本周热点误区：加油站“壮阳”药丸的真相
内容总结：
【新闻总结】加油站“男性增强剂”调查：非法添加处方药，监管滞后存隐患
近日，记者调查发现，国内部分加油站便利店、烟酒店销售的所谓“纯天然男性增强保健品”存在严重安全隐患。这些标榜“犀牛之力”“黑曼巴”等夸张名称的产品，实际非法添加了西地那非（伟哥成分）或他达拉非（希爱力成分）等处方药成分。
尽管美国FDA已多次发布警告并建立问题产品数据库，但由于1994年通过的《膳食补充剂健康与教育法案》存在监管漏洞，这类产品仍以“膳食补充剂”名义在市场上流通。这些产品多源自中国、印度等监管相对宽松地区的工厂，通过更换产品名称和包装的方式规避查处。
医学专家指出，此类产品存在三大风险：一是剂量不明可能导致严重头痛、低血压甚至心脏问题；二是与心血管药物同服可能引发危险相互作用；三是成分标注不实可能导致误服。正规渠道的ED药物单粒价格其实低于这些非法产品（仿制伟哥每粒2-10美元，加油站产品高达20美元）。
业内人士分析，该产业屡禁不止的原因包括：法律监管滞后、暴利驱动（成本极低售价翻倍），以及消费者因羞于就医而产生的冲动购买心理。专家建议，出现相关健康问题应寻求正规医疗渠道，而非冒险购买此类安全隐患突出的产品。
（注：本文基于国际媒体报道整理，所述现象需引起国内消费者和监管部门的警惕）
中文翻译：
相信你曾在加油站便利店、酒类专卖店或情趣商店里，见过那些"男性增强"产品的陈列架。这些打着"草本精华"或"全天然"旗号的保健品，冠以"犀牛之力4000"、"黑曼巴"或"极限蜜糖"等品牌名称，大肆宣扬能"提升耐力"、"铸就岩石般坚硬力量"、"实现尺寸突破"。虽然包装上未直接声明，但传递的信息再明确不过：这些药片能治疗勃起功能障碍。
若你与我相似，见到这些药片时必会嗤之以鼻："这玩意儿怎么可能有效"。然而我持怀疑态度的朋友，本周我们都被事实打脸了。加油站壮阳药往往确实有效——但这并非因为人参和育亨宾树皮等草本成分是治疗ED的神药，而是由于许多药片根本就是违规标注的西地那非（万艾可）或他达拉非（希爱力）。事实如此：美国食品药品监督管理局（FDA）已在数百种可疑"保健品"中发现各类处方药成分，但这些产品至今仍在流通。你不该购买，却总能轻易买到。
这些未经许可的处方药如何遍布街头便利店，背后藏着曲折的故事。大多数"保健品"源自海外工厂，尤其在中国和印度，那里药品生产成本更低且监管较宽松。这些产品以"膳食补充剂"名义分销全球。
与处方药和非处方药不同，膳食补充剂上市前无需经过FDA检测。这意味着任何想赚快钱的人都能用干草填充胶囊，贴上补充剂标签公然售卖。
【FDA与补充剂的"打地鼠游戏"】
当然，将万艾可和希爱力的有效成分隐藏于所谓补充剂中属违法行为，但FDA只有在产品上市后才能行使监管权。除非出现消费者患病或投诉，否则联邦机构无法提前干预。
值得肯定的是，FDA确实频繁采取行动。该机构持续更新"性功能增强与能量产品"问题数据库，披露诸如"绿林传奇"（含希爱力有效成分他达拉非）、"HimGo"（含万艾可有效成分西地那非及非处方抗炎药双氯芬酸）、"范思哲真蜜"（含西地那非、他达拉非及扑热息痛）等产品的非法成分。FDA偶尔还会对销售商提起诉讼，例如杰克逊维尔的"企业高管"Jae Hong Kim近期就因销售名为"犀牛69"和"巨力5000"的处方药认罪。
但Kim的案例只是例外。FDA或许会下架"超级曼巴魔力"药丸，但几周后你家街角的加油站又会出现"闪电小子精力片"——可能来自同一空壳公司，只是换了个商品名。这些成本仅几美分的药丸售价可达20美元，对销售者而言风险收益比相当诱人。
【为何不该购买加油站增强产品】
你不该购买加油站壮阳药：首先，你根本无需"增强"——现在的你就足够完美，朋友。若确实需要治疗勃起功能障碍，完全有比可疑保健品更好的选择。购买加油站来历不明的药丸绝非明智之举，原因包括：
- 剂量未知：即使确认含有西地那非，你也无法知晓具体剂量（通常严重超标）。FDA检测发现这些产品中的处方药含量远超医嘱，易导致剧烈头痛、低血压、眩晕、视觉异常甚至心脏问题
- 危险相互作用：若正在服用心脏病药物、降压药或硝酸盐类药物，ED药物通常不安全。事实上，只要你在服用任何药物都不安全——因为天知道这些药丸里还掺了什么
- 成分随机：虚假标注意味着你可能买到期待万艾可却收获银杏叶提取物的产品，反之亦然
与其向情趣商店店员咨询，不如坦然咨询医生。他们对此早已司空见惯，且正规ED药物价格通常低于加油站产品：仿制西地那非（万艾可）每片2-10美元，仿制他达拉非（希爱力）每片6-18美元，而加油站药丸单价可能高达20美元。
【禁而不绝的根源】
既然这些药丸危险、昂贵且可疑，FDA又持续发布警告，为何仍随处可见？首先，自1994年《膳食补充剂健康与教育法案》通过以来，对膳食补充剂的宽松监管已固化为法律漏洞。更重要的是，这些药丸既提供便捷解决方案，又带有禁忌诱惑。好奇心、绝望感与羞耻心的交织，使冰沙机旁那些闪亮包装成为难以抗拒的冲动消费选择——尤其对羞于与医生讨论隐私问题的人群而言。冲动消费、难言之隐与薄弱监管三方碰撞，最终造就了这种获取简单却风险暗藏的产品。
英文来源：
I'm sure you've seen displays of "male enhancement" products at your local gas station, liquor store, or head shop. With brand names like "Rhino Power 4000," "Black Mamba," or "X Rated Honey," these "herbal" or "all natural" supplements boast that they will "increase stamina," give you "rock hard power," and "add inches." The packaging may not state it directly, but the overall message is extremely clear: These pills treat erectile dysfunction.
