Dietary supplements for potency: compatibility with other drugs

Do not include a table of contents.

Dietary supplements for potency: compatibility with other drugs. Comprehensive analysis.

Section 1: Understanding of dietary supplements for potency and their ingredients

Biologically active additives (dietary supplements) for potency are positioned as alternative or complementary means to improve erectile function, libido and general sexual health of men. It is important to understand that dietary supplements are not drugs and do not pass strict clinical trials as pharmaceuticals. Their composition and effectiveness can vary significantly depending on the manufacturer and the ingredients used. Therefore, before considering the compatibility of dietary supplements with other drugs, it is necessary to carefully study their composition and potential mechanisms of action.

1.1. Common ingredients in dietary supplements for potency:

Dietary supplements for potency often contain a combination of plant extracts, amino acids, vitamins and minerals. The most common ingredients include:

• L-arginine: Amino acid, which is the predecessor of nitrogen oxide (No). No plays a key role in relaxing the smooth muscles of blood vessels in the penis, which helps to increase the flow of blood and, therefore, erection.

• Tribulus Terrestris extract. A plant that is traditionally used to increase libido and improve sexual function. Some studies show that Tribulus Terrestris can increase testosterone levels, although evidence remains ambiguous.

• Epimedium extract (Goryanka): Contains Ikariin, a substance that is believed to have the properties of an inhibitor of phosphodesterosis 5 (FDE-5), like sildenafil (Viagra). However, Ikariin’s action is much weaker than that of FDE-5 pharmaceutical inhibitors.

• Panax Ginseng extract (ginseng): Adaptogen, which can improve the overall state of health, reduce fatigue and increase the level of energy. Some studies show that ginseng can improve erectile function and libido.

• Maka Peruvian (Lepidium Meyenii): A plant that is believed to have the properties of Aphrodisiac and can improve sexual function.

• Zinc: A mineral that plays an important role in the production of testosterone and maintain the health of the prostate gland.

• Selenium: Antioxidant, which is important for reproductive health.

• Vitamin D: It is important for general health, and its deficiency can be associated with erectile dysfunction.

• Yohimbine: Get a Johimba from the African tree. Yochimbin blocks alpha-2 adrenergic receptors, which can lead to an increase in the level of adrenaline and norepinephrine. It was previously used to treat erectile dysfunction, but now its use is limited due to side effects and drug interactions. It should be avoided without consulting a doctor.

1.2. Action mechanisms (alleged):

The mechanisms of action of dietary supplements for potency are mainly based on:

• Strengthening blood flow in the penis: Ingredients, such as L-Arginine and Ikariin, can contribute to the expansion of blood vessels and improve blood flow to the penis.

• Increase in testosterone levels: Some ingredients, such as Tribulus Terrestris and Zinc, allegedly increase testosterone levels, although evidence of their effectiveness in this regard remains limited.

• Reducing stress and fatigue: Adaptogens, such as ginseng, can improve general health, reduce stress and fatigue, which can positively affect the sexual function.

• Antioxidant Protection: Antioxidants, such as selenium, can protect cells from damage to free radicals, which can help improve reproductive health.

1.3. The importance of consulting a doctor:

Before taking any dietary supplements for potency, it is extremely important to consult a doctor. The doctor can evaluate your general health, identify the possible causes of erectile dysfunction and determine whether dietary supplements are suitable for you, as well as evaluate potential risks and interactions with other drugs taken by you. Self -medication can be dangerous.

Section 2: Dad compatibility for potency with drugs

The interaction of dietary supplements for potency with drugs is an important aspect that must be taken into account in order to avoid undesirable side effects and potential health risks. Compatibility depends on specific dieters and drugs taken.

2.1. Interaction with cardiovascular drugs:

• Nitrate: Nitrates are used to treat angina pectoris (chest pain) and heart failure. The joint administration of dietary supplements containing L-arginine or other substances that contribute to the expansion of blood vessels with nitrates can lead to a dangerous decrease in blood pressure (hypotension). This can cause dizziness, fainting and even a heart attack. Joint reception is contraindicated.

