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>Looking at 33 web sites selling herbal substitutes for >Viagra, the researchers spotted red flags including: > >No information from medically trained staff (79% of >the sites) >No statement that the site's information doesn't >replace medical advice (76% of the sites) >No warning about ED-associated heart disease (None of >the sites posted this warning.) >No information about contraindications (64% of the >sites) >No information on side effects (79% of the sites) >Lack of referenced information (82% of the sites) >Lack of disclaimers (67% of the sites) >No information about ingredients (30% of the sites) >No information on effectiveness of the herbs (18% of >the sites) >"All sites fell short of the Health on the Net >requirements," says the study. > >The Health on the Net (HON) Foundation is a medical >and health web site accreditation organization >supported by the World Health Organization. HON >provides standards that it recommends health >information web sites adhere to. > >What's in the Bottle? > >Herbal treatments aren't regulated by the government. >The most common ingredients cited in the study were >yohimbe,yohimbe, ginseng,ginseng, and ginkgo >biloba.ginkgo biloba. > >Yohimbe can cause headaches, sweating, and high blood >pressure, making it inappropriate for patients with >heart and neurological disease, say the researchers. >Reports of diarrhea, vomiting, headaches, and allergic >skin reactions have been linked to gingko biloba, they >say. > >That's not to say that those herbs might not have an >effect on ED. But the pros and cons of any treatment >-- herbal or not -- should be made clear, the study >suggests. > >Health experts recommend that patients tell their >doctors about any supplements they take (including >herbal products and vitamins). That could help avoid >interactions between treatments. > >Herbal or Not? > >Two years ago, the FDA cracked down on a supposedly >all-natural herbal treatment marketed to men and women >to enhance sexual experience. The FDA learned that the >product, called Vinarol,Vinarol, actually contained >Viagra's active ingredient, says the study. > >"It is unknown how many other treatments for ED >marketed as "herbal" supplements actually contain >active and potentially dangerous compounds," write the >researchers, who included Ramesh Thurairaja of the >urology department at England's Bristol Royal >Infirmary. > >The study appears in the March/April issue of the >International Journal of Impotence Research

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