519
Viagra is Not a Cure for All Sexual Problems, Psychopharmacology Update Reports PROVIDENCE, R.I., March 8 /PRNewswire/ -- Although some physicians are using Viagra to treat the sexual side effects of antidepressant medications, one of the drug's investigators warns against the practice because Viagra has not been studied for that purpose, the March issue of Psychopharmacology Update reports. Ridwan Shabsigh, M.D., a clinical investigator and associate professor of urology at Columbia University says, "If there is no erectile dysfunction, [Viagra] is not an appropriate drug. Whether that will help some other subtypes of patients with certain sexual dysfunctions such as anorgasmia (inability to achieve orgasm), I doubt it. There is simply no data." Other researchers have found Viagra to be effective in a few patients who were taking the antidepressants Zoloft or Prozac for depression or other mental disorders. According to Kenneth Paul Rosenberg, M.D., a sex therapist and clinical assistant professor of psychiatry and public health at Cornell University Medical Center, sildenafil (the clinical name for Viagra) may be effective for men who are experiencing erectile dysfunction, but not for other sexual side effects such as loss of sex drive. The issue of Viagra use in women is of particular concern since no studies of its effects have been conducted. Though Rosenberg did prescribe Viagra with partial success to a female taking Prozac, he notes, "I encourage the scientific community to go into research using Viagra in women in a controlled, scientific environment." Rosenberg also stated, "I would discourage the off-label use [of Viagra] outside the research environment until further research becomes available." Among his precautions for prescribers, Rosenberg emphasizes the importance of screening patients for other drug therapies and obtaining a sexual history to screen for other possible causes of dysfunction. For the full text of this article, refer to the Manisses Communications Group Web site at: www.manisses.com and click on Story of the Week.