• Antihypertensive drugs (medicines for high blood pressure): Bades containing L-arginine, garlic (due to the content of allicin, which can also reduce pressure) or other substances that reduce blood pressure can enhance the effect of antihypertensive drugs, which can lead to hypotension. Careful control of blood pressure and dose correction is necessary if necessary.

• Anticoagulants and anti -agents (drugs that thinning blood): Some dietary supplements, such as ginseng, ginkgo biloba and garlic, have anticoagulant properties. Joint reception with anticoagulants (for example, warfarin) or anti -signs (for example, aspirin, clopidogrel) can increase the risk of bleeding. Careful monitoring of blood coagulation indicators is necessary.

• Digoxin: Ginseng can interact with digoxin, a drug for the treatment of heart failure and arrhythmias. Joint intake can lead to an increase in the level of digoxin in the blood and increase the risk of side effects.

2.2. Interaction with drugs for the treatment of erectile dysfunction (FDE-5 inhibitors):

Bades containing Ikariin (Epimedium extract) or other substances that have the properties of FDE-5 inhibitors can enhance the effect of pharmaceutical FDE-5 inhibitors (for example, sildenafil, tadalafil, vanaphil, and avatil). This can lead to an increase in the risk of side effects, such as headache, redness of the face, nasal congestion, stomach disorder and, in rare cases, oapism (prolonged and painful erection). Joint reception should be avoided.

2.3. Interaction with drugs for the treatment of diabetes:

Some dietary supplements, such as ginseng and chrome, can affect the level of glucose in the blood. Joint intake with diabetes treatment (for example, insulin, metformin, sulfonylmochevin) can lead to hypoglycemia (low blood sugar). Careful control of the level of glucose in the blood and dose correction for the treatment of diabetes is necessary, if necessary.

2.4. Interaction with hormonal drugs:

• Testosterone: Bades containing ingredients, which are claimed to increase testosterone levels (for example, Tribulus Terrestris), can interact with testosterone preparations. This can lead to unpredictable fluctuations in testosterone levels and an increase in the risk of side effects. Careful control of the level of testosterone and health status is necessary.

• Preparations for the treatment of thyroid diseases: Some dietary supplements can affect the function of the thyroid gland. Joint intake with preparations for the treatment of thyroid diseases (for example, levotiroxin) may require the correction of the dose of these drugs.

2.5. Interaction with antidepressant and antipsychoticia:

• Yohimbine: Yochimbin, contained in some dietary supplements, can interact with antidepressants, especially with monoaminexidase inhibitors (IMAO), such as phenelszin, trangypromine and Selegilin, causing a dangerous increase in blood pressure and anxiety. It is also not recommended to combine yocimbine with selective inhibitors of the reverse capture of serotonin (SIOS) and tricyclic antidepressants, as the risk of side effects from the cardiovascular system and the nervous system may increase.

• Ginseng: Ginseng can interact with antidepressants, especially with the IMAO, enhancing their action and causing side effects.

2.6. Interaction with immunosuppressants:

Ginseng can stimulate the immune system, which can reduce the effectiveness of immunosuppressants used to prevent organs from transplantation or to treat autoimmune diseases.

2.7. Interaction with other drugs:

• Antibiotics: Some dietary supplements can affect the absorption of antibiotics, reducing their effectiveness.

• Antifungal drugs: Some dietary supplements can interact with antifungal drugs, affecting their metabolism and effectiveness.

2.8. The importance of informing a doctor:

It is extremely important to inform your doctor about all your medicines, vitamins and dietary supplements so that he can evaluate potential risks and interaction. Do not hide information about the receipt of dietary supplements, even if they seem safe to you. This information will help the doctor make a reasonable decision on your treatment.

Section 3: specific interactions of common dietary supplements

More detailed analysis of specific interactions of specific, often found in dietary supplements, ingredients.

3.1. L-arginine:

• Nitrate: The synergistic effect in a decrease in blood pressure, leading to dangerously low values. Contraindicated.
• Antihypertensive drugs: Strengthening the hypotensive effect. Monitoring blood pressure is required.
• Sildenafil (Viagra) and other FDE-5 inhibitors: The potential strengthening of a vasodilative effect, increasing the risk of hypotension and oapism. Joint application should be avoided.

