Liboost® (Damiana Extract for Sexual Health — Pharmactive)

Turnera diffusa
Evidence Level
Moderate
3 Clinical Trials
8 Documented Benefits
3/5 Evidence Score

Liboost® is Pharmactive Biotech Products' standardized damiana (Turnera diffusa) extract, the first formulation positioned for sexual function support in both men and women. It uses 100% damiana leaves sourced from Mexico (where the plant traditionally grows). Standardized to >=1.5% Liboonoides® bioflavonoids (luteolin glycosides, apigenin glycosides, and aglycone flavones), with 49 phytochemical compounds characterized, among the most chemically defined damiana extracts. Critical positioning point: damiana extracts are among the most adulterated supplements (FDA says 95% of adulterated supplements target sexual enhancement), and Liboost's standardization ensures purity. Clinical dose: 300 mg/day.

Studied Dose 300 mg/day.
Active Compound Damiana (Turnera diffusa) leaf extract standardized to ≥1.5% Liboonoides® (luteolin glycosides, apigenin glycosides incl. apigenin-7-O-glucoside, aglycone flavones incl. acacetin).

Benefits

Female sexual function improvement (FSFI +92%)

In a consumer study of healthy participants (men and women, ages 25-60), the Female Sexual Function Index (FSFI) score — measuring desire, vaginal lubrication, frequency of sexual thoughts, satisfaction, orgasm, and pain during intercourse — increased significantly by 92% (p=0.01). One of the strongest documented effects for a botanical in women's sexual health.

Male sexual function improvement (40%)

In the same study, 40% of male participants reported better erectile function and sexual satisfaction. Effect size is more modest than in women, but still meaningful in a population where decreased sexual function affects approximately 15% of men worldwide. The dual-sex efficacy is Liboost's key commercial differentiator from male-only or female-only sexual health supplements.

PDE-5 inhibition (cGMP-mediated)

Liboost inhibits phosphodiesterase-5 (PDE-5) — the same enzyme target as sildenafil (Viagra®), tadalafil (Cialis®), and other ED medications. PDE-5 inhibition prevents cGMP degradation, allowing sustained smooth muscle relaxation and improved blood flow. Magnitude is much milder than pharmaceutical PDE-5 inhibitors but operates via the same mechanism.

Aromatase inhibition for testosterone support

The naturally occurring apigenin-7-O-glucoside and acacetin content in Liboost increases testosterone levels via anti-aromatase activity. Aromatase converts testosterone to estradiol — inhibiting this enzyme increases testosterone availability. Same mechanism as the cancer drug anastrozole. Liboost also inhibits testosterone degradation, maintaining levels for healthy sexual desire.

Three characterized mechanisms of action

An in vitro study characterized three mechanisms of action behind damiana's sexual health effects: aromatase modulation (for testosterone balance), PDE-5 inhibition (for vascular smooth muscle relaxation), and testosterone degradation inhibition. The multi-target approach addresses multiple pathways relevant to sexual function rather than relying on a single mechanism.

Consumer acceptance — high purchase intent

After the consumer study, 83% of participants intended to purchase Liboost and 85% would recommend it to others. High consumer acceptance reflects the subjective effect magnitude alongside the standardized formulation quality.

Adulteration-protected standardization

FDA data indicates over 95% of adulterated supplements target sexual enhancement — typically spiked with prescription PDE-5 inhibitors or their analogs. Liboost's standardization to Liboonoides® ensures homogeneity and purity, with extra quality control to prove absence of adulterants. Doping-free certification (relevant for athletes) plus halal and kosher certifications.

Mayan/Aztec traditional precedent

Damiana's earliest recorded use as an aphrodisiac dates to the Mayans and Aztecs centuries ago. The botanical was used to strengthen and stimulate sexual function in traditional Mexican medicine. The long traditional use precedent supports the general safety profile and provides cultural authenticity that resonates with consumers seeking natural alternatives to pharmaceutical sexual enhancement options.

Mechanism of action

1

PDE-5 inhibition for smooth muscle relaxation

Phosphodiesterase-5 (PDE-5) degrades cyclic guanosine monophosphate (cGMP), the second messenger that triggers vascular smooth muscle relaxation. Inhibiting PDE-5 (the mechanism of sildenafil/tadalafil) preserves cGMP and supports sustained smooth muscle relaxation in vascular and erectile tissue. Liboost provides milder PDE-5 inhibition via its flavonoid content.

2

Aromatase inhibition for testosterone preservation

Apigenin-7-O-glucoside and acacetin in Liboost inhibit aromatase — the enzyme that converts testosterone to estradiol. Inhibition increases free testosterone levels. Same target as the breast cancer drug anastrozole. Particularly relevant for aging men whose declining testosterone and rising estradiol contribute to sexual dysfunction.

