Dangerous Male Sex Pills

He warns self-medicating erectile dysfunction is not a good approach.

How oral medicines differ

He warns self-medicating erectile dysfunction is not a good approach. "Erectile dysfunction is a condition that should prompt an appointment with a physician," he said. "It can be an initial red flag for other problems, like heart disease, in the body." According to the National Institute for Aging, quackery is at an all-time high.1 American consumers are exposed to an overwhelming sea of advertising for dietary supplements and homeopathic products. Many consumers assume that some government entity, such as the FDA, has ruled these products safe and effective before allowing the ads to be broadcast and printed. Many people do not realize, however, that the products are not proven safe for use.

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This widespread misconception has resulted in the spending of hundreds of millions of dollars for products whose efficacy has not been validated by clinical trials. In effect, many consumers are placing their trust in products promoted by manufacturers who do not invest the funds to carry out research to prove the safety and efficacy of these products. Patent Medicines and Dietary Supplements Products promising to enhance sexual performance have been promoted for over a century, dating back to the patent medicines of the 1800s; these products were characterized by wildly exaggerated claims and sold to the public by unscrupulous manufacturers, without evidence of safety or effectiveness. The 1906 Pure Food and Drug Law was an attempt to eliminate this pernicious practice, and for many years Americans were somewhat better protected from unproven products. 2 However, the passage of the 1994 Dietary Supplement Health and Education Act, championed by Utah's Orrin Hatch, allowed manufacturers to market products without FDA approval of safety and efficacy.2 Andropause During andropause, the male's serum testosterone levels fall, leading in many cases to erectile dysfunction.3 Males cannot achieve an erection or cannot sustain one for a sufficient time to complete sexual intercourse. "Erectile dysfunction is a condition that should prompt an appointment with a physician," he said. "It can be an initial red flag for other problems, like heart disease, in the body." According to the National Institute for Aging, quackery is at an all-time high.1 American consumers are exposed to an overwhelming sea of advertising for dietary supplements and homeopathic products. Many consumers assume that some government entity, such as the FDA, has ruled these products safe and effective before allowing the ads to be broadcast and printed. Many people do not realize, however, that the products are not proven safe for use.

Product	Dosage	Quantity + Bonus	Price
Cialis Generic	10mg	30 + 4 Pills	63.32€ 60.30€	Buy
Kamagra Polo	100mg	12 Pills	60.21€ 57.34€	Buy
Viagra Original	100mg	120 + 8 Pills	470.39€ 447.99€	Buy
Viagra Generic	100mg	10 Pills	28.91€ 27.53€	Buy
Viagra Original	100mg	34 + 2 Pills	163.67€ 155.88€	Buy
Kamagra Polo	100mg	32 Pills	125.88€ 119.89€	Buy
Cialis Generic	5mg	120 + 6 Pills	132.92€ 126.59€	Buy
Levitra Generic	10mg	10 Pills	28.93€ 27.55€	Buy
Kamagra Gold	50 mg	32 Pills	103.06€ 98.15€	Buy
Levitra Generic	60mg	30 + 2 Pills	109.43€ 104.22€	Buy
Viagra Oral Jelly	100mg	220 + 18 Sachets	562.28€ 535.50€	Buy

This widespread misconception has resulted in the spending of hundreds of millions of dollars for products whose efficacy has not been validated by clinical trials.

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Lack of evidence about the safety and efficacy of dietary supplements exposes the consumer to unknown health hazards, as these products use ingredients that are of unknown therapeutic benefit. Marketers of these supplements have been known to engage in fraudulent and deceptive practices. Marketing hype and high profits should never override the pharmacist's professional responsibility to demand proof of safety and efficacy in the products we recommend. Patients experiencing andropause deserve a pharmacist who will refer them for legitimate medical care rather than selling them products that lack proof of efficacy and safety. Available at: Accessed June 29, 2007.2.

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New York, NY: The Haworth Press, Inc.; 2003.3. Andropause: endocrinology, erectile dysfunction, and prostate pathophysiology. Oral andro-related prohormone supplementation: do the potential risks outweigh the benefits? Available at: Accessed June 29, 2007.6. FDA warns consumers about dangerous ingredients in "dietary supplements" promoted for sexual enhancement. In effect, many consumers are placing their trust in products promoted by manufacturers who do not invest the funds to carry out research to prove the safety and efficacy of these products.

