Use Caution/Monitor. nitroglycerin sublingual, avanafil. Tecovirimat is a weak CYP3A4 inducer. OVERDOSE: If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. artemether/lumefantrine will decrease the level or effect of avanafil by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor. stiripentol, avanafil. avanafil increases effects of betaxolol by pharmacodynamic synergism. Serious - Use Alternative (1)lorlatinib will decrease the level or effect of avanafil by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor. Serious - Use Alternative (1)amyl nitrite, avanafil. affecting hepatic/intestinal enzyme CYP3A4 metabolism. Avoid or Use Alternate Drug. He armed himself with a balaclava, latex gloves, condoms and Viagra pills and posed as a cab driver in a Mercedes to roam the streets of Brighton, East Sussex. Monitor Closely (1)tetracycline will increase the level or effect of avanafil by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Monitor Closely (1)avanafil increases effects of esmolol by pharmacodynamic synergism. Use Caution/Monitor. Talk to your pharmacist for more details.Before using this medication, tell your doctor or pharmacist your medical history, especially of: heart problems (such as heart attack or life-threatening irregular heartbeat in the past 6 months, chest pain/angina, heart failure), stroke in the past 6 months, kidney disease (dialysis), liver disease, high or low blood pressure, dehydration, penis conditions (such as angulation, fibrosis/scarring, Peyronie's disease), history of painful/prolonged erection (priapism), conditions that may increase the risk of priapism (such as sickle cell anemia, leukemia, multiple myeloma), eye problems (such as retinitis pigmentosa, sudden decreased vision, NAION), bleeding disorders, active stomach ulcers.This drug may make you dizzy or cause vision changes. Monitor Closely (1)avanafil increases effects of olmesartan by pharmacodynamic synergism. This drug is available at the lowest co-pay. Information last revised December 2022. Drug class: Impotence agents. CYP3A4 inhibitors may reduce avanafil clearance increasing systemic exposure to avanafil; significantly increased levels may result in significant adverse events including severe hypotension, syncope, visual changes, and priapism. CYP3A4 inhibitors may reduce avanafil clearance increasing systemic exposure to avanafil; significantly increased levels may result in significant adverse events including severe hypotension, syncope, visual changes, and priapism. Either increases effects of the other by additive vasodilation. Risk of hypotension. Avoid or Use Alternate Drug. Risk of hypotension. Use Caution/Monitor. Monitor Closely (1)avanafil increases effects of metoprolol by pharmacodynamic synergism. Contraindicated (1)nitroglycerin sublingual, avanafil. Use Caution/Monitor. Risk of hypotension. Avoid or Use Alternate Drug. Viagra. CYP3A4 inhibitors may reduce avanafil clearance increasing systemic exposure to avanafil; significantly increased levels may result in significant adverse events including severe hypotension, syncope, visual changes, and priapism. Risk of hypotension. quinupristin/dalfopristin will increase the level or effect of avanafil by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor. avanafil increases effects of eplerenone by pharmacodynamic synergism. Coadministration of vericiguat with PDE-5 inhibitors may result in additive hypotensive effects. CYP3A4 inhibitors may reduce avanafil clearance increasing systemic exposure to avanafil; increased levels may result in increased associated adverse events; the maximum recommended dose of STENDRA is 50 mg, not to exceed once every 24 hours for patients taking concomitant moderate CYP3A4 inhibitors, Monitor Closely (1)erythromycin lactobionate will increase the level or effect of avanafil by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Coadministration with strong CYP3A4 is contraindicated. pazopanib will increase the level or effect of avanafil by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Adjust dose of drugs that are CYP3A4 substrates as necessary. Risk of hypotension. Taking Stendra with certain other medicines can cause a sudden and serious decrease in blood pressure. Avoid or Use Alternate Drug. