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Previous Volume 360:734-736 February 12, 2009 Number 7 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: The off-label use of drugs for the enhancement of sexual performance in persons without erectile dysfunction is a phenomenon that is increasingly recognized.¹ These drugs are available in illegal forms, including counterfeit versions of brand-name drugs for the treatment of erectile dysfunction and purported herbal remedies containing synthetic phosphodiesterase type 5 inhibitors.² We describe an outbreak of severe hypoglycemia in Singapore; this outbreak was associated with contamination of illegal sexual-enhancement drugs with glyburide.

Between January 1 and May 26, 2008, a total of 150 nondiabetic patients with severe hypoglycemia were admitted to the five public hospitals in . . . [Full Text of this Article]

This article has been cited by other articles:

• Kao, S. L., Chan, C. L., Tan, B., Lim, C.C. T., Dalan, R., Gardner, D., Pratt, E., Lee, M., Lee, K. O. (2009). Case 4-2009: a pregnant woman with fever after a trip to Africa.. NEJM 360: 2482-2482 [Full Text]