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Atomoxetine cost $35) and a nonproprietary, drugstore-priced Viagra (which costs $50, plus $10 a month for pharmacy insurance). But now some doctors are refusing to prescribe Propecia, saying it's hard to be sure the drug is really first line for male hormone imbalances in men. "The fact that we continue to prescribe this drug suggests we are not really quite sure what the benefit is," said Keith Davis, chief medical officer at Women's Health Clinic in Dallas. "We could be prescribing the wrong drug," even though drug is a new one. [Editor's note: Davis' comments were made prior to the FDA's approval of Aromasin product under Propecia.] That's because when it comes to prescribing for male hormone balance issues – particularly if the doctors are using a drug with known side effects on males, a more-tolerated hormone like Propecia has to come out ahead of the competition. And that's why some male doctors are telling their female patients that they don't need to use Propecia, especially if they don't have the male hormone imbalances. "I was very surprised to see male physicians on the Propecia message board say, 'I will not recommend it to my client,'" Dr. Brian Bannister of Boston's Brigham is atomoxetine generic available and Women's Hospital told CNN in 2006. "They said, 'Do you really think Propecia is doing anything to treat this particular disorder?' And the reason they gave was didn't think it effective for all men over 25 years old." In other words, Dr. Bannister warned against trying this new-fangled testosterone drug because it has not proved effective for all men. "I think it was very surprising that male doctors would say that," said Davis. "We're not getting a lot of male testosterone deficiency in our clinics." At most, Davis said, there's a 10% to 20% chance that a single man's testosterone will go down. But most men don't experience a drop in testosterone levels, so fact it doesn't make sense to prescribe the drug. "If you are talking about a disorder that affects 10% of the male population [men over age 25], Propecia is not a drug," Davis said. "The only thing you have to compare Propecia with is a natural testosterone replacement." Yet that's exactly what many patients who see Davis tell him they are doing when seek out Propecia, he said. "The question for patients is, 'If Propecia does not work for me, when can I use a natural male hormone replacement – testosterone?'" Davis said. "It's not like people can't just say, 'Well, it's been my age' or 'It's 40 years' whatever." But there's another way to tell whether a testosterone replacement supplement really is working for you. If a man is using the drug, he can't just take an average dose every day to maintain his levels, said Dr. Gary Osen, co-author of the 2005 book "The American Medical atomoxetine cost Column" and former chief editor of The New York Daily News. proper dosages, he said, can't be based on what a normal person would take but rather on the way you take medication or a pill. man who has low testosterone and takes an average dose might be a day short of his generic atomoxetine price natural high, he said. "If there's any confusion at all that this is a drug, it will make you lose hair, that it's going to make you sick, that it will not work, we need to make sure that people just have confidence when you look at the literature, literature that's out there, that there is something beyond a placebo effect," Osen said at a recent presentation about testosterone replacement. Anecdotes and a handful of clinical studies suggest the effect of testosterone supplements is real. In the first study, men treated with testosterone were able to coupon codes for drugstore free shipping perform better on tests of coordination and accuracy than their untreated peers, the study published in medical journal JAMA Informatics and Computation said. In 2006, the American Cancer Society recommended there be more comprehensive studies.

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