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. In combination with sexual stimulation, avanafil works by increasing blood flow to the penis . Monitor Closely (1)artemether/lumefantrine will decrease the level or effect of avanafil by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Monitor Closely (1)rifabutin will decrease the level or effect of avanafil by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Contraindicated. CYP3A4 inhibitors may reduce avanafil clearance increasing systemic exposure to avanafil; increased levels may result in increased associated adverse events; the maximum recommended dose of STENDRA is 50 mg, not to exceed once every 24 hours for patients taking concomitant moderate CYP3A4 inhibitors. Contraindicated. Dose reduction may be needed for coadministered drugs that are predominantly metabolized by CYP3A. Tell your doctor about all your other medicines, especially: all other medications you use for erectile dysfunction; an antibiotic - clarithromycin, erythromycin, telithromycin, and others; antifungal medicine - itraconazole, ketoconazole, and others; drugs to treat high blood pressure or a prostate disorder - alfuzosin, doxazosin, prazosin, silodosin, terazosin, tamsulosin, and others; hepatitis C medication - boceprevir or telaprevir; or. Use Caution/Monitor. avanafil increases effects of prazosin by pharmacodynamic synergism. This drug is available at a higher level co-pay. Contraindicated. Monitor Closely (1)avanafil increases effects of silodosin by pharmacodynamic synergism. Risk of hypotension. Use Caution/Monitor. CYP3A4 inhibitors may reduce avanafil clearance increasing systemic exposure to avanafil; significantly increased levels may result in significant adverse events including severe hypotension, syncope, visual changes, and priapism. Coadministration with strong CYP3A4 is contraindicated. Use Caution/Monitor. commonly, these are generic drugs. You should not take Stendra if you are allergic to avanafil, or: if you take medicine to treat pulmonary arterial hypertension, such as riociguat (Adempas). By clicking send, you acknowledge that you have permission to email the recipient with this information. For patients with ED, monitor response carefully because of potential for decreased effectiveness. Monitor Closely (1)ethanol, avanafil. Use Caution/Monitor. chloramphenicol will increase the level or effect of avanafil by affecting hepatic/intestinal enzyme CYP3A4 metabolism. CYP3A4 inhibitors may reduce avanafil clearance increasing systemic exposure to avanafil; significantly increased levels may result in significant adverse events including severe hypotension, syncope, visual changes, and priapism. Monitor CYP3A substrates if coadministered. Drug Facts Common Brands Stendra Drug Class PDE-5 inhibitor Controlled Substance Classification Not a controlled medication Generic Status No lower-cost generic available Availability Prescription only How Stendra (avanafil) works Stendra (avanafil) is a phosphodiesterase-type 5 (PDE-5) inhibitor, meaning it blocks a protein called PDE-5. Monitor Closely (1)fosaprepitant will increase the level or effect of avanafil by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Mechanism: additive vasodilation. HOW TO USE: Read the Patient Information Leaflet if available from your pharmacist before you start taking avanafil and each time you get a refill. Monitor Closely (1)avanafil increases effects of fosinopril by pharmacodynamic synergism. Use Caution/Monitor. For patients with ED, monitor response carefully because of potential for decreased effectiveness. Risk of hypotension. Minor/Significance Unknown. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. For patients with ED, monitor response carefully because of potential for decreased effectiveness. CYP3A4 inhibitors may reduce avanafil clearance increasing systemic exposure to avanafil; increased levels may result in increased associated adverse events; the maximum recommended dose of STENDRA is 50 mg, not to exceed once every 24 hours for patients taking concomitant moderate CYP3A4 inhibitors. Use Caution/Monitor. Serious - Use Alternative (1)tucatinib will increase the level or effect of avanafil by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Vhody smoothies zvisia od toho, o do nich dte. CYP3A4 inhibitors may reduce avanafil clearance increasing systemic exposure to avanafil; significantly increased levels may result in significant adverse events including severe hypotension, syncope, visual changes, and priapism. Use Caution/Monitor. aprepitant will increase the level or effect of avanafil by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Avoid or Use Alternate Drug. cyclophosphamide will increase the level or effect of avanafil by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor. CYP3A4 inhibitors may reduce avanafil clearance increasing systemic exposure