Avana 200

What is Avana 200 by Indian Brand?

Avana 200 is an erectile dysfunction tablet containing 200 mg of avanafil, listed in our catalog under the manufacturer name Indian Brand. A pack contains 4 tablets. Avanafil is the newest of the widely used PDE5 inhibitors, the same family as sildenafil and tadalafil. It is sold in the United States under the brand name Stendra and in Europe as Spedra.

Two things set avanafil apart from the older drugs in its class. It is absorbed and starts acting quickly, and it is more selective for the PDE5 enzyme than sildenafil, with less effect on the related enzyme in the retina that is responsible for color-vision side effects. The 200 mg strength is the top of the prescribing range for avanafil.

How does it work?

An erection depends on blood filling the spongy tissue of the penis. Sexual stimulation releases nitric oxide, which raises a messenger called cGMP; cGMP relaxes the smooth muscle in the blood vessels so blood can flow in. The PDE5 enzyme breaks cGMP down. By blocking PDE5, avanafil keeps cGMP around longer, so an erection is easier to reach and hold. It does not cause an erection without arousal and does not raise libido on its own.

Men often choose Avana 200 because:

• it can work within about a quarter of an hour for many users;
• the effect fits a single evening, as its half-life is only a few hours;
• a light meal does not stop it working, although a heavy, fatty meal may delay the onset.

Dosage

Prescribing information for avanafil starts most men at 100 mg, taken about 15 minutes before sexual activity, and allows an increase to 200 mg if the lower dose is not enough, or a decrease to 50 mg if side effects are a problem. No more than one dose should be taken in 24 hours. Men who already know that lower doses do not work for them are the usual users of the 200 mg strength. The right dose depends on the heart, blood pressure and other medicines, so it must be agreed with a qualified medical professional.

Possible side effects and warnings

The most frequently reported side effects are headache, facial flushing, a stuffy or runny nose, sore throat and back pain, and they tend to be more common at 200 mg. Rarely, sudden loss of vision or hearing, or an erection lasting more than four hours, can occur; all of these need urgent medical help. Avanafil must never be combined with nitrate heart medicines or recreational nitrites known as poppers, because blood pressure can fall dangerously. Care is needed with alpha-blockers, and strong CYP3A4 inhibitors such as ketoconazole or ritonavir rule it out. Men with recent heart attack or stroke, unstable angina or very low blood pressure should not use it.

Package

One pack of Avana 200 holds 4 tablets of avanafil 200 mg from Indian Brand. It can be ordered on MaxLabs.co, where all avanafil products are listed together.