Urologist Dr. J. Francois Eid, MD Warns Against The Dangers Of viagra cialis online pharmacy pharmacy Herbal Remedies For Erectile Dysfunction (ED)
News reports coming out of the UK and Australia show evidence of prescription ingredients in many "natural" herb remedies sold on the Internet to treat erectile dysfunction (ED). These popular online supplements, which claim to consist only of homeopathic ingredients, are often improperly labeled and may actually contain dangerous ingredients. Dr. J. Francois Eid, director and founder of Advanced Urological Care in New York City, is concerned about this practice, especially since, in his experience, men with erectile dysfunction choose to suffer in silence rather than seek medical help for their condition.
The Medicines and Healthcare products Regulatory Agency (MHRA), the governing body for medication sales in the United Kingdom, tested 138 unlicensed ED treatments and found random, uncontrolled quantities of prescription ingredients in almost two-thirds of them. "Erectile dysfunction is a condition that is easily treatable in a variety of safe ways under the careful watch of a physician," said Dr. Eid, who has successfully treated ED patients over the last 22 years of practice. "However, since many men are embarrassed by ED, they look for help elsewhere and expose themselves to serious problems such as heart attack, stroke and severe hypertension."
Even more troubling is the fact that many of these "natural" products falsely claimed to be approved by the Food and Drug Administration. In actuality, more than one-third of the supplements that claim to treat ED or enhance sexual performance contain sildenafil, the active ingredient in Viagra, or vardenafil, the active ingredient in Levitra. Advertisements for Viagra, Levitra and other drugs for ED warn of the dangers of taking these drugs if you are also on prescription medications that contain nitrates. Nitrates are prescribed for conditions such as angina or coronary artery disease in patients that also may suffer from ED.
The combination of nitrates with the active ingredients in ED medications could potentially lower blood pressure to an unsafe level. Under a physician's care, blood pressure levels are carefully monitored. However, an online consumer of these supplements, not approved by a doctor, will be unaware of the Viagra- or Levitra-type of ingredients in these supplements, which could either present a serious problem or exacerbate a pre-existing condition.
Conversely, according to Bloomberg News, Pfizer's Viagra patent was partially rejected after it was discovered that the active ingredient [sildenafil citrate] was too similar to a Chinese herb known as Horny Goat Weed. An appeals board upheld the decision that "an element, or claim, of the patent for a method of treating male erectile dysfunction didn't cover a new invention." The patent claim was part of an infringement suit Pfizer filed in 2002 against Eli Lilly over its rival Cialis drug. The decision on that part of the patent will now go into appeals.
So should men go with the prescription drugs or the supplements? "The take-away message is that many men may not realize that some medicines or supplement may actually cause or worsen ED," said Dr. Eid. "Only your physician can determine the best course of medication and mitigate these side effects successfully." A world-renowned surgeon and a foremost specialist in urological prosthetic reconstruction, Eid believes that, with so many approved treatment options for ED, there is no reason for men to take unnecessary risks with ED. "Many advances in this area have resulted in performance guarantees of at least 20 years, allowing men to have full control of their durability, rigidity and reliability," said Dr. Eid.
ED is not a problem that will just correct itself, which is why Dr. Eid advises anyone suffering from the condition to not take matters into their own hands and, instead, consult with their doctor. Eid initially treats ED by suggesting exercise, diet, avoiding tobacco and alcohol, before prescribing medications or more comprehensive treatments, such as pumps or implants (IPP). Eid believes in the efficacy of IPP's, since he has performed more internal penile implant surgeries than anyone in the world, over 300 per year. Eid developed the "No-Touch" penile prosthesis surgery, which boasts an infection rate of less than one percent. His practice, Advanced Urological Care, is dedicated to erectile dysfunction treatment and urinary incontinence treatment.
"ED is very under-reported because many men choose to suffer in silence, but this can wreak havoc not only on your health but on your relationships and self-esteem," says Dr. Eid. In many instances, investigating one problem might uncover another underlying health concern, such as cardiovascular disease, which is important especially when dealing with ED. This is why medical intervention is so important. "The first step in any difficult situation is acknowledging there is a problem and then deciding to take care of it, the right way," concluded Eid.
Source
Advanced Urological Care
mardi 1 novembre 2011
samedi 29 octobre 2011
Online Diagnostic Tools
The first thing many patients do upon experiencing symptoms is to seek information online to try to understand what may be causing their symptoms, how serious it is, and what they can do about it. This time spent searching online increases exponentially the longer a patient goes without being able to find a diagnosis, with an inflection point once a patient realizes that his/her condition may be serious. But while there has been a proliferation of online health tools over the past several years, very few of these are actually intended for, and effective at, assisting with the process of diagnosis. This leaves these patients short on options and represents a significant opportunity for web-based health tools to deliver value.
With the onset of any condition more substantial than a flu or cold, most patients will Google their symptoms to see what they may have. Unfortunately, this is largely ineffective for most conditions. Patients often have difficulty identifying and describing symptoms and understanding the information they read about a condition. Cyberchondria, a Microsoft Research study of consumer use of the internet for diagnosis, concludes that patients frequently misinterpret health information online and that trying to self diagnose can even be detrimental. Additionally, significant symptom overlap between conditions and high prevalence of nonspecific symptoms such as “abdominal pain” or “headache” mean that using search tools to try to assist with diagnosis is largely ineffective for those untrained at interpreting complex medical information.
