Indications
Mace is the dried, lacy red covering (aril) that surrounds the nutmeg seed of the Myristica fragrans tree. In Unani and Ayurvedic medicine it is used as an ingredient in tonics traditionally taken by men for low sexual desire, early ejaculation and general weakness, and in digestive preparations for wind, indigestion and loose stools. Scientific evidence for these uses is limited, and it is not a proven treatment for any sexual problem.
How It Works
Mace contains an aromatic oil with substances such as myristicin, elemicin and eugenol. Small amounts are thought to warm and stimulate digestion and relieve wind. Some animal studies suggest a mild effect on sexual behaviour and the nervous system, but this has not been shown in people. In large amounts myristicin acts on the brain and is toxic.
Dosage and Administration
Use only as directed on the label or by a registered Unani or Ayurvedic practitioner. Do not take more than the recommended amount, because mace and nutmeg are poisonous in large doses. Do not use it for long periods without advice.
Interactions
Mace may add to the effects of sedatives, sleeping tablets, alcohol and other medicines that act on the brain. In theory it may interact with antidepressants called MAO inhibitors (such as Phenelzine). Do not combine it with other sexual tonics or with Sildenafil or similar medicines without medical advice. Tell your doctor or pharmacist about all medicines and herbal products you use.
Contraindications
- Allergy to mace or nutmeg
- Pregnancy and breastfeeding
- Children
- Epilepsy or mental health conditions, unless a doctor advises it
Side Effects
At small label doses side effects are uncommon. Possible effects include stomach upset, a feeling of heat and allergic skin reactions. Larger amounts can cause dizziness, a fast heartbeat, dry mouth, nausea, anxiety, confusion and hallucinations.
Get urgent medical help if you notice confusion, hallucinations, a very fast heartbeat, fainting, fits, severe vomiting, or swelling of the face, lips or throat with difficulty breathing.
Pregnancy and Lactation
Medicinal amounts of mace and nutmeg should not be used in pregnancy, as they may harm the baby and have been linked with miscarriage. Do not use it while breastfeeding, as its safety is not known.
Precautions and Warnings
Problems with erections or ejaculation can be linked to diabetes, heart disease, hormone problems, stress or medicines, so see a doctor rather than relying on tonics. Sexual tonics sold informally may contain hidden prescription drugs; use only registered products from a reliable source. Do not drive or operate machinery if you feel dizzy or drowsy.
Overdose
Overdose can cause nausea, vomiting, a fast heartbeat, agitation, confusion, hallucinations and, rarely, fits. Symptoms may start several hours after taking it. If someone has taken much more than the recommended amount, or a child has swallowed the product, go to the nearest hospital and take the pack with you.
Therapeutic Class
Unani herbal ingredient (traditional male tonic and digestive).
Storage
Store below 30°C in a dry place, away from light and out of the reach of children. Keep the container tightly closed.
Prepared by the Oshud Alo team from standard drug references. For information only; always follow your doctor's advice.