The ingredients are listed here.

But, oops. Nature & Health Co. forgot to mention it also contains tadalafil (Cialis), a prescription drug used to treat impotence (aka erectile dysfunction).

According to the FDA, this product poses a threat to health because tadalafil may interact with nitrates found in some prescription drugs (such as nitroglycerin) and may lower blood pressure to dangerous levels.

Consumers with diabetes, high blood pressure, high cholesterol, or heart disease often take nitrates and would be a highest risk of adverse reactions to this product.

If you have Libimax in your possession, stop using it and contact your physician if you experienced any problem that may be related to taking this product.

4/29/09 17:59 JR

Hi, I’m JR

John Russo, Jr., PharmD, is president of The MedCom Resource, Inc. Previously, he was senior vice president of medical communications at, a complementary and alternative medicine website.