Passion Rx Review and questions by Ray Sahelian, M.D.

Effectiveness
No libido enhancing supplement or drug works in everyone. The satisfaction rate with Passion Rx in terms of an overall sexual improvement ranges between 70 to 80 percent. Viagra, Cialis, and Levitra work in 60 to 70 percent of users in terms of erectile enhancement, but they do not have much of an effect on libido or sensation. It takes a few days for the benefits of this herbal product to be noticed, it does not work in an hour or two.


 


Is this pill you take once a day or like Viagra, something you take before sex?
   Herbal supplements don't work as quickly as Viagra since they take a few days for their maximal effect. This has the advantage of minimizing side effects that are common with pharmaceutical impotence drugs. Once the herbs start working, the benefits can be appreciated anytime day or evening even on the days when the capsules are not used. If a person just wants to be intimate on weekends, Passion Rx can be taken on Thursday and Friday morning and Saturday morning, and then off the rest of the week. Most sexual herbs don't work at their best within one hour like Viagra, but they provide, in addition to improved blood flow, better libido, sensation, and stamina, along with overall sexual enjoyment.

Testimonials
I bought the Passion Rx with yohimbe and i took one the first day. I've never taken herbal sex products before so i wasn't sure what would happen. I think i noticed some more sexual thoughts the first day but i was busy with work and didn't pay attention. Towards evening my penis was starting to make a few attempts at spontaneous erection but it was minimal and could have been by chance that i noticed it. The second morning i took another pill and the same things happened but a little stronger. The third morning i didn't take a pill as advised on the website not to take more than 2 days in a row. The fourth day I took another capsule and In the evening I got home and had a strong urge to be with my wife. I couldn't believe how good it felt being touched. I normally have had problems staying hard, but this time i less trouble staying erect the whole time and my wife was quite pleased!

I have tried both regular Passion Rx and the one with yohimbe. The latter is even more effective in my case, but both are great. I have been looking for something like this for years. Thanks again for great products. For me the effects started on the fifth day of use. One other benefit I have noticed, is that I was slightly depressed for over a year, and since taking the Passion Rx products, have noticed that I feel so much more positive and happy for over a month that I have been taking it. This is a really great thing.
    Thanks for the feedback! We do suggest using these products only when needed as opposed to daily use.

I regularly use your products and appreciate your regular newsletter on supplements. Keep up the great work! I recently tried Passion Rx and found it one of the best supplements in its category, having tried muira puama, horny goat wWeed, L-arginine, tongkat ali each separately, as well as Viagra. I know that you must know yourself that you have a good blend.

After suffering from slight impotence I decided to try several alternative medications to improve the problem. I first tried Viagra which definitely helped me obtain a firm erection. However, I decided to avoid pharmaceuticals and began using Passion Rx and L-Arginine, both of which have also helped with the problem.

I have been using sex product Passion RX with some kind of other supplement variation and combination. I have found it to be working quite well. Easier to have erection, stronger erections, more excitement, more interest in sex and long lasting with strong erection.

Viagra, Cialis and Levitra combination
I assume that one cannot take Passion Rx with Viagra?
   We don't suggest taking them the same day, they are both potent. However, since the aftereffects of Passion Rx last 2 or 3 days, if your doctor approves you can take a capsule of the herbal formula 2 mornings in a row and then on the third and fourth days not take Passion Rx but take Viagra, perhaps a lower dose than you normally would take (such as half your normal dose). There are many variations of this, but the bottom line is not to take them the same day.

I had the opportunity to speak with someone from Physician Formulas when I placed my initial order for Passion Rx and at that time I was invited to keep you informed as to my progress. To refresh my situation to you, I was crushed by a heavy concrete pipe on a construction project 7-15-2004. The result was my pelvis opened about 5" in the front, was pulled back into place and is now held by a plate and screw device. Within hours of the accident my testicles were swollen to the size of grapefruit and remained that way for quite some time. I am 63 years old but was very sexually active up to the time of my mishap and without question I want to be back to my old self again. I tried all three prescriptions for ED numerous times with absolutely no results and I have been eating a lot of raw pumpkin seed and I take mangosteen twice daily. A friend of mine researched the herbal approach to my problem and recommended your product Passion Rx. I ordered a sample pack and started taking a whole capsule every second day. No dramatic results but some hints of feelings in my penis that were non existent prior. With that encouragement I looked at your web site and read that taking your prostrate formula in conjunction with the Passion Rx might work even better. I started taking a full capsule of Passion Rx three times a week and on alternate days the prostrate formula skipping the 7th day. Feelings certainly improved. I have a very beautiful young wife and she tries very lovingly to simulate me in any way she can but the result after some time was still no real erection. I purchased a high quality vacuum pump and can achieve a suitable erection and by using the rubber ring can maintain an erection at least for some minutes. Disappointingly no sign of orgasm other than one time prior to the pump my wife brought me to climax orally. I am wondering if Viagra or Calais would help in conjunction with your formulas ?
   We don't recommend using Viagra drug, Cialis drug or Levitra the same day as Passion Rx, but they can be taken the day after.