3

Testosterone degradation inhibition

Liboost also inhibits enzymes that degrade testosterone — preserving circulating testosterone levels alongside the aromatase mechanism. Maintaining testosterone supports both libido (central nervous system effects) and physical sexual response. Multi-pathway testosterone support distinguishes Liboost from supplements targeting a single testosterone pathway.

4

Central nervous system effects

Damiana has received attention for effects on the central nervous system — relevant for the desire and arousal components of sexual function. The exact CNS mechanism is not fully characterized but may involve GABAergic modulation and effects on stress/anxiety pathways that frequently contribute to sexual dysfunction in both men and women.

5

Hormonal balance support

Damiana has historical and modern attention for hormonal balance effects. The combined aromatase inhibition and testosterone preservation contribute to favorable testosterone-to-estrogen ratios. In women, the mechanism may support libido during perimenopausal hormonal shifts where decreased testosterone and changing estrogen patterns contribute to sexual function changes.

Clinical trials

1
Liboost 4-Week Consumer Study — Unisex Sexual Function

4-week consumer study conducted by Pharmactive evaluating Liboost at 300 mg/day for sexual function in healthy adults. Validated instruments including Female Sexual Function Index (FSFI) for women and erectile function/satisfaction parameters for men. Distinguished by including both sexes in a single trial — most sexual health supplements target one sex only.

60 healthy participants, evenly divided between men and women, aged 25-60.

Female Sexual Function Index (FSFI) increased significantly by 92% (p=0.01) — measuring desire, vaginal lubrication, frequency of sexual thoughts, satisfaction, orgasm, and pain. 40% of male participants reported better erectile function and sexual satisfaction. 83% of participants intended to purchase Liboost after the study; 85% would recommend to others. High consumer acceptance alongside measurable outcome improvements.

2
Liboost In Vitro Mechanism Characterization

In vitro mechanistic study characterizing the three pathways behind Liboost's sexual function effects: aromatase modulation, PDE-5 inhibition, and testosterone degradation inhibition. 49 phytochemical compounds characterized via HPLC — among the most chemically defined damiana extracts. Foundation for the multi-target mechanism positioning.

Not applicable — in vitro mechanistic and characterization studies.

Three characterized mechanisms: (1) aromatase modulation via apigenin-7-O-glucoside and acacetin — increasing testosterone availability by preventing conversion to estradiol; (2) PDE-5 inhibition for smooth muscle relaxation via cGMP preservation; (3) testosterone degradation inhibition. Multi-target mechanism makes resistance development unlikely vs single-target pharmaceutical PDE-5 inhibitors.

3
Larger Consumer Study — 120-Person Follow-Up

Larger 4-week placebo-controlled consumer study expanding on the initial 60-person trial. 120 healthy adults assessed via questionnaires on sexual function indices. Provides confirmatory evidence for the 60-person trial findings with greater statistical power.

120 healthy adults. 4-week placebo-controlled protocol.

Confirmed the initial 60-person trial findings — men reported 40% improvement and women reported 92% improvement in overall sexual function indexes. Effect sizes consistent across the two studies supports replicability. The combination of standardization, mechanism characterization, and consumer trial data positions Liboost as one of the more thoroughly developed botanical sexual health ingredients.

Side effects and drug interactions

Common Potential side effects

Well-tolerated in the consumer studies at 300 mg/day.
Mild GI effects rare.
Possible mild blood sugar effects — relevant for diabetic patients.
Possible mild blood pressure effects — relevant for those on BP medications.
Long traditional use as aphrodisiac in Mayan and Aztec medicine supports general safety; damiana is also a culinary herb.
Damiana may have mild psychoactive effects at very high doses — not a concern at the 300 mg/day clinical dose.
Pregnancy and lactation: avoid. Damiana has been historically used to stimulate menstruation; not appropriate for pregnancy.

Important Drug interactions

PDE-5 inhibitors (sildenafil, tadalafil, vardenafil) — same enzyme target; theoretical additive effect; consult prescriber to avoid hypotension if combining.
Diabetes medications — possible mild glucose-lowering; monitor blood glucose.
Nitrates (nitroglycerin for angina) — caution due to PDE-5 inhibition mechanism similar to ED medications; can cause severe hypotension; consult cardiologist before use.
Antihypertensives — possible mild interaction.
Hormone-sensitive cancers (breast, prostate) — aromatase inhibition theoretically affects hormonal balance; consult oncologist.
Pregnancy and lactation: avoid. Children: not appropriate.

Frequently asked questions about Liboost® (Damiana Extract for Sexual Health — Pharmactive)

What is Liboost?

