Avana 200mg Tablet

Avanafil, the main ingredient in avana, works by inhibiting PDE-5 (phosphodiesterase type 5), an enzyme that inhibits erections.

An enzyme called PDE-5 breaks down cyclic guanosine monophosphate, which is necessary for erection.

When cyclic guanosine monophosphate is degraded, an erection cannot occur, a condition known as ED (erectile dysfunction).

Avanafil inhibits the enzyme PDE-5 and has the effect of dilating blood vessels near the penis and relaxing the muscles in the tissue called the corpus caver no sum inside the penis.

This causes blood vessels to dilate and muscles to relax, allowing more blood to flow into the corpus caver no sum within the penis, promoting an erection.

It is said to last for 3 to 6 hours , but once you take it, you will not be forced to get an erection, but only after there is sexual stimulation and excitement.

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Avana is said to be able to be taken regardless of meals, and when compared to other ED treatment drugs, it has the same connection time and erectile strength as Viagra, and has a faster effect than Levitra.

How to take Avana 200mg

Timing of taking

The correct way to take Avana is to take it on an empty stomach, about 30 minutes to 1 hour before sexual activity .

After taking one dose, wait at least 24 hours before taking the next dose.

Approximate dosage

There are three dosages of Avana available on this site: 50mg, 100mg, and 200mg, but you can take 100mg as a half dose by cutting it into half tablets using a pill cutter.

If you do not feel much of an effect with 50mg, it is possible to increase the dose to 100mg, so please switch to the dose that suits you.

Some people take double or triple the prescribed dose at once in order to expect a strong effect, but this does not mean that the effect will be strong.

You can only take up to 200mg per sexual act.

Recommended dose

If you are taking a medicine containing Avanafil, the main ingredient in Avana, for the first time, we recommend starting at 50mg.

influence of diet

Avana is said to be less susceptible to food effects, but strictly speaking this does not mean it is completely unaffected, and caution should be taken if taken with fatty milk, etc., as it will form a membrane on the stomach wall and interfere with digestion and absorption. please.

Therefore, if you take Avana about 30 minutes before a meal , Avanafil can be absorbed into your body and the effects of the meal can be suppressed.

If you use it after a meal, wait about 2 hours before taking it.

If you do not wait for the food you eat to be fully digested, it may interfere with the absorption of Avana.

Also, in the case of fatty foods such as grilled meat or fried foods, it may not be fully digested within 2 hours , so be sure to take the medicine on an empty stomach.

Please note that once you have taken the medicine and the ingredients have been absorbed, you can eat whatever you like.

Effects of alcohol

It is said that there is no problem when used in combination with alcohol, but the vasodilatory effect may accelerate drunkenness, so be careful not to drink too much.

People who cannot take Avana 200mg

• Those with cardiovascular disorders (diseases that occur in the heart or blood vessels) that make sexual activity inappropriate.
• Those with severe liver dysfunction.
• Those with severe renal dysfunction or undergoing artificial dialysis.
• Those with low blood pressure. People with high blood pressure or high blood pressure that has not been controlled with treatment, people who have undergone heart surgery within the past 6 months, or
• those with a history of cerebral infarction, cerebral hemorrhage, or myocardial infarction within the past 6 months, etc.,
• people with multiple bone marrow disorders, etc. People with blood cell problems such as cancer, leukemia, and sickle cell anemia

Side effects

Main side effects

The main side effects include a drop in blood pressure due to dilation of blood vessels, bloodshot eyes, hot flashes on the face, palpitations, and nasal congestion.

These are said to be due to the effect of widening blood vessels, and when sexual desire causes blood to flow strongly to the penis, side effects are alleviated.

Peculiar symptoms

A unique symptom may be visual abnormalities, where the patient looks abnormally, as if he were wearing blue glasses, or was unable to distinguish between blue and green.

In most cases, it is temporary and is not a problem, but if vision deteriorates significantly, there is a risk of non-arteritic anterior ischemic neuropathy (NAION) .

In the unlikely event that you experience symptoms such as sudden deterioration or loss of vision, please consult a specialist such as an ophthalmologist.

Also, if you have a painful erection that lasts for more than 4 hours, you may have priapism .

If your erection lasts longer than 4 hours, seek medical attention immediately.

*What is non-arteritic anterior ischemic neuropathy (NAION)?

When the blood supply to the optic nerve stops, the optic nerve cells may malfunction or die. This condition is called ischemic optic neuropathy.
Although the cause-and-effect relationship is unknown, there is a small correlation in people taking ED medications.

*What is priapism?

Priapism, also known as priapism, is a condition in which the penis remains erect and does not return to its normal state, or is extremely difficult to return to normal.

It is also known as penile ankylosis.

The main cause of this is thought to be the breakdown of the arterial system that exists within the cavernous body of the penis.
If your erection does not return to normal and remains erect for 4 hours, seek medical attention immediately.

Drugs prohibited for concomitant use

Contraindications for concomitant use

Contraindicated drugs are drugs that are incompatible with Avana  and cannot be taken together.

• Concomitant use of nitrate agents and NO donor agents (nitroglycerin, amyl nitrite, isosorbide nitrate) may enhance the antihypertensive effect.
• Concomitant use of amiodarone hydrochloride (Ancalon Tablets)
  may increase the QTc prolonging effect of amiodarone hydrochloride.
• CYP3A4 inhibitors (antifungal drugs, antibiotics, anti-HIV drugs, telithromycin, nefandon, ketoconazole, itraconazole, ritonavir, saquinavir, nelfinavir, azatanavir, clarithromycin, telithromycin, etc.) If the blood concentration of this drug is This may increase the blood half-life and prolong the blood half-life.

Contraindications for concomitant use

Precautions for concomitant use are drugs that require caution when used in combination with Avana.

• Grapefruit (including juice) contains a component called furanocoumarin that inhibits the function of metabolic enzymes in the body, resulting in a delay in the decomposition of the drug.
• As a result, more of the drug’s ingredients are absorbed into the body than necessary, which can lead to stronger effects and side effects.
• CYP3A4 inhibitors/inducers ritonavir, saquinavir, darunavir
• Antihypertensive drugs Avana has the effect of lowering blood pressure, and when used in combination with antihypertensive drugs, symptoms of hypotension such as temporary lightheadedness and light-headedness may occur. there is.

Other ED Treatment Medicine

• Avana 50mg Tablet
• Caverta 100mg Tablet
• Caverta 50mg Tablet
• Cenforce 100mg Tablet

Storage method

• Store in a cool, dry place away from direct sunlight.
• Please store out of reach of small children.
• Please do not replace the container as it may cause accidental ingestion or the quality may change.
• If you want to take the remainder of one packet, store it as much as possible to avoid exposure to air, and take it within 2 days.
• Do not take or use the product after the indicated expiry date.