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What is avanafil (Stendra), as well as exactly how does it work (device of activity)?

Avanafil is an oral drug that is utilized for dealing with erectile dysfunction (the failure to achieve or preserve a penile erection), also known as erectile dysfunction (ED). It remains in a course of drugs called phosphodiesterase inhibitors that also consists of tadalafil (Cialis), sildenafil (Viagra) and vardenafil (Levitra). Erection of the penis is brought on by the dental filling of the penis with blood. Filling up happens because the blood vessels that bring blood to the penis rise in dimension and deliver even more blood to the penis, and, at the same time, the blood vessels that take blood far from the penis reduction in dimension and also eliminate much less blood from the penis. Sexual excitement that causes an erection triggers the production as well as launch of nitric oxide in the penis. The nitric oxide causes an enzyme, guanylate cyclase, to generate cyclic guanosine monophosphate (cGMP). It is cGMP that is mostly responsible for boosting as well as lowering the dimension of blood vessels bring blood to as well as from the penis, specifically, and also causing an erection. When the cGMP is damaged by one more enzyme, phosphodiesterase-5, the blood vessels go back to their typical size, blood leaves the penis, and the erection finishes. Avanafil stops phosphodiesterase-5 from damaging cGMP to make sure that cGMP remains around much longer. The perseverance of cGMP results in an extra long term engorgement of the penis with blood. Avanafil was approved by the FDA in April 2012.

What trademark name are available for avanafil (Stendra)?


Is avanafil (Stendra) readily available as a generic drug?


Do I require a prescription for avanafil (Stendra)?


What are the adverse effects of avanafil (Stendra)?

The most common side effects of avanafil are:

  • facial flushing (reddening),.
  • headaches,.
  • pain in the back,.
  • nasal congestion,.
  • lightheadedness, and also.
  • top respiratory system infections.
  • looseness of the bowels,.
  • queasiness, and also.
  • flu-like symptoms.

Avanafil also might create reduced blood pressure, blurred vision and also adjustments in shade vision, and abnormal climaxing. Avanafil may create prolonged erections or priapism (agonizing erections lasting more than 6 hours). People should seek prompt clinical help if they experience an erection lasting more than 4 hrs.

Use of avanafil, particularly in people with pre-existing cardiovascular disease, might trigger.

  • breast pain,.
  • cardiac arrest,.
  • fatality,.
  • strokes,.
  • palpitations, and also.
  • raised heart price.

Unusual cases of unexpected loss of hearing have been reported with phosphodiesterase inhibitors such as avanafil, occasionally related to buzzing in the ears and also dizziness. If adjustments in hearing take place, individuals must stop their avanafil and also look for prompt medical interest. Phosphodiesterase-5 preventions have been associated hardly ever with non-arteritic anterior ischemic optic neuropathy (NAION), a condition which triggers decreased vision and also might lead to blindness.

What is the dosage for avanafil (Stendra)?

For a lot of people, the advised beginning dose of avanafil is 100 mg daily taken around half an hour before sex. Depending on the adequacy of the feedback or negative effects, the dose might be raised to 200 mg or lowered to 50 mg a day. People who are taking drugs that reasonably increase the blood degrees of avanafil must not surpass an overall dose of 50 mg in 24 hr (See medicine communications).

Which medicines or supplements connect with avanafil (Stendra)?

The malfunction and also elimination of avanafil from the body might be decreased by numerous medications, resulting in increased blood levels of avanafil and feasible poisoning. Ketoconazole (Nizoral), itraconazole (Sporanox), indinavir (Crixivan) and ritonavir (Norvir), atazanavir (Reyataz), clarithromycin (Biaxin), nelfinavir (Viracept), saquinavir (Invirase), telithromycin (Ketek) exceptionally enhance blood degrees of avanafil as well as ought to not be combined with avanafil.

The dosage of avanafil need to not exceed 50 mg daily when combined with erythromycin, amprenavir (Agenerase), aprepitant (Emend), diltiazem (Cardizem), fluconazole (Diflucan), fosamprenavir (Lexiva), as well as verapamil (Calan) because these medicine reasonably raise blood degrees of avanafil.

Avanafil exaggerates the boosts in heart rate as well as reducing of blood pressure triggered by nitrates, for instance, nitroglycerin, isosorbide dinitrate (Isordil), isosorbide mononitrate (Imdur, Ismo, Monoket), and also nitroglycerin (Nitro-Dur, Transderm-Nitro) that are utilized mainly for treating heart pain (angina). In clients who take nitrates for angina, avanafil might create heart pain or perhaps also a cardiovascular disease by exaggerating the rise in heart rate and the decreasing of high blood pressure. Therefore, avanafil ought to not be utilized with nitrates. If nitrates need to be administered to an individual that has taken avanafil, at the very least 12 hours need to elapse after the last dosage of avanafil prior to carrying out the nitrates. Avanafil likewise overemphasizes the high blood pressure reducing effects of some alpha-blocking medicines for instance, terazosin (Hytrin) that largely are utilized for dealing with high blood pressure or enlargement of the prostate. Individuals who take these alpha-blockers need to be on a secure dosage of the alpha-blocker before avanafil is started. In such scenarios, avanafil should be begun at the 50 mg dose. If the person is already taking avanafil, the alpha-blocker should be begun at the lowest dosage.

Avanafil and also alcohol both lower high blood pressure. For that reason, combining avanafil with alcohol might cause too much decrease in blood pressure and also create wooziness, headaches, as well as boosted heart rate.

Avanafil should not be integrated with various other PDE5 preventions used for treating erectile dysfunction, for example, vardenafil (Levitra) or sildenafil (Viagra, Revatio).

Is avanafil (Stendra) secure to take if I’m pregnant or breastfeeding?

Avanafil is not authorized for usage in women.

Avanafil is not approved for women as well as has not been reviewed in women that are breastfeeding.

What else should I find out about avanafil (Stendra)?

What prep work of avanafil (Stendra) are available?

Tablet computers: 50, 100 and also 200 mg.

How should I keep avanafil (Stendra) stored?

Avanafil ought to be kept at space temperature level between 20 C and also 25 C (68 F and 77 F).


Avanafil (Stendra) is a drug suggested for the therapy of impotence (impotence) in males. Side effects, drug interactions, warnings, and also maternity safety info need to be assessed before taking this drug.

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