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People who buy fake drugs online that don't work, or worse, harm them, may blame the company's product. Viagra is appealing to counterfeiters because it carries a double whammy: It's expensive and it treats a condition with an embarrassment factor. Instead, they sell in bulk to wholesalers, who then distribute the drugs to pharmacies, hospitals and doctors' offices.
Pfizer, which invented the term erectile dysfunction, has long been aggressive in fighting counterfeiters. If it works, drug makers could begin selling other medicines that are rampantly counterfeited and sold online, particularly treatments for non-urgent conditions seen as embarrassing. Clark says he thinks Pfizer's strategy will prevent sales from declining, but he's unsure how well it will work. Some tell Dershewitz that they go online looking for silagra 50 tablet because they can't afford Viagra.
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Competition from rival products, mainly Eli Lilly and Co. Judson Clark, an Edward Jones analyst, forecasts that Viagra sales will decline even further, about 5 percent each year for the next five years, unusual for a drug in its prime. Drug makers don't sell medicines directly to patients. Think: diet drugs, medicines for baldness and birth control pills.
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