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Generic Androxal Information
Introduction
Androxal contains the active compound Enclomiphene, a selective estrogen‑receptor modulator (SERM) developed for men's health. It is intended to increase endogenous testosterone production in men with secondary hypogonadism and to support spermatogenesis in certain forms of male infertility. The product is marketed by several overseas manufacturers and is not currently authorised by the Medicines & Healthcare products Regulatory Agency (MHRA) for routine use in the United Kingdom. Patients who obtain Androxal typically do so through specialised online channels where it is supplied as a generic alternative to investigational brand‑name formulations of Enclomiphene.
What is Androxal?
Androxal is a tablet formulation whose sole active ingredient is Enclomiphene citrate. Enclomiphene is the trans‑isomer of clomiphene, a well‑known SERM used in female fertility treatment. By selectively blocking estrogen receptors in the hypothalamus and pituitary, Enclomiphene removes negative feedback on gonadotropin‑releasing hormone (GnRH), thereby raising luteinising hormone (LH) and follicle‑stimulating hormone (FSH) levels. Increased LH drives Leydig‑cell testosterone synthesis, while higher FSH supports Sertoli‑cell function and sperm production.
The compound was originally investigated by the biotech firm Clinical Data and later licensed to several generic manufacturers for distribution in markets where the investigational drug has not received full regulatory approval. Androxal therefore represents a cost‑effective generic version of Enclomiphene, supplied by our online pharmacy to patients who seek access outside conventional UK pharmacy channels.
How Androxal Works
Enclomiphine’s mechanism is centred on estrogen‑receptor antagonism in the central nervous system. Under normal physiology, circulating receptors in the hypothalamus, reducing GnRH pulse frequency. Enclomiphene competitively blocks these receptors, leading to:
- Increased GnRH pulsatility – the hypothalamus releases more frequent GnRH bursts.
- Elevated LH and FSH secretion – the anterior pituitary responds to the heightened GnRH signal.
- Stimulated Leydig‑cell testosterone synthesis – LH binds to Leydig cells, boosting intratesticular and serum testosterone.
- Enhanced Sertoli‑cell support of spermatogenesis – FSH promotes sperm maturation.
Pharmacokinetic data from phase‑II studies show peak plasma concentrations within 4–6 hours after oral administration, a half‑life of approximately 12 hours, and hepatic metabolism via CYP3A4. Steady‑state concentrations are typically attained after 5‑7 days of daily dosing, allowing clinicians to assess hormonal response within the first treatment week.
Conditions Treated with Androxal
- Secondary (hypogonadotropic) hypogonadism – characterized by low testosterone with normal or low gonadotropins. In the UK, secondary hypogonadism accounts for roughly 10 % of all male hypogonadism presentations, often linked to pituitary dysfunction, chronic illness, or obesity.
- Male infertility associated with low testosterone or impaired spermatogenesis – Enclomiphene has demonstrated modest improvements in total sperm count and progressive motility in small clinical cohorts.
Both indications rely on the drug’s ability to boost endogenous testosterone without the need for exogenous androgen replacement, thereby preserving the hypothalamic‑pituitary‑testicular axis and maintaining fertility potential.
Who is Androxal For?
- Men aged 18 – 65 years with documented secondary hypogonadism (serum testosterone < 300 ng/dL and low/normal LH/FSH).
- Patients seeking fertility preservation who require increased intratesticular testosterone but wish to avoid testosterone‑replacement therapy, which can suppress spermatogenesis.
- Individuals with contraindications to exogenous testosterone such as prostate‑cancer surveillance, severe erythrocytosis risk, or desire to maintain natural hormonal rhythms.
Androxal may be inappropriate for:
- Men with primary testicular failure (elevated LH/FSH) where the testes cannot respond to increased gonadotropins.
- Patients with a history of estrogen‑dependent malignancies, thromboembolic disease, or uncontrolled liver disease.
- Those concurrently using strong CYP3A4 inducers (e.g., rifampicin, carbamazepine) that could markedly reduce drug exposure.
Risks, Side Effects, and Interactions
Common
- Hot flashes – transient vasomotor symptoms reported in up to 15 % of users.
- Mild visual disturbances – blurred vision or “floaters,” typically reversible upon discontinuation.
- Gastrointestinal upset – nausea, abdominal discomfort, or diarrhea in 5‑10 % of patients.
Rare
- Elevated liver enzymes – asymptomatic transaminase rises observed in < 2 % of treatment courses; routine monitoring recommended.
- Gynecomastia – uncommon development of breast tissue due to altered estrogen‑to‑testosterone ratios.
Serious
- Thromboembolic events – case reports of deep‑vein thrombosis have been linked to high‑dose SERM therapy; patients with clotting disorders should avoid use.
- Severe allergic reaction – anaphylaxis or angioedema requires immediate medical attention, though incidence is exceedingly low.
Drug–Drug Interactions
- CYP3A4 inhibitors (e.g., ketoconazole, itraconazole, erythromycin) may increase Enclomiphene plasma levels, raising the risk of adverse effects.
- CYP3A4 inducers (e.g., rifampicin, phenytoin, St John’s wort) can lower drug concentrations, potentially reducing therapeutic benefit.
- Warfarin – Enclomiphene may potentiate anticoagulant effect; INR should be monitored closely if co‑administered.
