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Most people who take Viagra have hypertension, because hypertension is the main cause of ED. That doesn't mean Viagra is dangerous, but you shouldn't combine it with certain other drugs.
There is a world of difference between valproate and Viagra. Valproate causes birth defects and cognitive delay in 30-50% of pregnancies, which is astonishingly high. If Viagra caused permanent harm to even 5% of users, it would already be off the market.
so patients should be allowed to use drugs even if there are risks involved.
huh, it's almost like you're asserting that people should have agency. like the woman in the article, except her docs decided for her that even though she wasn't going to have a baby either way, so no risk to pregnancy, they wouldn't put her on that med because...? it's disgusting.
If you go to a doctor and demand a course of antibiotics for a viral infection, they have been trained to refuse. Because antibiotics do not treat viruses.
For that matter, if you actually do have a simple bacterial infection and immediately demand a last-resort antibiotic like vancomycin, doctors have been trained to refuse. Vancomycin may work on you, but using it may create bacterial resistant strains that will put others at risk. Resistance is especially a threat if you don't complete your course of antibiotics.
So doctors will offer you a different antibiotic instead, with less risk of creating a resistant strain. Even if you promise to complete your antibiotics, "you get what you get so don't get upset".
People have agency, but so do doctors. Doctors are not supposed to be dispensaries who simply give patients whatever they ask for. Doctors have the right to refuse to provide a prescription that is not in keeping with the standard of care, and offer a different prescription instead. You have the right to find a different doctor, or not see a doctor at all.