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вЂњThese are illegal products that are just openly being sold, and the FDA is not doing anything about it,вЂќ said Dr. In most cases, the FDA has just issued alerts telling consumers to avoid the products. But an agency database shows only 15 recalls of supplements containing erectile dysfunction drugs. Since 2015, the FDA has identified more than 200 sex supplements with hidden drugs.

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Hiding pharmaceuticals in over-the-counter products is already illegal, and some researchers question why the FDA hasnвЂ™t cracked down further on products it knows are in violation of the law. Some consumer groups, as well as the FDA, have argued that the agency should have more legal authority to review supplements before they are sold to consumers. Walmart did not respond to a request for comment.

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But recently, other sex supplements were still for sale on, including a pill called the Rhino 17 Plus 5000 that retailed for $17.98.

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In 2019, Walmart agreed to remove one rhino supplement from its website after it was flagged by the FDA as containing hidden drugs and highlighted by a local TV news station.

Amazon, which has denied responsibility, did not respond to a request for comment.

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The suit argues that Amazon is liable for the products it sells and is scheduled for trial in 2022. But after a supplement is flagged by the FDA as being unsafe or containing hidden drugs, sellers can make a slight name change to вЂњcreate a new pill that is exactly what they were selling before,вЂќ said Steve Lipscomb, an attorney handling a lawsuit against Amazon over pills called the вЂњRhino 50k.вЂќ In 2017, Jeffrey Sapp suffered a heart attack and permanent brain damage after taking the pills, according to his lawsuit. Under federal law, supplements are supposed to contain ingredients such as vitamins, minerals and herbs, but not pharmaceuticals, and can be sold over-the-counter. The FDA typically tests products only after getting complaints from consumers or if products are seized by customs agents. Sellers can easily register new dietary supplements with the FDA without submitting any safety data. The situation is a testament to the largely unregulated nature of the $45 billion a year U.S. At least one product claims the pills were made in a вЂњFDA registered facilityвЂќ using such ingredients as вЂњproprietary blendвЂќ and вЂњhorny goat weed.вЂќ But even with their original creator behind bars, rhino pills continue to be sold nationwide. A federal investigation of LeeвЂ™s activities-dubbed вЂњOperation RhinoвЂќ-revealed why the supposedly all-natural supplements seemed to work: they were spiked with the same active ingredients used in Cialis and Viagra, as well as dapoxetine, which is prescribed for premature ejaculation. One death was reported: a 31-year old man believed to have taken a pill called Rhino Male Enhancement before suffering a fatal heart attack. But users have also described troubling side effects like headaches, a common enough problem that some packages boast of a вЂњnew formulaвЂќ that comes with вЂњno headache.вЂќ In rare cases, people who took the pills have suffered life-threatening injuries.ДЄ FairWarning review of FDA data since 2018 found 49 reports of problems ranging from penile pain and heart palpitations to congestive heart failure and coma. Men who tried them have reported that they are surprisingly effective. Rhino pills, as the many products named for the horned beast are known, are a familiar sight at gas stations all over the country. In recent months, the FDA has issued health warnings about more than 50 sex supplements, including the вЂњRhino 88 Extreme 9000,вЂќ the вЂњRhino 69 Power 500k,вЂќ and the вЂњRhino 69 Platinum 75000.вЂќ The FDA has also warned about brands called вЂњBlack Stallion,вЂќ вЂњStiff Nights,вЂќ and вЂњThumbs Up 7,вЂќ among others.