Avana is the fastest-acting and the safest of PDE5 inhibitors aimed at coping with the symptoms of erectile deficit.

Active ingredient: avanafil. By making an order, you confirm that you know what kind of medication it is and what its correct dosing regimen is. Preliminary medical consultation is advised. Seek medical help if any adverse reactions occur.


Avana is a drug that stands out in the background of other ED medications due to its being more selective for PDE5. Hence, it can induce a faster result than Viagra, Cialis or Levitra. In addition, this preparation has less potential for causing such adverse effects as vision disturbances, myalgia, and QT prolongation, which are not rare with other ED pills.

Despite all the differences, the mechanism of action of Avana is based on the enhancement of the blood flow to the penile area, like it is with any other PDE5 inhibitor. The medication helps the relaxation of the smooth muscles of the penis and widens the arteries leading to the organ. Avana is reported to be effective regardless of the cause underlying ED. The only condition to get an erection is that a man needs to be sexually stimulated.

Dosage and administration

Avana is manufactured in the form of tablets with the dosage strengths of 50mg, 100mg, and 200mg. The treatment is recommended to be started with a 100mg Avana tablet. More than 67% of men are able to achieve an erection in 15 minutes after the pill intake. Based on the patient’s tolerance and response to the drug, the dosage can be increased to 200mg (it is a daily maximum) or lowered to 50mg about 30 minutes before planned sexual activity.

Food doesn’t change the speed of the drug absorption from the gastrointestinal tract. Thus, Avana can be taken with or without food. The duration of action of Avana is about 5 hours. This drug does not need to be used daily.

Interaction with other drugs

Concomitant intake of Avana with nitrates, itraconazole, and riociguat may result in life-threatening conditions and, hence, is contraindicated. It is also not advised to use this medication with:

  • “Poppers”;
  • Macrolide antibiotics;
  • Some oral antifungals;
  • HIV-protease inhibitors;
  • Alpha-blockers;
  • Other PDE5 inhibitors.

Intake with caution

Some major health conditions may affect the way Avana influences the human organism. That’s why caution is needed when using this drug in males dealing with kidneys or liver dysfunction (mild-to-moderate degree). A doctor’s consultation is needed to set the safe dosing regimen as these patients are more prone to developing adverse reactions to Avana and may need a dose adjustment.

In rare patients, this medication can cause a painful erection (priapism) or an erection that lasts for more than 4 hours. The probability of such a reaction to the drug is higher for men with blood cell disease or bleeding disorders. In case of priapism, seek immediate medical help.

Talk with a doctor to find out if Avana is safe for you. Intake of alcohol may strengthen the vasodilatory effect of Avanafil, and thus cause dizziness, tiredness and very low blood pressure. It is not recommended to take more than 3 units of alcohol per day to avoid any unwanted reactions.


Intake of Avana is contraindicated in men under 18 years of age and women. Besides, the drug should never be used by men suffering from the following health conditions:

  • Allergy to avanafil or one of the inactive components of the drug;
  • Comorbid health issues, which make sexual activity not recommended;
  • Severe hypotension (blood pressure numbers lower than 90/50mmHg).
  • Retinitis pigmentosa;
  • Hypertension;
  • Heart health issues;
  • Severe liver dysfunction;
  • Severe renal impairment;
  • Cases of priapism in medical history;
  • Stomach ulcer;
  • Penile deformations;
  • Left ventricular outflow obstruction.

Side effects

Avana is a drug known for its safety. In fact, it induces side effects only in 14% of patients. Most common unwanted reactions to this drug are:

  • Headache;
  • Facial flushing;
  • Back pain;
  • Nasal congestion;
  • Rash;
  • Constipation;
  • Diarrhea;
  • Nausea;
  • Flu-like symptoms.

Among extremely rare Avana adverse reactions are palpitations, angina, urinary tract infections, peripheral edema, fatigue, and others. In case any side effects occur, contact your healthcare provider for a consultation.


Avana can cause an overdose only if taken in very high doses. Report to the nearest medical center to get medical help in case you experience any overdose manifestations. Standard supportive measures should be applied to cope with the symptoms.

Missed dose

This medication is not intended for everyday intake so missing the dose is not possible.


Avana should be stored at room temperature away from moisture and direct sunlight. Store the medication in a place that cannot be reached by children or pets.


When used in the recommended doses, avanafil doesn’t induce any toxic effect. Furthermore, no cases of hepatotoxicity have been reported yet.


Professionally recognized

Atlas Spinal Center is a member of the Atlas Orthogonal Program, a project under the umbrella of the Roy W Sweat Foundation. The foundation was established in 1982 as a non-profit organisation with 15 directors chosen for their achievements in, and dedication to, Atlas Orthogony. It funds the program’s global research and awareness, aimed at improving the health and extending the lives of people around the world.

AO treatment has a 40-year track record and is practiced widely throughout the United States as well as in Australia, Canada, Germany, Japan, Spain, Hong Kong, Korea, and Italy.

Read about our doctors in Dubai or book an appointment.

Atlas Orthogonal Member

A global network of Atlas Othogonists delivering the special technique developed by the R. W. Sweat Research Foundation, a non-profit foundation dedicated to developing the Atlas Orthogonal Program.

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