Buy Generic Assurans Online

Generic Assurans Information

Introduction

Assurans is a pharmaceutical product containing the active compound sildenafil. It belongs to the therapeutic group of erectile dysfunction (ED) medications and broader men’s health agents. In Hong Kong, sildenafil‑based treatments are prescribed to improve penile blood flow, enabling satisfactory sexual performance for adult men. The medication is also recognized in some clinical guidelines for the treatment of pulmonary arterial hypertension (PAH), although its primary indication in the local market remains erectile dysfunction.

What is Assurans?

Assurans is a tablet formulation that delivers a fixed dose of sildenafil citrate. It is classified as a phosphodiesterase‑5 (PDE5) inhibitor. The product is manufactured by an international pharmaceutical company that supplies generic sildenafil to various Asian markets; the specific corporate name is not required for clinical discussion. As a generic preparation, Assurans contains the same amount of active ingredient as the original branded product (Viagra®) and is regulated by the Hong Kong Department of Health under the same safety and efficacy standards applied to all registered medicines.

How Assurans Works

Sildenafil inhibits the enzyme phosphodiesterase‑5, which is abundant in the smooth muscle of the corpus cavernosum. Under normal sexual stimulation, nitric oxide (NO) is released, activating guanylate cyclase and raising cyclic guanosine monophosphate (cGMP) levels. Elevated cGMP causes smooth‑muscle relaxation, allowing arterial inflow and erection. By blocking PDE5, sildenafil prolongs cGMP activity, enhancing and sustaining the erection in response to sexual cues.

Typical onset of action occurs within 30–60 minutes after oral ingestion, with peak plasma concentrations reached around 1 hour. The therapeutic effect can last up to 4–6 hours, after which the drug is metabolized primarily by hepatic CYP3A4 and CYP2C9 enzymes and eliminated in urine and feces.

Conditions Treated with Assurans

• Erectile Dysfunction (ED): The principal indication. ED affects an estimated 10–15 % of men aged 40–70 in Hong Kong, with prevalence increasing with age, diabetes, and cardiovascular disease.
• Pulmonary Arterial Hypertension (PAH): Sildenafil is approved in many jurisdictions for PAH treatment; it improves exercise capacity by vasodilating pulmonary arteries. Use for PAH in Hong Kong follows specialist prescribing guidelines.

Assurans is not indicated for non‑vascular sexual dysfunctions, such as hormonal deficits or psychological causes, without concomitant medical management.

Patient Groups Most Likely to Benefit

• Men with organic ED: Particularly those with vascular, diabetic, or neurogenic etiologies where adequate sexual stimulation is present.
• Patients with stable cardiovascular status: Men whose cardiac condition has been cleared for sexual activity and who are not taking contraindicated nitrates.
• Adults with diagnosed PAH: Under specialist supervision, sildenafil can improve functional class and six‑minute walk distance.

Contra‑indications include patients using nitroglycerin or other nitric‑oxide donors, severe hypotension (systolic < 90 mmHg), recent myocardial infarction or stroke, and those with known hypersensitivity to sildenafil or any tablet excipients.

Risks, Side Effects, and Interactions

Common

• Headache
• Facial flushing
• Dyspepsia (indigestion)
• Nasal congestion
• Visual disturbances (blurred vision, cyanopsia)

Rare

• Priapism (prolonged erection lasting > 4 hours)
• Sudden hearing loss or tinnitus
• Myocardial ischemia in patients with pre‑existing coronary disease

Serious

• Severe hypotension when combined with nitrates or alpha‑blockers
• Anaphylactic reaction (rare)
• Non‑arteritic anterior ischemic optic neuropathy (NAION)

Drug–Drug Interactions

• Nitrates (e.g., nitroglycerin, isosorbide dinitrate): Concomitant use can cause marked reduction in blood pressure; co‑administration is contraindicated.
• Alpha‑blockers (e.g., tamsulosin, doxazosin): May potentiate hypotensive effects; dose titration and monitoring are required.
• CYP3A4 inhibitors (e.g., ketoconazole, clarithromycin): Increase sildenafil plasma levels, raising the risk of adverse events; dose reduction of Assurans is recommended.
• CYP3A4 inducers (e.g., rifampicin, carbamazepine): Reduce efficacy by lowering plasma concentrations; higher doses may be needed under supervision.

Patients should disclose all current medications, including over‑the‑counter products and herbal supplements, to their prescriber.

Practical Use: Dosing, Missed Dose, Overdose

• Standard dosing for ED: 25 mg, 50 mg, or 100 mg taken as a single oral tablet approximately 30–60 minutes before anticipated sexual activity. The lowest effective dose should be tried first; the maximum recommended frequency is once per day.
• Pulmonary arterial hypertension: Typically 20 mg taken three times daily, spaced evenly (e.g., 8 am, 2 pm, 8 pm). Dosing for PAH is managed by a specialist and differs from the ED regimen.

