Take one capsule 10 minutes before sex intercourse with warm water, can also be dissolved in drinks ,2 tablets daily.Don't excced 4 tablets in a 24 hour period.Best taken with meals . It is recommended to consult your health care provider before beginning any nutritional programBioperine, Damiana, Puncture Vine, Epimedium Leaf Extract, Ginkgo Leaf, Asian Red Ginseng, Saw Palmetto Berry, muira pauma bark extract,catuaba bark extract, Hawthorn Berry. Vigrx plus plus' unique blend of ingredient is the freshest and finest availible . This precise mixture of herbs forms a powerfully effective combination ,ideally formulated to stimulate sexual activity ,help to maintain a firm erection and aid in the increase of sexual pleasure .