Can you take Passion Rx and Viagra on either the same day or on alternating days or should you not be using both of those products together at all?
   This is a very good question. Normally Passion Rx starts working at the end of the second day or the third day, For instance, if you take Passion Rx on Thursday morning, and Friday morning, you will notice the enhancement Friday evening or Saturday, even if you do not take it on Saturday. So, Viagra could be taken on Saturday, but perhaps a lower dose is needed since you will notice the sexual enhancement already from the herbal pill. For some people it may take a few days longer to work. Once Passion Rx starts working, you may not feel the need to take Viagra. So, basically, it would not be a good idea to take Viagra the same day.

I just wanted to know if it is possible to mix yohimbe, Viagra, Cialis, Passion Rx, withania somnifera. and tongkat ali, safely. I take a little yohimbe 2 hours before I take 50 Mg of Viagra. The results are phenomenally hard ,long lasting erections. Very satisfying to both me and my wife. I have heard that such combinations of herbs with Viagra is dangerous. Is this true? Can you tell me what other combinations are similar?
   Passion Rx and tongkat are potent, we don't recommend using them together or with other drugs, but since their effects last into the next day, if your doctor approves you can take Passion Rx or tongkat one day and the next day take the pharmaceutical drugs. One has to be careful combining these herbs and prescription medications since they can sometimes make the heart race or have an irregular rhythm, especially yohimbe and Viagra.

Beta Blockers
I take Toprol XL 25 mg and Quinipril 5 mg, each 1x day. I also have a slight heart murmur controlled by the Toprol beta blocker. I am 48 years old and am experiencing a decline in sexual libido. I have no significant stressors with my partner or otherwise. I am interested in Passion Rx. To your knowledge are there any contraindications or health risks associated with my medications and the ingredients in Passion Rx?
   We don't recommend Passion Rx for those who have a heart condition, unless no more than half of a capsule is used 2 days on, one day off, along with medical approval. Other gentler options include ashwagandha, muira puama, or Prostate Power Rx (even for women). As you doctor may have mentioned to you, beta blockers reduce sexuality and can cause impotence.

Birth control pills
We have not done formal testing in this area, but since Passion Rx is not intended to be taken daily, we seriously doubt it would have a significant reaction when used with BCPs. After developing this product since 2004, we have not had any indication that it alters the effects of BCPs.

Caffeine or coffee
I recently started taking Passion Rx and Prostate Power Rx, not on the same days, and really love it. I'm 63 and I've been to three doctors for lack of libido. They checked testosterone, blood pressure, cholesterol, thyroid, diabetes, as well as various other things and I was told it is probably age and sent me home. Two days after taking Passion Rx I was having erections, desire and orgasms like I was 30 again! This stuff really works! However: I have a question: Does caffeine affect the performance of the product?
   We suggest not using too much caffeine on the days you take Passion Rx since you may feel overstimulated and have faster heart beat.

Clozaril
I am taking medications as follows 150mg Clozaril clozapine, 25mg anafranil, 30mg oxazepam and 50mg of captopril. I heard about your product from an endocrinologist. I hope its safe and I hope I get some relief from libido problems.
   We suggest using Passion Rx only by itself. Since it is not used everyday, the other products can be taken on the off days. We feel uncomfortable mixing so many medications and an herbal sex enhancer.

Coumadin, warfarin, blood thinning medications
Can you tell me if there are any contraindications with warfarin Coumadin?
   We have not tested blood coagulation parameters with Passion Rx so we don't know if the herbs influence blood thinning or coagulation or have no effect. Most of the time Coumadin is taken by those who have a heart condition or atrial fibrillation, and we do not suggest people with a heart condition take this aphrodisiac formula or most of the sex herbs.