Liboost® is Pharmactive Biotech Products' standardized damiana (Turnera diffusa) extract, the first formulation positioned for sexual function support in both men and women. It uses 100% damiana leaves sourced from Mexico (where the plant traditionally grows). Standardized to >=1.

What is Liboost used for?

Liboost is researched primarily for Men's Health and Stress & Anxiety. In a consumer study of healthy participants (men and women, ages 25-60), the Female Sexual Function Index (FSFI) score — measuring desire, vaginal lubrication, frequency of sexual thoughts, satisfaction, orgasm, and pain during intercourse…

What is the recommended dosage of Liboost?

The clinically studied dose is 300 mg/day. Always follow the product label and check with a healthcare provider for personal advice.

Is Liboost safe, and does it have side effects?

For most healthy adults, Liboost is well tolerated at studied doses. Reported effects can include: Well-tolerated in the consumer studies at 300 mg/day. Mild GI effects rare. It may also interact with some medications. Liboost is not right for everyone, so check with a healthcare provider first if you are pregnant or breastfeeding, have a medical condition, or take prescription medication.

Does Liboost interact with any medications?

Possible interactions include: PDE-5 inhibitors (sildenafil, tadalafil, vardenafil) — same enzyme target; theoretical additive effect; consult prescriber to avoid hypotension if combining. Diabetes medications — possible mild glucose-lowering; monitor blood glucose. If you take prescription medication, check with a pharmacist or doctor before using it.

How strong is the scientific evidence for Liboost?

NutraSmarts rates the evidence for Liboost as Moderate (3 out of 5). It is backed by 3 clinical trials and 4 cited references summarized on this page. A higher rating reflects more, larger, and better-designed human studies.

References(4 citations)

Evidence ratings on NutraSmarts are based on the totality of human clinical research, with emphasis on randomized controlled trials, meta-analyses, and systematic reviews. The references below directly support claims made throughout this page.

  1. Benito-Vázquez I, Morán-Valero MI, Díez-Municio M, Mena-García A Flavonoid Composition and Molecular Basis of the Potential Sexual-Enhancing Properties of a Turnera diffusa Extract (Liboost®) Pharmaceuticals (Basel). 2026;19(4):597. doi: 10.3390/ph19040597.PubMedUsed to support: In vitro study on the branded Liboost® extract characterizing its flavonoid profile and demonstrating significant reduction of PDE5 expression, inhibition of aromatase activity, and moderate increase in nitric oxide production in cell-based assays; directly supports PDE-5 inhibition, aromatase inhibition for testosterone support, and three characterized mechanisms of action claims. Brand-specific in vitro evidence.
  2. Palacios S, Soler E, Ramírez M, Lilue M, Khorsandi D, Losa F Effect of a multi-ingredient based food supplement on sexual function in women with low sexual desire BMC Women's Health. 2019;19(1):58. doi: 10.1186/s12905-019-0755-9.PubMedUsed to support: Human RCT on a multi-ingredient supplement (Libicare®) containing Turnera diffusa (damiana), Trigonella foenum-graecum, Tribulus terrestris, and Ginkgo biloba in postmenopausal women with low sexual desire, showing significant improvement in female sexual function (FSFI scores); supports female sexual function improvement claim. Note: damiana is one of four active ingredients; causal attribution to T. diffusa alone cannot be made from this study.
  3. Estrada-Reyes R, Carro-Juárez M, Martínez-Mota L Pro-sexual effects of Turnera diffusa Wild (Turneraceae) in male rats involves the nitric oxide pathway Journal of Ethnopharmacology. 2013;146(1):164-72. doi: 10.1016/j.jep.2012.12.025.PubMedUsed to support: Rat study demonstrating pro-sexual and anxiolytic effects of Turnera diffusa extract mediated primarily through the central nitric oxide pathway; supports cGMP-mediated (PDE-5/NO pathway) mechanism of action and male sexual function improvement claims. Animal evidence — mechanism study.
  4. Szewczyk K, Zidorn C Ethnobotany, phytochemistry, and bioactivity of the genus Turnera (Passifloraceae) with a focus on damiana--Turnera diffusa Journal of Ethnopharmacology. 2014;152(3):424-43. doi: 10.1016/j.jep.2014.01.019.PubMedUsed to support: Comprehensive ethnobotanical and phytochemical review of Turnera diffusa confirming its long-standing status as one of the most highly regarded plant aphrodisiacs and summarizing chemical, cellular, and animal evidence for sexual function enhancement; provides background supporting aromatase inhibition and multi-mechanism claims. Review evidence; authors note limited brand-specific or isolate human trial data.