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In some cases, older men do not use the drugs because they have grown used to sexless relationships, because their spouses are physically unable to have sex, or because they are no longer interested in intercourse. In 2004, about 7 percent of men between the ages of 56 and 65 were prescribed drugs for erectile dysfunction, compared with about 5 percent for men older than 65, according to express scripts. Greg duncan, a senior vice president of united states marketing for pfizer.

This year pfizer has sharply cut back on ads for viagra, after complaints from the food and drug administration that the ads improperly failed to disclose the drugs side effects. . But today, with many patients angry about drug prices and worried that companies are downplaying side effects, drug advertising seems to have lost some of its power.

Men still need a prescription for the diamond-shaped blue pills. Paul of the south bay urology group in torrance, calif. Some men buy illegal generic copies of the drugs over the internet, but the companies that make the drugs say internet sales have a small effect on the overall market.

For example, in 1998 morgan stanley predicted sales would hit 2. Both the media and analysts have overstated the size of the market for impotence drugs, said matt beebe, united states brand team leader for cialis, the drug from eli lilly and the icos corporation that is the only impotence drug whose sales are increasing. Sales of the drugs also appear to have been hurt by the food and drug administrations decision in may to ask pfizer to add a warning to viagras label about a rare form of blindness that has occurred in some users of the drug.

You agree to receive occasional updates and special offers for the new york timess products and services. For most men under 40, the drugs make only a marginal difference in the quality of intercourse, said dr. Worldwide sales topped 1 billion in 1999, and some wall street analysts predicted that viagra sales would reach several billion dollars annually.

Pfizer wants to ensure as a market leader we get this category going in the right direction again. But prescriptions for impotence drugs increased only about 10 percent in 2004, despite the addition of cialis and levitra. Pfizer also plans to encourage younger men to take viagra, mr. Incipient efforts to develop drugs that would increase sexual desire in women have not been successful thus far. A few years ago, pfizer took a step in this direction by offering patients taking the cholesterol-fighter lipitor a discount program that included fulfillment of prescriptions through a mail-order pharmacy.


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    Many men are still reluctant to ask their doctors about viagra, and pfizer wants to remove any stigma still associated with erectile dysfunction, he said. Typically, sales for prescription drugs rise steadily for several years after their introduction, but viagras sales boomed, then fell back, and then began to rise again, mr. Some of the decline is a result of reports, disputed by some specialists, that linked the drugs to a rare form of blindness, say urologists who specialize in treating impotence. Eli lilly sponsored major league baseball and ran ads for cialis featuring couples in romantic settings and the tagline, will you be ready? Typically, new drugs expand overall sales for a class of medicines, especially if they are heavily advertised. The ubiquitous blue-toned tv ads for viagra look downright tame compared with pfizers latest gambit for the impotence remedy.

    Sales of the drugs also appear to have been hurt by the food and drug administrations decision in may to ask pfizer to add a warning to viagras label about a rare form of blindness that has occurred in some users of the drug. You agree to receive occasional updates and special offers for the new york timess products and services. Cialis, levitra and viagra last year made up about 0. The official website will also give online shoppers confidence that the viagra theyre getting is legitimate. Cialis and levitra were introduced in the united states in 2003 and work similarly to viagra, by inhibiting an enzyme that slows the flow of blood to the penis.

    The drop in prescriptions comes as sales of other heavily marketed medicines, like antidepressants, are also stalling, and it may be another sign of the limits of consumer advertising to drive demand for drugs. The first, specifically for viagra, features lines like yet one more reason to give thanks. Cialis prescriptions are growing, but not enough to make up the difference, while levitras market share remains tiny. Some men buy illegal generic copies of the drugs over the internet, but the companies that make the drugs say internet sales have a small effect on the overall market. Urologists point to several other factors that have held down sales of the drugs. With the market saturated and sales falling, those estimates now appear to have been too high. Heavy advertising to consumers, totaling more than 400 million in 2004, has made viagra and its newer competitors, cialis and levitra, among the best-known drug brands in the united states, and their combined global sales reached about 2. For example, in 1998 morgan stanley predicted sales would hit 2. In 2004, about 7 percent of men between the ages of 56 and 65 were prescribed drugs for erectile dysfunction, compared with about 5 percent for men older than 65, according to express scripts. Men still need a prescription for the diamond-shaped blue pills.

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