Furthermore, counterfeit PDE-5i often contain improper dosing and contaminants that may place patients at direct risk. Patients embarrassed by their condition or seeking less expensive alternatives to legitimate pharmaceuticals have fueled the market, and the growth of Internet pharmaceuticals have made counterfeit pharmaceuticals easy to obtain. Similarly, the FDA has launched significant public education campaigns through magazine public service announcements, education leaflets, news articles, a consumer website (/counterfeit), and a pharmacist education program (36). However, by doing so, many of these patients are unknowingly subjecting themselves to significant health dangers. 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