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News - Revealing the drama of impotence

More than two million men in the UK suffer from impotence, but only about 10% ever have treatment.

Many men are too embarrassed to admit that they have the problem and feel they cannot talk to their partners or health .

But experts say that if the problems are tackled, sometimes with drugs like Viagra or other treatments, 99% of problems can be alleviated.

Dr Mike Kirby, a GP who has a special interest in erectile dysfunction (ED) and the problems it causes, has turned to the world of the arts because of his concerns that men need more help.

With the help of West End playwright David Eldridge, whose works include “Festen” and “Serving it Up”, Dr Kirby wrote a play examining the delicate issues surrounding impotence, with the aim of promoting a better understanding of the condition.

He went on to perform it in front of an audience of GPs at University College, London.

Erectile dysfunction
Erectile dysfunction affects at least one in every ten men.

There are an estimated 2.3 million UK men with impotence, but only 10% of them ever get treatment.

Impotence problems increase with age.

Impotence was thought to be almost entirely psychological, but physical conditions account for about 75% of cases.

The play was a great success and there are hopes to use extracts filmed from it to help educate other professionals about how to handle the sensitive issues.

“I talked to the playwright about the issues and explained to him the problems and what issues needed to be brought out to make it easier for people to talk about their problems,” Dr Kirby said.

“People don’t like to talk about it. They are ashamed and they can’t talk to anybody. Men on average go between two and 10 years before they can tell anyone that they have a problem.”

Physical problem

Dr Kirby said that ED was often thought to be psychological, but that for many men it turned out to be linked to a physical condition such as early diabetes, high blood pressure or heart problems.

Play

Impotent men can struggle with their emotions

He said that in his surgery in Letchworth, in Hertfordshire, if men presented with any of these problems staff had been trained to delicately ask them if they were also having problems with ED.

“Doctors asking as part of a check-up can lead to diagnosis being quicker than it otherwise would be.”

Dr Kirby said that a failure to talk about the problems would also put strains on relationships, causing a rift between partners at a time when support was most needed.

“Because the man does not want to initiate anything that could cause himself , he often pushes his wife away and stays up late watching the television, rather than going to bed and talking about the problem.

“Then the wife starts to worry ‘am I not attractive any more?’ and the whole thing becomes very difficult. I wanted a way to get all these things across and the play seemed the best way to do this.”

He said the play had been aimed specifically at doctors because they are also often embarrassed about tackling sexual problems.

But he said that the sooner the problem is tackled the better it will be for the patient.

“There are some good treatments that can help,” Dr Kirby.

“About 10 years ago the treatments were a bit barbaric, such as putting needles into men’s penises, but now with Viagra we can help 99 out of 100 men.

“A lot of men just think it is part of getting older, and put up with it, but they can get help.”

Suffering in silence

Rachel Cummings, from the Chandler Chicco Agency which helped commission the play, said it had focused on the lives of one particular couple.

It showed through their relationship how difficult it could be for men to seek help and talk to their families and medics about the problem.

“We tried to portray a real-life couple. The man is suffering, but he can’t talk to his wife or his GP, so he just stays up late watching television,” she said.

“The relationship with his wife is damaged and he goes to the doctor, but he does not talk to him. He finds it too difficult.

“His wife asks him whether he still loves her and so he realises he must go to his GP. He finally talks to him and he gets treatment.

“It also helps by showing the GPs what is going on outside of their surgery and the impact something like this can have on a patient’s life.”

Ann Tailor, director of the Sexual Dysfunction , agreed that the play had been a great initiative.

“So many men with ED and their partners are experiencing the emotions portrayed in the play, such as embarrassment, disappointment and anxiety, but even worse there are still men with ED who are not going to their doctor for help and advice,” she said.

“This play raised awareness of ED and got doctors and patients talking about it with more ease.”

Posted by on 02-27-2008 at 09:02 pm
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News - Pfizer sees future in new drugs

These are uncertain times for the global drugs industry.

Last year, US pharmaceutical giant Merck was forced to withdraw Vioxx, its top selling painkiller for arthritis sufferers, after the drug was linked to heart attacks and strokes in some patients.

Meanwhile, the world’s largest drug company, Pfizer, has also been hit by fears about the safety of its own arthritis drug, Celebrex.