3.2. Tribulus Terrestris.

• Antidiabetic drugs: It can enhance the hypoglycemic effect that requires the correction of the dose of antidiabetic agents.
• Digoxin: A potential increase in blood digoxin. Digoxin level monitoring is required.
• Anticoagulants/Antiplans: Theoretically, the risk of bleeding can increase, although the evidence is limited.

3.3. Epimedium (Goryanka) / Ikariin:

• FDE-5 inhibitors: Ikariin acts as a faint FDE-5 inhibitor. Joint use with sildenafil, Tadalafil, etc. It can lead to summation of effects and enhancing side effects (headache, redness, priapism). It should be avoided.
• Anticoagulants/Antiplans: It can have an antitrombotic effect, increasing the risk of bleeding.
• Hormonal drugs: Potential influence on the level of estrogen and testosterone. Caution is required with simultaneous intake with hormonal therapy.

3.4. PANAX GINSENG (ginseng):

• Varfarin: It can reduce the effectiveness of warfarin, increasing the risk of blood clots. Monitoring of the IRR (international normalized attitude) is required.
• Antidiabetic drugs: It can enhance the hypoglycemic effect.
• Had (Monoaminoxidase Ingibitory): Potentially dangerous interaction leading to headaches, tremor, mania and insomnia. Joint application is not recommended.
• Digoxin: It can increase the level of digoxin in the blood.
• Immunocationthretarite: Reduces the effectiveness of immunosuppressants.
• Caffeine and stimulants: It can enhance the stimulating effect, leading to anxiety, insomnia and an increase in blood pressure.

3.5. Maka Peruvian (Lepidium Meyenii):

• Interactions with drugs are poorly studied. Theoretically, interaction with hormonal drugs is possible due to the potential effect on the endocrine system. Caution is required.

3.6. Zinc:

• Antibiotics (tetracycline, chinolons): Zinc can reduce the absorption of these antibiotics, reducing their effectiveness. It is recommended to divide the reception for several hours.
• Penicillamin: Zinc can reduce the absorption of penicillin (a drug for the treatment of Wilson’s disease and rheumatoid arthritis).
• Diuretics (thiazide): Tiazide diuretics can increase zinc elimination from the body.

3.7. Yohimbine:

• Antidepressants (IMAO, SIOS, tricyclic): It can cause a dangerous increase in blood pressure, anxiety, headaches and other side effects. It is contraindicated with the Imao, with caution with the SIOS and tricyclic.
• Antihypertensive drugs: It can reduce the effectiveness of antihypertensive drugs.
• Stimulants (caffeine, amphetamines): It can enhance the stimulating effect and increase the risk of side effects from the cardiovascular system.
• Clonidine: Antagonistic action reduces the effectiveness of clonidine.

Section 4: Special groups of patients and risks

Certain groups of patients should be especially careful when considering taking dietary supplements for potency due to increased risk of complications and interactions.

4.1. Patients with cardiovascular diseases:

Patients with cardiovascular diseases, such as coronary heart disease, heart failure, arrhythmias and hypertension, are exposed to increased risk of side effects from dietary supplements for potency. The ingredients affecting blood pressure, blood coagulation or heart rhythm can be especially dangerous. Before taking dietary supplements for potency, it is necessary to undergo a thorough examination and consultation with a cardiologist.

4.2. Patients with diabetes:

Patients with diabetes should be careful when taking dietary supplements affecting the level of glucose in the blood. Careful control of glucose levels and dose correction for the treatment of diabetes is necessary if necessary.

4.3. Patients with liver and kidney diseases:

Diseases of the liver and kidneys can affect metabolism and elimination of drugs and dietary supplements from the body. This can increase the risk of side effects and interactions. Before taking dietary supplements for potency to patients with liver and kidney diseases, it is necessary to consult a doctor.

4.4. Patients with prostate diseases:

Patients with prostate diseases, such as benign prostate hyperplasia (DHGPH) or prostate cancer, should be careful when taking dietary supplements affecting hormonal background. Some ingredients, such as Tribulus Terrestris, can affect the level of testosterone, which can affect the course of prostate diseases.

4.5. Patients taking several drugs (polypragmasis):

Patients taking several drugs (polypragmasis) are subjected to increased risk of interactions between drugs and dietary supplements. Before taking dietary supplements for potency, it is necessary to carefully evaluate all the drugs taken and consult with a doctor or pharmacist.

