Abstract
Male enhancement and erectile dysfunction supplements are typically non-Food and Drug Administration (FDA) approved and readily available for purchase by anyone. Longstanding priapism is a significant potential side effect. A 25-year-old man presented with a 48-h priapism after taking Rhino 7 Platinum 3000. He required bilateral corpo-glanular shunting to alleviate his priapism. On initial 2-week follow-up, he had significant fibrosis of the corporal bodies bilaterally and had been unable to achieve an erection. There are few studies performed and few case reports regarding the roles of various supplements in causing priapism. We are unaware of any studies regarding Rhino 7 Platinum 3000. Interestingly, since our initial contact with the FDA Safety Reporting Portal, multiple investigations of Rhino products have demonstrated that sildenafil is a non-labeled ingredient. Given the lack of FDA oversight of many other supplements similar to this one, patients must be wary that the ingredients listed may not be comprehensive and that serious side effects can occur.
Similar content being viewed by others
References
McKay D. Nutrients and botanicals for erectile dysfunction: examining the evidence. Altern Med Rev. 2004;9:4–16.
Geller AI, et al. Emergency department visits for adverse events related to dietary supplements. N Engl J Med. 2015;373:1531–40. https://doi.org/10.1056/NEJMsa1504267.
Miocinovic R,Zafar S,Sferra J,Wainstein M, Priapism caused by “All Nite Long”. Int J Impot Res. 2005;17:469–70. https://doi.org/10.1038/sj.ijir.3901348.
Coralic Z,Lenhoff T,Kanzaria HK,Gerona R, A 120-hour case of priapism from an over-the-counter herbal supplement. Ann Pharmacother. 2013;47:289–90. https://doi.org/10.1345/aph.1R611.
Myers A, Barrueto F Jr. Refractory priapism associated with ingestion of yohimbe extract. J Med Toxicol. 2009;5:223–5.
Spycher MA, Hauri D. The ultrastructure of the erectile tissue in priapism. J Urol. 1986;135:142–7.
Pryor JP, Hehir M. The management of priapism. Br J Urol. 1982;54:751–4.
Zheng DC, et al. Unsatisfactory outcomes of prolonged ischemic priapism without early surgical shunts: our clinical experience and a review of the literature. Asian J Androl. 2013;15:75–78. https://doi.org/10.1038/aja.2012.63.
Moon HW, et al. Administration of Goji (Lycium chinense Mill.) extracts improves erectile function in old aged rat model. World J Mens Health. 2017;35:43–50. https://doi.org/10.5534/wjmh.2017.35.1.43.
Rowland D,Tai W, A review of plant-derived and herbal approaches to the treatment of sexual dysfunctions. J Sex Marital Ther. 2003;29:185–205. https://doi.org/10.1080/00926230390155096.
Administration, USFD. Public Notification: RHINO 7 Platinum 5000 contains hidden drug ingredient. https://www.fda.gov/Drugs/ResourcesForYou/Consumers/BuyingUsingMedicineSafely/MedicationHealthFraud/ucm234539.htm (2017).
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
This event has been submitted to the FDA. The authors declare that they have no conflict of interest.
Rights and permissions
About this article
Cite this article
Mittakanti, H.R., Elliott, C.S. Priapism caused by “Rhino 7 Platinum 3000” an over-the-counter male enhancement supplement. Int J Impot Res 30, 190–191 (2018). https://doi.org/10.1038/s41443-018-0033-7
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1038/s41443-018-0033-7
- Springer Nature Limited
This article is cited by
-
Sildenafil
Reactions Weekly (2019)