Patients should disclose all medications, herbal supplements, and over‑the‑counter products to their prescriber before initiating Androxal.
Practical Use: Dosing, Missed Dose, Overdose
- Standard dosing – most clinical protocols start with 12.5 mg orally once daily; dose titration to 25 mg may be considered after 4‑6 weeks based on testosterone response and tolerability.
- Missed dose – if a dose is remembered within 12 hours, take it immediately; otherwise, skip the missed dose and resume the regular schedule. Do not double‑dose.
- Overdose – symptoms may include pronounced nausea, vomiting, or visual changes. Seek urgent medical care; supportive care (e.g., activated charcoal) is the primary treatment, as no specific antidote exists.
Precautions – take the tablet with water, preferably at the same time each day, and avoid concurrent high‑fat meals that could delay absorption. Alcohol does not directly interact with Enclomiphene but excessive intake may exacerbate liver‑enzyme elevations. Renal or hepatic impairment warrants careful monitoring and possible dose reduction.
Buying Androxal from Our Online Pharmacy
Androxal can be purchased directly from our online pharmacy in the UK. Our service provides:
- Affordable pricing – generics are sourced near manufacturer cost, offering a substantial saving compared with overseas brand‑name options.
- Verified quality – all batches are obtained from licensed international suppliers who adhere to Good Manufacturing Practice (GMP) standards.
- Guaranteed delivery – discreet packaging and reliable shipping; express service typically arrives within 7 days, while standard airmail averages 3 weeks.
- Online‑only access – we act as a pharmacy‑broker, collaborating with overseas licensed pharmacies to make medicines that are otherwise unavailable through conventional UK channels. This model protects patient privacy and ensures a confidential ordering experience.
Our is designed for adults who need a trustworthy source for Enclomiphene when local pharmacies cannot supply the product or when insurance coverage is limited.
FAQ
-
What form does Androxal take when shipped to the UK?
The medication arrives in sealed, child‑resistant blister packs containing 30 mg tablets. Each pack is labelled with the product name, potency, batch number, and expiry date, and is enclosed in a discreet, tamper‑evident envelope. -
Can Androxal be stored in a refrigerator?
No. Androxal should be kept at controlled room temperature (15 °C–30 °C), away from moisture and direct sunlight. Refrigeration can cause condensation on the tablets, potentially compromising their integrity. -
Are any inert ingredients used that could trigger allergies?
The tablet matrix includes microcrystalline cellulose, lactose monohydrate, magnesium stearate, and silicon dioxide. Patients with lactose intolerance or known sensitivity to any of these excipients should discuss alternatives with a healthcare professional. -
Is there a limit on how many tablets can be imported for personal use?
UK customs permits a maximum three‑month supply of a prescription‑only medicine for personal use, provided the recipient can demonstrate a legitimate medical need. Importing larger quantities may require additional documentation or a special licence. -
Does Androxal appear on standard drug‑testing panels for athletes?
Enclomiphene is not listed on the World Anti‑Doping Agency (WADA) prohibited list, but some sports organisations screen for all SERMs. Athletes should verify the testing policies of their governing bodies before using the medication. -
How does Androxal differ from clomiphene (Clomid) used in women?
Clomiphene is a racemic mixture of enclomiphene (trans‑isomer) and zuclomiphene (cis‑isomer). Enclomiphene alone has a shorter half‑life and a more selective estrogen‑receptor antagonism, resulting in a cleaner hormonal profile for male patients. -
What clinical trials have evaluated Enclomiphene in men?
Phase‑II randomized studies conducted in the United States and Europe examined Enclomiphene's ability to raise testosterone and improve sperm parameters over 12–24 weeks. These trials reported statistically significant increases in serum testosterone without suppressing gonadotropins. -
Can Androxal be taken while traveling internationally?
Yes, provided the medication remains in its original packaging with a copy of the prescription (if required) and complies with the import regulations of the destination country. It is advisable to carry a doctor’s letter stating the therapeutic indication. -
Is there any difference between Androxal tablets manufactured for the EU versus the US?
Formulation strength (12.5 mg or 25 mg) is consistent across regions, but excipient composition may vary slightly to meet local regulatory requirements. Both versions contain the same active Enclomiphene citrate. -
What is the typical time frame for seeing hormonal changes after starting Androxal?
Serum testosterone usually begins to rise within 7–10 days, with peak levels achieved after about 4 weeks of continuous dosing. Regular blood tests at baseline, week 4, and week 12 are recommended to monitor response.
Glossary
- Selective Estrogen‑Receptor Modulator (SERM)
- A class of compounds that bind to estrogen receptors and act as agonists in some tissues (e.g., bone) but antagonists in others (e.g., hypothalamus).
- Gonadotropin‑releasing hormone (GnRH)
- A peptide hormone released by the hypothalamus that stimulates the pituitary to secrete LH and FSH, the primary regulators of testosterone production and sperm development.
- Steady‑state concentration
- The point during repeated dosing when the rate of drug administration equals the rate of elimination, resulting in a stable plasma level.
- Good Manufacturing Practice (GMP)
- International quality standards that ensure medicinal products are consistently produced and controlled according to quality specifications.
⚠️ Disclaimer
The information provided about Androxal 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 Androxal 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.