sexually frustrated couple, lasting sexual problems

The specter of fungal meningitis caused by injections of unsterile steroids calls for a closer look at compounding pharmacies. What role do they play and how should they be regulated? Where did the system fail that permitted so many people to be exposed to danger?

Dangers in the Drugstore:

When the doctor prescribes a medicine, we know it may have some side effects. We may look them up ahead of time to know what to expect as dangers in the drugstore. But what if the side effects stay with you long after you stop taking the drug? Would you accept long-lasting sexual problems as a trade-off for reversing baldness?

We welcome listener questions and stories about prescription drug side effects.

Guests on this Episode:

Carmen Catizone is the Executive Director of the National Association of Boards of Pharmacies (NABP). The website is

Michael S. Irwig, MD, F.A.C.E., is Assistant Professor of Medicine in the Division of Endocrinology and Director of the Center for Andrology at the George Washington University School of Medicine.

Listen to the Podcast:

The podcast of this program will be available the Monday after the broadcast date. The show can be streamed online from this site and podcasts can be downloaded for free for four weeks after the date of broadcast. After that time has passed, digital downloads are available for $2.99. CDs may be purchased at any time after broadcast for $9.99.

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Air Date:November 3, 2012

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  1. J. David A.

    Listened again today to the show. The man with several weeks of symptoms after a steroid shot was most likely allergic to a preservative in the vial – an unusual reaction but happened to several of my patients over 25 years. The quest for preservative -free steroids is what gave these compounding pharmacies a market.
    The problem with hyperglycemia after a steroid shot is usually controllable with calorie and carb restriction and mild increase in exercise. The really nasty long term problem which can be caused by steroids (oral or shots) is aseptic necrosis of the hips caused by swelling around the only artery supplying the head of the femur (ball). For a few weeks after steroids, depending on how much and how long taken, heavy lifting, running or climbing is a bad idea. Vitamin D taken the day of steroids and a few days after at 2000 units of D-3 each dose will prevent most of the bone loss from the steroid.

  2. CD

    got diabetes from Lipitor

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