US Legalized New Drug To Boost Women's Sex Drive
It was approved on Friday by the Food and Drug Administration, the other drug is a daily pill. Is only the second approved to increase sexual desire in women, a market that drugmakers have been trying to cultivate since the blockbuster success of Viagra for men in the late 1990s.
Legally
American women will soon have another drug to help boost a low sex drive: a
shot they can give themselves in the thigh or abdomen that raises sexual
interest for several hours.
Dr. Julia Johnson said , The
upside of the new drug “is that you only use it when you need it,” a
reproductive specialist at UMass Memorial Medical Center who was not involved
in its development. “The downside is that it’s a shot — and some people are
very squeamish.”
The drug’s developer, Amag Pharmaceuticals, could also face some
of the same hurdles that have plagued the lone pill previously approved for the
condition, including unpleasant side effects and limited insurance coverage.
The company declined to release price information.
The FDA approved Vyleesi (pronounced vie-LEE’-see) for premenopausal
women with a disorder defined by a persistent lack of interest in sex, causing
stress. The most common side effect in company studies was nausea. Flushing,
injection-site reactions and headache are other common side effects.
The approval was based on women’s responses to questionnaires
that showed increases in sexual desire and decreases in stress related to sex.
The women didn’t report having more sex, the original goal for
the drug.
“Women are not desiring more sex. They want better sex,” said
Dr. Julie Krop, Amag’s chief medical officer.
Women with high blood pressure or heart disease should not take
the drug because increases in blood pressure were observed after injections,
the FDA said. It also could interfere with oral naltrexone, a drug for people
with alcohol and opioid dependence, the FDA said.
Because so many factors affect sexual desire, doctors must rule
out other causes before diagnosing the condition, including relationship
issues, medical problems and mood disorders. The condition, known as hypoactive
sexual desire disorder, is not universally accepted, and some psychologists
argue that low sex drive should not be considered a medical problem.
Still, the pharmaceutical industry has long pointed to surveys —
some funded by drugmakers — suggesting that it is the most common female sexual
disorder in America, affecting roughly 1 in 10 women. Amag estimates nearly 6
million U.S. women meet the criteria for the drug.
Cynthia Pearson, executive director of the National Women’s
Health Network, urged women to avoid using the drug “until more is known about
its safety and effectiveness.” She noted in a statement that Amag had not yet
published full clinical trial results.
Still,
the pharmaceutical industry has long pointed to surveys — some funded by
drugmakers — suggesting that it is the most common female sexual disorder in
America, affecting roughly 1 in 10 women. Amag estimates nearly 6 million U.S.
women meet the criteria for the drug.
The
search for a pill to treat women’s sexual difficulties was once a top priority
for many of the world’s biggest drugmakers, including Pfizer, Bayer and Procter
& Gamble. Those companies and others studied and later abandoned drugs
acting on blood flow, testosterone and other targets.
Vyleesi acts on receptors for a brain-stimulating hormone called
melanocortin, which is associated with sexual arousal and appetite in both men
and women.
Amag, based in
Waltham, Massachusetts, plans to pitch the drug to consumers through social
media, including a website called unblush.com that
tells women low sex drive “is nothing to blush about.”
Amag’s campaign has some of the hallmarks that helped launch the
first female libido drug, Addyi, a once-a-day pill approved in 2015. The FDA’s
decision followed a contentious four-year review that included a lobbying
effort funded by Addyi’s maker, Sprout Pharmaceuticals, which framed the lack
of female sex drugs as a women’s rights issue.
Women taking Addyi showed a slight uptick in “sexually
satisfying events” per month and improved scores on psychiatric questionnaires.
Those results were only slightly better than what women taking a placebo
reported, but they were significant enough to meet FDA effectiveness standards.
The pink pill — originally developed as an antidepressant — was
ultimately approved with a bold warning that it should not be combined with
alcohol, due to risks of fainting and dangerously low blood pressure.
Most insurers refused to cover the drug, citing lackluster
effectiveness, and many women balked at the $800-per-month price. Last year,
Sprout slashed the price to $400. It was prescribed just 6,000 times last year,
according to investment analyst data.
UMass’s Johnson said drugs should not be the first choice for
treating women’s sexual problems. Instead, she recommends counseling to help
women “separate all the stresses of life” from their sex life.
“But if that doesn’t work, having a medication that may help is
worth trying,” she said.
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