Pfizer’s share price has fallen by 25% in the last five years, and the company has warned that its performance in 2005 could be affected by stiffer competition.

However, Pfizer believes that investors have failed to understand the company properly.

Patents expiring

Celebrex became a billion dollar earner for Pfizer in the final three months of 2004.

That was after Merck’s rival pill Vioxx was taken off the market, and before the damaging allegations about Celebrex.

Analysts are now warning that sales of the drug could halve in 2005. In October, Pfizer said sales of its best known drug, Viagra, fell 15%, although the company last month reported fourth quarter profits of $2.82bn (1.5bn).

Check Pfizer’s share price

But future profits may be endangered by the expiry of patents on some of its leading drugs.

The spiralling cost of in the US is also pushing patients towards alternative sources of medication, such as counterfeit versions of drugs available over the internet.

Too expensive?

Only last week, the cost of some of Pfizer’s drugs went up by 5% - despite recent bumper profits at the company.

Stuart Adkins, an analyst at Lehmann Brothers, says drug companies use price increases to fill earnings gaps left when the patent on a successful drug expires.

It is a policy that draws criticism in certain quarters, he says. “There are populations - and I’m not just talking about the Third World - but within the US, who cannot afford these medicines.”

Pfizer maintains that its prices are lower, on the whole, than much of its competition.

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Sales of Pfizer’s anti-impotency drug Viagra have been falling

Other analysts believe that Pfizer simply does not have enough new drugs in the pipeline to keep earnings up.

That is a view refuted by Pfizer’s chief executive, Hank McKinnell.

“I think the public and many of the analysts are the productivity of our pipelines,” he says. “I think we are going to see a return to the introduction of more important medicines in the years ahead.”

Agency probes

However, Mr McKinnell that the company faces some difficulties in the near future.

“We do have a particular problem over the next few years of some very large selling medicines going off patent, but it looks like the products we partner with other companies, plus the products we are developing in our own laboratories, will serve us very well through a long period of time,” he says.

The safety of Celebrex is currently under investigation by the US Food and Drug and the European Medicines Agency.

Initial reports questioning the safely of Celebrex caused a 50% drop in prescriptions, Mr McKinnell says, but the company hopes that both the US and European agencies will eventually vindicate his product.

He also defends Pfizer from criticism that it is interested in satisfying the needs of its shareholders over the needs of patients and customers.

“The perception by many is that we are greedy, that we put our shareholders interests ahead of the interests of patients. But it’s crystal clear, at least to those of us at Pfizer, that we can only succeed if the patient succeeds, we can only prosper if health care systems prosper.”

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News - GE knocks Exxon off top share spot

But the world’s biggest drug company, most famous for erectile-dysfunction pill Viagra, faces an uncertain outlook.


A Chinese court is hearing an appeal by Pfizer against the withdrawal of the Chinese patent for Viagra. The quashed the patent saying it didn’t show conclusively that it worked. Pfizer says the authorities simply didn’t understand the research.


If the decision goes against Pfizer, it’s thought it could curb foreign in the country from companies frightened of losing patent protection for their .


Ringing around


Hutchison Whampoa, the Hong Kong based trading conglomerate controlled by tycoon Li Ka-shing, has had a tough few months as it has poured more and more resources into developing 3G mobile phone services in a range of countries.


On Thursday it reported a 38% rise in overall 2004 profit, double-digit growth in its ports and retailing operations, but losses at its 3G telecoms arm.


The company is hoping to list its mobile network in Italy this year and may list its UK 3G unit in 2006. Even so the shares are up a mere one- fifth of a percent on the past two weeks.


In Japan, meanwhile, the mobile business of NTT DoCoMo has fallen out of favour with investors over the past two weeks, with shares down 5.4%.


Even though it is the biggest mobile company in the country, it trails rival KDDI in sales of 3G units.


Ups and downs


The Japanese electronics company Canon has somewhat unnerved investors by that it is moving into biotechnology.


It claims to be developing systems for the mass production of DNA chips using the bubble jet technology it uses in its printers, which it thinks will help diagnose cancer and infectious diseases.


Canon’s shares are up a modest 1.4% on the fortnight, as the company changed its charter to incorporate the “production and sales of products”. The company says it has not yet decided on any specific plan on when and how to commercialise biotechnology products.