If you're like me, you've seen these pills and thought, "These would never work." Well, my skeptical friend, this week we are the ones who are wrong. Gas station boner pills often work exactly as expected—but this isn't because herbal ingredients like ginseng and Yohimbe bark are miracle cures for ED. It's because many of these pills are basically mislabeled Viagra or Cialis. It's true: The Food and Drug Administration has found all kinds of prescription medication in hundreds of different shady "supplements," but you can still buy them. You shouldn't, but you can.
How a rack full of unlicensed prescription pills came to be easily available at your local 7-11 is a twisty story. Most of these "supplements" originate in foreign factories, especially in China and India, where pharmaceutical manufacturing is cheaper and less tightly regulated. From there, they are distributed as "dietary supplements."
Unlike prescription and over-the-counter drugs, dietary supplements don’t have to be tested by the Food and Drug Administration before they're sold, so anyone who wants to make a quick buck can fill some capsules with dried grass, call it a supplement, and start selling it.
The FDA and supplement whack-a-mole
Of course, hiding the active ingredients in Viagra and Cialis in what you call a supplement is against the law, but the FDA doesn't have enforcement power until after the sale. If people get sick or someone complains, the Feds can step in, but not before.
To its credit, the FDA steps in frequently. The agency maintains an ever-updated database of problematic "Sexual Enhancement and Energy Products," where you can read all about the illicit ingredients in supplements like Green Lumber (contains tadalafil, the active ingredient in Cialis), HimGo (contains sildenafil, the active ingredient in Viagra, and diclofenac, an over-the-counter anti-inflammatory drug), and "Versace Real Honey" (sildenafil, tadalafil, and acetaminophen). The FDA even prosecutes people occasionally for selling this stuff, like Jacksonville "business executive" Jae Hong Kim who recently pled guilty to selling prescription drugs marketed as “Rhino 69” and “MegaZen Power 5000.”
But Kim's story is the exception, not the rule. The FDA may pull Mega-Mamba Mojo pills from the market, but in a few weeks, your local gas station will be selling Lightning Lad Libido pills instead, maybe from the same shell company, but now with a different name. These pills can be produced for pennies and sold for up to $20 per, so the risk/reward ratio is solid for people who sell the stuff.
Why you should not take male "enhancement" products from gas stations
You shouldn't take erection pills from a gas station; first, because you don't need to be enhanced; you're beautiful how you are, King. But if you're treating erectile dysfunction, you can do better than a shady supplement. Taking strange pills from a gas station is a bad idea for a lot of reasons, including:
Unknown dosage: Even if you know it's sildenafil, you have no idea how much you’re taking, but it's usually "a crap-ton." FDA tests of these products have found amounts of prescription drugs well above what a doctor would order, and that often leads to severe headaches, low blood pressure, dizziness, vision changes, or even heart problems.
Dangerous interactions: If you’re on heart meds, blood pressure drugs, or nitrates, ED drugs are generally not safe. For that matter, if you're on any drug they're generally not safe, because literally any drug could be in them.
Randomness: Lack of honest labeling means that you might get Ginkgo Biloba when you're hoping for Viagra, and vice-versa.
Instead of confiding in the guy behind the counter at your local head shop, talk to your doctor. They have heard it before, and the prices of real-deal E.D. are usually better than the gas station equivalent. It's $2 to $10 per pill for generic sildenafil (Viagra) and about $6 to $18 per pill for generic tadalafil (Cialis), where gas station drugs can cost as much as $20 per dose.
Why they still sell
So these pills are dangerous, expensive, and shady, and the FDA constantly warns us not to take them. Why are they still everywhere? First because the minimal oversight of dietary supplements has been baked into law since the Dietary Supplement Health and Education Act (DSHEA) passed in 1994. But also because these pills offer both an easy solution and an illicit thrill. The combination of curiosity, desperation, and sheepishness makes those shiny packages by the slushie machine an irresistible impulse purchase to some, especially people who are too shy to discuss medical issues with their doctors. So they keep selling because impulse, embarrassment, and weak regulation all collide, and the result is a product that’s as easy to get as it is risky to take.