"Golden Spear": China's potent answer to Viagra

BEIJING - China is producing its first erectile dysfunction medicine treatment based on compound ingredients previously patented for Viagra, and the drug is expected to perform well on the market.

Shanghai-listed Guangzhou Baiyuanshan Pharmaceutical Holdings Co is launching the pill next month - nearly two decades after the United States Food and Drug Administration approved Viagra as an erectile dysfunction treatment.

The drug will be marketed under the brand name Jin Ge, which translates to "Golden Spear", after a line by Southern Song Dynasty (1127-1279) poet Xin Qiji which portrays soldiers' bravery.

Unlike "the little blue pill", as Viagra is commonly known, Jin Ge will come in red, green, orange and pink, and in different packs.

Since the US-based company Pfizer's patent for Viagra, which uses sildenafil as its main ingredient and is known as Wei Ge in Chinese, expired in China in May, Chinese pharmaceutical companies have been scrambling for a share of the ED medicine market.

Guangzhou Baiyunshan held a news conference in Guangdong's provincial capital Guangzhou on Sept 18 to announce it had received permission from China's State Food and Drug Administration (SFDA) to produce a crystalline compound using sildenafil citrate and would start selling the medicine in late October.

"Sex is important to a couple's intimacy and relationship, but a large number of Chinese men have ED issues, which results in an unsatisfying sex life for both partners," says Zhang Feng, deputy director of the China Sexology Association in Beijing.

"It's good news that ED medicine produced by a Chinese manufacturer is now available to Chinese."

There are no reliable figures for ED's prevalence in China, but US figures show 52 per cent of American men older than 40 suffer from the disorder. Guo Yinglu, a Chinese Academy of Engineering member and one of the country's leading urological surgeons, believes the Chinese figure is about the same.

Zhang Buyong, a principal researcher with the SFDA's South Medicine Economy Research Institute, estimates more than 120 million Chinese men have ED. "That would mean an ED treatment market of 1.3 billion yuan (S$270 million) in China, with a rapid annual increase," Zhang says.

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"Golden Spear": China's potent answer to Viagra

Institute of Advanced Medicine Lauderhill Outstanding 5 Star Review by Miche… – Video


Institute of Advanced Medicine Lauderhill Outstanding 5 Star Review by Miche...
http://drslavin.com 954-748-4991 Institute of Advanced Medicine Lauderhill Reviews, 5 Star Review I have been going to Dr. Slavin for years now. I love how the team takes time to listen...

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Institute of Advanced Medicine Lauderhill Wonderful 5 Star Review by Richard… – Video


Institute of Advanced Medicine Lauderhill Wonderful 5 Star Review by Richard...
http://drslavin.com 954-748-4991 Institute of Advanced Medicine Lauderhill Reviews, Excellent Rating I have been a patient of Dr. Slavin for nearly ten years. He initially told me...

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Dawn of Docs | Pistha Video Song HD | 7th Batch Medicine| Tamil Pasanga | FHCS – Eastern University – Video


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We are the 7th Batch Medicine-Tamil Pasanga at Eastern University Sri Lanka We are proudly presenting the Remake of PISTHA song from Neram Movie. This creation is edited and published by i3 Studios.

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In this video, Ayurvedic Practitioner Naturopath Kester Marshall from the Mudita Institute for Mindfulness Training and Ayurvedic Medicine talks about an approach to fasting involving fasting...

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Is Obamacare Changing The Way Doctors Practice Medicine?

One of the goals of health reform was to change the way doctors practice medicine. Under Medicares fee-for-service payment system, we were told, physicians have an incentive to perform too many of the wrong kinds of services. As a result, the cost is too high and the quality of care is too low. Instead, we should pay for value rather than quantity, said the reformers.

So how well is all that working? Not well at all it turns out.

And here is something really surprising. The Obama administration experimentation with payment systems only applies to Medicare. Yet the only place in all of Medicare where reform ideas appear to be working are in the Medicare Advantage plans. (See my discussion at the Health Affairs Blog.) You may remember that candidate Obama actually campaigned against these plans in the 2018 election and the Obamacare legislation will reduce the governments payments to these plans and discourage further enrollment.

The Obama administrations vehicle for change was to be the Accountable Care Organization, which you can think of as a new generation HMO. In The New York Times yesterday, an editorial by Bob Kochner and Farzad Mostashari claimed that their ACO in McAllen Texas has saved millions of dollars and raised the quality of care for the patients. They go on to say:

Today, more than 5.3 million Medicare beneficiaries nationwide are served by more than 360 A.C.O.s, which have helped hold spending hundreds of millions of dollars below Medicare targets for this period.

They may be right about their own ACO, but a study in the Journal of the American Medical Association finds generally that the experience of the pilot ACO projects has been fairly dismal. In their first year, only 29 percentof the physician-led ACOs and only 20 percentof the hospital-sponsored ACOs turned a profit. And among those that did so, the results were fairly mediocre.

Further, to help the ACOs perform better the Obama administration has spent tens of millions of dollars on demonstration programs and pilot projects, investigating coordinated care, integrated care, managed care, pay-for-performance medicine, electronic medical records systems, etc. The result? Three separate Congressional Budget office reports have concluded that none of this is working, or at least not working very well. (See here, here and here.)

So whats wrong with ACOs? What follows is taken mainly from my Health Affairs post. (And be sure to look at the comments as well.)

For starters, there is a 427 page book of rules, describing what an ACO has to do in order to be an ACO. The administrative burdens are so large that the average ACO spends $2.2 million on startup costs alone. From that point forward, the ACO functions like a (highly) regulated utility.

Medicare patients do not choose an ACO. They are assigned to one. The ACOs are forbidden to market to prospective customers, and seniors dont even know they are in one until they are contacted by the ACO they are assigned to. Even then, the communication is tightly regulated. Any letter from the ACO to a new member must be approved by CMS and all introductory letters essentially look alike. In general, no ACO is able to have a better promotional piece than a competitor.

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