Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Original Article
  • Published:

A new herbal combination, Etana, for enhancing erectile function: an efficacy and safety study in animals

Abstract

We present herein a new herbal combination called Etana that is composed of five herbal extracts including Panax quinquelotius (Ginseng), Eurycoma longifolia (Tongkat Ali), Epimedium grandiflorum (Horny goat weed), Centella asiatica (Gotu Kola) and flower pollen extracts. Most of the above-mentioned extracts have a long historical and traditional use for erectile dysfunction (ED). On the basis of the mechanism of action of each of the above, a combination is introduced to overcome several physiological or induced factors of ED. This study was conducted to show an enhancement of erectile function in male rats. The animals were observed for 3 h after each administration for penile erection, genital grooming and copulation mounting, and the penile erection index (PEI) was calculated. The maximum response was observed at the concentration of 7.5 mg kg–1 of Etana. At a 7.5 mg kg–1 single dose, the percentage of responding rats was 53±7 with a PEI of 337±72 compared with 17±6 with a PEI of 30±10 for control animals. This PEI was significantly (P<0.001) higher than each single component and than the sum of any two herbal components of Etana. When compared with sildenafil citrate, Etana induced more pronounced PEI than 0.36 mg kg–1, but similar to 0.71 mg kg–1 of sildenafil. Furthermore, full acute and sub-acute toxicity studies showed no toxic effects of Etana. In conclusion, this study describes a new and safe combination of herbal components that enhance erectile function in male rats. Clinical studies are warranted for evaluating Etana's significance in ED.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Figure 1
Figure 2
Figure 3
Figure 4

Similar content being viewed by others

References

  1. McVary KT . Erectile dysfunction. New Eng J Med. 2007; 357: 2472–2481.

    Article  CAS  Google Scholar 

  2. Rosen RC, Link CL, O'Leary MP, Giuliano F, Aiyer LP, Mollon P . Lower urinary tract symptoms and sexual health: the role of gender, lifestyle and medical comorbidities. BJU Int 2009; 103: Suppl 3: 42–47.

    Article  Google Scholar 

  3. Feifer A, Carrier S . Pharmacotherapy for erectile dysfunction. Expert Opin Investig Drugs 2008; 17: 679–690.

    Article  CAS  Google Scholar 

  4. Salvati G, Genovesi G, Marcellini L, Paolini P, De Nuccio I, Pape M et al. Effects of Panax Ginseng C. A Meyer saponins on male fertility. Panminerva Med 1996; 38: 249–254.

    CAS  Google Scholar 

  5. de Andrade E, de Mesquita AA, Claro Jde A, de Andrade PM, Ortiz V, Paranhos M et al. Study of the efficacy of Korean Red Ginseng in the treatment of erectile dysfunction. Asian J Andol 2007; 9: 241–244.

    Article  Google Scholar 

  6. Ang HH, Cheang HS, Yusof AP . Effects of Eurycoma longifolia Jack (Tongkat Ali) on the initiation of sexual performance in inexperienced castrated male rats. Exp Anim 2000; 49: 35–38.

    Article  CAS  Google Scholar 

  7. Ang HH, Lee KL . Effect of Eurycoma longifolia Jack on orientation activities in middle aged male rats. Fundam Clin Pharmacol 2002; 16: 479–483.

    Article  CAS  Google Scholar 

  8. Ang HH, Lee KL, Kiyoshi M . Eurycoma longifolia Jack enhances sexual motivation in middle – aged male mice. J Basic Clin Physol Pharmacol 2003; 14: 301–308.

    Google Scholar 

  9. Gu Y, Meng G . Preparation conditions for decoction of Epimedium grandiflorum Morr. Zhongguo Zhong Yao Za Zhi 1990; 15: 412–413, 446.

    CAS  PubMed  Google Scholar 

  10. Liu WJ, Xin ZC, Xin H, Yaun YM, Tian L, Guo YL . Effects of icariin on erectile dysfunction and expression of nitric oxide synthase isoforms in castrated rats. Asian J Andol 2005; 7: 381–388.