• Sildenafil improves erections by relaxing blood vessels in the penis.
• L-arginine enhances nitric oxide production aiding blood flow.
• Horny goat weed contains icariin to improve sexual function.
• Tribulus terrestris is often used to increase libido and testosterone.
• Ginseng reduces fatigue and enhances sexual performance.
• Maca root boosts sexual desire and stamina naturally.
• DHEA supports hormone balance for better sexual health.
• Zinc is vital for testosterone production and reproductive health.
• Yohimbine increases blood flow and enhances erectile response.
• Fenugreek supplementation may raise testosterone levels.
• Niacin improves blood vessel dilation aiding erections.

Patent Medicines and Dietary Supplements Products promising to enhance sexual performance have been promoted for over a century, dating back to the patent medicines of the 1800s; these products were characterized by wildly exaggerated claims and sold to the public by unscrupulous manufacturers, without evidence of safety or effectiveness. The 1906 Pure Food and Drug Law was an attempt to eliminate this pernicious practice, and for many years Americans were somewhat better protected from unproven products.

Side effects

Furthermore, claims providing very high rates of success are often bogus. • When impotence cures are said to be "herbal" or "all natural," pills for men the product should be ignored. There is no herb or "all natural" substance proven to cure impotence. The agency also urges consumers to consult a qualified practitioner for treatment of impotence, rather than placing one's trust in their bogus remedies. The FDA's 2006 Announcement In the fight against fake impotence and sexual enhancement products, the FDA revealed in 2006 that it had completed a groundbreaking survey in which it analyzed 17 "dietary supplements" promoted on the Internet for erectile dysfunction or enhancement of sexual performance.6 The FDA explained that some of these products (Zimaxx, Libidus, Neophase, Nasutra, Vigor-25, Acta-Rx, and 4EVERON) were promoted and sold as dietary supplements but were actually illegal drugs containing potentially harmful, undeclared ingredients, such as sildenafil or analogues of sildenafil or vardenafil.

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The agency concluded that the claims made for these products were claims made for the undeclared nondietary supplement components, making them illegal drugs. The FDA sent warning letters to the marketers explaining the illegal nature of their activities, halted shipment of some of them into the United States, and threatened to take additional actions. The FDA's Final Rule In June 2007, the FDA announced a final rule establishing regulations for the current good manufacturing practices (CGMP) of dietary supplements, partly due to the 2006 study of sexual enhancement/impotence products.7-11 Henceforth, the FDA's new CGMPs will ensure that supplements are produced in a quality manner, do not contain contaminants or impurities, and are accurately labeled. The rule is effective as of August 24, 2007, for large businesses and somewhat later for small businesses. Watchdog groups immediately pointed out that supplement manufacturers have never been required to prove their products are safe and effective, and the new regulations also fail to require this fundamental evidence of quality.12 An expert quoted by ABC News stated, "Knowing you have pure and well-made useless crap is a little better than having impure useless crap, but not by much. 2 However, the passage of the 1994 Dietary Supplement Health and Education Act, championed by Utah's Orrin Hatch, allowed manufacturers to market products without FDA approval of safety and efficacy.2 Andropause During andropause, the male's serum testosterone levels fall, leading in many cases to erectile dysfunction.3 Males cannot achieve an erection or cannot sustain one for a sufficient time to complete sexual intercourse.

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Available at: Accessed June 29, 2007.7. Available at: Accessed June 29, 2007.8. The penis may gradually disengorge during intercourse. Legitimate medical interventions include testosterone, Viagra, Caverject, and devices inserted into the penis. Patients undergoing andropause often do not choose these therapies, opting instead to try dietary supplements. As millions of baby boomers are currently experiencing andropause, marketers offer hundreds of products allegedly beneficial in reversing impotence and enhancing male sexual performance.4 The FTC and Impotence Claims The Federal Trade Commission (FTC) is a government agency charged with preventing fraudulent, deceptive, and unfair business practices and with helping educate consumers to avoid them.5 The FTC issued a consumer alert entitled The Truth About Impotence Claims. The agency clarified several issues and disspelled a great deal of manufacturer hype: • Products advertised as effective for treating impotence without a physician's prescription should be ignored, as they cannot cure the condition. • Products advertised as "breakthroughs" in the treatment of impotence mandate double checking with a physician for legitimacy. • Some manufacturers create phony "clinics" and fake "institutes" solely to promote bogus impotence cures. Consumers should check with a physician to verify the legitimacy of these organizations. • Some manufacturers of impotence cures claim that their product is "scientifically proven" to work. When a consumer sees the phrase "clinical studies prove it works," caution is in order, as these claims are often false.

