HSA updates on products found overseas that contain potent ingredients (January 2020)

The Health Sciences Authority (HSA) would like to update the public on products that have been found and reported by overseas regulators in January 2020 to contain potent ingredients which are not allowed in these products and may cause side effects. This information is provided to increase awareness on safety issues of such products found overseas, which may impact the local population. Please refer to Annex A and Annex B for the list of products and the possible side effects of the potent ingredients. Please refer to the pdf document for images of the products.

 

HSA’s Advisory

2        Members of the public are advised to:

• Consult a doctor if you have consumed any of the products and are feeling unwell.
• Avoid buying any of the products when abroad.
• Exercise caution when purchasing health products online or from sources (either local or overseas) which you may not be familiar with, even if well-meaning friends or relatives have recommended them. You cannot be certain where and how these products were made. They may be illegal, counterfeit or substandard, and may contain potent ingredients which can harm your health. If buying health products online, we encourage you to buy them from websites with an established retail presence in Singapore.
• Be wary of products that promise quick and miraculous results or carry exaggerated claims like “100% safe”, “no side effects” or “scientifically proven”. Consumers should also be cautious of products that produce unexpected quick recovery of medical conditions.
• Consult your doctor or pharmacist if you need help for the management of your acute and chronic medical symptoms and conditions (e.g. diabetes, hypertension, eczema).

3        Additionally, members of the public are encouraged to visit https://www.hsa.gov.sg/consumer-safety to learn more about the dangers of buying health products from dubious sources.

4        Members of the public who come across the sale and supply of these products in Singapore may contact HSA's Enforcement Branch at Tel: 6866 3485 during office hours (Monday to Friday) or email: hsa_is@hsa.gov.sg.

 

Annex A

List of Products

Note: There may be different versions or variants of the products listed below. You are advised to consult your doctor or pharmacist if you are unsure of any health product you intend to use, or if you need help for your acute and chronic medical symptoms and conditions

Name of product	Potent ingredient(s)	Source (Regulatory Agency)
Alien Power Platinum 11000	Tadalafil (PDE-5 inhibitor)	Health Canada
Black Mamba	Yohimbine	Health Canada
Black Panther #1	Yohimbine	Health Canada
Black Panther 200k	Yohimbine	Health Canada
Black Stallion Platinum 30k	Yohimbine	Health Canada
Bl4ck 4K	Sildenafil (PDE-5 inhibitor)	Health Canada
Boss Lion 9000	Sildenafil (PDE-5 inhibitor)	Health Canada
Ginseng Red 2000	Sildenafil (PDE-5 inhibitor)	Health Canada
Gold Lion Gold Label 3000mg	Hydroxy-thiohomosildenafil (PDE-5 inhibitor)	Health Canada
Green Mamba	Yohimbine	Health Canada
Jaguar 30000	Tadalafil (PDE-5 inhibitor)	Health Canada
Jungle Juice Platinum	Alkyl nitrites	Health Canada
Jungle Juice Platinum Black	Alkyl nitrites	Health Canada
Lollipop	Sildenafil, Tadalafil (PDE-5 inhibitors) and Yohimbine	Health Canada
Magnum Male Sexual enhancement XXL	Tadalafil (PDE-5 inhibitor)	Health Canada
Master Zone 1500	Sildenafil and Tadalafil (PDE-5 inhibitors)	Health Canada
MV7 Days Power Gummy	Tadalafil (PDE-5 inhibitor)	Health Canada
Poseidon Platinum 3500	Sildenafil (PDE-5 inhibitor)	Health Canada
Premium Pro Power 3500	Yohimbine	Health Canada
ResERECTION!	Sildenafil and Tadalafil (PDE-5 inhibitors)	Health Canada
Rhino	Aminotadalafil (PDE-5 inhibitor)	Health Canada
Rhino 25 Platinum 25000	Yohimbine	Health Canada
Rhino 7 Platinum 5000	Sildenafil (PDE-5 inhibitor) and Yohimbine	Health Canada
Rodeo Fantasy Triple Maximum	Yohimbine	Health Canada
Rush Poppers	Alkyl nitrites	Health Canada
Spanish Fly Sex Liquid Wild Strawberry	Yohimbe	Health Canada
Stiff Rox	Sildenafil and Tadalafil (PDE-5 inhibitors)	Health Canada
Super Panther 7k	Yohimbine	Health Canada
Super Rush Poppers	Alkyl nitrites	Health Canada
Titanium 4000	Sildenafil and Tadalafil (PDE-5 inhibitors)	Health Canada
Triple Green	Yohimbine	Health Canada
Ultimate 3500	Thiodimethylsildenafil (PDE-5 inhibitor)	Health Canada
Vigour 800	Sildenafil and Tadalafil (PDE-5 inhibitors)	Health Canada
VIP GO Rhino Gold 69K	Yohimbine	Health Canada
XXLANT 3000	Yohimbine	Health Canada
Zhen Gongfu	Sildenafil (PDE-5 inhibitor)	Health Canada
7k	Yohimbine	Health Canada
3800 Hard Rock	Yohimbine	Health Canada
777K	Yohimbine	Health Canada
三體牛鞭勃動力胶囊	Sildenafil (PDE-5 inhibitor)	Taiwan Food and Drug Administration
日本騰素(JAPAN TENGSU)	Sildenafil (PDE-5 inhibitor)	Taiwan Food and Drug Administration
纤姿瘦综合果蔬減肥糖片	Sibutramine	Taiwan Food and Drug Administration

