{"id":54385,"date":"2025-08-25T04:24:04","date_gmt":"2025-08-25T04:24:04","guid":{"rendered":"https:\/\/rechemco.to\/?post_type=product&#038;p=54385"},"modified":"2026-07-29T03:36:37","modified_gmt":"2026-07-29T03:36:37","slug":"vega-extra-cobra-rood-120-eu2","status":"publish","type":"product","link":"https:\/\/rechemco.to\/nl\/vega-extra-cobra-red-120-eu2\/","title":{"rendered":"Vega Extra Cobra Red 120 EU"},"content":{"rendered":"<h3 class=\"wp-block-heading\">Vega Extra Cobra Red 120 \u2014 High-strength Sildenafil (120 mg) for Erectile Dysfunction<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>What it is<\/strong><br>Vega Extra Cobra Red 120 is a film-coated oral tablet containing <strong>120 mg of Sildenafil (as Sildenafil Citrate)<\/strong>, een selectieve <strong>PDE5-remmer<\/strong> gebruikt voor de behandeling van <strong>erectiestoornis (ED)<\/strong>. It is intended for adult men and should be taken <strong>only under medical supervision<\/strong>, especially because <strong>120 mg exceeds the typical maximum labeled dose of 100 mg<\/strong> used in many regions. Higher strength may increase the likelihood of adverse effects and drug\u2013drug interactions.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>How it works (mechanism)<\/strong><br>Sexual stimulation triggers nitric-oxide release in penile tissue \u2192 \u2191 <strong>cGMP<\/strong> \u2192 smooth-muscle relaxation and increased arterial inflow. <strong>Sildenafil<\/strong> selectively inhibits <strong>phosphodiesterase-5 (PDE5)<\/strong>, the enzyme that degrades cGMP, thereby <strong>amplifying<\/strong> the body\u2019s natural erectile response during sexual stimulation. Sildenafil is not an aphrodisiac and does not work without sexual arousal.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Onset, duration &amp; food effect<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Aanvang:<\/strong> typically <strong>30\u201360 min<\/strong>; some individuals respond by <strong>~25\u201330 min<\/strong>.<\/li>\n\n\n\n<li><strong>Peak effect:<\/strong> ~60\u2013120 min.<\/li>\n\n\n\n<li><strong>Duur:<\/strong> up to <strong>4\u20136 hours<\/strong> of improved erectile response (individual variability applies).<\/li>\n\n\n\n<li><strong>Heavy\/high-fat meals<\/strong> can <strong>delay onset<\/strong> and reduce peak effect; best on an <strong>empty stomach<\/strong> or after a light meal.<\/li>\n\n\n\n<li><strong>Alcohol<\/strong> may impair erectile function and increase side effects (dizziness, hypotension).<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Pharmacokinetics (class data)<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Absorptie:<\/strong> t_max ~1 h (food may delay).<\/li>\n\n\n\n<li><strong>Metabolisme:<\/strong> <strong>CYP3A4<\/strong> (major) and <strong>CYP2C9<\/strong> (minor).<\/li>\n\n\n\n<li><strong>Elimination half-life:<\/strong> ~3\u20135 h.<\/li>\n\n\n\n<li><strong>Excretion:<\/strong> mainly fecal; some renal as metabolites.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Who may benefit<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Adult men diagnosed with <strong>erectiestoornis<\/strong> who have been deemed appropriate candidates for PDE5 inhibitor therapy by a clinician and who, after assessment, require a higher-strength option.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Dosage &amp; administration<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Strength:<\/strong> 120 mg sildenafil per tablet.<\/li>\n\n\n\n<li><strong>Use:<\/strong> <strong>Take 1 tablet as needed<\/strong>, approximately <strong>30\u201360 minutes<\/strong> before sexual activity.<\/li>\n\n\n\n<li><strong>Maximum frequency:<\/strong> <strong>Do not exceed 1 tablet in 24 hours<\/strong>.<\/li>\n\n\n\n<li>Because <strong>120 mg is above common maximum dosing (100 mg)<\/strong>, use <strong>only if specifically directed by a healthcare professional<\/strong> after assessing response and tolerability at lower doses (e.g., 25\/50\/100 mg).<\/li>\n\n\n\n<li>Swallow with water. Avoid grapefruit juice (CYP3A4 interaction).