• Sildenafil is a PDE5 inhibitor commonly prescribed for erectile dysfunction.
• L-arginine works as a precursor to nitric oxide, enhancing blood flow.
• Ginseng acts as a natural adaptogen improving stamina and sexual vigor.
• Horny goat weed improves libido and sexual function through icariin content.
• DHEA naturally declines with age, and supplementation may restore libido.
• Zinc deficiency can impair testosterone production, supplements help restore it.
• Tribulus terrestris may improve sexual desire by modulating hormones.
• Yohimbine shares benefits for ED but can cause side effects like anxiety.
• Maca root is used for increasing sexual desire and reducing fatigue.
• Fenugreek is investigated for boosting testosterone and sexual function.
• L-citrulline enhances nitric oxide, promoting stronger erections.

Furthermore, claims providing very high rates of success are often bogus. • When impotence cures are said to be "herbal" or "all natural," pills for men the product should be ignored. There is no herb or "all natural" substance proven to cure impotence.

Be cautious and talk with your healthcare professional

The Enzyte Scandal While many marketers are in steep competition to capture a share of this lucrative business, one has managed to rise above the others, with its ubiquitous "Smiling Bob" Enzyte ads. This marketer has capitalized on the current thinking that an unproven dietary supplement can easily cure or treat a serious medical condition such as impotence. Early ads promised that Enzyte would add as much as three inches to the length of the user's penis.14 Web site testimonials also claim such benefits as allowing stronger, firmer, and easier-to-achieve erections, assisting in maintaining a fully hard erection, providing full and satisfying erections, and reversing the normal erectile problems of aging.15-19 Enzyte contains many ingredients, none of which is FDA-proven to be safe or effective in accomplishing its advertised purposes. These ingredients include niacin, zinc, copper, Korean red ginseng root, ginkgo, pine bark, Tribulus terrestris, arginine, Avena sativa, horny goat weed, maca root, muira puama, saw palmetto, and Swedish flower pollen.20,21 The Cincinnati-based marketer of Enzyte, Berkeley Nutraceuticals, was reported in 2004 by a Cincinnati newspaper to be the subject of over 3,700 consumer complaints.22 In early 2006, Berkeley and its subsidiaries reached a settlement with the attorneys general of 18 states and Washington, D.C. in which it would pay $2.5 million and provide restitution to customers for unsubstantiated claims about the efficacy of their products.23-25 The $2.5 million settlement was a burden easily borne by the company, as it may have reaped as much as a quarter of a billion dollars in 2004 alone through sales of Enzyte and 14 other unproven supplements.26 Later in 2006, the U.S.

Why do doctors recommend male enhancement pills?

