September 3, 2003 The Way We Love Now
Ever since its launch in 1998, Viagra has
been a dream drug for Pfizer. In just the last
packaged it in a rhomboid, sky-blue pill that
year the company saw $1.7 billion in sales.
became as iconic as the twin arches of a
But Pfizer will soon have competition from
certain burger franchise. Since its launch,
500 million pills have been sold at rhino-horn
market it once had all to itself. Levitra is
prices. Pfizer had three million users in the
supposed to have a quicker onset of action
U.S. but that is a fraction of the 30 million
or not. Cialis's merit is that it lasts for 36
hours (which fact a woman friend pointed
bringing this reluctant group in to see the
foreplay). Touted as more "natural," in that
dysfunction will become more common. The
one can ingest the pill Friday night and
market will swell but Viagra will not be the
theoretical y be armed for action till the wee
hours of Sunday, Cialis is dubbed "le weekender" in Europe.
What does expanding usage of these drugs mean to society and what new myths will
Consider how we arrived in these priapic
Viagra and its clones create? Will women
times and pity the men of bygone eras who
view the pil s as a blessing or will they
ingested the genitals of goats, chewed tiger
wonder, to paraphrase Mae West, "Is that a
pill in your gullet or are you just happy to see
almost driving that species to extinction.
me?" Women will have to contend with men
who in theory can be potent till their last
treatment of erectile dysfunction (the term
breath. Indeed the last breath may come at
du jour for this ancient problem) was exactly
an inopportune moment if the heart, unlike
that other organ, is not up to the task. When
business is today: an abundance of snake-
Viagra first came out there were tabloid tales
abandoned wives to forage in more youthful
pastures. There were of course many more
scientist who'd injected a drug into the base
who found renewed satisfaction in existing
of his penis before speaking, dropped his
relationships, but that story rarely makes the
aisles and allowed fellow urologists to marvel at his breakthrough.
A behaviorist might argue that if we create the physical capability, we are also creating
As a demonstration of matter over mind it
the desire and thus fundamental y changing
was potent -- but understandably not for
the organism. Peter Kramer, in "Listening to
Prozac," wrote about the possibility of
that a drug called sildenafil citrate could
boost the chemical messengers that cause
cases "better" than the original self. Will
an erection after arousal, we had at last
arrived at a solution for Everyman. Pfizer
metaphorical implications of these names)
elevate us to a being more interesting than
100 million HIV infections in the world by
our original? Indeed Viagra TV ads imply
just this with "Joe" walking into the office
and his coworkers trying to guess what's
famine and malaria raise the possibility of
different about him: A new haircut? Is he
public health catastrophes in the near future
working out? A vacation? Joe never lets on
not seen since the great plagues of Europe.
to the secret that only he, his doctor and a
In such times Viagra and its clones strike an
few million viewers are privy to: He owes his
odd note. They seem to hold a mirror up to
prosthetic joints, tummy tucks, laser peels
technology, is not value-neutral even though
and anything that enables a youthful lifestyle
or at least the appearance of one will be
technology here is outwardly so simple, so
aesthetic plastic surgery, Viagra and its
shortcomings: swallow little pil , rise to the
peers are, for many, "enhancement"
occasion, attain tantric nirvana, descend to
medicine: they're not treating a disease but
baseline -- but what is the baseline and has
trying to make "ideal" a flagging
drugs like Viagra will change relationships,
finding much use in young sexually active
and will alter the nature of growing old. We
men, perhaps as insurance against a flop
hope it will be for the better though we
hormones for short kids, the question is
coming advertising blitz for Levitra (with
when is a good thing unnecessary, when is
Mike Ditka as spokesman) and with Viagra linking its name to Nascar and pro-baseball,
It is sobering to stack the millions that will be
I feel the urge to take a walk, to look around,
spent in drug development and marketing,
and the billions consumers and insurers will
pay for these new drugs, against the global
intimacy -- before the hype of these pills
health picture. Mathematical models predict
Dr. Verghese is the director of the Center for Medical Humanities and Ethics, University of Texas Health Sciences Center, San Antonio. His most recent book is "The Tennis Partner" (HarperCollins, 1998).
DOPINGLIJST K.N.K.B. Lijst van verboden farmacologische groepen van stoffen en verboden methoden (behorende bij het Dopingreglement van de K.N.K.B.) Datum inwerkingtreding: 1september 2002 I. Verboden groepen van stoffen A. Stimulantia B. 1. androgene anabole steroïden 2. ß -agonisten II. Verboden methoden A. Bloeddoping B. Toediening van kunstmatige zu
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