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Its traditional use as a sexual supplement is to boost erectile function and libido. The erectile function in men with previous signs of erectile dysfunction improved. The FDA has identified more than 350 different supplements marketed for sexual enhancement and found to be tainted with prescription medication of which the quality and quantity is questionable due to lack of oversight in these products. Part of the promise of male enhancement pills and similar supplements is the easy access; some of them are even out on the counter in drugstores and other retail places. These products are marketed as supplements and are not currently under the regulations of the Food and Drug Administration (FDA) and are thus released to the general public containing unknown amounts of medications or drugs that are normally available by prescription only in the USA . We present a case report of an individual with bipolar disorder and hypersexual behavior who became victim to over the counter sexual enhancement products/supplements which caused serious health and life threatening consequences.