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| 100mg x 30 pills +4 free sildenafil tablets
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Zenegra Information
Introduction
Zenegra is a medication indicated for the treatment of erectile dysfunction (ED) in adult men. Its active ingredient is sildenafil, a phosphodiesterase‑5 (PDE5) inhibitor that enhances blood flow to the penis during sexual stimulation. In Hong Kong, erectile dysfunction affects a substantial proportion of the male population, with surveys estimating prevalence rates of 10 %–20 % in men over 40 years of age. Zenegra offers a clinically proven option for restoring erectile function and improving quality of life for affected individuals.
What is Zenegra?
Zenegra is a tablet formulation that contains 25 mg, 50 mg or 100 mg of sildenafil citrate. It belongs to the drug class of phosphodiesterase‑5 inhibitors, which are specifically designed to treat erectile dysfunction and other conditions where vasodilation is beneficial. The product is manufactured by a licensed pharmaceutical company that complies with Good Manufacturing Practice (GMP) standards; the exact manufacturer may vary depending on the supply chain that supplies our online pharmacy. Zenegra is supplied as a prescription‑only medication in most jurisdictions, including Hong Kong, because its safety profile requires professional oversight.
How Zenegra Works
Sildenafil works by selectively inhibiting the enzyme phosphodiesterase‑5, which normally degrades cyclic guanosine monophosphate (cGMP) in the smooth muscle cells of the corpus cavernosum. During sexual arousal, nitric oxide is released from nerve endings and endothelial cells, stimulating the production of cGMP. Elevated cGMP causes relaxation of smooth muscle and dilation of penile arteries, allowing increased blood inflow and engorgement of the erectile tissue. By blocking PDE5, sildenafil prolongs the cGMP signal, resulting in a more sustained erection when sexual stimulation is present.
The pharmacokinetic profile of sildenafil shows an oral onset of action within 30–60 minutes, a peak plasma concentration at about 1 hour, and an effective duration of 4–6 hours. The drug is metabolised primarily by the hepatic cytochrome P450 enzymes CYP3A4 and CYP2C9, and its metabolites are excreted in the urine. Food, particularly high‑fat meals, can delay absorption and modestly reduce peak concentrations, which is why patients are often advised to take the tablet on an empty stomach for optimal effect.
Conditions Treated with Zenegra
- Erectile Dysfunction (ED) – The primary indication. ED is defined as the consistent inability to achieve or maintain an erection sufficient for satisfactory sexual performance. Zenegra improves erectile response in men with vascular, neurogenic, psychogenic or mixed etiologies of ED.
- Pulmonary Arterial Hypertension (PAH) (off‑label in some regions) – Sildenafil’s vasodilatory properties can lower pulmonary arterial pressure, but use for PAH must be prescribed by a specialist and follows a different dosing regimen.
In Hong Kong, the demand for effective ED therapy is high due to urban lifestyle factors, increasing rates of metabolic syndrome, and an aging male population. Clinical trials have demonstrated that sildenafil restores functional erections in approximately 70 %–80 % of treated men, making it one of the most widely used agents worldwide.
Suitable Candidates for Zenegra Treatment
Zenegra is appropriate for adult men who:
- Have a confirmed diagnosis of erectile dysfunction after appropriate medical evaluation.
- Are capable of sexual stimulation, as sildenafil enhances physiological response but does not initiate erection without arousal.
- Do not have contraindications such as concomitant use of nitrates (e.g., nitroglycerin), severe uncontrolled hypertension, recent stroke or myocardial infarction, or a known hypersensitivity to sildenafil or any tablet excipients.
Clinical scenarios where Zenegra is frequently recommended include:
- Men with diabetes‑related vascular impairment.
- Individuals with hypertension who are on stable antihypertensive therapy (excluding nitrates).
- Patients whose ED is associated with psychogenic factors, provided there is no underlying organic cause that would be worsened by the drug.
Conversely, Zenegra may not be suitable for:
- Men taking medications that strongly inhibit CYP3A4 (e.g., certain antifungals, macrolide antibiotics) unless dose adjustment is performed.
- Patients with severe liver or kidney impairment, where reduced clearance may increase systemic exposure.
