We have tested, reviewed and evaluated 150 of the most popular male enhancement products on the market. Concrete steps must be taken to improve the safety and well-being of consumers and to decrease the health related consequences from those products which should only be taken under the advice of a physician. Regulatory agencies emphasizing the impact of the usage of these supplements on the health of general public and striving to impose strict regulations on these products. Those products packaging did not list quantity, ingredients, warning sign or harmful side effects of the products. Inadequate regulatory measures, weak quality control system and uncontrolled distribution by various vendors are some of the reasons that has augmented herbal supplements market .Libimax Premium offers 18 days of potent performance with a 2900mg formula, while Rhino Rush 777 delivers 15,000 IU potency for up to 15 days of intense sexual power.Although CaliPlus and its manufacturer market the product as a superior drug to its prescription counter parts, the product fails to meet expectations.In the ER patient had seizure like activity for which he was given 1 g of Dilantin and Ativan.Supports brain function and neurotransmitter production.Consumer request has created a huge demand for these products and has led to sales in the hundreds of million to billions of dollars in the US and world-wide 1,3Alfa Vitamins LibiMax is a sexual health stimulant made up of 19 components that may help boost sexual performance and libido. This product is specially developed for men from a unique blend of herbal extracts. The pills come 4 to a pack, and a pack of 4 sells for about $12.00 to $14.00. It offers many customer testimonials and lists the main ingredients. HST Medical Furthermore according to Fox News report published in November 2007 popping herbal sex pills linked to increased risk of stroke, headaches and vision problems. Consumer request has created a huge demand for these products and has led to sales in the hundreds of million to billions of dollars in the US and world-wide 1,3 Inadequate regulatory measures, weak quality control system and uncontrolled distribution by various vendors are some of the reasons that has augmented herbal supplements market . These Erectile Dysfunction (ED) pills may contain Sildenafil, the active ingredient of Viagra in much higher quantity then legally prescribed by a licensed physician or they may contain unknown quantities of Thiosildenafil, the active ingredient in Cialis. Nevertheless, the use of herbal medicines continues to expand rapidly across world and many people perceive usage of herbal medication as a safe and reliable way to improve health outcome. Herbal Niagra Libimax Premium and Rhino Rush 777 are powerful male sexual performance enhancement supplements designed to boost stamina, size, and endurance for extended pleasure. The Public should be educated at local, state and national levels to avoid miss use of sexual enhancement products purchased through the internet or over-the-counter. The pills marketed as safe herbal alternatives to Viagra and other prescription medication for erectile dysfunction exhibits a hidden danger and adverse effects especially among people with pre-existing heart conditions. All of these ingredients work in combination with one another to increase arousal and support blood flow to allow for a firmer erection and a more heightened and pleasure full sexual performance. Our products are not intended to diagnose, treat, cure, or prevent any disease.The pills marketed as safe herbal alternatives to Viagra and other prescription medication for erectile dysfunction exhibits a hidden danger and adverse effects especially among people with pre-existing heart conditions.Libimax Rhinomax For Sale can enlarge and thicken the penis, encourage male growth hormone and penile to produce for any secondly time.This undeclared substance may interact with Nitrate, as does Sildenafil, and can cause a dangerous drop in blood pressure .Establishment of National and International Databases to better inform the public of the use and consequences of misuse of ED medications and supplements through clear and concise listing of ingredients on product labels.All of these ingredients work in combination with one another to increase arousal and support blood flow to allow for a firmer erection and a more heightened and pleasure full sexual performance.These non FDA approved products with unknown ingredients are widely accessible for purchase ranging from local food, drug stores and to the internet.As in the majority of these cases, the manufactures of these products neither list the true content and nature of the ingredients nor indicate the quantity or quality of the substances used in these products .He was found unresponsive in his apartment by his home health aide; he had saliva drooling from the mouth, and was unresponsive to questioning from the admitting physician. Best Selling Products With no clinical studies to support the ingredient claims and no ingredient amounts shown, it is very difficult to see how powerful and reliable this product really is. BENEFITS• Improves circulation and delivery of blood, oxygen and nutrients to the vital organs• Increase release of skeletal muscle energy• Protects and supports prostate function This product’s superior formula is specially developed for men from a unique blend of herbal extracts including Tongkat Ali. As in the majority of these cases, the manufactures of these products neither list the true content and nature of the ingredients nor indicate the quantity or quality of the substances used in these products . It is difficult to analyze the herbal products that cause adverse events due to insufficient information, lack