NSAIDs, ibuprofen, Motrin, Alleve
Any known drug interactions (to ibuprofen, acetaminophen, anti-histamines, decongestants, etc)?
   We don't suspect any problems with NSAIDs and acetaminophen, but it may not be wise to take it with decongestants.

Prostate medications
Is it o.k. to take it with silodosin used for bph? Or with dutasteride or finasteride?
   Probably but we have not studies to confirm its safety when used with Rapaflo, Proscar, Propecia or Avodart.

SNRI drugs
Duloxetine (Cymbalta, Ariclaim, Xeristar, Yentreve) is a serotonin-norepinephrine reuptake inhibitor manufactured and marketed by Eli Lilly.

I am currently taking Cymbalta. I am very interested in Passion Rx product, but would not want to take it if it will cause bad side effects with my current medication. Could these 2 medications be taken together?
   Passion Rx is quite potent and we don't recommend people on antidepressants to combine it with their medicines since there could be side effects of overstimulation and insomnia. It could be taken on the days you don't take the Cymbalta or if your doctor approves you can take a third or half a capsule every other day.

SSRI drugs, Paxil, Prozac, Zoloft
SSRI drugs also include Lexapro and Celexa.

Do you have customers who are on SSRI drugs and have low sex drive and found it took more time for passion rx to work than normal healthy individuals? I took passion rx regular 1/2 capsule for 20 days with 1 day off for every 2 days and i found only mild improvement in libido, although i had much more sexual thoughts but i did not achieve satisfactory sex or orgasm. It did improve erection though. I am concerned as to whether i may have to take it for more time to work (right not i stopped using it after using for 20 days ) or do i have to take passion rx with yohimbe? I have lost 80% of my sexual function and orgasm due to depression, generalized anxiety disorder, and SSRI drugs.
   Yes, without a doubt. SSRI drugs reduce sex drive, sensation, and the ability to keep an erection. Therefore, the benefits of any aphrodisiac herbal formulas would take longer and they would not be as effective as in people who are not taking these SSRI medications. Passion Rx is quite stimulating and so are SSRIs, so it would not be a good idea to take them together on the same day, but if your doctor approves, Passion Rx can be taken on a day when SSRIs are not being used. If you must take the prescription antidepressants every day, then your doctor may suggest using only a third of a capsule of the herbal product.

Statin drugs
One has to look at the complete health analysis of a person rather than make a decision based solely on the medicines they are using, however we do not see any major interaction with statin drugs such as Lipitor or Zocor and the herbal aphrodisiac formula.

Blood thinning, anti-coagulant
I think Passion Rx may be a strong anti-coagulant or blood thinner. You may need to test and post warnings on your label for this. I have multiple sclerosis and inject myself with Copaxone daily, so I can easily monitor my reactions to supplements as far as anti-coagulant properties. If I take too many anti-coagulants, I bleed when I take my shot; otherwise, I don't bleed at all, or just a tiny dot of blood. The past month or so, I have been very normal, only that tiny dot or no blood to speak of. Yesterday, I took Passion Rx, and bled this morning. The bleeding did stop pretty fast when applying a cotton ball, so perhaps it is just a blood-thinner, but does not affect the ability for the blood to coagulate.
   Thank you for letting us know your experience, this is the first we have heard of it. Perhaps if others notice the same we will take a look at it in more detail.

Heart disease and heart attack
We don't recommend this aphrodisiac or sex herbs to anyone with unstable cardiovascular problems since these herbs can stimulate the heart to beat faster.

Hypertension
I have high blood pressure. I am under treatment with very little help with conventional meds. I do not have high cholesterol not over weight.
   We generally don't recommend Passion Rx for those with unstable cardiovascular problems since it can make the heart beat faster and stronger. However those with mild or moderate hypertension can use low dosages under medical supervision.

Hysterectomy
Has it been tested on women that have had a full hysterectomy?
   We have not done any formal testing in regards to women with a hysterectomy. However, this product is very popular with women who have various female conditions. There is no herbal or pharmaceutical sexual enhancing product that works in everyone and it is impossible to predict the response in any particular woman.

Menstrual cycle
We're not sure if it effects the menstrual cycle, we have not had any women report any problems so far.

