Source: European, The Contact: http://www.the-european.com/ Pubdate: Mon, 13 Jul 1998 EVERYBODY WANTS VIAGRA There have been reports that the demand for Viagra, Pfizer's anti-impotence drug, could cost the British National Health Service UKP1 billion ($1.6bn) a year when it is licensed for prescription in the autumn - the cost of the drug being higher than the prescription charges. One in ten of the adult male population is said to experience impotence and the remaining 90 per cent will want to boost their sexual prowess. This will present the medical profession with an appalling dilemma. We now hear that this anti-impotence drug increases blood flow in women and can heighten their sexual excitement. If Viagra will be available on prescription only for men, a huge black market for the drug is likely to develop. Andrew Kelly Brussels, Belgium ------ Viagra has created the greatest demand ever for a new drug in America. Launched in April, it was an instant hit. Within 14 days doctors were writing more than 110,000 prescriptions a week. Last month two million prescriptions were written in the US alone and Pfizer's shares soared from $45 to $115. Viagra tablets cost $12 each. The effect soon wears off, so demand can only be guessed at. If just two million men decide to use Viagra twice a week, then US demand alone would be around 200 million tablets a year, with a market value of up to $2bn. But should we be promoting a drug that will be so widely abused by the healthy? Clem Thompson Labrede, France ------ As of 8 June 1998 the US Food and Drug Administration's centre for drug evaluation and research had received 16 unduplicated reports for Viagra in which there was a fatal outcome, ie, 16 reported deaths of men who had taken Viagra in the previous 24 hours. Of these cases, the medical history of five of the men is unknown. Of the other 11, all had a history of coronary heart disease, high blood pressure or were insulin-dependent diabetics. The men's ages ranged from 48 to 80. Dr AD Rubin New York, NY, USA ------ We red-blooded males will all be a bit limp after the excitement of the World Cup. Everyone will be down and a bit flat. It has been a draining experience and we need a boost. Water companies should think about adding Viagra to our drinking supplies. Peter Fitzsimmons Amsterdam, the Netherlands - --- Checked-by: (Joel W. Johnson)