I myself am not a consumer of illicit drugs. Because I still have another, better option. Optimal sexual experience.

But while I am not currently a consumer of illicit drugs, this doesn't mean that I wouldn't be a consumer of drugs. And I'm not talking drugs against headache, the flu, or constipation. I am talking drugs that enhance the pleasure one can get out of life.

My expertise as a shaman is narrow, but deep. It covers only one condition. I have no knowledge on what herbs to use in the treatment of heartburn or for the recovery from a heart attack. But I have tried virtually everything that has a reputation to improve sexual parameters.

I do not believe that my sexual function is worse than that of the average man above 50. It's just that I am philosophically so focused on sexuality that a level of sexual function that is worse than what I enjoyed in my 20s is simply not acceptable to me.

Unfortunately, many more herbs have a reputation to aid in sexual function than actually have an effect. And some of the herbs that do have a clear effect, such as yohimbe, have an awkward side effect profile. Yohimbe certainly aids erections, but it's too heavy on the heart to be a comfortable choice.

Prescription drugs also have their downsides. Sure, Viagra, Levitra, and Cialis all work well to engineer erections. So does alprostadil cream. But the erections caused by each of these medications are cold. The above three do not increase sexual pleasure. I had episodes on Viagra when I just stopped in the middle of intercourse because I was bored with the whole exercise. I had an (Viagra-aided) erection all right, but totally lacked excitement.

Dopaminergics can help with sexual excitement, but for most of them, the window of opportunity isn't very wide, and one has to know what to expect.

Many dopaminergics, including sublingual apomorphine (Uprima) have a tendency to make you feel unwell. A slight nausea sets in when dopaminergics become effective, and one desires to lie down (even without a sexual partner). For many people, including me, the slight nausea is accompanied with sleepiness. Sleepiness, of course, is, in men, often accompanied by erectile ease. So, combining apomorphine (or ropinirole, or pramipexole) with a phosphodiesterase inhibitor like sildenafil will certainly produce a nice erection, and sexual excitement (in spite of the accompanying nausea) if one gets the timing right. This means, one has to start to engage in sexual intercourse at the time the dopaminergic kicks in (when the slight nausea first appears). If one misses this point, and falls asleep, even just for 15 minutes, the opportunity for sexual enhancement has passed and the combination of a dopaminergic and a phosphodiesterase inhibitor is likely even worse than just taking the phosphodiesterase inhibitor alone.

My best bet is still a combination of a cheap phosphodiesterase inhibitor (Indian Viagra) with an extract of tongkat ali, the Malaysian/Indonesian aphrodisiac.