of expertise. These products are marketed as supplements and are not currently under the regulations of the Food and Drug Administration (FDA) and are thus released to the general public containing unknown amounts of medications or drugs that are normally available by prescription only in the USA . These products are accessible for purchase from local food, drug stores and the internet. Certified GMP and manufactured in the USA, these supplements are doctor-designed to provide safe, effective results with no headaches or adverse effects.The recommended dose for CaliPlus is one capsule twice a day and a capsule just prior to sexual activity.It offers many customer testimonials and lists the main ingredients.They are formulated to improve sexual confidence and satisfaction for men and women alike.SizeGenix is an extremely well made product with alot of attention to detail in it's chemistry and design.Xantho 5X Is an innovative new product that uses a super critical extraction process to get the highest quality ingredients.Later patient called his friend and request to take him to nearby healthcare facility Patient reported right hemiparesis, unstable gait and imbalance. Boost Spray The manufacturer’s website for CaliPlus has a complete list of all the ingredients included in the product’s formula, along with brief explanations of how they work to support sexual performance. CaliPlus is a sexual male enhancement supplement designed to help treat erectile dysfunction. Crest Labs manufactures this male sexual enhancement pill. Patient was encouraged do not use over the counter sexual enhancement products; he was referred to primary care provider regarding consultation for erectile dysfunction. We present a case report of an individual with bipolar disorder and hypersexual behavior who became victim to over the counter sexual enhancement products/supplements which caused serious health and life threatening consequences. These sexual enhancement products are being sold as safe and natural with false hopes to resolve erectile dysfunction. The FDA has identified more than 350 different supplements marketed for sexual enhancement and found to be tainted with prescription medication of which the quality and quantity is questionable due to lack of oversight in these products. It also combines its active ingredients in a manner that increases bio-availability.Per patient “I was not aware of the contents in neither the ED pills nor the substances contained within it”.Two weeks after discharge the patient was brought back to the Emergency Department at metropolitan hospital by friend.Pro Plus Xtreme is a male sexual enhancement pill that contains many ingredients that help with male sexual dysfunction.Always seek professional medical advice from your physician or other qualified healthcare provider with any questions you may have regarding a medical condition.1.Do not take Libimax Rhinomax 2500mg if you have any medical condition!In recent years the Food Drug Administration FDA has noted an emerging trend where dietary supplements used for sexual enhancements have untested pharmaceutically active ingredients leading to harmful consequences . Libimax në Big Market, Amazon Per patient “I was not aware of the contents in neither the ED pills nor the substances contained within it”. Later patient called his friend and request to take him to nearby healthcare facility Patient reported right hemiparesis, unstable gait and imbalance. The patient reported that he went to bed at 10 pm after taking his insulin (25 units) without checking his blood sugar. Concomitant use of sex pills with high blood pressure and heart meds can lead to a stroke or even death . SizeGenix is an extremely well made product with alot of attention to detail in it's chemistry and design. Although CaliPlus and its manufacturer market the product as a superior drug to its prescription counter parts, the product fails to meet expectations. The recommended dose for CaliPlus is one capsule twice a day and a capsule just prior to sexual activity. The manufacturer of the product also offers a 90-day money back guarantee, but does not offer any free samples. CaliPlus is meant to be taken daily, but can also be taken immediately prior to sexual activity. Viagra Alternatives Experience powerful, longer-lasting erections and intense orgasms with Libimax Premium and Rhino Rush 777—trusted names in male enhancement. Certified GMP and manufactured in the USA, these supplements are doctor-designed to provide safe, effective results with no headaches or adverse effects. Libimax Premium offers 18 days of potent performance with a 2900mg formula, while Rhino Rush 777 delivers 15,000 IU potency for up to 15 days of intense sexual power. Our products are not intended to diagnose, treat, cure, or prevent any disease. Product Ratings: These reviews are the result of clinical testing, customer feedback and information provided by store owners, distributors and analysis by medical professionals. Rhino Rush 777 contains a proprietary blend formulated to maximize intercourse time, size, and stamina, delivering explosive orgasms and enhanced sexual confidence. Do not mix with alcohol or other medications without professional advice. Consult your doctor if you have heart conditions or other health concerns. Libimax Rhinomax 2500mg is one of the most widely used male enhancement merchandise offered on the internet and product sales of such organic guy enhancers continue to climb up every year. Always seek professional medical advice from your physician or other qualified healthcare provider with any questions you may have regarding a medical condition. This product is the best herbal viagra bar none and we believe is actually more effective than viagra with less side effects and more versatility in it's action. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Stiff muscles will reduce the blood flow which leads to premature ejaculation. Relax the muscles or take a shower before sexual intercourse! Foreplay is very important, longer foreplay prepares the body and increases blood circulation. HST Libi Max 90 capsules Since these supplements are not regulated by the FDA consumers and vendors considered it safe until proven otherwise. After one month of discharge patient’s condition did not returned to baseline. During his hospital stay, it was determined that the patient had suffered a CVA. In the ER patient had seizure like activity for which he was given 1 g of Dilantin and Ativan. He was found unresponsive in his apartment by his home health aide; he had saliva drooling from the mouth, and was unresponsive to questioning from the admitting physician. The main advantage to CaliPlus rather than certain prescription medications is that it can be used without the risk of any dangerous side effects, and is much more accessible to customers. This product was created to act as an alternative to over-the-counter drugs such as Viagra, and the benefits of the product can be seen in more detail on the CaliPlus official website. Supports brain function and neurotransmitter production. Strict guideline and regulations for erectile dysfunction supplements should be implemented to prevent misuse of medications such as Sildenafil or Tadalafil or medications similar in structure.Nevertheless, the use of herbal medicines continues to expand rapidly across world and many people perceive usage of herbal medication as a safe and reliable way to improve health outcome.The patient reported that he went to bed at 10 pm after taking his insulin (25 units) without checking his blood sugar.Do not mix with alcohol or other medications without professional advice.BENEFITS• Improves circulation and delivery of blood, oxygen and nutrients to the vital organs• Increase release of skeletal muscle energy• Protects and supports prostate functionIf you love Thai food your in the right place.This product’s superior formula is specially developed for men from a unique blend of herbal extracts including Tongkat Ali. You really cannot go wrong with any of these top 5 products. This supplement can help with all around sexual well being, but so can many other supplements. For Rhino Rush 777, take one capsule 4 hours before sex to enhance energy, libido, and sexual performance. Two weeks after discharge the patient was brought back to the Emergency Department at metropolitan hospital by friend. This undeclared substance may interact with Nitrate, as does Sildenafil, and can cause a dangerous drop in blood pressure . This product as per FDA website has the undeclared ingredient “Sildenafil” and FDA has issued warning Patient reported he is also using “Mojo Risen” which has been shown to contain Noracetildenafil as confirmed by FDA laboratory analysis. Since these supplements are not regulated by the FDA consumers and vendors considered it safe until proven otherwise.This product was created to act as an alternative to over-the-counter drugs such as Viagra, and the benefits of the product can be seen in more detail on the CaliPlus official website.EnhancementScience.com is not responsible for comments, advice, information, or any other posting made by visitors or others in these areas.CaliPlus is a sexual male enhancement supplement designed to help treat erectile dysfunction.This product is specially developed for men from a unique blend of herbal extracts.Concrete steps must be taken to improve the safety and well-being of consumers and to decrease the health related consequences from those products which should only be taken under the advice of a physician.With no clinical studies to support the ingredient claims and no ingredient amounts shown, it is very difficult to see how powerful and reliable this product really is. Implement tougher guidelines and monitoring of products sold by manufacturers and to implement regulatory monitoring on the companies involved in manufacturing of over the counter products. It was concluded by the psychiatric treatment team that the patient’s physical state/seizures like activity was resulting from his continued misuse of over-the counter- ED supplements as self-reported by patient and his friend. Unfortunately, as reported by patient he went home after discharged and he continued to abuse ED supplements. This product is structurally similar to Sildenafil the active ingredient in Viagra. Unfortunately, patient took several different brands of ED pills at the same time, assuming its “safe” as proclaimed on the packaging. In recent years the Food Drug Administration FDA has noted an emerging trend where dietary supplements used for sexual enhancements have untested pharmaceutically active ingredients leading to harmful consequences . Safety and quality concerns regarding over the counter sexual enhancement products sold in the USA market pose a major health risk to the general public. This product could support some aspects of sexual performance, but overall, it is just another sub-par male enhancement supplement. Pro Plus Xtreme is a male sexual enhancement pill that contains many ingredients that help with male sexual dysfunction. During initial assessment, patient reported he has been abusing over the counter erectile dysfunction (ED) pills since last ten (10) years which he purchased over the internet and from the local grocery stores, with the majority being labeled made in China.It uses a vasobolic technology to maximize blood flow and produce stunning results.These Erectile Dysfunction (ED) pills may contain Sildenafil, the active ingredient of