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BIOMARKERS

Molecular Biopsy of Human Tumors

- a resource for Precision Medicine *

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  • 1. Ask the doctor. A few years ago, I had a heart attack. My doctor treated me with angioplasty, and I haven't had any symptoms of heart disease since. I do carry a bottle nitroglycerin with me, but haven't taken any in years. I renew my prescription every six months because I know the pills go bad. My problem is that I also need Viagra to have sexual intercourse. Whenever I refill my prescription for Viagra, the pharmacist gives me a hard time because he knows I also have a prescription for nitroglycerin. Just how dangerous is Viagra?
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  • 2. On call. I am 66 years old and have had angina for nearly 5 years. I take aspirin and Zocor, but I haven't needed nitroglycerin for at least 3 years, even though I ride my bike quite hard at least 4 days a week. I've started having trouble with my erections, and now I want to try Viagra. My doctor gave me a prescription, but my wife won't let me fill it. Is Viagra safe for me?
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  • 3. My insurance company won't pay for my prescription for Viagra without a letter from my doctor saying that I have been evaluated. As far as I know, I am the only one who can tell whether I have impotence. What does the insurance company want?
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  • 6. On call. When I saw my doctor on my 73rd birthday, my only complaint was that I've been having trouble with my erections over the past year. I was surprised that my doctor didn't do any blood tests beyond the usual battery, and he didn't refer me to a specialist. Instead, he gave me a prescription for Viagra. The pills are working fine, but should I have tests to find out what's wrong?
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  • 9. On call. Your answer to a reader's question in the July issue reassured me (and my wife) that Viagra is safe for my heart. But a new worry has surfaced: is Viagra safe for my eyes?
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  • 14. I have a heart condition. Is it OK for me to take Viagra (sildenafil)?
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  • 16. Sildenafil-associated NAION.
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  • 17. On call. I am 47 years old and I've always been healthy. My main problem is insomnia. Sleeping pills don't work well, and they make me feel groggy. Finally, my doctor gave me a prescription for Desyrel, and he seems to have hit the bull's-eye. I've been sleeping much better and haven't noticed any side effects. But my pharmacist warned me about abnormal erections. Is it a serious concern?
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