    Article  CAS  Google Scholar 

  11. Brinkhaus B, Linder M, Schuppan D, Hahn EG . Chemical, pharmacological and clinical profile of the East Asian medical plant Centella asiatica. Phytomedicine 2000; 7: 427–428.

    Article  CAS  Google Scholar 

  12. Pointel JP, Boccalon H, Cloarec M, Ledevehat C, Joubert M . Titrated extract of Centella asiatica (TECA) in the treatment of venous insufficiency of the lower limbs. Angelology 1986; 37: 420–421.

    Google Scholar 

  13. Chen HJ, Wang ZP, Chen YR, Qin DS, Fu SJ, Ma BL . Effects of pollen extract EA-10, P5 on chronic prostatitis or infertility with chronic prostatitis. Acta Pharmacol Sin 2002; 23: 1035–1039.

    CAS  PubMed  Google Scholar 

  14. Badwan A, Taha H, Qinna N . Multi-component herbal composition for the treatment of male erectile dysfunction. Patent Pending Appl #. EP20070001673, Publ:08/06/2008; International Classes A61K36/258; A61K36/185; A61K36/296; A61K36/25; A61P15/10.

  15. Benassi-Benelli A, Ferrari F, Quarantotti BP . Penile erection induced by apomorphine and N-nopropyl-norapomorphine in rats. Arch Int Pharmadyn 1979; 242: 241–247.

    CAS  Google Scholar 

  16. El-Thaher TS, Matalka KZ, Taha HA, Badwan AA . Ferula harmonis ‘zallouh’ and enhancing erectile function in rats: efficacy and toxicity study. Int J Impot Res 2001; 13: 247–251.

    Article  CAS  Google Scholar 

  17. El-Thaher TS, Khatib S, Saleem M, Shnoudeh A, Badwan AA . A novel compound JPM8: in vivo penile activity promotion in rats, effect on the relaxation and cGMP/cAMP accumulation in isolated rabbit corpora cavernosa. Int J Impot Res 2002; 14: 453–461.

    Article  CAS  Google Scholar 

  18. McKay D . Nutrients and botanicals for erectile dysfunction: examining the evidence. Altern Med Rev 2004; 9: 4–16.

    PubMed  Google Scholar 

  19. Chen X, Lee TJF . Ginsenosides-induced nitric oxide-mediated relaxation of the rabbit corpus cavernosum. Br J Pharmacol 1995; 115: 15–18.

    Article  CAS  Google Scholar 

  20. Choi YD, Rha KH, Choi HK . In vitro and in vivo experimental effect of Korean red ginseng on erection. J Urol 1999; 162: 1508–1511.

    Article  CAS  Google Scholar 

  21. Ji W, Gong BQ . Hypolipidemic effects and mechanisms of Panex notoginseng on lipid profile in hyperlipidemic rats. J Ethnopharmacol 2007; 113: 318–324.

    Article  CAS  Google Scholar 

  22. Inoue M, Wu CZ, Dou DQ, Chen YJ, Ogihara Y . Lipoprotein lipase activation by red ginseng saponins in hyperlipidemia model animals. Phytomedicine 1999; 6: 257–265.

    Article  CAS  Google Scholar 

  23. Wójcicki J, Samochowiec L, Bartłomowicz B, Hinek A, Jaworska M, Gawroñska-Szklarz B . Effect of pollen extract on the development of experimental atherosclerosis in rabbits. Atherosclerosis 1986; 62: 39–45.

    Article  Google Scholar 

  24. Xin ZC, Kim EK, Lin WJ, Tian L, Yuan YM, Fu J . Effects of icariin on cGMP-specific PDE5 and cAMP-specific PDE4 activities. Asian Andol 2003; 5: 15–18.

    CAS  Google Scholar 

Download references

Acknowledgements

This work was funded by The Jordanian Pharmaceutical Manufacturing Co. PLC (JPM), Naor, Jordan.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to A A Badwan.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Qinna, N., Taha, H., Matalka, K. et al. A new herbal combination, Etana, for enhancing erectile function: an efficacy and safety study in animals. Int J Impot Res 21, 315–320 (2009). https://doi.org/10.1038/ijir.2009.18

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/ijir.2009.18

Keywords

This article is cited by

Search

Quick links