ANN LANDERS

Dear Ann:

I'm writing about your response to the 59-year-old man seeking information
on impotence. We respectfully believe you got it wrong.

Your reply refers to herbal products as providing "very satisfactory"
results to people who wish to enhance their sexual performance. Herbal
products do not undergo rigorous scientific testing. According to a recent
consumer alert by the Federal Trade Commission, no herbal or all-natural
substance has been shown to be an effective treatment for impotence.

Your column also refers to a Food and Drug Administration announcement that
69 people have died after taking Viagra. Yes, there have been deaths
reported among the 4 million patients who have been prescribed Viagra, but
no cause-and-effect relationship has been established.

Further, your readers should understand that there is a cardiovascular risk
associated with sexual activity, and only a physician can determine when --
or even whether -- it is appropriate for a patient to resume sexual
relations after a heart attack. As we have always said, Viagra is not for
everyone.

Joseph M. Feczko, M.D.,
senior vice president,
medical and regulatory operations,
Pfizer Inc., New York

Your honest appraisal is refreshing, especially since Viagra is one of your
biggest sellers.