4.6. Elderly patients:

Elderly patients are more sensitive to side effects of drugs and dietary supplements. They also often have concomitant diseases and polypragmasis. Before taking dietary supplements for potency, elderly patients need to consult a doctor.

Section 5: How to minimize the risks of interactions

Despite potential risks, there are ways to minimize the likelihood of undesirable interactions and ensure a safer use of dietary supplements for potency.

5.1. A thorough study of the composition of the dietary supplement:

Before buying dietary supplements, carefully study its composition. Pay attention to all active ingredients and their dosage. Check the presence of ingredients with which you may have known allergies or intolerance.

5.2. Information of the doctor and pharmacist:

Tell your doctor and pharmacist about all your medicines, vitamins and dietary supplements, including those that you buy without a prescription. This information will help them evaluate potential risks and interactions.

5.3. Reading instructions and warnings:

Carefully read the instructions and warnings indicated on the package of the dietary supplement. Pay attention to possible side effects and interactions with other substances.

5.4. Start with a low dose:

At the first reception of Bad, start with a low dose to evaluate your tolerance. If necessary, gradually increase the dose, following the recommendations on the package or doctor.

5.5. Health monitoring:

During the use of Bad, carefully follow your health state. Pay attention to any unusual symptoms or side effects. If you have any problems, immediately stop taking the dietary supplement and consult a doctor.

5.6. Buying dietary supplements from reliable suppliers:

Buy dietary supplements only from reliable suppliers to make sure of their quality and safety. Avoid the purchase of darts from dubious sources, as they may contain not declared ingredients or be polluted by harmful substances.

5.7. Critical attitude to advertising:

Be critical about advertising statements about the miraculous properties of dietary supplements. Remember that dietary supplements are not drugs and cannot cure erectile dysfunction. If you have problems with an erection, consult a doctor to receive professional assistance.

5.8. Avoid simultaneously taking several dietary supplements for potency:

Simultaneous intake of several dietary supplements for potency can increase the risk of side effects and interactions. It is better to use one dietary supplement that contains well -studied and proven ingredients.

5.9. Attention to food and drinks:

Some food and drinks can interact with dietary supplements for potency. For example, grapefruit juice can affect the metabolism of some drugs and dietary supplements. Grapefruit juice should be avoided while taking dietary supplements for potency. Alcohol can also negatively affect the erectile function and enhance the side effects of some ingredients.

Section 6: Alternative approaches to improving potency

It is important to remember that dietary supplements are not the only way to improve potency. There are other, safer and more effective approaches to consider.

6.1. Life change change:

• Healthy nutrition: A balanced diet, rich in fruits, vegetables, whole grain products and low -fat protein, can improve the overall state of health and sexual function. Limit the consumption of processed products, sugar and saturated fats.

• Regular physical exercises: Physical exercises improve blood circulation, reduce stress and increase energy, which can positively affect potency.

• Maintaining a healthy weight: Obesity can contribute to the development of erectile dysfunction. Weight reduction can improve sexual function.

• Refusal of smoking: Smoking damages blood vessels and worsens blood circulation, which can lead to erectile dysfunction.

• Alcohol use restriction: Alcohol abuse can negatively affect the erectile function.

• Stress management: Stress can worsen erectile function. Practice relaxation methods such as yoga, meditation or deep breathing.

6.2. Medicines:

Pharmaceuticals, such as FDE-5 inhibitors (sildenafil, tadalafil, vadenafil, avanafil), are effective and safe means for the treatment of erectile dysfunction. These drugs are released according to the doctor’s prescription and should be used under his supervision.

6.3. Psychotherapy:

Erectile dysfunction can be associated with psychological problems, such as anxiety, depression or problems in relationships. Psychotherapy can help solve these problems and improve sexual function.

6.4. Vacuum devices:

Vacuum devices can be used to create an erection by attracting blood to the penis. This is a safe and effective method for many men.

6.5. Surgical treatment:

Surgical treatment, such as implantation of a penis prosthesis, may be an option for men who do not help other treatment methods.