In the US the telecoms giant Verizon upped its offer for MCI to $7.6bn on Tuesday and had it accepted.


The market is not totally convinced the Verizon deal is a good one and even though its shares are up 2.8% on the fortnight, at $35.50, they are a good $5 below where they were at the start of the year.

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News - Global 30 helped by BHP Billiton


The Commission has ruled it should sell its Windows system without a media player “bundled” into it, and share information on its operating system with competitors.


It does now sell a Windows-minus-Media-Player version of its software.


But it also sells a Windows-with-Media-Player - for the same price.


It also says it is happy to share information, but only if the competitor pays a hefty “licence” fee.


Separately in the US, the District Court in Central California ordered Microsoft to pay $8.96m for infringing on a 1994 patent held by a Guatemalan inventor.


It is an insignificant sum for Microsoft but it is one of 35 patent infringement cases, including one worth more than $500m, that the company is now fighting.


Pfizer allegations


The worst performer on the index was the drugs company Pfizer (down 4.6% on the fortnight), which has been faced with allegations that its Viagra impotence drug may cause blindness.


However, it has won a court case brought by the world’s biggest maker of generics, or copycat, drugs, Teva .


It claimed Pfizer couldn’t sell cut-price versions of its own epilepsy drug, Neurontin, to compete with Teva’s version.


The judge said it could.


This could have wide for the generics industry. It makes it a lot less attractive for a generics manufacturer to make and market a generic version of a patented drug, if it then has to face a cut-price version put out by the original manufacturer.


Oiling the wheels


The party may be over for generics drug makers, but oil firms are still seeing rising prices. A 6% rise in the oil price in the last fortnight had a mixed impact on the big oil companies.

Exxon petrol station

Rising oil prices have buoyed some oil stocks


Exxon was up 4.1%% and BP was down 0.5%.


The market seems uncertain about the future direction of prices, especially as Opec told the EU on Thursday it is prepared to meet rising demand with increased production.


BP’s share price recovered somewhat on Thursday as it announced it may find some 25% more natural gas than expected in a Caspian Sea field in which it is investing $4.2bn.


Offsetting that, the British oil company is part of the Sincor , including Total of France, Statoil of Norway and Exxon, which has been told it owes about a billion dollars in back royalties for oil output above agreed levels.


The oil ministry says it has been “swindled”. The oil companies say they were doing nothing wrong. The government said the state would be happy to buy any of them out of the partnership.


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News - Gene fault gives Alzheimer’s clue

American scientists have identified a gene error which causes faults in the brain’s nerve and blood supply system in Alzheimer’s disease.


The gene plays a major role in determining how the systems operate, Nature Medicine reports.


But University of Rochester researchers found that expression of the gene is low in the brain cells of people with Alzheimer’s disease.


Experts in the field said the research offered a promising line of study.


The concept is akin to use of ‘mental Viagra’ to increase blood flow to the brain
Professor Raj Kalaria, Alzheimer’s Research Trust


The scientists studied endothelial cells from the lining of blood vessels in the brain, taken from autopsy samples from people with Alzheimer’s.


They found that expression of MEOX2, or mesenchyme homeobox 2, also known as GAX, was low in the cells of those with Alzheimer’s.


When there are low levels of MEOX2 expression, the affected cells cannot form any form of blood supply system, and so die.


It also increased the level of a protein that removes amyloid beta peptide, the toxin that builds up in brain tissue in Alzheimer’s disease.


Restoration of the gene expression level in the human brain cells was found to stimulate the formation of new blood vessels.


In further studies, one copy of the gene was deleted in mice, creating damage similar to that seen in the brains of people with Alzheimer’s.


Restoration


Berislav Zlokovic, who led the study, said: “This gene could be a target. If we can stop this cycle, we could slow or stop the of the neuronal component of this disease.


“If we can restore the gene, we might be able to slow or stop the disease wherever it started.”


Professor Raj Kalaria, of the Alzheimer’s Research Trust, said: “This study reports a highly interesting advancement in research into Alzheimer’s disease.


“This research emphasises the importance of improving the brain microcirculation in old age and possibly encouraging clearance of toxic compounds from the brain.


“The concept is akin to use of ‘mental Viagra’ to increase blood flow to the brain.”


