Spedra (avanafil) is for adult men with erectile dysfunction (difficulty getting or keeping an erection). It helps relax blood vessels in the penis to increase blood flow, but only works with sexual stimulation and is not for women.
Available tablet strengths: 50 mg, 100 mg, 200 mg;
| Weight | 0.02 kg |
|---|---|
| Strengths | 50 mg, 100 mg, 200 mg |
| Pack Size | 4 Tablets, 8 Tablets |
When to take: Take one tablet about 15–30 minutes before sex (your dose will be set by your clinician).
How often: Do not take more than once in 24 hours.
With food: You can take it with or without food. A heavy meal may slow it down a little.
Alcohol: Try to limit alcohol—it can make side effects worse and make the medicine less effective.
Grapefruit: Avoid grapefruit or grapefruit juice for 24 hours before taking a dose.
Other medicines: Some medicines interact with Spedra. Always tell your doctor/pharmacist what you take (including herbal and over-the-counter).
Missed dose: It’s taken only when needed—don’t take an extra tablet to “make up” for anything.
If you take too much: Seek medical help straight away and take the pack/leaflet with you.
Common side effects (usually mild and short-lived):
Headache, flushing (warm face), blocked/runny nose.
Indigestion or feeling sick, dizziness.
Serious get urgent help and stop taking Spedra if you:
Have an erection lasting 4 hours or more (priapism).
Notice sudden vision loss or severe vision changes.
Notice sudden hearing loss or ringing in the ears with dizziness.
Get chest pain, feel faint, or have severe shortness of breath.
Do NOT take Spedra if you:
Take nitrates for chest pain (e.g., GTN spray/tablets) or riociguat dangerous drop in blood pressure.
Have been told sex is not safe for you because of a heart problem.
Had a heart attack or stroke in the last 6 months, have very low or uncontrolled high blood pressure, or serious liver/kidney disease.
Ever had a type of sudden vision loss called NAION, or have certain rare inherited eye problems.
Are taking certain HIV medicines, strong antibiotics/antifungals, or other drugs your doctor says clash with Spedra.
Talk to your doctor first if you:
Have heart disease or get chest pain with sex.
Have a penile deformity (e.g., Peyronie’s disease) or are at risk of long-lasting erections (e.g., sickle cell disease, leukaemia, multiple myeloma).
Have a bleeding disorder or stomach ulcer.
Take alpha-blockers for blood pressure/prostate, heart-rhythm medicines, some epilepsy medicines, or other ED tablets.
18 and over only.
Not for women.
Not for under-18s.
If you get any side effects, speak to your doctor or pharmacist.