Nursing a baby, breastfeeding
How safe is it for a woman that is nursing? My doctor recommended this product but told me to check the with you to see what your recommendations are.
   We have not done studies to determine if any of the herbs that are ingested end up in breast milk, so we don't know. We can only report that the few users who have given us feedback regarding breastfeeding and Passion Rx did not indicate any problems. But without a specific study to determine if the herbs make it to breast milk, we can't be sure. It may be a good idea to not use it at least the first 6 months. After that use of the product 2 days a week seems reasonable and safe.

Pregnancy
I use Passion Rx and absolutely love it! I have recently found out that I am pregnant and was wondering if you know if it is safe to take it while pregnant? I have had no side effects at all. I am a 24 year old housewife and mother of 4. Before my husband and I had children I had an excellent sex drive. We where spontaneous and had alot of fun (hence the kids). After my twins my sex drive went down very much and after my youngest it was non-existent. I would have sex just so my husband would leave me alone about it for a while. We had sex MAYBE once a month and even then I didn't enjoy it. It was kind of like my body didn't respond to the sensation anymore. I had asked my OB/gyn and she said it was normal and it was just hormones getting back to normal. This went on for more than a year! That's when I found the web-site for Passion Rx and decided well it couldn't get any worse. I noticed the effects within the first couple of days of taking it. My body responded when my husband touched or even kissed me! I had DESIRE back! I had more energy during the day to get done what I needed to and I couldn't wait for my husband to get home and sneak a few moments alone. Passion Rx helped me with my life as a whole. I am in better moods because my relationship with my husband is better and I have energy to take care of things that need to get done. Since our sex life has gotten 900% better I feel more beautiful and loved!! Passion Rx is WONDERFUL!!! I have recommended it to a couple of my girl friends who where going through a "dry spell" also.
   Wow, this is an amazing testimonial. We don't recommend using it during pregnancy since the herbs could influence hormonal levels. Many of the herbs in Passion Rx influence hormone levels and it is very complicated since there are more than a dozen of them and it is so difficult to know how they interact with the hundreds of natural hormones in the body and the brain chemicals. Just to be safe, we suggest not using this herbal product during the early stages of pregnancy for the first 5 months, and then after, if your obgyn doc approves, you could try a third or half of a capsule just 2 days a week. This way we will stay safe.

Prostate gland, BPH, enlarged prostate
There are no reports thus far, after several years of consumers using this sexual enhancer, that it has a major influence on the prostate gland.

I am 70 and have an enlarged prostate. I take a daily dose of 2.5mg Xatral (Alfuzosin hydrochloride) plus two capsules of Prostavit (a herbal by BIONAL). For the last year or so I have noticed a drastic decrease in seminal volume followed, recently by some mild erectile dysfunction. Do you recommend any of your herbal formulas for these two disturbances and should I continue Xatral (Alfuzosin hydrochloride) and Prostavit?
   Please discuss with your doctor whether Prostate Power Rx and fish oils would be appropriate for you since we can't directly advise or suggest treatment.

Prostate gland removal, cancer
I had a prostectomy surgery two years ago, The nerves were spared and I can still get somewhat of an erection. Can any sexual herbs help me?
   It's really difficult to predict how each person's sexual enhancement response would be to tongkat ali, tribulus, horny goat weed, yohimbe, etc. But if you were to start, it's better to start with a small amount over several days and weeks rather than a high dose.

Since my husband's Radical Retropubic Prostatectomy (RRP), he has not only become impotent, but has also experienced a tremendous loss of sexual desire. Is there anything in the formula of Passion Rx that is contraindicated among those who have had prostate cancer?
   In order to know for certain whether the herbal combination in Passion Rx influences prostate cancer, we would have to do studies for several years in a large group of older men. Since that is not practical, we can't give any definite answers at this time However, many of the herbs in Passion Rx have shown anti-tumor activity in test tube studies. Another option to consider is Prostate Power Rx with saw palmetto, pygeum, and several other herbs beneficial to the prostate.

Spinal cord injury
We have not tested Passion Rx in cases of neural injury so we really don't know, plus it is stimulating and the extra energy may be uncomfortable if one is in a wheel chair and cannot be physically active.