Missed dose: If an ED dose is missed, it should be taken as soon as feasible, provided at least 4 hours have not elapsed since the intended time. Do not take an additional tablet to “make up” for a missed dose. For PAH, maintain the regular schedule; if a dose is forgotten, resume the next scheduled dose without doubling.

Overdose: Report symptoms such as severe dizziness, fainting, or prolonged erection to emergency services immediately. Supportive care may involve intravenous fluids, blood pressure monitoring, and, if priapism occurs, urgent urological intervention.

Precautions:

• Take with water; a high‑fat meal may delay absorption.
• Limit alcohol intake, as it can exacerbate hypotensive effects and impair erection.
• Patients with hepatic or renal impairment may require dose adjustment.

Buying Assurans from Our Online Pharmacy

Assurans can be ordered conveniently from our online pharmacy in Hong Kong. The service offers:

• Affordable pricing: Generic sildenafil is sourced near manufacturer cost, providing a significant saving compared with branded alternatives.
• Verified quality: All batches are procured from licensed overseas suppliers that meet International Pharmaceutical Federation (FIP) standards.
• Guaranteed delivery: Discreet packaging is shipped via express courier (7 days) or regular airmail (approximately 3 weeks), with tracking available for each order.
• Online‑only access: For patients who face limited stock in local pharmacies or lack insurance coverage, our pharmacy broker model connects you with reputable international pharmacies while respecting privacy.

Our platform streamlines the prescription process; a qualified practitioner reviews the request and arranges a valid prescription electronically, eliminating the need for a local handwritten prescription. This model complies with Hong Kong regulations for personal importation of medicines for legitimate medical use.

FAQ

• What is the difference between Assurans and the brand‑name Viagra?
  Assurans contains the same active ingredient, sildenafil citrate, in the same dosage strengths as Viagra®. The two products are bioequivalent, but Assurans is generally priced lower because it is a generic formulation.

• Can I take Assurans if I have a mild liver condition?
  Sildenafil is metabolised by the liver; mild hepatic impairment usually does not require a dose change, but moderate to severe impairment may necessitate a lower starting dose. Consultation with a physician is essential.

• Is a cold chain required for shipping Assurans?
  No. Assurans tablets are stable at room temperature (15‑30 °C) and do not require refrigeration during transport or storage.

• How many tablets are included in a standard order from your pharmacy?
  Orders can be placed for packs of 10, 20, or 30 tablets, depending on the dosage strength selected. Bulk orders may qualify for additional discounts.

• Does Hong Kong allow personal import of sildenafil for personal use?
  Yes, the Hong Kong Customs and Excise Department permits individuals to import a 3‑month supply of prescription medicines for personal use, provided a valid prescription accompanies the shipment.

• Are there any special warnings for Asian patients taking sildenafil?
  Pharmacokinetic studies show no clinically significant ethnic differences in sildenafil metabolism. However, patients with higher prevalence of cardiovascular disease should be screened carefully before initiating therapy.

• Can Assurans be taken together with a low‑dose aspirin regimen?
  Low‑dose aspirin does not interact with sildenafil and is generally safe. Patients on anticoagulants should still discuss bleeding risk with their healthcare provider.

• What should I do if I experience a painful, prolonged erection (priapism)?
  Seek emergency medical attention immediately. Priapism lasting longer than four hours can cause permanent tissue damage and requires prompt urological treatment.

• Is it possible to get a repeat prescription without visiting a clinic?
  Our online pharmacy works with licensed telemedicine providers who can assess eligibility and issue a renewal prescription electronically, provided the clinical indication remains unchanged.

• Do you ship Assurans to Hong Kong residents living abroad?
  Yes, international delivery is available to most countries. Shipping times and customs regulations vary by destination, and additional import fees may apply.

• Can Assurans be used for recreational purposes?
  Sildenafil is approved only for medically indicated uses such as erectile dysfunction and pulmonary arterial hypertension. Non‑medical use carries risks of adverse effects and is not recommended.

Glossary

Phosphodiesterase‑5 (PDE5) inhibitor

A class of drugs that block the PDE5 enzyme, leading to increased levels of cGMP and resulting in smooth‑muscle relaxation in the penis and pulmonary vessels.

cGMP (Cyclic guanosine monophosphate)

A second messenger molecule that mediates vasodilation; elevated cGMP levels enhance blood flow to target tissues.

Priapism

An erection lasting longer than four hours without sexual stimulation, which can cause permanent penile damage if not treated promptly.

⚠️ Disclaimer

The information provided about Assurans is for general knowledge only. It does not replace professional medical consultation. All treatment decisions should be made under the supervision of a qualified healthcare provider. We assume all readers are responsible adults capable of making informed decisions about their health. Our online pharmacy offers access to Assurans for individuals who may have limited availability through traditional pharmacies, prescription‑based insurance schemes, or who are seeking affordable generic alternatives. Always consult your doctor before starting, changing, or discontinuing any medication.