Let’s say you have diabetes or heart disease and are taking nitrates for your condition. And, unfortunately, maybe you need a little more lead in your pencil, which is even more common with some of these conditions. Well your doctor might hesitate to prescribe the most common pharmaceuticals for erectile dysfunction, like tadalafil (Cialis) or sildenafil (Viagra), because these drugs taken in combination with nitrates can cause dangerously low blood pressure. So, in your desperation, you might think about reaching for one of those sexual enhancement supplements about which we all get countless emails.
You might want to think twice, because the “male sexual enhancement” dietary supplement might actually work. If the product is Prolatis’ or one of numerous products from Novacare LLC, it might be working because the dietary supplements actually contain undeclared sildenafil analogs.
I must add that I’m very glad to see the FDA is moving in its announcements to express that not only is the dosing of customers with these pharmaceuticals without their knowledge dangerous, but that “at-risk” individuals are actually some of the most likely people to consume these products:
Consumers with diabetes, high blood pressure, high cholesterol, or heart disease often take nitrates. ED is a common problem in men with these conditions, and consumers may seek these types of products to enhance sexual performance. – FDA Safety Alert (Prolatis’: Undeclared Drug Ingredient)
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The Finch and Pea 