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drjazy318

Prescription for Viagra!

2 posts in this topic

Hello everyone, hope everyone is looking forward to Holidays.

I came across today with a situation on which I didn't get clear guidance from my boss. I work in General adut Psych and Its my first year in training in ROI( Ireland). One of my patient( 31 yo male) requested a prescription of Viagra as he complained that his sexual health is impaired. He also told me that his GP don't prescribe to him anymore as he thinks that he was selling it on street. The patient has no definite diagnosis being in service for 3 years apart from Alcohol abuse and related behavioral issues and anxiety not specified. He also has illicit substance misuse history. He apparently seem under influence of Alcohol. He told me that he was on a funeral last night and took many drinks. 

I didnt prescribe to him viagra as I explained to him that there are different causes of impaired sexual health and I need to investigate  them from my perspective before I give or reccommond you for Viagra. ( on a personal feeling I didn't trust him, he was in no relationship and also seemed drunk and pressured me for benzodiazepines as well). 

My questions are ethicial and clinical.

1)whether I was right not to prescribe to him Viagra?

2) Did I perform my duty being his doctor?

thanks 

 

 

 

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ofcourse you did right in not prescribing Viagra, however, do you think you should write to GP to investigate, manage erectile dysfunction (you don't mention if that was the reported problem). It is possible that he may have genuine sexual dysfunction, with alcohol and drug use being risk factors. Often we doubt patients with alcohol/drug use, which may be unfair in certain circumstances. The fact that he was in no relationship may also mean he has a sexual problem?. It may be useful to be less judgemental in the absence of facts. 

 

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