<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Common side effects (dose-related)<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Hoofdpijn<\/strong>, <strong>flushing<\/strong>, <strong>nasal congestion<\/strong>, <strong>dyspepsia<\/strong>, <strong>dizziness<\/strong>.<\/li>\n\n\n\n<li><strong>Visual changes<\/strong> (blue\/green tint, increased light sensitivity), <strong>blurred vision<\/strong>.<\/li>\n\n\n\n<li><strong>Back pain\/myalgia<\/strong> are less typical with sildenafil (more common with tadalafil) but can occur.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Less common\/rare but serious<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Symptomatic hypotension<\/strong>, <strong>syncope<\/strong> (more likely with alcohol, dehydration, or interacting drugs).<\/li>\n\n\n\n<li><strong>Priapism<\/strong> (erection &gt;4 hours) \u2014 <strong>medical emergency<\/strong>.<\/li>\n\n\n\n<li><strong>Plotseling gehoorverlies<\/strong> of <strong>vision loss<\/strong> (NAION) \u2014 stop use and seek care.<\/li>\n\n\n\n<li><strong>Cardiac events<\/strong> can occur in susceptible individuals engaging in sexual activity; medical screening is essential.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Contra-indicaties<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Nitraten<\/strong> (e.g., nitroglycerin, isosorbide) or <strong>nicorandil<\/strong> \u2192 severe, potentially life-threatening hypotension.<\/li>\n\n\n\n<li><strong>Recent<\/strong> myocardial infarction or stroke, <strong>unstable angina<\/strong>, severe hypotension, <strong>severe heart failure<\/strong> (unless specifically cleared by a cardiologist).<\/li>\n\n\n\n<li><strong>Ernstige leverfunctiestoornis<\/strong>; significant renal impairment requires caution.<\/li>\n\n\n\n<li><strong>Retinitis pigmentosa<\/strong> (rare hereditary retinal disorders).<\/li>\n\n\n\n<li>Known <strong>hypersensitivity<\/strong> to sildenafil or excipients.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Important drug interactions<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Potent CYP3A4 inhibitors<\/strong> (e.g., ketoconazole, itraconazole, ritonavir, cobicistat, clarithromycin) can <strong>markedly increase sildenafil exposure<\/strong> \u2192 higher adverse-event risk; medical oversight is mandatory, and dose adjustments are usually required (often much lower than 100 mg).<\/li>\n\n\n\n<li><strong>Alfa-blokkers<\/strong> (e.g., doxazosin, tamsulosin): risk of symptomatic hypotension \u2014 spacing of doses and careful titration advised.<\/li>\n\n\n\n<li><strong>Andere PDE5-remmers<\/strong> of <strong>riociguat<\/strong>: avoid combination.<\/li>\n\n\n\n<li><strong>Excess alcohol<\/strong>: increases dizziness\/hypotension and can impair erectile performance.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Use &amp; safety notes<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Not indicated for women or persons under 18.<\/li>\n\n\n\n<li>Avoid driving or hazardous tasks if dizzy or visually affected.<\/li>\n\n\n\n<li>If chest pain occurs during sexual activity, stop and seek medical help.<\/li>\n\n\n\n<li>If no effect after several separate uses, discuss with a clinician rather than increasing frequency or combining with other agents.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Storage &amp; handling<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Store in a <strong>cool, dry place<\/strong> (15\u201330 \u00b0C), protected from light and moisture.<\/li>\n\n\n\n<li>Buiten het bereik van kinderen houden.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Quality &amp; authenticity<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Ensure purchase from reputable suppliers. Packaging integrity, batch\/lot numbers, and clearly labeled <strong>120 mg sildenafil<\/strong> content help verify authenticity. Report suspicious products.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Samenvatting<\/strong><br>Vega Extra Cobra Red 120 delivers <strong>single-agent Sildenafil at 120 mg<\/strong> for ED. Because this strength <strong>exceeds typical maximum dosing<\/strong>, it is suitable <strong>only when prescribed or approved by a healthcare professional<\/strong> after evaluating response to lower strengths and considering comorbidities, medications, and overall cardiovascular risk.