Erectile Dysfunction Health Center
FDA Warns of "Natural" ED Supplements
March 26, 2008 -- The FDA is warning consumers not to buy or use "Blue Steel" or "Hero" dietary supplements promoted and sold online for erectile dysfunction (ED) treatment.
Those products are unapproved drugs that haven't proven their safety or effectiveness, and they contain unapproved chemicals similar to sildenafil, Viagra's active ingredient, according to the FDA.
Those chemicals, which aren't noted on the Blue Steel and Hero product labels, "may dangerously affect a person's blood pressure level," an FDA news release states.
"Because these products are labeled as 'all-natural dietary supplements,' consumers may assume that they are harmless and pose no health risk," says Janet Woodcock, MD, director of the FDA's Center for Drug Evaluation and Research. "But an unsuspecting consumer with underlying medical issues may take these products without knowing that they can cause serious side effects and interact in dangerous ways with drugs that a consumer is already taking."
The undeclared ingredients in these products could interact with nitrates found in some prescription drugs (such as nitroglycerin) and can lower blood pressure to dangerous levels.
People with diabetes, high blood pressure, high cholesterol, or heart disease often take nitrates. ED is a common problem in men with these medical conditions. Because they may have been advised against taking ED drugs, these men may seek products like Blue Steel and Hero because the products are marketed as "all natural" or as not containing the active ingredients in approved ED drugs, the FDA notes.
The FDA advises people who have used either of these products to discontinue use and consult their health care professional if they have experienced any adverse events that they feel are related to the use of these products.
Consumers or health care professionals can report adverse events to the FDA's MedWatch program by phone at 800-FDA-1088 or on the FDA's web site.
The FDA recommends that consumers talk to their health care professional about FDA-approved treatments for erectile dysfunction. The FDA also says it may take further regulatory actions to protect consumers from these illegal products.
Blue Steel is sold in bottles containing 10 blue capsules or blister packs containing two blue capsules. Hero is sold in blister packs containing two blue capsules.
Indication
Uroxatral® (alfuzosin HCl 10 mg extended-release tablets) is an alpha1-blocker for the treatment of the signs and symptoms of BPH.
Important Safety Information
Do not take UROXATRAL if you have liver problems or if you are taking antifungal drugs like ketoconazole or itraconazole, or HIV drugs like ritonavir.
UROXATRAL can cause a sudden drop in blood pressure, especially when starting treatment. This may lead to fainting, dizziness, and lightheadedness. Do not drive, operate machinery, or do any dangerous activity until you know how UROXATRAL will affect you. This is especially important if you already have a problem with low blood pressure or take medicines to treat high blood pressure. There may be an increased risk of low blood pressure and fainting when taking UROXATRAL in combination with blood pressure medication or nitrates, or erectile dysfunction medication.
If considering cataract surgery (clouding of the eyes), tell your eye surgeon that you are currently taking UROXATRAL or have previously been treated with an alpha-blocker.
Before taking UROXATRAL, tell your doctor if you have kidney problems.
Also, tell your doctor if you or any family member(s) have or take medications for a rare heart condition known as congenital prolongation of the QT interval.
BPH and prostate cancer can cause the same symptoms. However, UROXATRAL is not a treatment for prostate cancer.
The most common side effects with UROXATRAL are dizziness, upper respiratory tract infection, headache, and tiredness.
Please see UROXATRAL full prescribing information.



