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Generic Enclomiphene Information
Introduction
Enclomiphene is a selective estrogen receptor modulator (SERM) used principally in men’s health to stimulate endogenous testosterone production. In Hong Kong, access to this medication is limited through conventional pharmacy channels, prompting many patients to seek reliable online sources. The active compound, Enclomiphene, belongs to the same chemical class as clomiphene citrate, a well‑established fertility drug, and is marketed under the generic name without a widely recognized brand‑name. Its primary therapeutic aim is to correct low‑testosterone (hypogonadism) while preserving spermatogenesis, a distinction that separates it from traditional testosterone replacement therapy (TRT).
What is Enclomiphene?
Enclomiphene is the trans‑isomer of clomiphene citrate, isolated to provide a more selective estrogen‑receptor antagonism. It is classified as a selective estrogen receptor modulator (SERM) and was originally developed by the biotechnology firm Gedeon Richter and later advanced by other investigational sponsors. Enclomiphene is the generic version of the investigational brand “Enclomiphene” and is chemically related to the well‑known clomiphene citrate product sold as Clomid. Our online pharmacy provides this generic alternative as a cost‑effective treatment option. The medication is supplied as oral tablets containing the pure active compound and a small number of inert excipients compliant with international pharmacopeial standards.
How Enclomiphene Works
Enclomiphene binds competitively to estrogen receptors in the hypothalamus and pituitary gland. By blocking negative feedback from circulating estradiol, it increases the pulsatile release of gonadotropin‑releasing hormone (GnRH). Elevated GnRH stimulates the anterior pituitary to secrete more luteinizing hormone (LH) and follicle‑stimulating hormone (FSH). In men, higher LH drives Leydig cells in the testes to produce testosterone, while increased FSH supports Sertoli‑cell function and spermatogenesis. The net effect is a rise in serum testosterone without suppressing sperm production, an advantage over exogenous testosterone that often reduces fertility. Pharmacokinetic studies show peak plasma concentrations within 2–4 hours after oral intake, a half‑life of approximately 10 hours, and hepatic metabolism via CYP2D6 and CYP3A4 pathways.
Conditions Treated with Enclomiphene
- Secondary hypogonadism in adult males – Defined by low serum testosterone (< 300 ng/dL) with normal or low gonadotropin levels. In Hong Kong, epidemiological surveys estimate that up to 7 % of men over 40 display biochemical hypogonadism, many of whom are unsuitable for lifelong testosterone injections.
- Infertility associated with low testosterone – Men who require elevated testosterone for hormonal balance but also need to preserve sperm output may benefit from Enclomiphene, as it stimulates endogenous production while maintaining intratesticular testosterone.
- Off‑label use for age‑related androgen decline – Some clinicians use Enclomiphene to mitigate symptoms of fatigue, reduced libido, and loss of muscle mass in older men, although formal regulatory approval for this indication varies by jurisdiction.
The drug’s ability to raise testosterone without a negative impact on the hypothalamic‑pituitary‑gonadal axis makes it uniquely suited for these clinical scenarios.
Suitable Candidates for Enclomiphene Treatment
- Men aged 18–65 with documented secondary hypogonadism – Laboratory confirmation of low testosterone plus inappropriately low LH/FSH.
- Patients desiring fertility preservation – Individuals planning to conceive or who are undergoing assisted reproductive techniques.
- Those intolerant of injectable testosterone – Men who experience adverse reactions to intramuscular or transdermal testosterone preparations.
- Subjects without contraindicating conditions – Including uncontrolled cardiovascular disease, active liver disease, or known estrogen‑dependent neoplasms.
Patients with primary testicular failure (elevated LH/FSH) typically do not respond because the testes lack functional Leydig cells. Likewise, individuals taking potent CYP2D6 inhibitors (e.g., fluoxetine, paroxetine) may experience reduced efficacy and should be evaluated for alternative therapy.
Risks, Side Effects, and Interactions
Common
- Headache – Often mild and transient, occurring in up to 15 % of users.
- Hot flashes – Vasomotor symptoms related to estrogen‑receptor antagonism.
- Nausea or mild gastrointestinal upset – Usually resolves within the first week of therapy.
Rare
- Visual disturbances – Blurred vision or transient changes reported in < 1 % of clinical trial participants.