Viagra in much higher quantity then legally prescribed by a licensed physician or they may contain unknown quantities of Thiosildenafil, the active ingredient in Cialis.It has an equally effective combination of active ingredients and uses a technology based on Tongkat Ali to produce an increase in length and width.The manufacturer of the product also offers a 90-day money back guarantee, but does not offer any free samples.Regulatory agencies emphasizing the impact of the usage of these supplements on the health of general public and striving to impose strict regulations on these products.Experience powerful, longer-lasting erections and intense orgasms with Libimax Premium and Rhino Rush 777—trusted names in male enhancement. During initial assessment, patient reported he has been abusing over the counter erectile dysfunction (ED) pills since last ten (10) years which he purchased over the internet and from the local grocery stores, with the majority being labeled made in China. Therefore, these patients may turn to using products they deem natural or without side effects and thus believe these products are safer to use. These products keep the consumer in the dark in terms of the quantity, ingredients, effectiveness and possible side effects. These non FDA approved products with unknown ingredients are widely accessible for purchase ranging from local food, drug stores and to the internet. For Libimax Premium, take one capsule with 4 ounces of water 4 hours before sexual activity. They are formulated to improve sexual confidence and satisfaction for men and women alike. Statements & opinions regarding dietary supplements on this website have not been evaluated by the Food and Drug Administration (FDA). After one month of discharge patient’s condition did not returned to baseline.During his hospital stay, it was determined that the patient had suffered a CVA.Furthermore according to Fox News report published in November 2007 popping herbal sex pills linked to increased risk of stroke, headaches and vision problems.Concomitant use of sex pills with high blood pressure and heart meds can lead to a stroke or even death .These reviews are the result of clinical testing, customer feedback and information provided by store owners, distributors and analysis by medical professionals.CaliPlus is meant to be taken daily, but can also be taken immediately prior to sexual activity.Consult your doctor if you have heart conditions or other health concerns.Libimax Premium and Rhino Rush 777 are powerful male sexual performance enhancement supplements designed to boost stamina, size, and endurance for extended pleasure. 1.Do not take Libimax Rhinomax 2500mg if you have any medical condition! Libimax Rhinomax For Sale can enlarge and thicken the penis, encourage male growth hormone and penile to produce for any secondly time. If you love Thai food your in the right place. EnhancementScience.com is not responsible for comments, advice, information, or any other posting made by visitors or others in these areas. It uses a vasobolic technology to maximize blood flow and produce stunning results. Short and small male organ, soft penile erection, bad expansion of guy reproductive organ, poor renal. It also combines its active ingredients in a manner that increases bio-availability. Xantho 5X Is an innovative new product that uses a super critical extraction process to get the highest quality ingredients. It has an equally effective combination of active ingredients and uses a technology based on Tongkat Ali to produce an increase in length and width. Other ingredients include Ginkgo, Oriental Ginseng, L-Arginine, and Tribulus Terrestris and all of these ingredients support better sexual well being. Libimax Premium and Rhino Rush 777 are perfect for men seeking natural solutions for enhanced sexual health and performance. Physician should have low threshold in prescribing for erectile dysfunction medication and to carefully monitor patients who are at risk of developing ED in the future to encourage more open conversation about this topic and eliminate the stigma of ED. Establishment of National and International Databases to better inform the public of the use and consequences of misuse of ED medications and supplements through clear and concise listing of ingredients on product labels. Strict guideline and regulations for erectile dysfunction supplements should be implemented to prevent misuse of medications such as Sildenafil or Tadalafil or medications similar in structure. The supplement creates better erections, very strong and intense orgasms, more strength and energy, with sexual experiences lasting longer and arousal happening more frequently. Within the review the product is broken down based on five specific areas. Each product is graded with a standard A-F scale giving it a single overal rating. Nevertheless, FDA faces serious obstacles in identifying these products true ingredients in a timely fashion to prevent physical damage being done to general public. The availability of these products through the internet and over the counter in local grocery stores places has a huge clinical challenge to health care. To list some of these products which the patient took, as confirmed by patient, included “Male Enhancement”, “Extenze” which had the word written “doctor approved”. SizeVitrexx is a well formulated and intuitive product that is generally considered the top male enhancement product on the market. Each Libi-Max tablet provides a potent source of ingredients formulated to enhance vitality, strength, stamina and to support a healthy prostate function and overall well-being. Alfa Vitamins LibiMax is a sexual health stimulant made up of 19 components that may help boost sexual performance and libido.