Thyroid gland function, hypothyroid, hyperthyroid
I take Synthroid every morning before eating. Will this interfere with it?
   Passion Rx is potent, and we generally prefer people taking hormones, such as Synthroid or androgens, to be careful using this product since we have not studied every possible interaction. However, if your doctor approves, you could try a slow process of half of a capsule every other day.

Testosterone
Does Passion Rx affect your body's natural ability to produce testosterone? That is, will this natural ability be reduced or replaced whether you are using or stop using this product?
    We have not done studies with the product in terms of its effects on testosterone or other hormones to know how or if it affects the levels. For long term use we suggest not using this male performance enhancer more than 3 days a week and we recommend being off a full week each month.

Side effects
I took twp capsules of Passion Rx and felt my heart beating really fast. Is this one of the Passion Rx side effects?
   Yes, we suggest not using more than one capsule. Using a smaller amount may take longer to work, but it reduces side effects.

I am having trouble sleeping -- I have been using Passion Rx daily for 2 weeks and it works great, except for the trouble sleeping.
   Take 3 days off from all supplements and then resume the Passion Rx every other day or every third day, you may even consider reducing the dosage to half a capsule.

Tolerance
I have used Passion Rx for a year and half with good results. In the last 6 weeks it has been less effective.
   We feel that tolerance may have developed and sometimes taking a break for at least a month from all sexual herbs or products would be a good idea. Herbal products work better after a good, long break.

I've been taking Passion Rx for a few months now, and loved the results initially. I definitely had a better libido going that I've had in a long while, and let's just say things were good. Problem is it just didn't seem to last that way. I'm a bit bummed.
   Often the effectiveness resumes after a 2 to 4 week break.

Combining with other aphrodisiac herbs
I really like your informative web site I like how careful you seem (ie with DHEA at 5mg) I ordered MultiVit Rx, Mind power Rx, and PassionRx. I tried Passion 2 days and it was ok when I took 2 days off and tried PassionRx in AM, with only 1 multi and only 1 Mind Power after I ate breakfast. I felt OK all day with good energy But I woke at 4 AM and was very nervous and felt jittery in my upper chest and even felt a a little panicky attack it was scary. I am afraid to continue any of the mixtures. I also use Omega 3, CoQ10 50mg every other day, horse chestnut, and Prozac. I tried 5 HTP 2 weeks ago it was OK. I saw no warning for Passion Rx, brain, multi with Prozac and my Dr. said I could try supplements which I did carefully and low dose as you said.
   Unexpected results can happen when mixing many supplements together or when mixing prescription drugs and supplements. Always take low doses and learn each supplement on its own before combining, and always, when combining, use very small amounts, a portion of a capsule.

Combining with other formulas
I am interested in the following: Mind Power Rx Joint Power Rx Passion Rx Eyesight Rx MultiVit Rx. But should I purchase and use all when perhaps one or would be sufficient? I am a healthy 45 male but want improved health. My vision is -125 and -150. I have stiff knees from playing basketball for years. And of course I would want performance where it counts. Any suggestions?
   Each person is unique, and we can give a rough guideline that you can discuss and have approval by your doctor. If you are planning to take these for long term use, we suggest not exceeding this regimen.
Joint Power Rx - 2 or 3 capsules five or six days a week
Mind Power Rx - 1 capsule 2 or 3 times a week
Passion Rx - a capsule two days a week
Eyesight Rx - half tablet two or three days a week
MultiVit Rx - one capsule three days a week
     We suggest not taking the libido formula the same day as Eyesight Rx or Mind Power Rx. These are just rough guidelines and you may find you need less.

Coffee and caffeine
One can take Passion Rx with coffee but we suggest no more than one cup regular coffee a day since coffee is stimulating.

DHEA or pregnenolone hormone interaction
DHEA and pregnenolone may cause heart palpitations in high dosages. Please do not take them the same day as the libido enhancing formula. Please consult your doctor to make sure you have no health conditions before use, particularly heart disease.

GeroVital GH3
I am taking GeroVital GH3 and would like to know if it would be ok to take Passion Rx?
   The first few times you try it, we suggest taking it by itself without the GeroVital GH3 so that you know what it does without interference.

Green tea extract
Can I take it while taking green tea extract tablets, or while drinking 2-3 servings of green tea per day?
   We prefer people take Passion Rx by itself the first few times to see its effects without interference. Once you know how you react to different dosages of Passion Rx, then you can tell if you can combine it.

