The C.A.M. Report
Complementary and Alternative Medicine: Fair, Balanced, and to the Point
  • About this web log

    This blog is intended as an objective and dispassionate source of information on the latest CAM research. Since my background is in pharmacy and allopathic medicine, I view all CAM as advancing through the development pipeline to eventually become integrated into mainstream medical practice. Some will succeed while others fail. But all are treated fairly here.

  • About the author

    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.

  • Common sense considerations

    The material on this weblog is for informational purposes. It is not medical advice or counsel. Be smart, consult your health professional before using CAM.

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    If you found the information here helpful, please consider supporting this site.If you found the information here helpful, please consider supporting this site.

  • Recent Posts

  • Recent Comments

    Consumer alert: FDA recalls Long Weekend

    It’s is the third time this year the FDA has identified a “natural” product sold via the Internet for the treatment of impotence (erectile dysfunction) that was adulterated with the prescription drug tadalafil (Cialis).

    Earlier recalls included V-Max and Rhino Max, and Liviro3.

    It’s a neat little trick. Promote and sell a “natural” sexual enhancement product over the Internet. Add an unknown quantity of a drug proven to be effective. But don’t tell anybody you did it. When you’re found out, you simply announce a recall of the product.

    How could you be expected to know?

    To the casual consumer it sounds like a great way to get sexual enhancement without the bother of a doctor’s visit.

    Here’s what your risk.

    • Dyspepsia
    • Back pain
    • Myalgia
    • Nasal congestion
    • Flushing
    • Limb pain
    • Change in color vision

    Less common, but more significant.

    • Body as a whole: asthenia, face edema, fatigue, pain
    • Cardiovascular: angina pectoris, chest pain, hypotension, hypertension, myocardial infarction, postural hypotension, palpitations, syncope, tachycardia
    • Digestive: abnormal liver function tests, diarrhea, dry mouth, dysphagia, esophagitis, gastroesophageal reflux, gastritis, GGTP increased, loose stools, nausea, upper abdominal pain, vomiting
    • Musculoskeletal: arthralgia, neck pain
    • Nervous: dizziness, hypesthesia, insomnia, paresthesia, somnolence, vertigo
    • Respiratory: dyspnea, epistaxis, pharyngitis
    • Skin and Appendages: pruritus, rash, sweating
    • Ophthalmologic: blurred vision, changes in color vision, conjunctivitis (including conjunctival hyperemia), eye pain, lacrimation increase, swelling of eyelids
    • Urogenital: erection increased, spontaneous penile erection

    And did I mention that tadalafil is not recommended for the following consumers.

    • Patients with a myocardial infarction within the last 90 days
    • Patients with unstable angina or angina occurring during sexual intercourse
    • Patients with New York Heart Association Class 2 or greater heart failure in the last 6 months
    • Patients with uncontrolled arrhythmias, hypotension (greater than 90/50 mm Hg), or uncontrolled hypertension (greater than 170/100 mm Hg)
    • Patients with a stroke within the last 6 months

    One more thing.
    There are rare reports of prolonged erections greater than 4 hours and priapism (painful erections greater than 6 hours in duration). Priapism, if not treated promptly, can result in irreversible damage to the erectile tissue. Patients who have an erection lasting greater than 4 hours, whether painful or not, should seek emergency medical attention.

    Are ya feelin’ lucky?

    Erectile dysfunction is often a symptom of other ongoing diseases. Be smart, see your qualified healthcare provider if you experience impotence.

    6/26/07 21:47 JR

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