Saw Palmetto - Viagra (Sildenafil Citrate) Interaction
Herbal: Saw Palmetto
Also Known As: Serenoa repens, American Dwarf Palm Tree, Baies du Palmier Scie, Cabbage Palm, Chou Palmiste, Ju-Zhong, Palmier Nain, Palmier Scie, Sabal, Sabal Fructus, Saw Palmetto Berry
Drug: Sildenafil Citrate
Brand names:
Viagra

Medical Content Editor Dr. Brian Staiger, PharmD
Last updated
Apr 27, 2025
Interaction Details
There were no interactions found between Sildenafil Citrate and Saw Palmetto. This does not mean the potential for an interaction does not exist, however. There is often a lack of studies and data surrounding traditional medicine, especially concerning drug interactions, so it is important to always consult your provider before making any changes to your medication regimen.
Pharmacist Analysis
There are no known interactions between Viagra and saw palmetto. The two medications have different mechanisms of action and do not act on the same biochemical pathways.
Saw palmetto blocks the conversion of testosterone to DHT, while Viagra inhibits PDE5. They are also not known to affect the metabolism of the other or have additive adverse effects.
Interestingly, there is a combination prescription medication called "Entadfi," which combines tadalafil (the same class of medication as Viagra) with finasteride (which has a similar mechanism of action to saw palmetto) for the treatment of BPH.
While Viagra (sildenafil) is not FDA-approved to treat BPH, it has the same mechanism of action as tadalafil. Saw palmetto likely works, at least in part, by blocking the conversion of testosterone to DHT, therefore, it is somewhat analogous to compare the combination of Viagra and saw palmetto to the combination of tadalafil and finasteride (which, again, is available by prescription as Entadfi.
So, overall, there is currently no evidence to suggest that there is an interaction between Viagra and saw palmetto. They may even have beneficial effects when combined.
However, patients should always consult with their doctor before taking any new medication, including natural supplements, to ensure that there are no potential interactions or adverse effects.
There are no known interactions between Viagra and saw palmetto. The two medications have different mechanisms of action and do not act on the same biochemical pathways.
Saw palmetto blocks the conversion of testosterone to DHT, while Viagra inhibits PDE5. They are also not known to affect the metabolism of the other or have additive adverse effects.
Interestingly, there is a combination prescription medication called "Entadfi," which combines tadalafil (the same class of medication as Viagra) with finasteride (which has a similar mechanism of action to saw palmetto) for the treatment of BPH.
While Viagra (sildenafil) is not FDA-approved to treat BPH, it has the same mechanism of action as tadalafil. Saw palmetto likely works, at least in part, by blocking the conversion of testosterone to DHT, therefore, it is somewhat analogous to compare the combination of Viagra and saw palmetto to the combination of tadalafil and finasteride (which, again, is available by prescription as Entadfi.
So, overall, there is currently no evidence to suggest that there is an interaction between Viagra and saw palmetto. They may even have beneficial effects when combined.
However, patients should always consult with their doctor before taking any new medication, including natural supplements, to ensure that there are no potential interactions or adverse effects.
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On the whole, saw palmetto has very few reported drug interactions due to its lack of effects on liver metabolizing enzymes (e.g., CYP P450 enzymes).
There have been some reports of minor interactions with anticoagulants, estrogens, and contraceptives due to saw palmetto's purported effects on blood clotting and various hormones in the body. However, these interactions have generally only been seen in lab studies and for most individuals, are not considered clinically significant.
As always, however, be sure to talk to your doctor before starting any new medications or supplements so you can be appropriately monitored.
There are no known interactions between Viagra and saw palmetto. The two medications have different mechanisms of action and do not act on the same biochemical pathways.
Saw palmetto blocks the conversion of testosterone to DHT, while Viagra inhibits PDE5. They are also not known to affect the metabolism of the other or have additive adverse effects.
Interestingly, there is a combination prescription medication called "Entadfi," which combines tadalafil (the same class of medication as Viagra) with finasteride (which has a similar mechanism of action to saw palmetto) for the treatment of BPH.
