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In this 12-week, double-blind, placebo-controlled study, 366 men who scored ?25 on the erectile function domain of the International Index of Erectile Function, had an IPSS of ?12, and a prostate-specific antigen score. April 28, 2003 -- A new study has found that the impotence drug Viagra could ramp up the sex lives of women who take it, just as it has done for men. The 12-week study focused on 202 post-menopausal or post-hysterectomy women who complained of female sexual arousal disorder. The women in the group who took Sildenafil — the little blue pill commonly known as Viagra — took notes after each sexual experience, and reported better overall sexual satisfaction compared with those who took a placebo. Their enhanced sex lives included better arousal, lubrication and orgasm. The study was conducted by Laura Berman, director of the Berman Center and a professor of OB-GYN and psychiatry at Northwestern University in Chicago, and Dr. Jennifer Berman, director of the Female Sexual Medicine Center at UCLA Medical Center in Los Angeles. The researchers say that the results are preliminary. "In terms of ability to achieve orgasm, there was a statistically significant movement," Laura Berman said on ABCNEWS' Good Morning America. "It increases blood flow to the genital area, increases the sensation of warmth, tingling and fullness," she said. More than 50 million women experience some type of sexual dysfunction. Jennifer Berman said it's important for women to remember that this pill can't overcome mental and emotional barriers to a satisfying sex life. "At this point, we can say that women with significant emotional or relationship problems and women that have desire problems related to their interest in being sexual might not be the best candidates," Jennifer Berman said. "It's for women who were satisfied with their sexual response at one point and now, for whatever medical reason, are no longer able to respond," she said. Women who suffer from female sexual arousal disorder sildenafil cipla price can experience a variety of symptoms, including lack of "excitement," vaginal dryness, loss of addyi medicine price sensation and sensitivity in the genitals and nipples and low blood flow to the genitals. Women in the study were screened to addyi medicine price make sure that psychological or relationship issues were not the cause of the problem. Since Viagra enhances sexual arousal in men by increasing the blood flow to the penis, the Bermans theorized that the drug could have a similar effect on women, increasing the blood flow to the female genitals and thereby producing better arousal, sensation and lubrication in the genital area. Women in the study were given doses of 50 milligrams, which was increased to 100 milligrams only once during the study based on how well the lower dose was working, and the women's tolerance to it. The pill was to be taken prior to sexual activity but no more than once daily. Each patient had to engage in sexual activity at least once a week and keep a personal log about it. During the course of the addyi medicine price study, neither the patients nor the doctors knew which patients were receiving the Viagra. Women taking Viagra reported mild to moderate side effects, including headache, flushing, nausea, and vision symptoms — the same side effects reported by men who take the drug. As drug development costs continue to rise and the level of attrition for new drug candidates remains intimidating, the search for new therapeutic agents within oncology has become increasingly challenging. Researchers both within and outside of the pharmaceutical industry will occasionally look at certain non-chemotherapeutic medications that have been in the market for a substantial addyi medicine price amount of time for “off-label” indications within oncology. It is more typical for researchers to examine generic medications (as opposed to those still on-patent) based on the idea that there may be fewer potential legal blockades with generic therapies. This type of strategy is sometimes called “repurposing” a medication. These medications typically have years of safety and efficacy data that helps reduce some of the financial burden associated with developing a new drug. One such medication that may have a role within oncology is the popular erectile dysfunction drug sildenafil. Sildenafil works as a phosphodiesterase (PDE)-5 inhibitor, which increases levels of nitric oxide using cyclic adenosine monophosphate (cAMP) and cyclic guanosine monophosphate (cGMP). 1 There is some preclinical evidence to support its antineoplastic properties, both in vitro and in vivo, with most of the data occurring within animal models. 2 There are several mechanisms by which PDE5 inhibitors could express antineoplastic effects. PDE-5 inhibition has been shown to upregulate apoptosis in several different cell lines. 2,3 The apoptotic effect has been demonstrated within multiple cancers including prostate cancer, colorectal cancer (CRC), chronic lymphocytic leukemia (CLL), breast cancer, multiple myeloma, and melanoma. In addition to apoptosis, PDE5 inhibition has also been associated with enhanced T-cell response against tumors and anti-inflammatory properties. Recently, a study evaluated the effect of sildenafil and linaclotide (a guanylyl-cyclase C agonist) on intestinal tumorigenesis in mice. 4 When compared with water controls, the study found a significant reduction in the number of polyps per mouse by 50% and 67%, respectively ( P 5 Sildenafil was shown to lower serum immunoglobulin M (IgM) levels and induce apoptosis of certain B cells in these patients. A larger, follow-up study to this found that 63% (19/30) patients treated with sildenafil had lower serum IgM levels and lack of disease progression. Sildenafil Use and the Risk of Melanoma Do Clinical Trials Overstate New Cancer Drugs' Survival Benefits? ASTRO: Daily Sildenafil During RT Improves Sexual Function in Patients with Prostate Cancer. In addition to antineoplastic data, there have also been limited reports of a link between PDE5 inhibitors and an increased risk of certain types of cancer. An increased risk of melanoma (HR = 1.92, 95% CI 1.14-3.22) was reported in a large prospective cohort study conducted by Li and colleagues. 7 This increased risk was not seen in basal or squamous cell carcinoma. It was postulated that reduced expression of PDE5A could lead to increased invasiveness of melanoma cells. 7,8 Subsequent studies have showed lower hazard ratios and lack of dose response. 2 Therefore, much of the current opinion is that there is lack of evidence to support causality. In addition, there was initially some concern regarding biochemical recurrence of prostate cancer after radical prostatectomy and long-term PDE5 inhibitor use, however, more recent studies have actually shown a potential protective effect.
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