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The following represent a comprehensive list of Uprima articles that address the use of fast acting Uprima for effective male impotence treatment (simply "click on" any of the articles of interest and you will be directed to  that article:

Abbott Laboratories Announces European Approval of Uprima for Impotence Treatment
PR Newswire

Competition for Viagra? (Uprima developed)
Drug Therapy, Elena Portyansky Beyzarov

Data Demonstrates Long-Term Efficacy if Uprima in Treating Impotence
PR Newswire

Fast Acting Impotence Pill, Uprima
BBC News




Abbott Laboratories Announces European Approval of Uprima for Impotence Treatment
PR Newswire

Uprima new oral treatment option to be made available for impotence patients

Abbott Park, Illinois -- Abbott Laboratories announced today that it has received a marketing authorisation from the European Commission for UPRIMA(R) for the treatment of impotence. UPRIMA (apomorphine hydrochloride) is the first centrally acting oral therapy to be approved by the European Commission for the first-line treatment of impotence. Impotence is a medical condition affecting an estimated 30 million men in Europe and more than 150 million men worldwide. UPRIMA is a small tablet that dissolves quickly when placed under the tongue, typically producing an enhanced erectile response in under 10 minutes.

"Every patient is different, and UPRIMA's unique product attributes allow docotrs to provide therapy that meets the needs of individual patients," said William Dempsey, senior vice president, international operations, Abbott Laboratories.

Novel mode of Uprima action

UPRIMA is a dopamine receptor agonist that works in the brain to improve diminished erectile function by enhancing the natural signal to the penis following sexual stimulation, similar to the way men normally have erections. UPRIMA works through the central nervous system, producing a series of events that enhances the ability to achieve and maintain penile erection. It is distinct from other oral therapies, which act by blocking the action of certain enzymes involved in the erectile response.

Because UPRIMA is sublingually administered (under the tongue), it enters the bloodstream quickly, bypassing the gastro-intestinal tract. The rapid absorption of UPRIMA into the bloodstream allows for its fast onset of action, typically under 10 minutes.

"Uprima offers several benefits for patients: it works fast, and it works similarly to the way men normally have erections," said Prof. Jeremy Heaton, of Queen's University and Kingston General Hospital, Ontario, Canada. "Long- term data in men who continued in studies demonstrate that UPRIMA is successful in more than 90 percent of attempts at intercourse."

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Uprima Positive Clinical Trials

UPRIMA has been extensively studied in clinical trials involving more than 5,000 patients, with more than 120,000 doses of UPRIMA administered. UPRIMA was studied in men with varying severity of erectile dysfunction and included patients with organic, psychogenic or mixed etiology erectile dysfunction. The effectiveness of UPRIMA was measured by the ability to produce an enhanced erection firm enough for intercourse, with assessments conducted by both patient and partner on a per-attempt basis, a unique approach in ED clinical trials. Over 90% of the men in these clinical trials reported enhanced erections, more importantly these men stated these enhanced erections occurred in less than 10 minutes following a single dose of Uprima.


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Abbott Laboratories holds exclusive and non-exclusive rights to UPRIMA in markets outside the United States and Canada, having licensed the product from TAP Pharmaceutical Products, Inc., a joint venture between Abbott Laboratories and Takeda Chemical Industries Ltd. TAP licensed apomorphine hydrochloride tablets (sublingual) for erectile dysfunction from Pentech Pharmaceuticals, Inc.

Abbott Laboratories is a global, diversified health care company devoted to the discovery, development, manufacture and marketing of pharmaceuticals, nutritionals, and medical products, including devices and diagnostics. The company employs approximately 470,000 people and markets its products in more than 130 countries.

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Competition for Viagra? (Uprima developed)
Drug Therapy, Elena Portyansky Beyzarov

Could men who suffer from impotence possibly have a drug that's easier to use than Viagra (sildenafil, Pfizer)? Apparently, they might one day. A Prominent advisory committee has recommended the approval of a sublingual product for erectile dysfunction. Called Uprima (apomorphine), the drug is actually an old-time dopamine agonist used off-label for the management of Parkinson's disease (PD). Apomorphine's benefits in erectile dysfunction were initially observed in PD patients who were given subcutaneous injections of the drug for motor fluctuations. Five out of the 15 PD patients, who had previously suffered from sexual dysfunction, experienced frequent erections following administration of apomorphine (2.4 to 5 mg two to six times daily) for an average of 18 months. It is believed that this agent induces penile erections through stimulation of central D2 dopamine receptors.

Taking matters a step further, Tap Pharmaceuticals developed a sublingual dosage form of apomorphine that is rapidly absorbed and is reported to work in 10 minutes. In more recent, 44% of men who received a 2-mg dose of Uprima had success attempting and achieving an erection, compared with 38% of those given placebo. At higher doses, the success rate jumps to 60%, but not without an increase in the drug's main side effect--nausea. Don't forget: Apomorphine is a narcotic derivative. And although the drug's analgesic effects are diminished, many of its narcotic effects are maintained, including induction of emesis and the ability to produce CNS depression and respiratory depression.

