Avana

Package	Per tablet	Savings	Price
120 tablets	$2.64	$103	$420 $317
100 tablets	$2.72	$78	$350 $272
80 tablets	$2.76	$59	$280 $221
60 tablets	$2.93	$34	$210 $176
40 tablets	$3.15	$14	$140 $126
20 tablets	$3.50	–	$70

Extra Super Avana Tablet (Avanafil & Dapoxetine)

What is this medicine?

AVANA contains Avanafil, a phosphodiesterase type 5 (PDE5) inhibitor. It is used to treat erectile dysfunction (ED) in men. It helps increase blood flow to the penis to help a man get and keep an erection when sexually stimulated.

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What should I tell my health care provider before I take this medicine?

They need to know if you have any of these conditions:

• Heart problems such as irregular heartbeat, angina, chest pain, or recent heart attack

• History of stroke or low blood pressure

• High blood pressure that is not controlled

• Liver or kidney disease

• Eye problems such as retinitis pigmentosa or sudden vision loss

• Deformity of the penis or conditions like Peyronie’s disease

• Bleeding disorders

• Stomach ulcers

• An unusual or allergic reaction to avanafil, other PDE5 inhibitors, foods, dyes, or preservatives

• If you are taking any nitrate medications

• If you are taking medicines for pulmonary arterial hypertension like riociguat

• If you are using recreational drugs called “poppers” (amyl nitrate or nitrite)

• If you are taking alpha-blockers for blood pressure or prostate problems

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How should I use this medicine?

Take this medicine by mouth with a glass of water. It is usually taken about 15 to 30 minutes before sexual activity. Do not take more than one dose in 24 hours. This medicine will not work without sexual stimulation. Follow the directions on the prescription label.

Overdosage: If you think you have taken too much of this medicine, contact a poison control center or emergency room at once.

NOTE: This medicine is only for you. Do not share this medicine with others.

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What if I miss a dose?

This medicine is taken as needed before sexual activity. It is not meant to be taken on a regular schedule. Do not take extra doses to make up for a missed one.

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What may interact with this medicine?

• Nitrate-containing medicines (for chest pain)

• Alpha-blockers (like doxazosin, tamsulosin)

• Medicines for high blood pressure

• Riociguat (used for pulmonary hypertension)

• Other medicines for erectile dysfunction

• Antifungal medications like ketoconazole, itraconazole

• Antibiotics like clarithromycin

• Antiviral medicines for HIV or hepatitis C

This list may not describe all possible interactions. Provide your healthcare provider a list of all the medicines, herbs, non-prescription drugs, or supplements you use. Also inform them if you smoke, drink alcohol, or use recreational drugs.

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What should I watch for while using this medicine?

• Monitor for any changes in vision or hearing.

• Seek immediate medical help if you have an erection that lasts more than 4 hours.

• Avoid alcohol as it can increase the risk of side effects like dizziness.

• Do not use with other erectile dysfunction treatments unless approved by your doctor.

• This medication does not protect against sexually transmitted diseases (STDs) including HIV.

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What side effects may I notice from this medicine?

Serious side effects – report immediately:

• Allergic reactions like rash, itching, swelling of the face or throat

• Chest pain or irregular heartbeat

• Sudden vision loss or changes in vision

• Sudden hearing loss or ringing in ears

• Difficulty breathing

• Painful or prolonged erection (more than 4 hours)

Common side effects (tell your doctor if bothersome):

• Headache

• Flushing

• Nasal congestion

• Dizziness

• Back pain

This list may not describe all possible side effects.

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Where should I keep my medicine?

• Keep out of reach of children.

• Store at room temperature between 20–25°C (68–77°F).

• Protect from moisture and light.

• Discard any unused medicine after the expiration date.