- Men with anatomical penile abnormalities (e.g., Peyronie’s disease) that limit the mechanical capacity for erection.
A thorough medical history and, when indicated, laboratory testing are essential before initiating therapy.
Risks, Side Effects, and Interactions
Common
- Headache – Resulting from systemic vasodilation.
- Flushing – Warmth and reddening of the face or upper chest.
- Indigestion or dyspepsia – Often mild and transient.
- Nasal congestion – Due to increased blood flow in nasal mucosa.
- Visual disturbances (e.g., blurred vision, blue‑tinted vision) – Typically resolve without intervention.
Rare
- Priapism – Prolonged erection lasting more than 4 hours; medical emergency.
- Sudden hearing loss – Rare, may be associated with tinnitus or vertigo.
- Cardiovascular events (e.g., myocardial infarction, stroke) – Uncommon in otherwise healthy men but more likely in those with pre‑existing heart disease.
Serious
- Severe hypotension – Particularly when combined with nitrates or potent vasodilators.
- Life‑threatening allergic reactions (anaphylaxis), presenting with rash, swelling, or airway compromise.
- Vision loss (non‑arteritic anterior ischemic optic neuropathy) – Extremely rare but irreversible.
Drug–Drug Interactions
- Nitrates (e.g., glyceryl trinitrate, isosorbide dinitrate) – Co‑administration can precipitate dangerous drops in blood pressure.
- CYP3A4 inhibitors – Ketoconazole, itraconazole, ritonavir, and certain macrolide antibiotics can increase sildenafil plasma levels, requiring dose reduction.
- CYP3A4 inducers – Rifampicin, carbamazepine, and phenytoin may lower efficacy by accelerating metabolism.
- Alpha‑blockers – May cause additive hypotensive effects; dose titration is advised.
Patients should inform their healthcare provider of all prescribed, over‑the‑counter, and herbal products they are using.
Practical Use: Dosing, Missed Dose, Overdose
- Starting dose – For most men, 50 mg taken as a single tablet approximately one hour before anticipated sexual activity. The tablet can be taken with or without food; a high‑fat meal may delay onset.
- Dose adjustment – Based on efficacy and tolerability, the dose may be reduced to 25 mg or increased to a maximum of 100 mg. No more than one dose per 24‑hour period is recommended.
- Missed dose – If sexual activity is still anticipated, take the tablet as soon as possible. If the next planned activity is more than 24 hours away, skip the missed dose; do not double‑dose.
- Overdose – Accidental ingestion of more than the prescribed amount may increase the risk of hypotension, prolonged headache, and visual changes. Seek medical attention promptly; treatment is supportive, focusing on blood pressure monitoring and symptomatic relief.
- Precautions –
- Avoid excessive alcohol consumption, which can impair erection and increase side‑effects.
- Use caution in men with cardiovascular disease; sexual activity itself carries cardiac demand.
- Do not use Zenegra in combination with recreational “poppers” (alkyl nitrites) due to additive vasodilatory effects.
Buying Zenegra from Our Online Pharmacy
Patients in Hong Kong can obtain Zenegra through our online pharmacy. We specialise in providing verified, high‑quality generic medications at prices close to the manufacturer’s cost, thereby improving affordability without compromising safety.
- Affordable pricing – Our bulk‑purchase model and direct relationships with licensed overseas suppliers enable us to offer Zenegra at a fraction of retail pharmacy rates.
- Verified quality – Each batch is sourced from GMP‑certified manufacturers and undergoes independent quality testing before shipment.
- Guaranteed delivery – Discreet, reliable shipping options include express delivery within 7 days for domestic orders and regular airmail (approximately 3 weeks) for international stock.
- Online‑only access – By operating as a pharmacy‑broker service, we connect you with overseas licensed pharmacies while maintaining privacy and respecting patient confidentiality. This model is especially valuable for individuals who face limited local availability or who seek a cost‑effective alternative to brand‑name products.
Our platform follows stringent data‑protection standards, ensuring that personal and health information remains confidential throughout the ordering process.
FAQ
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Is Zenegra approved for use in Hong Kong?
Yes, sildenafil‑containing products are approved by the Hong Kong Department of Health for the treatment of erectile dysfunction. Zenegra must be obtained with a valid prescription from a licensed medical professional. -
Can Zenegra be taken with antihypertensive medication?