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83c\uddea\ud83c\uddfa <strong>Sildenafil juridische status in Europa (overzicht 2025)<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Sildenafil<\/strong> is een <strong>PDE5-remmer<\/strong> gebruikt voor:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Erectiele disfunctie (ED)<\/strong><\/li>\n\n\n\n<li><strong>Pulmonale arteri\u00eble hypertensie (PAH)<\/strong> (onder verschillende merknamen)<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Het wordt meestal op de markt gebracht als:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Viagra<\/strong> (Pfizer) \u2013 ED<\/li>\n\n\n\n<li><strong>Revatio<\/strong> \u2013 PAH<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\u2705 <strong>Wettelijke status: Alleen op recept in het grootste deel van Europa<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">In bijna alle Europese landen, <strong>Sildenafil is een receptplichtig geneesmiddel<\/strong> voor:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Mannen met gediagnosticeerde erectiestoornis<\/li>\n\n\n\n<li>PAH-pati\u00ebnten onder specialistische zorg<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Sommige landen staan echter <strong>zonder recept (OTC) versies in lage doseringen toe<\/strong>, of overwegen herclassificatie.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83d\uddfa\ufe0f <strong>Status per land (2025)<\/strong><\/h3>\n\n\n\n<h4 class=\"wp-block-heading\">\u2705 <strong>Uitsluitend op recept<\/strong><\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">De meeste landen vereisen een geldig medisch recept:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\ud83c\uddeb\ud83c\uddf7 Frankrijk<\/li>\n\n\n\n<li>\ud83c\udde9\ud83c\uddea Duitsland<\/li>\n\n\n\n<li>\ud83c\uddee\ud83c\uddf9 Itali\u00eb<\/li>\n\n\n\n<li>\ud83c\uddea\ud83c\uddf8 Spanje<\/li>\n\n\n\n<li>Portugal<\/li>\n\n\n\n<li>Belgi\u00eb<\/li>\n\n\n\n<li>Nederland<\/li>\n\n\n\n<li>Zweden<\/li>\n\n\n\n<li>Finland<\/li>\n\n\n\n<li>\ud83c\udde9\ud83c\uddf0 Denemarken<\/li>\n\n\n\n<li>\ud83c\uddf3\ud83c\uddf4 Noorwegen<\/li>\n\n\n\n<li>\ud83c\udde8\ud83c\udded Zwitserland<\/li>\n\n\n\n<li>\ud83c\udde6\ud83c\uddf9 Oostenrijk<\/li>\n\n\n\n<li>\ud83c\udde8\ud83c\uddff Tsjechi\u00eb<\/li>\n\n\n\n<li>\ud83c\uddf5\ud83c\uddf1 Polen<\/li>\n\n\n\n<li>\ud83c\uddf8\ud83c\uddf0 Slowakije<\/li>\n\n\n\n<li>\ud83c\udded\ud83c\uddfa Hongarije<\/li>\n\n\n\n<li>\ud83c\uddee\ud83c\uddea Ierland<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">In deze landen, <strong>online bestellingen zonder recept zijn illegaal<\/strong> en vaak in beslag genomen bij de douane.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">\ud83d\uded2 <strong>Vrij verkrijgbaar (OTC) \u2013 Beperkt<\/strong><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\ud83c\uddec\ud83c\udde7 <strong>Verenigd Koninkrijk<\/strong>: Sinds 2018, <strong>Viagra Connect (50 mg)<\/strong> is beschikbaar <strong>zonder recept<\/strong> na overleg met de apotheker.<\/li>\n\n\n\n<li>\ud83c\uddf1\ud83c\uddfb Letland** en \ud83c\uddf1\ud83c\uddf9 Litouwen**: Sommige laaggedoseerde generieke geneesmiddelen (bijv. 25\u201350\u202fmg) kunnen zonder recept verkrijgbaar zijn, afhankelijk van de apotheek en lokale regelgeving.<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\u26a0\ufe0f <strong>Risico's van invoer en online aankoop<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Nagemaakte sildenafil is wijdverspreid<\/strong> online, vaak met verontreinigingen of onjuiste dosering.<\/li>\n\n\n\n<li>Douane in EU-landen routinematig <strong>onderschept niet-voorgeschreven zendingen<\/strong>, vooral uit India of China.<\/li>\n\n\n\n<li><strong>Invoer zonder recept<\/strong> is illegaal in heel Europa, zelfs als het product echt is.<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83d\udcdc <strong>Regelgevend toezicht<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>EMA (Europees Geneesmiddelenbureau)<\/strong> reguleert Sildenafil onder gecentraliseerde procedures voor sommige indicaties.<\/li>\n\n\n\n<li><strong>Nationale agentschappen<\/strong> (bijv. ANSM, BfArM, AIFA) behandelen goedkeuringen van generieke geneesmiddelen en lokale marketing.