Department of Justice indicted the company and six individuals (including the president and owner) for bilking Americans of at least $100 million.27 Fraudulent business practices included sending consumers supplements they did not order, charging their credit cards without authorization, laundering the money, and mislabeling a product known as Rovicid. Despite the indictments and settlements, the company continues to advertise and sell its products to a public seemingly unaware of the controversy. Quality of Research on Dietary Supplements When research on dietary supplements intended for super p force 200mg sexual enhancement appears, it must be scrutinized closely to assess the soundness of the methodology employed. Two such studies explored the abilities of KyoGreen powder (barley, wheat grass, seaweed) for sexual dysfunction in men and women and ArginMax (herbs, vitamins, minerals) to enhance sexual function in males.28,29 While both studies seemed to show positive results, they are rendered virtually useless because neither study used a control group that was administered a placebo for a valid comparison. Unfortunately, much of the research on dietary supplements is hampered by profound flaws such as this that would cause the research to be rejected by the FDA if it were to be submitted through the legitimate new drug application process used for new medications. The agency also urges consumers to consult a qualified practitioner for treatment of impotence, rather than placing one's trust in their bogus remedies. The FDA's 2006 Announcement In the fight against fake impotence and sexual enhancement products, the FDA revealed in 2006 that it had completed a groundbreaking survey in which it analyzed 17 "dietary supplements" promoted on the Internet for erectile dysfunction or enhancement of sexual performance.6 The FDA explained that some of these products (Zimaxx, Libidus, Neophase, Nasutra, Vigor-25, Acta-Rx, and 4EVERON) were promoted and sold as dietary supplements but were actually illegal drugs containing potentially harmful, undeclared ingredients, such as sildenafil or analogues of sildenafil or vardenafil. The agency concluded that the claims made for these products were claims made for the undeclared nondietary supplement components, making them illegal drugs. The FDA sent warning letters to the marketers explaining the illegal nature of their activities, halted shipment of some of them into the United States, and threatened to take additional actions. The FDA's Final Rule In June 2007, the FDA announced a final rule establishing regulations for the current good manufacturing practices (CGMP) of dietary supplements, partly due to the 2006 study of sexual enhancement/impotence products.7-11 Henceforth, the FDA's new CGMPs will ensure that supplements are produced in a quality manner, do not contain contaminants or impurities, and are accurately labeled. The rule is effective as of August 24, 2007, for large businesses and somewhat later for small businesses. Watchdog groups immediately pointed out that supplement manufacturers have never been required to prove their products are safe and effective, and the new regulations also fail to require this fundamental evidence of quality.12 An expert quoted by ABC News stated, "Knowing you have pure and well-made useless crap is a little better than having impure useless crap, but not by much. The Enzyte Scandal While many marketers are in steep competition to capture a share of this lucrative business, one has managed to rise above the others, with its ubiquitous "Smiling Bob" Enzyte ads. This marketer has capitalized on the current thinking that an unproven dietary supplement can easily cure or treat a serious medical condition such as impotence. Early ads promised that Enzyte would add as much as three inches to the length of the user's penis.14 Web site testimonials also claim such benefits as allowing stronger, firmer, and easier-to-achieve erections, assisting in maintaining a fully hard erection, providing full and satisfying erections, and reversing the normal erectile problems of aging.15-19 Enzyte contains many ingredients, none of which is FDA-proven to be safe or effective in accomplishing its advertised purposes.

Supplement	Key Ingredient	Traditional Use	Scientific Evidence	Possible Side Effects
Tribulus Terrestris	Saponins	Boosts testosterone	Limited	Insomnia, stomach upset
Ginseng	Ginsenosides	General stamina and vitality	Moderate	Insomnia, headache
Muira Puama	Plant extract	Aphrodisiac	Limited	Rare allergic reactions
Fenugreek	Saponins, alkaloids	Enhances libido	Moderate	Gas, bloating

These ingredients include niacin, zinc, copper, Korean red ginseng root, ginkgo, pine bark, Tribulus terrestris, arginine, Avena sativa, horny goat weed, maca root, muira puama, saw palmetto, and Swedish flower pollen.20,21 The Cincinnati-based marketer of Enzyte, Berkeley Nutraceuticals, was reported in 2004 by a Cincinnati newspaper to be the subject of over 3,700 consumer complaints.22 In early 2006, Berkeley and its subsidiaries reached a settlement with the attorneys general of 18 states and Washington, D.C. in which it would pay $2.5 million and provide restitution to customers for unsubstantiated claims about the efficacy of their products.23-25 The $2.5 million settlement was a burden easily borne by the company, as it may have reaped as much as a quarter of a billion dollars in 2004 alone through sales of Enzyte and 14 other unproven supplements.26 Later in 2006, the U.S. Department of Justice indicted the company and six individuals (including the president and owner) for bilking Americans of at least $100 million.27 Fraudulent business practices included sending consumers supplements they did not order, charging their credit cards without authorization, laundering the money, and mislabeling a product known as Rovicid. Despite the indictments and settlements, the company continues to advertise and sell its products to a public seemingly unaware of the controversy.

