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News » Jan 2004

Viagra's Wild Side

The impotence drug is all the rage in nightclubs, and that has many people worried.

From the club scene to the gay scene, there's a new kind of drug scene. It's embodied in a little blue pill that's already helping older, impotent men restore their sex lives.

That pill, Viagra, is now a popular club drug that helps push sex to the limit.

Tonight on "Tech Live" we take you inside the underground scene that has partying kids engaging in risky behavior and health officials worried about spreading diseases.

'Blue diamonds' aren't almonds

"Walk into sex clubs in different cities, go online to different sex sites, and it's all about Viagra," says Dr. Jeffrey Klausner, deputy director of San Francisco's Department of Public Health.

In the clubs and at parties, the pills are called "blue diamonds," for Viagra's blue color and diamond shape. The billion-dollar drug is a gold mine for pharmaceutical giant Pfizer, which earns nothing from underground sales at sex clubs and raves.

C.J. Russell, 23, was a regular in the San Francisco club scene, and he's a recovering veteran of Viagra abuse.

"Viagra definitely means you can go from one person to the other, to the next... almost consecutively," he says.

Disease on the rise

And that's the problem, according to a San Francisco Public Health study that connects Viagra abuse to a surge in sexually transmitted disease.

"People with these new STDs and new HIV infection are between two and four times more likely to have used Viagra," Klausner explains.

Viagra itself is not the problem. It's what people do with the drug after they take it. The pill does what it does -- inhibit an enzyme so blood can flow into the penis and allow a man to develop an erection. Ira Sharlip, a former president of the American Urological Association who practices at San Francisco's California Pacific Medical Center, says Viagra won't make a healthy man a super-stud.

"A man who has a 100 percent hard, rigid erection cannot achieve more than that," he says. "There's a maximum erection that you can get."

Snort rail, pop 'blue diamond'

The problem is that Viagra is now just one popular ingredient of a club drug cocktail. It's common to mix Viagra with drugs such as Ecstasy, methamphetamines, or even cocaine. They all boost the senses and pump up the sex drive, but they also cause a form of impotence. So when men want to have sex while high, Viagra helps them party all night long.

"You already want to go longer when you're under the use of other drugs," Russell says, "and Viagra allows you."

Marathon sexual encounters with multiple partners raises the risk of exposure to STDs, including HIV. And that's what concerns organizations such as San Francisco's Bay Area Positives, which supports young people under 26 who've been infected with HIV.

Easy to get, but not cheap

Curtis Moore, Bay Area Positive's education coordinator, thinks infected members can help influence young adults living with risk. Moore says he strives to keep people free of HIV and wants to spread the word that Viagra abuse invites dangers that last for life.

Convincing people to steer clear of Viagra is hard to do when it's openly sold over the Internet and commonly traded underground. Illegal pills sell for $20 to $30 apiece, at least twice the cost of prescription pills.

C.J. Russell also worries about an expensive form of addiction.

"When you're so used to a combination like crystal [meth] and Viagra together, it's really hard for some people -- I've heard the experience that they can't have sex without it," Russell says.

Dangerous drug combos

Sexually transmitted diseases aren't the only worry. Viagra and nitrates don't mix well, a reason why heart patients on nitroglycerine can't use Viagra -- the combination sinks blood pressure. Some club drugs called "poppers" contain nitrates, and Ira Sharlip says the combination is just as bad.

"The combination rarely can be fatal, but it has happened," he says.

The risks and dangers are well known to the drug industry and the Food and Drug Administration. But Klausner says, "We've shown these data to the FDA, we've shown these data to the manufacturer, [and] unfortunately at this point they're still not compelled to take any effective action" over abuse.

Pfizer, Viagra's manufacturer, insists it has no control over abuse, and that packaging and ads openly warn that Viagra doesn't protect against AIDS. Two new competitors for Viagra's business, Eli Lilly's Cialis and Levitra, from Bayer and GlaxoSmithKline, also add the same warning to their marketing. But Pfizer marketing official Daniel Watts maintains that "stopping Viagra abuse is the job for public health agencies, and not us."

Insisting he's off club drugs and Viagra, C.J. Russell now volunteers at Bay Area Positives to help others hooked on Viagra drug cocktails.

He's determined to spread the word about the risk because, he says, "If you go through the fire, then you have an obligation to tell people... that there is an outcome, a positive outcome, that there is life after crystal -- life after Viagra."

Originally aired January 23, 2004
Modified January 26, 2004

source:-http://www.techtv.com

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