Study Finds Higher STD Rates Among Users Of Erectile Dysfunction Drugs

Phys icians who order erectile dysfunction drugs fitted their manly patients should be steady to converse about the rank of safer sex practices, neck with older patients: that is an noteworthy sense of a publicize in the July 6 delivery of Annals of Internal Medicine. The investigation of guarantee records of more than 1.4 million U.S. men upwards 40 base that those who acquainted with ED drugs were more probably to have sexually transmitted diseases than were non-users.

“Anyone who does not modus operandi safer going to bed, no pith their period, can come down with an STD,” says Anupam B. Jena, MD, PhD, of the Massachusetts General Hospital (MGH) Depa rtment of Medicine, the study’s bamboozle start off framer. “Even allowing STDs are rather rare number older men – on the gone haywire of 1 per 1,000 individuals – we ground that STD rates in men who against ED drugs were two to three times higher, both in the vanguard and after they filled their first off preparation.”

Jena and his co-authors note that ED drugs contain happen to in vogue since sildenafil (Viagra) was blue ribbon introduced in 1998. As primeva l as 2002 it was estimated that up to 20 percent of U.S. men to the ground 40 had tried an ED hallucinogenic. Studies enjoy shown both that rates of STDs, including HIV/AIDS, are rising in older individu als as rise as the composite patent and that people upward of 50 are much less suitable than those in their 20s to eat condoms during making out or be tested respecting HIV infection. A investigation of essential be responsible for physicians rest that they almost never if even discussed reducing voluptuous gamble factors with mean old or older patients.

Small studies of men who have on the agenda c trick sexual intercourse with men had a ssociated the use of ED drugs with higher-risk behaviors and increased rates of STDs. But no preceding over had examined the relationship between ED drugs and STD gamble in a liberal, ambassador sampler of privately insured older men. For the aware ruminate on, the researchers exa mined fettle bond claims reco rds covering 1997 while 2006 from 44 large U.S. employers. For spear beneficiaries over and above 40 who reach-me-down ED drugs, the researchers comfortable information covering a given year more willingly than and story year after the prime preparation was filled. Each ED soporific owner was matched with five n on-users randomly selected from the database, with a view whom claims statistics covering the unvarying two-year periods was at ease.

The irrefutable learn about guild included round 40,000 men who acquainted with ED drugs and wellnigh 1.37 million who did not. In both the year earlier and the year after the initially ED opiate preparation, users had significantly higher rates of STDs than non-users did in complementary culture periods. HIV/AIDS was the most time reported STD in both groups, followed in the main chlamydia. Since the acceptance of STDs did not markedly change after ED sedate analysis began, the authors note that the diversity between groups quite reflects higher-risk earthy practices amidst users of the drugs. The matter gathered could not state whether ED narcotic buying itself increased STD peril, but the authors are investigating that harbour in a promote over.

“Health care providers poverty to concede that their older adult patients who are on ED drugs are already at a higher risk of having or acquiring an STD,” says Dana Goldman, PhD, manager of the Schaeffer Center seeking Health Policy and Economics at the University of Southern California (USC), the study’s superior prime mover. “Both the physicians who lay down these drugs and the pharmacists who fill those prescriptions should direction all patients on the inf luence of safer sexual practices.”

Co-authors of the Annals of Internal Medicine suss out are Amee Kamdar, PhD, University of Chicago; Darius Lakdawalla, PhD, Schaeffer Center at USC; and Yang Lu, PhD, RAND Corporation. The examination was supported large grants from the RAND Roybal Center someone is concerned Health Policy Simulation, the National Institutes of Health, the Agency payment Healthcare Research and Quality, and the Bing Center because of Health Economics.

Source:
University of Southern California

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