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Data Demonstrates Long-Term Efficacy if Uprima in Impotence Treatment
PR Newswire

New therapy effective in 92 percent of attempts at intercourse over an 18-month period in men who respond to UPRIMA

Rome -- Men with erectile dysfunction (ED) who responded to UPRIMA (apomorphine hydrochloride SL) showed consistently high rates of success over 18 months, according to data presented at the 4th Congress of the European Society for Sexual and Impotence Research (ESSIR). Across the entire study period, an average of 92 percent of attempts resulted in an enhanced erection firm enough for intercourse among patients taking UPRIMA 2 mg. Efficacy was measured as the percentage of attempts resulting in an erection firm enough for intercourse with UPRIMA, according to patient and partner diary assessments. Both patient and partner evaluations confirmed the success rate.

The findings provide important evidence of the long-term efficacy of UPRIMA, the first centrally acting oral therapy to be approved for the first- line treatment of erectile dysfunction.

Speaking at ESSIR, Professor Jeremy Heaton of Queen's University and Kingston General Hospital, Ontario, Canada, said, "There is no indication that patients develop tolerance to UPRIMA with long-term use. These results provide further reassurance that men with ED who respond to UPRIMA can expect consistent results from UPRIMA over an extended period."

Recent data published in the Journal of Urology(2) concluded that "there is a possible tachyphylaxis effect with sildenafil." Tachyphylaxis is a decrease in responsiveness to the drug over time with repeated exposure. The report continues, "Of the patients who were followed for two years, 20 percent had to increase the sildenafil dose to have the same effect, and 17 percent discontinued use due to loss of efficacy."  (Journal of Urology, Sept. 2001; 166:927-981)

A meta-analysis was performed on the long-term Phase III clinical studies to assess the efficacy of UPRIMA 2 mg in patients who completed the short- term, placebo-controlled, Phase II/III studies and elected to continue into long-term, open-label Phase III studies.

In patients who elected to continue using Uprima 2 mg for impotence treatment, 92 percent of all attempts with Uprima over this period resulted in an erection firm enough for intercourse. Continued success was observed in patients who stayed on Uprima 2 mg for longer periods, 97 percent of all attempts resulted in enhanced erections firm enough for intercourse.

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"Each treatment has its own benefits to offer, and these findings underline the importance of UPRIMA in bringing further choice to patients and their partners," said Darryl Sleep, M.D., associate medical director, Abbott Laboratories. "UPRIMA represents an effective long-term option for treating a condition that affects an estimated 30 million men in Europe and more than 150 million worldwide."

The tolerability and safety of UPRIMA have been demonstrated in rigorous trials involving 125,000 men and more than 750,000 patient doses.

Abbott Laboratories holds exclusive and non-exclusive rights to UPRIMA in markets outside the United States and Canada, having licensed the product from TAP Pharmaceutical Products Inc., a joint venture between Abbott Laboratories and Takeda Chemical Industries, Ltd. TAP licensed apomorphine hydrochloride tablets (sublingual) for erectile dysfunction from Pentech Pharmaceuticals, Inc.

Abbott Laboratories is a global, diversified health care company devoted to the discovery, development, manufacture and marketing of pharmaceuticals, nutritional, and medical products, including devices and diagnostics. The company employs approximately 70,000 people and markets its products in more than 130 countries.

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References:
(1) Heaton, J.P. W et al. Long-term efficacy of UPRIMA (apomorphine SL) in men with erectile dysfunction (ED). Presented at the 4th Congress of the European Society for Sexual and Impotence Research, Rome, Oct. 2001.

(2) The Journal of Urology is published by the European Urological Association Inc.

(3) El-Galley, R. et al. Long-term efficacy of sildenafil and tachyphylaxis effect. Journal of Urology, Sept. 2001; 166:927-981.



Fast Acting Impotence Pill, Uprima
BBC News

Uprima, an impotence pill that works differently than Viagra, drew a vote of confidence from a European. Uprima, will breathe new life into the sex lives of millions of men, impotence experts say. “People should be excited because it addresses the problem of erectile dysfunction completely differently than Viagra,” says Dr. Larry Lipshultz, director of the Division of Male Reproductive Medicine and Surgery. Uprima is manufactured by TAP Pharmaceuticals, a joint venture between Takeda Chemical Industries of Japan and Abbott Laboratories.

Information on Uprima UK News Latest Uprima InformationUnlike a Viagra pill, which is swallowed, Uprima, or apomorphine is placed under the tongue and absorbed directly into the bloodstream. That means it acts quickly — in as little as 10 minutes, compared to the 30 minutes it takes Viagra to work.

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Uprima, targets a man’s brain instead of his erection equipment the way Viagra does. Viagra works by improving blood flow in the penis. Uprima, once absorbed, is transported to the brain, where it mimics a chemical called dopamine. Having a little extra jolt of dopamine-like Uprima stimulates the parts of the brain that help men become aroused. “It either will turn on an erection system that is turned off or it intensifies the system,” says Dr. Ronald Lewis, president of the International Society for Impotence Research. London.


 

 


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