SAM-e antidepressant
I have been taking Sam-e as an alternative to antidepressants, I would like to try Passion Rx, so I want to know if I can safely take Same and Passion Rx on alternating days? I think I read on your site that I shouldn't take them at the same time.
   They are both potent, the dosages should be kept low, perhaps half a tablet and capsule of only one each day, and the third day off, if your doctor approves.

St. John's wort
Have tried this product before and it really does work. I am now taking St johns wort and soya isoflavones could you please tell me if it is safe to take passion Rx.
   Since this sex pill is not used everyday, the other products can be taken on the off days.

Review sites
I have been unable to locate unbiased 3rd party opinions on Passion Rx. Having been scammed in the past I do not like buying products that do not have them. Could you point me to a forum, study, or feedback database of some sort?
   We are not aware of an unbiased site, most review sites will promote their product at the top of the list and then say unflattering things about products from other companies. Passion Rx is a bestseller with a high rate of reorders.

For some reason, perhaps smoking cigarettes at a young age, smoking marijuana, drinking, and being on anti-depressants, especially Geodone, my penis is virtually dead. I no longer take these medications and I never drink or smoke. I am 27 years old and for some reason these activities seem to have destroyed my libido and shrunken my testicles and penis. Viagra helps to an extent but I never wake up with erections. I have hoped that Tongkat Ali and Passion Rx might help. Can it be that Geodone and smoking at a very young age caused me irreperable damage and actually shrunk my genitals and ruined my libido? If no, then why would I be having these problems? And can I take Tongkat Ali and Passion RX if I am currently taking 30mg of Dexedrine a day along with 125MCG of Synthroid daily? The Dexedrine helped cure my depression and the Synthroid is for an underactive Thyroid.  I would say I have almost no sexual thoughts or drive. There is little sensitivity even during sex. I can't ejaculate unless I masturbate. And I do not get an erection without the help of Viagra, only sometimes. I never wake up with an erection and I have very little blood flow to my genitals. And my genitals have shrunk. I did have my testosterone checked and the urologist said that my levels are great. So I don't know what is causing this.
   A. You may wish to ask your doctor about the sexual side effects of Dexedrine. We don't recommend using Passion Rx or tongkat ali the same day as amphetamines or stimulants.

Not effective in some users
Passion Rx has not worked for me yet. I am taking 40mg Nexium for GERD and 8mg Cardura for BPH. I use Melatonin 3mg and diphenhydramine 50mg at bedtime. I also am taking Anastrozole 1mg twice a week to lower blood estrogen, 100mg injectable depo-testosterone every 10 days, and for the last 30 days have been injecting Somatropin to raise blood HGH. I'm doing everything I can to preserve sexual vitality. I am 70 years old and am grieving the near loss of orgasmic ability; otherwise I am extremely healthy. I can get it up, it just won't go off. I don't mind trying some more, but I need some encouragement that it will work.
   We have found that those the minority of people who say this sexual enhancement formula did not work for them are usually those on multiple medications. Cardura (doxazosin mesylate) is a quinazoline compound that is a selective inhibitor of the alpha 1 subtype of alpha adrenergic receptors. Cardura is used for prostate enlargement treatment. Doxazosin competitively antagonized the pressor effects of phenylephrine (an alpha 1 agonist) and the systolic pressor effect of norepinephrine. Doxazosin and prazosin have similar abilities to antagonize phenylephrine. Cardura may cause decreased sexual ability. We're not sure if Nexium has an influence on erectile function. Melatonin may blunt sexuality and so does diphenhydramine (Benadryl) since it is an antihistamine. Anastrozole interferes with the production of estrogen in the body. As a result, the amount of estrogen that the tumor is exposed to is reduced, limiting the growth of the tumor. You are also taking testosterone and Somatropin which is a form of the naturally occurring human growth hormone. With so many drugs and hormones, it is nearly impossible to say all the biochemical and endocrine events that are going on in your body from all these combinations. Passion Rx works better when people are not taking other drugs or hormones and this could be the reason why Passion Rx may not be working for you. With all of these drugs and hormones in your body, we really don't have a simple answer on herbal methods that could help you since your case is very complicated and we have to refer you to the judgment of your doctor.

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Shipping
Passion Rx and sexual herbs can be mailed to Canada, Toronto, Quebec City, but we are not aware of any stores in Quebec City that carry it.