Avanafil Package leaflet

Avanafil Info Sheet – Get info about how to buy Avanafil with Dapoxetine

Read the information in the Avanafil package instruction carefully before you use the medicine. If you still have questions, always contact a doctor. Always use this medicine wisely and with care.

What is in this instruction?

  1. What Avanafil is and what you use it for
  2. Important information before you start using Avanafil
  3. How to take Avanafil
  4. Possible side effects
  5. Storage advice

1. What Avanafil is and what you use it for

The active substance in this erection agent is Avanafil. This drug belongs to the group of PDE5 inhibitors and is a treatment for men who have problems with erection. That means that a man is unable to get or maintain an erection suitable for satisfying sexual intercourse.

Avanafil works by helping relax penis bodies. This is possible by blocking the PDE5 enzyme – which is responsible for maintaining the tension of these swelling bodies. This makes it easier for blood to flow into the penis, making it easier to get and maintain an erection.

However, the drug only works in combination with sexual stimuli. It is therefore important that there is excitement – just like this is normally the case – in order to get an erection. Using Avanafil is not useful if you are not dealing with erection problems. It is also unsuitable for women.

2. Important information before you start using Avanafil

Do not use Avanafil in the following situations:

  • Allergy to Avanafil or one of the other ingredients in the medicine
  • Use of agents containing nitrates
  • Use of medication for HIV or AIDS
  • Past with heart problems
  • Low or high blood pressure that is not treated
  • Problems with the kidneys or liver
  • Problems with the eyes or the cornea
Do not use Avanafil if one of the above situations applies to you. In case of doubt, always contact a doctor or pharmacist.

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Warnings and prevention

Contact a doctor before using Avanafil if:

  • If you suffer from heart problems it can be dangerous to have sexual intercourse
  • If you suffer from priapism; This is a sustained erection for more than 4 hours. This occurs regularly in people who suffer from conditions such as sickle cell anemia, multiple myeloma or leukemia
  • In the event that you have a disorder of your penis that leads to severe distortion
  • With bleeding disorders or stomach ulcers

Warnings and prevention

Do not use Avanafil if one of the above situations applies to you. In case of doubt, always contact a doctor or pharmacist.

Problems with vision or deafness

Cases are known that after using Avanafil suffer from impaired vision or hearing. It is not known whether this is due to the medicine itself, is a consequence of other disorders or is a combination of factors.

Use by children or adolescents

The use of Avanafil is not suitable for children or adolescents under 18 years of age.

Avanafil instruction with a view to combinations with other medicines

Always tell your doctor or pharmacist if you are taking any other medication, have recently taken any other medication or are going to use any other medication in the future. It is possible that Avanafil has an effect on how other medicines work. Conversely, other medication can also influence the effect of Avanafil.

Specifically in the event that you medicines that contain nitrates you must tell your doctor and do not use Avanafil. Examples of this are medicines for chest pain (angina) such as amyl nitrite or glyceryl trinitrate. Avanafil enhances the effect of such agents and will also result in lower blood pressure.

 In addition, drugs against HIV, AIDS, fungal infections and antibiotics are generally unsuitable for combining with Avanafil. Always pay extra attention when you use such medication and check whether this can cause any problems. 

Inform a doctor if you use the following medication:

  • So-called alpha blockers
  • Medication for cardiac arrhythmias
  • Antibiotics against infections
  • Medication for epilepsy
  • Medication that may break Avanafil such as CYP3A4 inhibitors
  • In combination with other PDE5 inhibitors for erection problems such as sildenafil, tadalafil or vardenafil

Do not use Avanafil if one of the above situations applies to you. In case of doubt, always contact a doctor or pharmacist.

Avanafil in combination with drinking and alcohol

On the recommendation of this Avanafil instruction, avoid the combination with grapefruit juice. This fruit drink can enhance the effect of Avanafil. Avoid grapefruit juice at least 24 hours before using Avavafil. The use of alcohol before or during the use of Avanafil can also cause an increased heart rate and a lowered blood pressure. In addition, the use of alcohol can negatively influence the ability to get an erection.


Research shows that no negative effects can be detected with a dose of 200 mg Avanafil. Even with a longer-term study that took 26 weeks, it was not possible to establish that Avanafil had a negative influence on sperm.

Driving and using heavy machines

Avanafil can cause dizziness or a loss of vision as a side effect. If this is the case, avoid driving a vehicle in traffic and using heavy machinery.

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3. How to take Avanafil

Always take the medicine on the advice of a doctor or pharmacist. Check with your doctor or pharmacist if you have any doubts about the correct way of administration.

The standard dose of Avanafil is 100mg. Depending on the effectiveness of this dosage, it can be adjusted. If 100 mg does not produce the desired effect, it is possible to increase the dosage to 200 mg. If 100 mg on the other hand is too strong a dose, lower the dose to 50 mg.

Never take more than 1 x Avanafil per day. Avanafil is best taken for around 30 minutes before sexual intercourse. Remember that Avanafil only helps to get an erection if there is a sexual stimulus.

Avanafil can be taken with or without food. It may take longer for Avanafil to become effective if taken shortly after a meal.

4. Possible side effects

As with any medicine, it is possible that there are side effects. That does not mean that it also affects everyone.

Possible side effects

Serious side effects:

Stop using Avanafil immediately if you experience the following side effects. Medical assistance may be required immediately.

  • An erection that lasts for more than 4 consecutive hours should be treated immediately, as it can lead to permanent damage to the penis
  • Poorer eyesight
  • Acute deterioration of one or both eyes
  • Decline in hearing

Contact a doctor immediately if there is one or more of the side effects listed above.

Common side effects (1 in 10 people):

  • Headache
  • To blush
  • Stuffy nose

Side effects that occur regularly (1 in 100 people):

  • Dizziness
  • Feeling sleepy or tired
  • Sinus congestion
  • Backache
  • Hot flashes
  • Increased heart rate
  • Stomach complaints
  • Blockage
  • Blurred vision

Rare side effects (1 in 1000 people):

  • Flu symptoms
  • Hay fever
  • Insomnia
  • Ejaculate early
  • High bloodpressure
  • Chest pain
  • Lower back pain
  • muscle strain
  • Diarrhea
  • Fever
  • Swollen ankles or feet
  • Itching of the genitals
  • Suffer from bloody nose
  • Weight gain
If you experience any of these side effects, contact a doctor or pharmacist immediately. This also applies to side effects that are not mentioned here. Reporting side effects can also ensure that the safety of the medication is improved through better quality information.

5. Storage advice for Avanafil instruction

Keep the medicine out of the reach and sight of children.

Never use Avanafil after the expiry date. The expiry date can be checked on the blister packs after the abbreviation “EXP”. The shelf life expired after the last day of the indicated month.

There are no special instructions for storing the medicine.

Never throw Avanafil away in the sink or household waste. Ask the pharmacist how the medicine can best be thrown away. Such measures will be beneficial to the environment.