• Sildenafil is a phosphodiesterase-5 inhibitor that improves erectile function.
• L-arginine is converted into nitric oxide which promotes penile blood flow.
• Horny goat weed contains icariin, improving erectile function similarly.
• Tribulus terrestris may boost testosterone and sexual performance.
• Ginseng helps reduce fatigue and improve sexual stamina.
• Maca root enhances libido and sexual satisfaction.
• DHEA supplementation can restore hormonal levels aiding sexual health.
• Zinc deficiency decreases testosterone; supplementation improves libido.
• Yohimbine boosts nerve signaling and blood flow to the penis.
• Fenugreek is believed to support testosterone and sexual desire.
• Vitamin D can influence testosterone levels and sexual performance.

Quality of Research on Dietary Supplements When research on dietary supplements intended for super p force 200mg sexual enhancement appears, it must be scrutinized closely to assess the soundness of the methodology employed. Two such studies explored the abilities of KyoGreen powder (barley, wheat grass, seaweed) for sexual dysfunction in men and women and ArginMax (herbs, vitamins, minerals) to enhance sexual function in males.28,29 While both studies seemed to show positive results, they are rendered virtually useless because neither study used a control group that was administered a placebo for a valid comparison. Unfortunately, much of the research on dietary supplements is hampered by profound flaws such as this that would cause the research to be rejected by the FDA if it were to be submitted through the legitimate new drug application process used for new medications. Lack of evidence about the safety and efficacy of dietary supplements exposes the consumer to unknown health hazards, as these products use ingredients that are of unknown therapeutic benefit. Marketers of these supplements have been known to engage in fraudulent and deceptive practices. Marketing hype and high profits should never override the pharmacist's professional responsibility to demand proof of safety and efficacy in the products we recommend. Patients experiencing andropause deserve a pharmacist who will refer them for legitimate medical care rather than selling them products that lack proof of efficacy and safety. Available at: Accessed June 29, 2007.2.

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New York, NY: The Haworth Press, Inc.; 2003.3.

• Sildenafil treatment helps with erectile dysfunction by increasing penile blood flow.
• L-arginine is an amino acid precursor to nitric oxide, critical for erections.
• Horny goat weed contains a compound that may improve erectile function.
• Tribulus terrestris may raise testosterone levels and improve libido.
• Ginseng acts as an energy booster reducing sexual fatigue.
• Maca enhances libido and may improve sperm count.
• DHEA supplementation can assist with hormone balance and libido restoration.
• Zinc supports testosterone synthesis and male reproductive health.
• Yohimbine blocks receptors to improve blood flow to erectile tissue.
• Fenugreek supports sexual desire and testosterone production.
• Vitamin D deficiency is linked to erectile dysfunction, supplements help.

Andropause: endocrinology, erectile dysfunction, and prostate pathophysiology. Oral andro-related prohormone supplementation: do the potential risks outweigh the benefits? Available at: Accessed June 29, 2007.6. FDA warns consumers about dangerous ingredients in "dietary supplements" promoted for sexual enhancement.

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The penis may gradually disengorge during intercourse. Legitimate medical interventions include testosterone, Viagra, Caverject, and devices inserted into the penis. Patients undergoing andropause often do not choose these therapies, opting instead to try dietary supplements. As millions of baby boomers are currently experiencing andropause, marketers offer hundreds of products allegedly beneficial in reversing impotence and enhancing male sexual performance.4 The FTC and Impotence Claims The Federal Trade Commission (FTC) is a government agency charged with preventing fraudulent, deceptive, and unfair business practices and with helping educate consumers to avoid them.5 The FTC issued a consumer alert entitled The Truth About Impotence Claims. The agency clarified several issues and disspelled a great deal of manufacturer hype: • Products advertised as effective for treating impotence without a physician's prescription should be ignored, as they cannot cure the condition.

What Ingredients Are In Sex Drive Pills?

• Products advertised as "breakthroughs" in the treatment of impotence mandate double checking with a physician for legitimacy. • Some manufacturers create phony "clinics" and fake "institutes" solely to promote bogus impotence cures. Consumers should check with a physician to verify the legitimacy of these organizations. • Some manufacturers of impotence cures claim that their product is "scientifically proven" to work. When a consumer sees the phrase "clinical studies prove it works," caution is in order, as these claims are often false. Available at: Accessed June 29, 2007.7. Available at: Accessed June 29, 2007.8.

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