He added: “The discovery suggests that Alzheimer’s patients are unable to form new blood vessels to possibly increase and meet the changing needs of the microcirculation in the brain.


“The report also suggests that the gene may have an effect which causes a protein called amyloid to accumulate in the brains of Alzheimer’s patients.


“If this is the case, this research could lead to ways to stop this protein clogging up the brain of Alzheimer’s patients.”


But he said the research had to be repeated to ensure it was not just a chance finding.


Susan Sorensen, head of research at the Alzheimer’s Society, said: “This study seems to have identified a new target for intervention through a line of not reported before.”


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News - Murderer cleared of sex assault

A convicted murderer has been cleared of sexually assaulting a 16-year-old girl while on day release from prison.


David Lant was serving a life sentence at Bay open prison near , Suffolk, in 2004 when the attack was alleged to have taken place.


The 61-year-old, from Norwich, was jailed for life after he and another man took a patient hostage at Hospital in Berkshire in 1977.


A jury cleared him of attempted rape and five counts of sexual assault.


Money for sex


During the trial at Ipswich Crown Court, the jury was told that Lant, who denied the charges, was jailed for life for murder in 1977.


In 2004, he was allowed out on licence from Hollesley Bay as part of a pre-release scheme.


He returned to the prison each night after working at a Salvation Army hostel in Ipswich.


The girl, who cannot be named and is now 18, told the court via a video link that she had agreed to meet Lant in October 2004 because he said he wanted to give her 50 that he owed her boyfriend.


After meeting him at a petrol station, she said Lant had persuaded her to go with him to his wife’s caravan near Bury St Edmunds because, he said, he wanted to check the electricity was turned off.


The teenager alleged that Lant offered her 200 to have sex with him.


Prescribed Viagra


When she refused, she claimed that he picked up a carving knife and threw it across the caravan.


Charles Myatt, prosecuting, told the court that Lant later drove the girl to Hollesley Common, near his prison, where sexual assaults took place in the back of his car.


The court heard he eventually dropped the girl off in Ipswich, more than five hours later.


Lant told the jury the girl had agreed to take part in sexual activity.


During the trial, jurors were told that Lant had been prescribed Viagra in 2003 after a prostate operation made him impotent. But the drug was not successful in curing his impotence, the court heard.


Lant denied attempted rape and five counts of sexual assault.

Posted by on 02-21-2008 at 07:02 pm
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News - Expiring patents hit Pfizer sales

Pfizer has suffered a 30% fall in quarterly profits as patents on several of its most lucrative drugs expired.


The end of sales exclusivity on certain drugs hit Pfizer’s performance, with profits falling to $2.4bn (1.29bn) from $3.4bn last year.


But Pfizer said its results were “quite encouraging”, citing strong sales of anti-cholesterol drug Lipitor.


Pfizer is selling its consumer health arm to Johnson & Johnson to focus on research and production of new drugs.


‘Meeting


The US firm - also the of anti-impotence drug Viagra - said it would use some of the proceeds of the $16.6bn deal to boost its product pipeline through “targeted “.


Expiring patents are expected to reduce Pfizer’s revenues from drug sales by about a third between 2004 and 2008.


Many companies could not survive such a profound loss of revenue
Hank McKinnell, Pfizer chief executive
Check Pfizer shares


The firm has also had to contend with the loss of painkiller Bextra, which it voluntarily withdrew from sale in 2005 amid health concerns.


But Pfizer said its business was strong enough to withstand these developments, as well as the increasingly fierce competition from generic producers of rival medicines.


“Many companies could not survive such a profound loss of revenue,” said Hank McKinnell, Pfizer’s chairman and chief executive.


“Our latest results show that we are consistently and successfully meeting the challenges we face - in particular, offsetting loss of exclusivity for several of our products with solid growth from in-line and new products.”


Pfizer hailed a strong performance from cholesterol reduction drug Lipitor, whose global sales rose 9% to $3.1bn on the back of increased demand from Asia in particular.


Eight other leading drugs enjoyed double-digit growth in sales.


But Pfizer’s overall sales rose a more modest 2.5% to $11.7bn.


Pfizer’s shares rose nearly 2% in early trading as analysts said the performance was better than expected.

Posted by on 02-20-2008 at 07:02 pm
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