While Viagra (sildenafil) is not FDA-approved to treat BPH, it has the same mechanism of action as tadalafil. Saw palmetto likely works, at least in part, by blocking the conversion of testosterone to DHT, therefore, it is somewhat analogous to compare the combination of Viagra and saw palmetto to the combination of tadalafil and finasteride (which, again, is available by prescription as Entadfi.
So, overall, there is currently no evidence to suggest that there is an interaction between Viagra and saw palmetto. They may even have beneficial effects when combined.
However, patients should always consult with their doctor before taking any new medication, including natural supplements, to ensure that there are no potential interactions or adverse effects.
Comprehensive analysis does not indicate a significant interaction.
There are no known interactions between Viagra and saw palmetto. The two medications have different mechanisms of action and do not act on the same biochemical pathways.
Saw palmetto blocks the conversion of testosterone to DHT, while Viagra inhibits PDE5. They are also not known to affect the metabolism of the other or have additive adverse effects.
Interestingly, there is a combination prescription medication called "Entadfi," which combines tadalafil (the same class of medication as Viagra) with finasteride (which has a similar mechanism of action to saw palmetto) for the treatment of BPH.
While Viagra (sildenafil) is not FDA-approved to treat BPH, it has the same mechanism of action as tadalafil. Saw palmetto likely works, at least in part, by blocking the conversion of testosterone to DHT, therefore, it is somewhat analogous to compare the combination of Viagra and saw palmetto to the combination of tadalafil and finasteride (which, again, is available by prescription as Entadfi.
So, overall, there is currently no evidence to suggest that there is an interaction between Viagra and saw palmetto. They may even have beneficial effects when combined.
However, patients should always consult with their doctor before taking any new medication, including natural supplements, to ensure that there are no potential interactions or adverse effects.
- Dr. Brian Staiger, PharmDSaw Palmetto Overview

Sildenafil Citrate Overview
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Sildenafil (Viagra) is used to treat erectile dysfunction (impotence; inability to get or keep an erection) in men. Sildenafil (Revatio) is used to improve the ability to exercise in adults and children 1 year of age and older with pulmonary arterial hypertension (PAH; high blood pressure in the vessels carrying blood to the lungs, causing shortness of breath, dizziness, and tiredness). Sildenafil is in a class of medications called phosphodiesterase (PDE) inhibitors. Sildenafil treats erectile dysfunction by increasing blood flow to the penis during sexual stimulation. This increased blood flow can cause an erection. Sildenafil treats PAH by relaxing the blood vessels in the lungs to allow blood to flow easily.
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If you are taking sildenafil to treat erectile dysfunction, you should know that it does not cure erectile dysfunction or increase sexual desire. Sildenafil does not prevent pregnancy or the spread of sexually transmitted diseases such as human immunodeficiency virus (HIV).
Saw Palmetto - More Interactions
Saw Palmetto interacts with 173 drugs
Interaction Rating Key
These severity listings are for informational use only. Never start, stop or otherwise change your therapy before speaking with your provider.
Major | The combined use of these agents is strongly discouraged as serious side effects or other negative outcomes could occur. |
Moderate | Use cautiously under the care of a healthcare professional or avoid this combination. A significant interaction or negative outcome could occur. |
Minor | Be aware that there is a chance of an interaction. Watch for warning signs of a potential interaction. |
Unknown | No interactions have been reported or no interaction data is currently available. |
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Parts of this content are provided by the Therapeutic Research Center, LLC.
DISCLAIMER: Currently this does not check for drug-drug interactions. This is not an all-inclusive comprehensive list of potential interactions and is for informational purposes only. Not all interactions are known or well-reported in the scientific literature, and new interactions are continually being reported. Input is needed from a qualified healthcare provider including a pharmacist before starting any therapy. Application of clinical judgment is necessary.
© 2021 Therapeutic Research Center, LLC
Drug descriptions are provided by MedlinePlus.