These limitations also extend to health information sites such as WebMD or Healthline. While these services can be good sources for general health information, they are largely limited to basic information about treatments or conditions and their diagnostic tools are highly limited. Informational sites from the Mayo Clinic, Cleveland Clinic, and Harvard Medical School provide more sophisticated condition overviews, but expect to address the issue of diagnosis in their clinics.
Yahoo and Google Groups, other condition-specific message boards, and patient social networks can be valuable ways for patients to share information. There are groups for nearly every condition and many provide helpful insight into the aggregated experiences of members, accelerating the learning curve for new patients. At the same time, patients must be cautious of much of the information presented through these sources. Beware individuals with agendas (e.g. pushing “miracle” cures) and focus on the posts that provide links to reputable sources to back up claims. Also, patients should be aware of some of the psychological challenges associated with their status as a patient. Patients tend to want to believe those doctors (or other sources) who provide good news and disregard the ones who do not. This is natural, but not always accurate or productive. In a similar manner, patients may choose to attribute negative side effects of a new online pharmacy to evidence that it is working (e.g. a “Herxheimer reaction”). Patients are in a difficult and vulnerable situation, but keeping these challenges in mind will help them to accurately interpret information to give them the best chance of securing a diagnosis.
Cleveland Clinic and Partners Online (a collaboration between Harvard, Mass General, Brigham and Women’s, and Dana-Farber) have developed valuable remote second opinion services for patients (see Diagnosis Tools section). These services involve patients (and/or their doctors) sending in their medical record with a specific question, whether it is to establish or confirm a diagnosis or to determine the best treatment. For a fee, specialists at these medical centers then review the files and issue an opinion. In a retrospective study of the first year of this service, Kedar et al found that 5% of patients using Partners Online received a change in diagnosis and noted that the implications of this for patient prognosis and cost of care were profound. This demonstrates not only that remote diagnosis is possible once sufficient health information is collected, but also that it can be extremely valuable in terms of health and economic outcomes. These services are currently limited to a handful of conditions, tend to be more focused on treatment than diagnosis, and are generally not covered by insurance, but they have helped a large number of patients and represent an important step in the right direction by allowing individuals to access top quality care for their condition, regardless of location.
While online tools can be extremely useful adjuncts and information sources, there are few effective resources aimed at resolving complex diagnoses. Nonetheless, the early success of online second opinion services points to great potential to use the internet to expand these applications. As use of digital health information and acceptance of telemedicine continue to grow, I expect that we will see the provision of a broader array of health services online, including those to assist with complex diagnoses.
With the onset of any condition more substantial than a flu or cold, most patients will Google their symptoms to see what they may have. Unfortunately, this is largely ineffective for most conditions. Patients often have difficulty identifying and describing symptoms and understanding the information they read about a condition. Cyberchondria, a Microsoft Research study of consumer use of the internet for diagnosis, concludes that patients frequently misinterpret health information online and that trying to self diagnose can even be detrimental. Additionally, significant symptom overlap between conditions and high prevalence of nonspecific symptoms such as “abdominal pain” or “headache” mean that using search tools to try to assist with diagnosis is largely ineffective for those untrained at interpreting complex medical information.
These limitations also extend to health information sites such as WebMD or Healthline. While these services can be good sources for general health information, they are largely limited to basic information about treatments or conditions and their diagnostic tools are highly limited. Informational sites from the Mayo Clinic, Cleveland Clinic, and Harvard Medical School provide more sophisticated condition overviews, but expect to address the issue of diagnosis in their clinics.
Yahoo and Google Groups, other condition-specific message boards, and patient social networks can be valuable ways for patients to share information. There are groups for nearly every condition and many provide helpful insight into the aggregated experiences of members, accelerating the learning curve for new patients. At the same time, patients must be cautious of much of the information presented through these sources. Beware individuals with agendas (e.g. pushing “miracle” cures) and focus on the posts that provide links to reputable sources to back up claims. Also, patients should be aware of some of the psychological challenges associated with their status as a patient. Patients tend to want to believe those doctors (or other sources) who provide good news and disregard the ones who do not. This is natural, but not always accurate or productive. In a similar manner, patients may choose to attribute negative side effects of a new online pharmacy to evidence that it is working (e.g. a “Herxheimer reaction”). Patients are in a difficult and vulnerable situation, but keeping these challenges in mind will help them to accurately interpret information to give them the best chance of securing a diagnosis.
Cleveland Clinic and Partners Online (a collaboration between Harvard, Mass General, Brigham and Women’s, and Dana-Farber) have developed valuable remote second opinion services for patients (see Diagnosis Tools section). These services involve patients (and/or their doctors) sending in their medical record with a specific question, whether it is to establish or confirm a diagnosis or to determine the best treatment. For a fee, specialists at these medical centers then review the files and issue an opinion. In a retrospective study of the first year of this service, Kedar et al found that 5% of patients using Partners Online received a change in diagnosis and noted that the implications of this for patient prognosis and cost of care were profound. This demonstrates not only that remote diagnosis is possible once sufficient health information is collected, but also that it can be extremely valuable in terms of health and economic outcomes. These services are currently limited to a handful of conditions, tend to be more focused on treatment than diagnosis, and are generally not covered by insurance, but they have helped a large number of patients and represent an important step in the right direction by allowing individuals to access top quality care for their condition, regardless of location.
While online tools can be extremely useful adjuncts and information sources, there are few effective resources aimed at resolving complex diagnoses. Nonetheless, the early success of online second opinion services points to great potential to use the internet to expand these applications. As use of digital health information and acceptance of telemedicine continue to grow, I expect that we will see the provision of a broader array of health services online, including those to assist with complex diagnoses.
mardi 3 mai 2011
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