Spedra (avanafil)

Price range: £28.00 through £139.00

An as-needed option for erectile dysfunction. Currently supplied as branded Spedra. Avanafil helps you get and keep an erection when sexually aroused. Available in 50 mg, 100 mg and 200 mg tablets, with an assessment to find a suitable strength.

  • Confidential online consultation from home
  • Personal review by a UK prescriber
  • Discreet delivery to your door if prescribed

Take the next step with The Care Pharmacy. Treatment is subject to clinical suitability.

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Type of medicine

Prescription medicine used to treat erectile dysfunction in adult men.

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Active Ingredient

Avanafil – a phosphodiesterase type 5 (PDE5) inhibitor that works by increasing blood flow to the penis to help achieve and maintain an erection.

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Effective Within

Avanafil typically works within 15 to 30 minutes and can remain effective for up to 6 hours.

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Works By

Avanafil relaxes the blood vessels in the penis, allowing increased blood flow during sexual stimulation to help achieve and maintain an erection.

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Side Effects

Common side effects of Avanafil may include headache, facial flushing, nasal congestion, dizziness, or indigestion. These are usually mild and temporary

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Not Suitable For

Avanafil is not suitable for individuals who are taking nitrate medications, have severe heart or liver disease, have recently had a heart attack or stroke, or have uncontrolled low or high blood pressure.

Avanafil: an as-needed option for erection difficulties

Avanafil helps blood flow to the penis when you are sexually aroused. If you are exploring treatment for erectile dysfunction or want to discuss an alternative to your current medicine, The Care Pharmacy offers a confidential online assessment.

Available strengths and packs

Avanafil is available here in 50 mg, 100 mg and 200 mg strengths, with packs of 4, 8 or 16 tablets. Your prescriber will consider your health, other medicines and previous treatment response before recommending a strength.

Avanafil and Spedra

Avanafil is the active ingredient in Spedra. The Care Pharmacy currently supplies branded Spedra through this product listing, in the strength and pack size agreed after assessment. Check the dispensing label and patient leaflet when your medicine arrives.

Private support, from consultation to delivery

Complete your confidential online consultation from home. A UK prescriber reviews your symptoms, medical history and current medicines to check which treatment and strength may suit you. If prescribed, your treatment is delivered discreetly to your door.

Not sure which option to choose? Tell us what you have tried and any questions you have. The Care Pharmacy team can help you understand the next step.

Compare other treatment options

You can read about sildenafil and as-needed tadalafil, or explore our erectile dysfunction service. Tell your prescriber what has or has not worked for you.

Avanafil requires sexual stimulation and is not suitable for everyone. It must not be taken with nitrates. Follow your prescription and read the warnings and leaflet supplied with your medicine. Read the Spedra patient information leaflet.

How should I take Avanafil?

Avanafil is typically taken orally, 15 – 30 minutes before sexual activity, to support erectile function. It is important to follow the instructions provided by your healthcare professional or the leaflet included with the medication. Swallow the tablet whole with water, and do not exceed the recommended frequency of use. Take one tablet, no more than once in a 24-hour period. Avoid taking Avanafil with heavy or high-fat meals, as this may affect how quickly the medication works. If you have any questions about when or how to take Avanafil, or if you experience any side effects, consult your prescriber for personalised advice.

What ingredients are in Avanafil?

Avanafil contains the active ingredient avanafil, which belongs to a group of medicines known as phosphodiesterase type 5 (PDE5) inhibitors. The exact composition may vary depending on the manufacturer, so it is important to check the patient information leaflet included with your medication for a full list of ingredients. If you have any allergies or concerns about the ingredients, please consult your prescriber or pharmacist before use.

Warnings and precautions

Before using Avanafil, it is important to consult a healthcare professional to ensure it is suitable for you. This medication may interact with certain medicines, including nitrates and some treatments for high blood pressure, which can cause unwanted effects. Avanafil should be used with caution by individuals with cardiovascular conditions or those who have experienced recent heart problems. Avoid consuming excessive alcohol while taking this medication, as it may increase the risk of side effects. Always follow the prescribed dosage and inform your prescriber of any other medications or supplements you are taking to avoid potential interactions.

What are side effects of Avanafil?

Avanafil may cause side effects, which can vary between individuals. Common effects include headaches, flushing, nasal congestion, and dizziness. Some people might experience indigestion or back pain. Although rare, more serious side effects such as sudden vision changes, chest pain, or prolonged erections require immediate medical attention. It is important to consult a healthcare professional before starting Avanafil to ensure it is suitable for you. If you experience any unusual or severe symptoms while taking this medication, seek advice from your prescriber or pharmacist promptly.

Avanafil may not be suitable for everyone, particularly if you have certain heart conditions, low blood pressure, liver problems, or are taking medications such as nitrates or alpha-blockers. It is important to disclose your full medical history during your consultation so a clinician can assess whether Avanafil is safe for you. Never start treatment without proper medical advice.

You can drink a small amount of alcohol while taking Avanafil, but it is best to limit your intake. Drinking too much alcohol can make it harder to achieve or maintain an erection and may increase the risk of side effects such as dizziness, headache or low blood pressure.

Yes, Avanafil can be taken with or without food. However, very heavy or high-fat meals may slightly delay how quickly it starts to work. For faster onset, some people prefer to take it on an empty stomach or after a light meal.

Avanafil usually starts working within 15 to 30 minutes. However, it will not cause an erection on its own. Sexual stimulation is still required for it to be effective. Its effects can last for up to 6 hours.

You should not take more than one dose of Avanafil within a 24-hour period. Taking more than recommended can increase your risk of side effects such as headache, dizziness, flushing, low blood pressure or a prolonged erection. If you have taken more than the prescribed amount, seek medical advice straight away.

Avanafil works for most men, but results can vary. It may not work perfectly the first time, and some men may need to try it on a few separate occasions to see the full benefit. Sexual stimulation is still required for it to be effective. If Avanafil does not provide the desired results, speak to your GP or pharmacist, as a different dose or alternative treatment may be more suitable.