In most cases, sildenafil can be combined safely with standard antihypertensive agents such as ACE inhibitors, calcium‑channel blockers, or diuretics. However, concurrent use with nitrate‑based drugs is strictly contraindicated because of the risk of severe hypotension. -
What should I do if I experience a painful erection lasting longer than four hours?
A prolonged erection (priapism) is a medical emergency. Seek immediate medical attention, preferably at an emergency department, where intracavernosal injection or surgical drainage may be required to prevent permanent tissue damage. -
Does alcohol affect the efficacy of Zenegra?
Moderate alcohol intake may modestly reduce the drug’s effectiveness by impairing the physiological processes needed for erection. Excessive drinking can also increase the likelihood of side effects such as dizziness and headache. -
Are there any dietary restrictions while taking Zenegra?
No specific foods are prohibited, but high‑fat meals can delay absorption and slightly diminish peak plasma concentrations. Taking the tablet on an empty stomach or with a light meal usually provides the quickest onset. -
How should Zenegra be stored in a humid climate like Hong Kong?
Store the tablets in a dry place, away from direct sunlight, heat, and moisture. A sealed container in a cabinet or drawer is suitable. Avoid bathroom storage where humidity can be high. -
What is the visual side‑effect of blue‑tinted vision, and is it permanent?
Sildenafil can transiently affect the photoreceptors that detect blue light, leading to a temporary bluish hue in vision. The effect resolves within a few hours after the drug is cleared from the system and does not cause lasting visual impairment. -
Can Zenegra be taken by men with mild liver disease?
Mild to moderate hepatic impairment may increase sildenafil exposure modestly. A reduced starting dose (e.g., 25 mg) is often recommended, and the patient should be monitored for increased side effects. -
Is there a difference between the tablet appearance of Zenegra and other generic sildenafil products?
Zenegra tablets are typically round, film‑coated, and colour‑coded based on strength (e.g., blue for 50 mg, pink for 100 mg). Inactive ingredients such as lactose, microcrystalline cellulose, and magnesium stearate may vary slightly among manufacturers, but they do not affect therapeutic action. -
Can Zenegra be imported for personal use without a local prescription?
Hong Kong regulations require that prescription‑only medicines, including sildenafil, be accompanied by a valid prescription from a Hong Kong‑licensed practitioner for personal import. Importing without such documentation may result in seizure of the product by customs authorities. -
Do any clinical trials compare Zenegra with older ED medications?
Large‑scale, randomized controlled trials have compared sildenafil (the active component of Zenegra) with earlier agents such as papaverine and alprostadil. Sildenafil demonstrated superior efficacy, faster onset, and a more favourable side‑effect profile, leading to its status as first‑line therapy for erectile dysfunction. -
Is there a risk of developing tolerance to Zenegra over time?
Long‑term use of sildenafil does not typically result in pharmacological tolerance. However, underlying disease progression (e.g., advancing diabetes or vascular disease) may reduce overall response, necessitating dosage adjustment or alternative therapies. -
Does Zenegra affect urine drug testing?
Sildenafil and its metabolites are not screened for in standard workplace or sports drug tests. Therefore, taking Zenegra generally does not influence routine urine toxicology results.
Glossary
- Phosphodiesterase‑5 (PDE5) inhibitor
- A class of drugs that block the enzyme PDE5, preventing the breakdown of cGMP and thereby promoting smooth‑muscle relaxation and vasodilation in the penis.
- cGMP (Cyclic guanosine monophosphate)
- A second messenger molecule that mediates relaxation of smooth muscle cells; its accumulation is essential for achieving an erection during sexual arousal.
- Priapism
- A prolonged, often painful erection lasting more than four hours, unrelated to sexual stimulation, that requires urgent medical treatment to prevent tissue injury.
⚠️ Disclaimer
The information provided about Zenegra 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 Zenegra 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 Zenegra in online pharmacy asia
One can buy Zenegra online by accepting the following conditions:- Buyer is above or equal 18 years old;
- Buyer does't have any contraindications to sildenafil and fully familiar with medication Zenegra;
- No paper instructions about side effect warnings or usage directions are sent with Zenegra 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.