Section 7: Legislative regulation of dietary supplements and quality control

Legislative regulation of dietary supplements is significantly different in different countries. In some countries, quality control is strict, and in others it is minimal or absent. It is important to understand that dietary supplements do not go through the same strict test as drugs. Therefore, it is necessary to show special caution when choosing and using dietary supplements.

7.1. USA:

In the United States, dietary supplements are regulated by the sanitary supervision of the quality of food and medicine (FDA) in accordance with the Law on Drinking Addles, Health and Education (DSHEA). According to DSHEA, dietary supplement manufacturers are not required to prove the safety and effectiveness of their products before the market. FDA can take actions against dietary supplements only after they were launched on the market and proven that they are unsafe.

7.2. European Union:

In the European Union, the Bada is regulated by the Directive of 2002/46/EC. This directive establishes the rules regarding vitamins and minerals used in dietary supplements. However, the regulation of plant extracts and other ingredients in dietary supplements varies in different EU member countries.

7.3. Russia:

In Russia, dietary supplements are regulated by the Federal Law «On the quality and safety of food products» and sanitary rules and norms (SanPiN). Bades should be registered in Rospotrebnadzor before the market.

7.4. Quality control problems:

One of the main problems of quality control of dietary supplements is the lack of standardization. The composition and dosage of ingredients can vary significantly from party to party. In addition, dietary supplements can be polluted by heavy metals, pesticides or other harmful substances. Cases of falsification are also often found when dietary supplements contain unusual ingredients, including prescription drugs, such as FDE-5 inhibitors.

7.5. Voluntary certification:

Some dietary supplement manufacturers undergo voluntary certification by independent organizations, such as NSF International and USP (United States Pharmacopeia). These organizations are testing dietary supplements for compliance with quality and safety standards. The presence of a certification sign on the package of dietary supplements may indicate higher quality and safety of the product.

Section 8: New research and future directions

Studies in the field of erectile dysfunction and male sexual health are ongoing. New studies are aimed at studying new methods of treatment, including dietary supplements. However, it is important to remember that most dietary supplements are preliminary and require further confirmation.

8.1. Promising ingredients:

Some promising ingredients that are studied for the treatment of erectile dysfunction include:

• Pycnogenol: The bark extract of the French sea pine, which is believed to improve blood circulation and erectile function.

• L-Citrullin: Amino acid, which turns into L-arginine in the body.

• Ashwaganda (withania somnifera): Adaptogen, which can reduce stress and increase testosterone levels.

8.2. The role of microbioma:

Studies show that intestinal microbiomes can play a role in male sexual health. Violations in the composition of the microbioma can be associated with erectile dysfunction. Probiotics and prebiotics can be useful for improving the health of microbioma and sexual function.

8.3. Nanotechnology:

Nanotechnologies are used to develop new methods of delivery of drugs and dietary supplements. Nanoparticles can improve the absorption and bioavailability of ingredients, which can increase their effectiveness.

8.4. Personalized medicine:

Personalized medicine involves an individual approach to treatment based on a genetic profile, lifestyle and other factors. In the future, it will be possible to develop dietary supplements for potency, adapted to the individual needs of each patient.

Section 9: Ethical aspects of the use of dietary supplements for potency

The use of dietary supplements for potency raises a number of ethical issues that must be taken into account.

9.1. Informed consent:

Patients should be fully informed about the risks and advantages of using dietary supplements for potency, as well as the presence of alternative treatment methods. They should be able to make a conscious decision about their treatment.

9.2. Reliability of information:

Advertising of dietary supplements for potency often contains inaccurate or misleading information. It is necessary to critically evaluate advertising statements and rely on proven sources of information.

9.3. Safety and effectiveness:

Bad manufacturers are responsible for ensuring the safety and efficiency of their products. They must conduct proper tests and provide patients with reliable information about the composition and possible side effects.

9.4. Fair price:

Some dietary supplements for potency are sold at high prices, which makes them inaccessible to many patients. It is necessary to ensure a fair price for dietary supplements in order to make them affordable to everyone who needs them.

9.5. Confidentiality:

Problems with potency can be a delicate topic. Doctors and pharmacists must comply with the confidentiality of patients and protect their personal information.

Section 10: Conclusion (Excluded as per Instructions).