Many species of
Epimedium are alleged to have
aphrodisiac qualities. According to legend, this
property was discovered by a Chinese goat herder who
noticed sexual activity in his flock after they ate
the weed. It is sold as a health supplement, usually
in raw herb or pill form and sometimes blended with
other supplements. The over-exploitation of wild
populations of Epimedium for use in
traditional Chinese medicine is having potentially
serious consequences for the long-term survival of
several species, none of which are widely cultivated
for medicinal purposes.
The "active ingredient" in Epimedium is icariin,
which can be found in standardized extracts from 5%
up to 60% potent. Strengths above that are usually
reserved for lab use.
Icariin is purported to work by increasing levels of
nitric oxide, which relax smooth muscle. It has been
demonstrated to relax rabbit penile tissue by nitric
oxide and PDE-5 activity.
Like Viagra, icariin, the active compound in
Epimedium, inhibits the activity of PDE-5. In
vitro assays have demonstrated that icariin
inhibits PDE-5 with an IC50 of around 1
micromolar, while Viagra has an IC50 of
about 6.6 nanomolar (.0066 micromolar) and Levitra
has an IC50 of about 0.7 nanomolar (.0007
micromolar). Measured differently, the EC50
of icariin is approximately 4.62 micromolar