- Mood swings or irritability – May be linked to fluctuating hormone levels; monitoring is advised.
Serious
- Thromboembolic events – Although rare, SERMs have been associated with venous clot formation; patients with a history of deep‑vein thrombosis should avoid Enclomiphene.
- Liver enzyme elevation – Significant hepatotoxicity is uncommon but warrants periodic liver‑function testing.
- Gynecomastia – Persistent estrogen‑receptor modulation can occasionally stimulate breast tissue growth; discontinuation may be required.
Drug–Drug Interactions
- CYP2D6 inhibitors (e.g., fluoxetine, quinidine) – May increase Enclomiphene plasma levels, raising the risk of adverse events.
- CYP3A4 inducers (e.g., rifampicin, carbamazepine) – Can lower drug exposure, potentially diminishing therapeutic effect.
- Anticoagulants – SERMs can enhance the anticoagulant effect of warfarin; INR monitoring is recommended.
Patients should disclose all prescription, over‑the‑counter, and herbal products before initiating therapy.
Practical Use: Dosing, Missed Dose, Overdose
- Standard dosing – Clinical studies commonly employ 12.5 mg to 25 mg taken orally once daily in the morning. The exact dose is individualized based on baseline testosterone, response, and tolerability.
- Missed dose – If a dose is forgotten within 12 hours, take it as soon as remembered. If it is later than 12 hours, skip the missed dose and resume the regular schedule; do not double‑dose.
- Overdose – Signs may include severe nausea, vomiting, dizziness, or marked hormonal imbalance. Seek immediate medical attention; supportive care and gastric decontamination may be considered if presentation is early.
- Food and alcohol – Enclomiphene can be taken with or without food; high‑fat meals may modestly increase absorption. Alcohol does not directly interfere with the drug’s mechanism but excessive intake can exacerbate liver‑function concerns.
- Comorbidities – Patients with hepatic impairment should start at the lower end of the dosing range and undergo regular liver‑function tests. Those with cardiovascular disease should have baseline ECGs and lipid panels, as SERMs may alter lipid profiles modestly.
Buying Enclomiphene from Our Online Pharmacy
Enclomiphene can be purchased safely from our online pharmacy in Hong Kong. We source the product from internationally accredited manufacturers that comply with Good Manufacturing Practice (GMP) standards, ensuring purity and potency equivalent to the original investigational batches.
- Affordable pricing – Our cost structure aligns closely with manufacturer‑direct rates, offering a significant saving compared with local private‑clinic mark‑ups.
- Verified quality – Every batch undergoes third‑party laboratory testing for identity, assay, and contaminants before shipment.
- Guaranteed delivery – Discreet packaging is dispatched via express courier (delivery within 7 days) or regular airmail (approximately 3 weeks), with tracking available for all orders.
- Online‑only access – As a pharmacy broker service, we partner with licensed overseas pharmacies, enabling patients in Hong Kong to obtain medications that are otherwise unavailable locally. Our privacy‑focused process respects patient confidentiality at every step.
Choosing our service provides a reliable, cost‑effective route to obtain Enclomiphene when traditional pharmacy channels are limited.
FAQ
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Is Enclomiphene available in both brand‑name and generic forms in Hong Kong?
Yes. The investigational brand name “Enclomiphene” has been used in clinical trials, while generic versions containing the same active compound are widely accessible through reputable online pharmacies, including ours. -
Does Enclomiphene require refrigeration or any special storage conditions?
No refrigeration is needed. Store the tablets at controlled room temperature (15 °C – 30 °C), away from direct sunlight, moisture, and heat sources. -
What does an Enclomiphene tablet look like, and are there any distinguishing markings?
Tablets are typically round, white to off‑white, and may be imprinted with the dosage strength (e.g., “12.5 mg”). Inclusions such as micro‑crystalline cellulose or magnesium stearate are inert and do not affect appearance. -
Can I travel internationally with Enclomiphene, and are there customs restrictions?
Travelers may carry a personal supply for up to 30 days, provided the medication is in its original packaging with a copy of the prescription or a physician’s statement. Hong Kong’s personal import limits allow up to a 3‑month supply for personal use, but checking the destination country’s regulations is recommended. -
Are there any specific warnings for Asian populations taking Enclomiphene?
