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Published on: 1/10/2026
If you are over 65 and on heart medications, avoid royal honey sexual enhancers because many are secretly spiked with PDE5 drugs like sildenafil that can interact with nitrates or some blood pressure medicines to cause a sudden, dangerous drop in blood pressure, fainting, chest pain, or even a heart attack or stroke. There are several factors to consider. See below for key risks specific to older adults, which medications are unsafe to combine, safer doctor-approved ED options and lifestyle steps, and when to seek urgent care.
Over 65? Avoid “Royal Honey” If You Take Heart Meds
As men age, erectile dysfunction (ED) becomes more common—and so does the temptation to try “natural” remedies. One product on the market, often promoted as royal honey for erectile dysfunction, claims to boost stamina and libido. But if you’re over 65 and taking medications for heart disease, mixing in royal honey can be dangerous. Here’s what you need to know.
Royal honey is typically a blend of:
Manufacturers market it as a safe, herbal way to improve sexual performance. However, independent tests have found that some batches are adulterated with hidden pharmaceuticals, including sildenafil (the active ingredient in Viagra) or related compounds. These additions are neither listed on the label nor regulated, which creates serious risks—especially for older adults on cardiovascular drugs.
PDE5 inhibitors (sildenafil, tadalafil, vardenafil) work by relaxing blood vessels to boost penile blood flow. When used correctly under medical supervision, they’re generally safe—even for men with stable heart disease (Boolell et al., 1996). However:
These incidents aren’t isolated. Many are traced back to “natural” sexual supplements adulterated with prescription-only drugs.
You might also consider doing a free, online symptom check for erectile dysfunction or cardiovascular symptoms to better understand what’s driving your concerns.
If you experience chest pain, severe dizziness, palpitations or fainting, seek medical help immediately. And for any ongoing concerns about ED or your heart health, speak to a doctor to find a treatment plan that’s both safe and effective.
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