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Other products contained drugs that were structurally similar to tadalafil or sildenafil, the active ingredient in Viagra. Not to mention all those "natural" ingredients on the label, which are untested, unstudied, and definitely not FDA-approved. For instance, taking tadalafil and sildenafil can lead to dangerously low blood pressure if you're also taking drugs containing nitrates, like nitroglycerin for heart disease or amyl nitrate "poppers" , says Morgentaler. Plus, Viagra and Cialis do come with some rare but possible side effects like hearing or vision loss or an erection that won't go away.

So if you're unknowingly getting these ingredients in unknown quantities in your OTC sex supplement, you're putting yourself at risk for these side effects. Case in point: None of the stuff on the ingredient list is actually studied or proven to work, says Morgentaler.

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But if you really need erectile dysfunction medication, just get the real stuff from your doctor, says Morgentaler. The amount snuck into these supplements can't compare to the amount in an FDA-approved prescription medication. These drugs are approved to treat erectile dysfunction. They work by increasing blood flow to the penis, so that it's easier to get and maintain an erection. It won't turn you on, increase your stamina, or prolong ejaculation so you can go all night. Both iief patients cool down with warm shower or bath, which is the male sex hormone and the increase in sexual vimax penis enlargement desire was observed.

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