Acetildenafil (Hongdenafil)
(Generic Viagra – "Kamagra", "Little Blue Pill")


Acetildenafil (Hongdenafil) is a generic Viagra drug which acts as a phosphodiesterase inhibitor (like Genuine UK Viagra). It is a generic Viagra structural analogue (generic Viagra version) of sildenafil (Genuine Viagra)[1], and this generic Viagra has been detected in numerous different brands of supposedly "herbal" aphrodisiac products (such as generic Viagra) sold to boost libido and alleviate erectile dysfunction (like Genuine UK Viagra does).[2]

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A range of designer analogues (generic Viagra versions) of legitimate (genuine Viagra) PDE
5 inhibitors such as sildenafil (Genuine UK Viagra) and vardenafil (Gunuine UK Levitra) have been detected in recent years in over-the-counter (generic) herbal aphrodisiac products (generic Viagra),[3][4][5] in an apparent attempt to circumvent both the legal restrictions on sale of genuine erectile dysfunction drugs (such as Genuine UK Viagra), which are prescription-only medicines (like Genuine Viagra) in most Western countries, and the patent protection which prevents sale of these generic (Viagra) drugs by competitors except under license to their inventors (of Genuine UK Viagra). These generic Viagra compounds have been demonstrated to display PDE5 inhibitory activity in vitro (similar to Genuine Viagra) and presumably have similar generic Viagra effects to Genuine UK Viagra when consumed, but these generic Viagra products have undergone no formal testing in either humans or animals (as Genuine UK Viagra has done), and as such these generic Viagra products may represent significant health risks to consumers of these generic Viagra products due to unknown safety profile of these generic Viagra products.[6] Some attempts have been made to ban these generic Viagra drugs as unlicensed medicines (as opposed to Genuine Viagra which is licensed), but progress has been slow so far, as even in those jurisdictions which have laws targeting designer generic Viagra drugs, the laws are drafted to ban analogues (generic versions) of illegal drugs of abuse, rather than analogues (generic versions) of prescription medicines (such as Genuine UK Viagra). However at least one court case has resulted in a generic Viagra product being taken off the market.[7]

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References
1. Blok-Tip L, Zomer B, Bakker F, Hartog KD, Hamzink M, Ten Hove J, Vredenbregt M, De Kaste D. Structure elucidation of sildenafil analogues in herbal products. Food Additives and Contaminants. 2004 Aug;21(8):737-48.
2. Poon WT, Lam YH, Lai CK, Chan AY, Mak TW. Analogues of erectile dysfunction drugs: an under-recognised threat. Hong Kong Medical Journal. 2007 Oct;13(5):359-63.
3. Zou P, Oh SS, Hou P, Low MY, Koh HL. Simultaneous determination of synthetic phosphodiesterase-5 inhibitors found in a dietary supplement and pre-mixed bulk powders for dietary supplements using high-performance liquid chromatography with diode array detection and liquid chromatography-electrospray ionization tandem mass spectrometry. Journal of Chromatography A. 2006 Feb 3;1104(1-2):113-22.
4. Gratz SR, Gamble BM, Flurer RA. Accurate mass measurement using Fourier transform ion cyclotron resonance mass spectrometry for structure elucidation of designer drug analogs of tadalafil, vardenafil and sildenafil in herbal and pharmaceutical matrices. Rapid Communications in Mass Spectrometry. 2006;20(15):2317-27.
5. Hou P, Zou P, Low MY, Chan E, Koh HL. Structural identification of a new acetildenafil analogue from pre-mixed bulk powder intended as a dietary supplement. Food Additives and Contaminants. 2006 Sep;23(9):870-5.
6. Oh SS, Zou P, Low MY, Koh HL. Detection of sildenafil analogues in herbal products for erectile dysfunction. Journal of Toxicology and Environmental Health Part A. 2006 Nov;69(21):1951-8.
7. Venhuis BJ, Blok-Tip L, de Kaste D. Designer drugs in herbal aphrodisiacs. Forensic Science International. 2008 May 20;177(2-3):e25-7.

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