 

Annex B

The possible side effects of the potent ingredients

Alkyl nitrites

"Poppers" is a slang term for products that contain alkyl nitrites. Despite being labelled for various uses such as leather cleaners, room odourizers or liquid incense, these products are inhaled or ingested by consumers for recreational purposes. Alkyl nitrites, such as amyl nitrite, butyl nitrite and isobutyl nitrite, are prescription medicines and should be used only under medical supervision. Products containing alkyl nitrites may pose serious risks, including death, depending on the amount used, how frequently they are used and how long they are used for, as well as the person's health and the other medications they may be taking. Since it is difficult to control how much is inhaled, people can accidentally overdose. Swallowing these products can lead to serious medical complications and may be fatal.

 

Phosphodiesterase Type 5 (PDE-5) inhibitors

This class of medicine includes aminotadalafil, sildenafil, tadalafil, homosildenafil, thiodimethylsildenafil and hydroxythiohomosildenafil. These medicines can cause serious adverse effects such as strokes, heart attacks, decreased or loss of vision and hearing and priapism (painful and exceedingly long erections). If priapism is not treated immediately, it may lead to permanent impotence. PDE-5 inhibitors are also not suitable for patients with medical conditions such as certain heart-related problems or who are on heart medications such as nitrates. Deaths of patients found to be using Sildenafil (PDE-5 inhibitor) while on nitrates have been reported overseas.

  

Sibutramine

Sibutramine, previously a prescription weight loss medicine used in the treatment of obesity, has been disallowed for sale in Singapore since 2010 due to increased risk of heart attacks and strokes. The use of sibutramine has been associated with serious side effects, including high blood pressure, irregular heartbeats, hallucinations and mood swings. Desmethyl sibutramine is a substance similar to sibutramine which may have similar side effects.

 

Yohimbe/Yohimbine

Yohimbine is a potent medicinal ingredient. Adverse effects associated with yohimbine include insomnia, anxiety, palpitations (sensation of heart pounding, racing or skipped beats), sweating and blurred vision. Overdosage can cause low blood pressure, rapid heartbeats, seizures, paralysis and coma. Deaths from overdose have also been reported.

 

Download pdf document: Foreign Alert_2020_Jan721 KB

Published: 1 Jan 2020

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