Additional options
Fish oil supplements or eating cold water fish such as salmon or halibut also help maintain sexual health. You can add one to three fish oils capsules a day

If You Have a Health Problem
Passion Rx has been used successfully by those with stable diabetes, mild hypertension, and on hormone therapy as long as your doctor approves and the dosage is kept to 1/2 or 3/4 of a capsule.  We do not recommend a full dose of Passion Rx to those with a heart condition, on strong medicines, including psychiatric and neurological medicines, serious prostate problems, or with a serious medical condtition unless you have full approval by your doctor and you keep the dosage to half a capsule. Do not take Passion Rx the same day with Prozac or other antidepressants. Unexpected reactions can sometimes occur when pharmaceutical medicines and supplements are combined. Drinking an extra glass or two of cold water a day is suggested.

Note: There is a higher rate of heart disease in men with erectile dysfunction. All men, particularly older men, with erectile dysfunction or erection problems (unless it is clearly determined that it is due to psychological reasons) need a medical evaluation, detailed cardiac assessment, blood pressure measurement, lipid profile and blood sugar test, as well as lifestyle advice regarding weight, diet, and exercise.  Be cautious using sex herbs or any sexual product (natural or prescription)  if you have thyroid or other endocrine issues, a heart condition, a tendency for unstable high blood pressure or heart rhythm abnormalities. Many of these sexual herbal pills can stimulate heart contraction and if you are prone to heart problems you may have rapid heart beat or untoward reactions.

Side effects:
The most common side effect on a full capsule is mild underarm sweating, slightly increased body temperature, and on higher doses rapid heart beat, mild sweating, and shallow sleep. You can keep the body temperature lower by drinking cold or ice water. A positive side effect is more energy, more motivation, better mood, and the urge to be more active. Side effects are rare on half a capsule. Consider Prostate Power Rx for a gentler sexual enhancement if Passion Rx is too potent for you, or just take less. See bottom of page for more details regarding cautions to keep in mind while using sex enhancing herbs.
Questions
Q. Can I take Passion Rx the same day as other sexual herbs such as catuaba, maca, mucuna pruriens, muira puama, tongkat ali, tribulus, ashwagandha, or horny goat weed?
   A. We suggest you don't since you could feel overstimulated and have insomnia if you take Passion Rx the same day as these herbal sex pills. We also suggest you not take Passion Rx the same day as Eyesight Rx, Mind Power Rx, Diet Rx, St. John's wort, SAM-e, DHAE, pregnenolone, ginseng, tyrosine, or any supplement that has a stimulating influence. Learn how each supplement works by itself in your body before combining. And if you combine, always take less than a full capsule or tablet.

Q. Can I take Passion Rx with yohimbe if I am on antidepressants?
   A. Most antidepressants, such as the SSRIs like Prozac, Paxil, or Zoloft increase serotonin effect and thus blunt sexual drive and sexual enjoyment. We don't recommend using Passion Rx the same day as antidepressants since unexpected reactions could occur. If your depression is mild, and your doctor does not believe you need to take the antidepressant pills every day, then you could try Passion Rx on the off days.

Q. Can I take Passion Rx with Yohimbe sex pill if I have high blood pressure?
   A. We discourage the use of Passion Rx with Yohimbe if you have moderate or severe hypertension. If you have mild high blood pressure, consider using 3/4 of a capsule not more than 3 days a week. Or, consider Prostate Power Rx or Passion Rx without yohimbe.

Q. Does Passion Rx with Yohimbe lead to penis enlargement?
   A. No. We are not aware of any herbal or pharmaceutical sex pill product that leads to an anatomically bigger penis. However, if you have not had much sexual arousal in the past, and your penis is normally quite limp, and the sex herbs do help you get improved penile engorgement and arousal, it is possible that you will achieve maximal engorgement which could be a little larger penis than you are used to. But this does not mean that your penis got larger, it just means that your penis became the maximum size it would normally have been under ideal arousal conditions.

