Avana 200

Avana 200 starts from €27.00. Several pack sizes are available — the larger the pack, the lower the per-unit price. European delivery is free on orders over €110, otherwise €20 standard (3–5 working days to most countries, 2–7 by country).

Orders ship in plain, unbranded packaging from our European fulfilment hub, usually within one working day of payment clearing. Standard delivery reaches all 27 EU + 3 EEA countries in 3–5 working days to most of them (2–7 depending on the country); express (1–2 working days) is also available. For EU orders, VAT and duties are settled at checkout via IOSS, so there are no surprise bills on arrival.

The active ingredient in Avana 200 is Avanafil. Always read the patient information leaflet and consult a doctor or pharmacist before first use.

Choose your method at checkout: secure bank/SEPA transfer or PayPal. You'll receive clear payment confirmation by email, and we dispatch within one working day of payment clearing.

Yes. Every order ships in plain, unbranded outer packaging — nothing on the outside indicates the contents or the pharmacy.

That is your doctor's decision. The Spedra product information recommends 100 mg and treats 200 mg as the maximum, used when a doctor decides it is appropriate; side effects become more likely as the dose rises.

No. The EU product information gives the same timing for every strength and no fixed duration. A higher dose raises avanafil levels and the chance of side effects; whether 200 mg is appropriate is your doctor's decision.

Headache, facial flushing, blocked nose and back pain are the most common avanafil effects, and they occur more often at 200 mg than at lower strengths. Read the enclosed leaflet for the full list, and seek urgent help for chest pain, sudden vision or hearing changes, or an erection lasting over four hours.

No. Avanafil must never be combined with nitrates (including GTN sprays and tablets) — the interaction can cause a dangerous fall in blood pressure. If you take any heart, blood-pressure or alpha-blocker medication, speak to your doctor before using any strength of avanafil, especially the 200 mg maximum.

Current prices: 1 Strip / 4 pills for €27.00 (€6.75 per pill), 5 Strip / 20 pills for €120.00 (€6.00 per pill) and 10 Strip / 40 pills for €200.00 (€5.00 per pill). Buying 10 Strip / 40 pills works out 26% cheaper per pill than the smallest pack. Orders are dispatched within one working day of payment in plain packaging with no pharmacy branding, with tracking on every parcel; standard delivery takes 3–5 working days to most EU and EEA countries (2–7 by country) and is free over €110.

Alcohol and avanafil both lower blood pressure, raising the chance of dizziness, palpitations and fainting, and heavy drinking also makes erections harder. The package leaflet covers alcohol; ask your doctor how it applies to you.

No. Avana 200 tablets aren't scored, so a split rarely yields two equal halves, and the active ingredient may not be evenly distributed. Any change of dose is your doctor's decision; Avana 100 is made at that strength.

The EU product information gives avanafil's timing but no fixed duration of effect. A higher dose doesn't change the 24-hour rule: one tablet per day, maximum, regardless of strength.

As this is already the maximum avanafil dose, do not add more — never exceed one tablet in 24 hours. Food, nerves and a lack of arousal can all affect how it works, as the package leaflet explains. If it doesn't work as you expect, see a doctor: underlying causes or a different treatment should be explored.

No. In the EU, avanafil (as Spedra) is authorised solely for erectile dysfunction in adult men; there is no authorised use, dose or safety data for women. Women with sexual health concerns should consult a doctor about treatments intended for them.