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Hong Kong health authorities are investigating the discovery of erectile dysfunction medication in an instant coffee mix, urging the public against consuming the product. The Department of Health said tests showed Firstwell Tongkat Ali Premix Coffee contained sildenafil, an “undeclared controlled drug ingredient”. The drug is often sold under the brand name Viagra.     “Sildenafil is a prescription drug used for the treatment of erectile dysfunction and should only be used under a doctor’s advice and be supplied in a pharmacy under the supervision of a registered pharmacist upon a doctor’s prescription,” the department said on Wednesday. Firstwell Tongkat Ali Premix Coffee is made in Malaysia, according to its packaging. The Post was unable to immediately contact the brand for comment. Tongkat ali, or longjack, is a herbal supplement from the roots of Eurycoma longifolia, a green shrub tree native to Southeast Asia. The plant is known for its aphrodisiac qualities and is used in traditional medicine in Southeast Asia to treat male infertility and erectile dysfunction.   A department spokesman strongly urged residents to avoid consuming products with unknown compositions or sources. “Members of the public who have purchased the products should stop consuming them immediately. They should consult healthcare professionals for advice if feeling unwell after consumption,” he said. The Post was only able to find the product online, with the mix not believed to be available at bricks-and-mortar stores in Hong Kong. According to the department, the side effects of sildenafil include low blood pressure, headaches, vomiting, dizziness and transient vision disturbances. Sildenafil might interact with some drugs and cause blood pressure to decrease to dangerous levels, while improper use might pose serious health risks, especially for patients with heart problems. The coffee product is not a registered pharmaceutical product in Hong Kong, and sildenafil, considered a Part 1 poison, can only be sold in pharmacies. Illegal sales or possession of Part 1 poison could result in a maximum penalty of HK$100,000 (US$12,870) and two years in jail. The department said it had followed up on a public complaint and obtained a sample of the coffee mix online.   Checks by the Post found that two online retailers that listed Firstwell Tongkat Ali Premix Coffee on their websites had removed the product as of Thursday afternoon.  

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