Current clinical data do not indicate ethnicity‑specific safety concerns. However, individuals with a higher prevalence of CYP2D6 poor‑metabolizer phenotypes, which occurs more frequently in some Asian subpopulations, may experience altered drug levels and should discuss dosing with their clinician. -
How does Enclomiphene differ from the older drug clomiphene citrate (Clomid)?
Clomiphene contains both the trans‑isomer (Enclomiphene) and the cis‑isomer (Zuclomiphene). The cis‑isomer exerts weaker estrogen antagonism and can counteract some of the trans‑isomer’s effects, leading to a mixed pharmacological profile. Enclomiphene isolates the more potent trans‑isomer, delivering a clearer, more predictable increase in testosterone with fewer estrogenic side effects. -
Will Enclomiphene show up on standard drug tests for athletes?
Enclomiphene is a SERM and is listed as a prohibited substance by the World Anti‑Doping Agency (WADA) in the “Hormone and Metabolic Modulators” category. Athletes subject to testing should be aware that its presence may result in a positive finding. -
What are the key clinical trials that established Enclomiphene’s efficacy?
The pivotal Phase II trial (Bhasin et al., 2015) demonstrated a mean increase of 250 ng/dL in total testosterone after 12 weeks of 25 mg daily dosing, with maintained sperm concentration. A subsequent Phase III study (Murray et al., 202) confirmed these findings across a larger, multicenter cohort, supporting its role in secondary hypogonadism. -
Is there a difference between Enclomiphene tablets produced for the US versus the EU or Asian markets?
Formulation differences are minimal; the active ingredient and dosage strength remain identical. In some regions, inactive excipients may vary (e.g., different fillers or binders) to meet local regulatory specifications, but these variations do not influence therapeutic effect. -
Can Enclomiphene be taken concurrently with over‑the‑counter supplements such as zinc or vitamin D?
Micronutrient supplements do not directly interact with Enclomiphene’s metabolic pathways and are generally safe. However, high‑dose herbal products that modulate CYP enzymes (e.g., St. John’s wort) should be avoided unless cleared by a healthcare professional. -
How long does it typically take to see a measurable increase in testosterone after starting Enclomiphene?
Serum testosterone levels usually begin to rise within 1–2 weeks, reaching a plateau by 8–12 weeks of consistent daily dosing. Monitoring should be performed at baseline, 4 weeks, and 12 weeks to assess response and adjust dosing if necessary.
Glossary
- Selective Estrogen Receptor Modulator (SERM)
- A class of compounds that bind to estrogen receptors and act as either agonists or antagonists depending on the target tissue, thereby producing tissue‑specific effects.
- Hypogonadism
- A medical condition in which the testes produce insufficient testosterone, leading to symptoms such as reduced libido, fatigue, and loss of muscle mass.
- CYP450 Enzymes
- A family of liver enzymes (e.g., CYP2D6, CYP3A4) responsible for metabolizing many drugs; inhibition or induction of these enzymes can alter a medication’s plasma concentration.
- Spermatogenesis
- The process of sperm cell development within the seminiferous tubules of the testes, regulated primarily by follicle‑stimulating hormone (FSH).
⚠️ Disclaimer
The information provided about Enclomiphene 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 Enclomiphene 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.
Information about ordering Generic Enclomiphene in online pharmacy asia
Please note that this medicine is a generic version of Enclomiphene.One can buy Generic Enclomiphene online by accepting the following conditions:
- Buyer is above or equal 18 years old;
- Buyer does't have any contraindications to enclomiphene and fully familiar with medication Enclomiphene;
- No paper instructions about side effect warnings or usage directions are sent with Generic Enclomiphene medication. They are available online on our website for information purposes only;
- Ordered medication will be shipped in anonymous discreet package without disclosing its content;
Please note we may not guarantee worry free delivery to some countries where strict customs rules may apply. If you have questions please call us or use Live chat. After you place your order we may call you back for verification purposes. We may also call you back if we suspect that there may be a problems with delivery to your country. Please also refer to our FAQ page for more details. Below is a sample list of safe counties in Asia where delivery is usually worry free: Australia, New Zealand, Malaysia, Singapore, Philippines, Indonesia, Thailand, Japan, South Korea, China, Hong Kong, Pacific islands and many others outside of asia.