
Both medications contain the same active ingredient and have the same effects. The main difference is that Ernafil is a generic drug that uses the same active ingredient as the brand-name medication, while Viagra is a brand-name drug developed and manufactured by the original manufacturer. Both medications help increase blood flow to the penis in response to sexual stimulation, thereby improving erectile dysfunction.
Sildenafil is a prescription drug in Hong Kong. It can be purchased through legal channels (including registered pharmacies or legitimate online healthcare platforms) after consulting a locally registered Western-trained physician and obtaining a prescription, ensuring that the medication is taken safely under a doctor’s guidance and comes from a reliable source.
The medication usually begins to take effect within about 30 to 60 minutes after taking it, but the exact time may vary depending on factors such as individual constitution and diet. High-fat foods or alcohol may slow the body’s absorption of the medication; it is recommended to take it on an empty stomach for best results.
此藥物可令血管擴張,引發全身血壓下降,以下人士絕對不可服用或有較高的潛在健康風險:<br> 正服用硝酸鹽類藥物者:如治療心絞痛或心臟病的硝酸甘油(Nitroglycerin,即俗稱的「脷底丸」)、單硝酸異山梨酯(Isosorbide Mononitrate)等。西地那非與此類藥物同服會產生協同效應,引發急性血壓驟降,嚴重者可危及生命。<br> 正服用鳥苷酸環化酶(cGMP)刺激劑者:如治療肺高壓的利奧西呱(Riociguat),同服亦會增加低血壓風險。<br> 近期有嚴重心血管病史者:在過去 6 個月內曾有中風、心肌梗塞(心臟病發)、嚴重過快或過緩的心律不正,或患有不穩定心絞痛的人士。<br> 血壓極端異常者:未受藥物妥善控制的高血壓患者,或靜息血壓極低(低於 90/50 mmHg)的人士。<br> 嚴重肝腎功能不全者:患有嚴重肝硬化或需要接受洗腎的末期腎病患者。<br> 罕見眼疾或視網膜病變患者:患有遺傳性視網膜色素變性(Retinitis Pigmentosa),或曾因「眼中風」(NAION)而導致視力受損的人士。<br> 若患有陰莖解剖畸形(如彎曲)、容易引發異常持久勃起的疾病(如鐮狀細胞貧血、白血病)、或正患有活動性胃潰瘍與出血性疾病,在考慮服用前必須主動告知醫生,並經詳細評估後遵從醫生指示謹慎使用。