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\ud83d\udcda EU-register van geneesmiddelen:<br><a class=\"\" href=\"https:\/\/www.ema.europa.eu\/en\/medicines\" rel=\"nofollow noopener\" target=\"_blank\">https:\/\/www.ema.europa.eu\/en\/medicines<\/a><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83e\udde0 Samenvatting<\/h3>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><thead><tr><th>Status<\/th><th>Landen<\/th><\/tr><\/thead><tbody><tr><td>\u2705 Alleen op recept<\/td><td>\ud83c\uddeb\ud83c\uddf7 \ud83c\udde9\ud83c\uddea \ud83c\uddea\ud83c\uddf8 \ud83c\uddee\ud83c\uddf9 \ud83c\uddf5\ud83c\uddf9 \ud83c\uddf3\ud83c\uddf1 \ud83c\udde7\ud83c\uddea \ud83c\uddf8\ud83c\uddea \ud83c\uddeb\ud83c\uddee \ud83c\udde9\ud83c\uddf0 \ud83c\udde8\ud83c\udded \ud83c\udde8\ud83c\uddff \ud83c\uddf5\ud83c\uddf1 \ud83c\uddf8\ud83c\uddf0 \ud83c\udded\ud83c\uddfa \ud83c\uddee\ud83c\uddea \ud83c\uddf3\ud83c\uddf4 \ud83c\udde6\ud83c\uddf9<\/td><\/tr><tr><td>\ud83d\uded2 OTC (apotheekconsult)<\/td><td>\ud83c\uddec\ud83c\udde7 (Viagra Connect 50\u202fmg)<\/td><\/tr><tr><td>\u26a0\ufe0f Niet legaal om te importeren zonder recept<\/td><td><strong>Alle EU\/EER-landen<\/strong><\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Apcalis<\/p>","protected":false},"excerpt":{"rendered":"<h2>Vega Extra Cobra Red 120 \u2013 High-Strength Sildenafil (120 mg)<\/h2>\n<p><strong>Vega Extra Cobra Red 120<\/strong> bevat <strong>120 mg of Sildenafil<\/strong> (no tadalafil). It\u2019s a selective PDE5 inhibitor for erectile dysfunction that enhances the natural erectile response during sexual stimulation.<\/p>\n<ul>\n<li><strong>High strength:<\/strong> 120 mg Sildenafil per tablet<\/li>\n<li><strong>Aanvang:<\/strong> ~30\u201360 minutes; duration ~4\u20136 hours<\/li>\n<li><strong>Best on empty stomach;<\/strong> avoid heavy\/fatty meals<\/li>\n<li><strong>Do not exceed 1 tablet in 24 hours<\/strong><\/li>\n<\/ul>\n<p><em>Belangrijk:<\/em> 120 mg exceeds common maximum labeled dosing (100 mg). Use only under medical supervision. Do not use with <strong>nitrates<\/strong> of <strong>nicorandil<\/strong>. Seek urgent care for an erection lasting >4 hours or sudden vision\/hearing loss.<\/p>\n<p><em>For adult men only. Not for women or minors.<\/em><\/p>\n<p><strong>Verzendinformatie:<\/strong><\/p>\n<ul>\n<li>Beschikbaar voor levering naar <strong>Alleen Europese landen<\/strong>.<\/li>\n<\/ul>\n<ul class=\"wp-block-list\">\n<li style=\"list-style-type: none;\">\n<ul class=\"wp-block-list\">\n<li style=\"list-style-type: none;\">\n<ul class=\"wp-block-list\">\n<li>Verzonden vanuit Europa met een <strong>trackingnummer<\/strong>.<\/li>\n<li>Verzonden binnen<strong> 48-72 uur na betaling<\/strong>.<\/li>\n<li>Gemiddelde levertijd: <strong>1 week.<\/strong><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>","protected":false},"featured_media":54393,"comment_status":"open","ping_status":"closed","template":"","meta":[],"product_brand":[],"product_cat":[58,59],"product_tag":[],"class_list":["post-54385","product","type-product","status-publish","has-post-thumbnail","product_cat-eu-meds","product_cat-ed-eu","first","instock","sale","shipping-taxable","purchasable","product-type-variable"],"_links":{"self":[{"href":"https:\/\/rechemco.to\/nl\/wp-json\/wp\/v2\/product\/54385","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/rechemco.to\/nl\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/rechemco.to\/nl\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/rechemco.to\/nl\/wp-json\/wp\/v2\/comments?post=54385"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/rechemco.to\/nl\/wp-json\/wp\/v2\/media\/54393"}],"wp:attachment":[{"href":"https:\/\/rechemco.to\/nl\/wp-json\/wp\/v2\/media?parent=54385"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/rechemco.to\/nl\/wp-json\/wp\/v2\/product_brand?post=54385"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/rechemco.to\/nl\/wp-json\/wp\/v2\/product_cat?post=54385"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/rechemco.to\/nl\/wp-json\/wp\/v2\/product_tag?post=54385"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}