Q. Can I take Passion Rx with Yohimbe if I am on heart medicine?
   A. No. Most sex herbs can often speed heart rate on high doses. Therefore, those with weak hearts should be very cautious. If your doctor approves, you could take half, 3/4 or a full capsule of Prostate Power Rx which has a slower and gentler effect.

Q. Can I take more than a capsule of Passion Rx? 
   A. Only if your doctor approves and you are in great health and are not taking other supplements or medicines that day and a smaller amount of Passion Rx did not work as well as you wished. And start with a capsule and a quarter at first, then if needed, another time you can try a capsule and a half if you tolerated the lesser amount. Just realize that the higher the dosage, the more likely the side effects. Insomia, rapid heart beat, and higher body temperature are common side effects on high doses with many natural sex pills.

Q. Can I take Passion Rx or sexual enhancing herbs at night?
   A. Since most sex enhancing herbs cause alertness, we suggest taking a capsule first thing in the morning as soon as you get up so that the herbs are mostly out of your system by late night when you are going to bed. However, if you wake up early in the morning, you can take Passion Rx and then go back to bed. Once Passion Rx starts working in your system, you will find yourself aroused and ready for intimacy any time of day or night.

Q. How should I take Passion Rx?
   A. We suggest you take it as soon as you get up in the morning with water or juice and not eat anything for at least 30 minutes to allow the herbs to be absorbed without interference. The longer you wait before eating, the better the herbs are absorbed and the more potent the product becomes. Keep caffeinated drinks to a minimum since you will feel alert and energetic from the Passion Rx and there's no need to expose yourself to additional caffeine.

Q. What about Passion Rx and alcohol?
   A. A couple of ounces of wine or four ounces of beer should be fine on the day when you have taken Passion Rx, but we discourage drinking any more than a small amount. Alcohol in excess can numb sensation of genital organs. It can also increase body temperature which can give you an uncomfortable feeling.

Q. Why take an herbal aphrodisiac if Viagra and other sex drugs are available?
   A. Viagra, Cialis, and Levitra are pharmaceutical sex pills that focus mostly or erectile dysfunction and they work in 60 to 70 percent of users. However these drugs have little influence on sexual drive, sensation of organs, enjoyment of orgasms or sperm volume. These sex drug pills also do not work well in women. In contrast, the natural sex herbs can influence many aspects of the sexual response.The side effects from the pharmeceutical drugs are more serious than the ones from the natural sexual herbs. It's a matter of personal preference. Some people don't mind taking drugs, others prefer a natural herbal approach. The advantage of the pharmaceutical drugs is that they work much quicker in terms of genital engorgement.

Q. I'm not sure whether regular Passion Rx,  Passion Rx with Yohimbe, or single aphrodisiac herbs will help me with a healthier sex drive.  Which one(s) should I try?
   A. It is impossible to predict which combination sexual product or single sex herb you will respond to. There is no blood test or other way to find out except by trial and error. When you do try a product or single sexual herb, always start with a low dose and see how you feel after a few days. If a product works for you, you should know most likely within a week or two.

Q. What herbs would be considered dangerous to be used simultaneously with sildenafil citrate or vardenafil? Could anti depressant herbs like Rhodiola Rosea that causes minimal MAO inhibition could be dangerous to be taken with the above substances? And what about ginseng and Eurycoma Radix Tongkhat Ali? Can Passion Rx cause serious, life threatening side effects if by accident would be consumed a couple of hours before a 25mg sildenafil pill or a 5mg Vardenafil pill or tadalafil?
 We are talking about being taken by a healthy 38 year old individual with no health problems of any kind.
     A. Herb / drug interactions are not easy to predict and much depends on the dosage used and the overall health of the person using them, particularly the health of the heart. As a general rule it is best to use the herbal sexual products daily for 2 days or so and then not use them the day the prescription impotence medication is taken. The herbal products take a few days to start working anyway and their benefits last a day or two after stopping. So the sildenafil can be used for a quick effect and build on the benefits provided by the herbal products.