to avanafil; increased levels may result in increased associated adverse events; the maximum recommended dose of STENDRA is 50 mg, not to exceed once every 24 hours for patients taking concomitant moderate CYP3A4 inhibitors, nilotinib will increase the level or effect of avanafil by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Monitor Closely (1)avanafil increases effects of telmisartan by pharmacodynamic synergism. Use Caution/Monitor. Avoid or Use Alternate Drug. rufinamide will decrease the level or effect of avanafil by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Smoothie. Risk of hypotension. Last updated on Apr 6, 2023. Avoid or Use Alternate Drug. Avoid or Use Alternate Drug. rucaparib will increase the level or effect of avanafil by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Avoid or Use Alternate Drug. ketoconazole will increase the level or effect of avanafil by affecting hepatic/intestinal enzyme CYP3A4 metabolism. avanafil, vericiguat. Risk of hypotension. Lencapavir (a moderate CYP3A4 inhibitor) may increase CYP3A4 substrates initiated within 9 months after last SC dose of lenacapavir, which may increase potential risk of adverse reactions of CYP3A4 substrates. Serious - Use Alternative (1)ivosidenib will decrease the level or effect of avanafil by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Avoid or Use Alternate Drug. Avoid or Use Alternate Drug. CYP3A4 inhibitors may reduce avanafil clearance increasing systemic exposure to avanafil; increased levels may result in increased associated adverse events; the maximum recommended dose of STENDRA is 50 mg, not to exceed once every 24 hours for patients taking concomitant moderate CYP3A4 inhibitors. Examples include adagrasib, azole antifungals (such as itraconazole, ketoconazole), cobicistat, clarithromycin, HIV protease inhibitors (such as indinavir, tipranavir), nefazodone, ribociclib, rifampin, ritonavir, among others.Do not take this medication with any other product that contains avanafil or other similar medications used to treat erectile dysfunction-ED or pulmonary hypertension (such as sildenafil, tadalafil, vardenafil). haloperidol will increase the level or effect of avanafil by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Risk of hypotension. Use Caution/Monitor. Coadministration with strong CYP3A4 is contraindicated. Be sure to tell your doctor and pharmacist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).Tell your doctor if your condition does not improve. provider for the most current information. a regular dose of Stendra lasts for significantly longer than Viagra. Mechanism: additive vasodilation. Monitor Closely (1)quinupristin/dalfopristin will increase the level or effect of avanafil by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Monitor Closely (1)sapropterin, avanafil. Monitor Closely (1)rucaparib will increase the level or effect of avanafil by affecting hepatic/intestinal enzyme CYP3A4 metabolism. The maximum recommended dosing frequency is once per day. Use Caution/Monitor. CYP3A4 inhibitors may reduce avanafil clearance increasing systemic exposure to avanafil; increased levels may result in increased associated adverse events; the maximum recommended dose of STENDRA is 50 mg, not to exceed once every 24 hours for patients taking concomitant moderate CYP3A4 inhibitors, zafirlukast will increase the level or effect of avanafil by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. These CBD candies offer a simple and flexible . ethanol, avanafil. Monitor Closely (1)avanafil increases effects of ramipril by pharmacodynamic synergism. avanafil increases effects of captopril by pharmacodynamic synergism. ranolazine will increase the level or effect of avanafil by affecting hepatic/intestinal enzyme CYP3A4 metabolism. deferasirox will decrease the level or effect of avanafil by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Consider dose reduction of sensitive CYP3A4 substrates. Contraindicated. Use Caution/Monitor. Use Caution/Monitor. Either increases effects of the other by Mechanism: additive vasodilation. Combination may increase risk of orthostatic hypotension, tachycardia, dizziness and headache. Stop using this medicine and call your doctor at once if you have: ringing in your ears, or sudden hearing loss; pain, swelling, warmth, or redness in one or both legs; shortness of breath, swelling in your hands or feet; a light-headed feeling, like you might pass out; or. Tecovirimat is a weak CYP3A4 inducer. For 2 weeks after abametapir application, avoid taking drugs that are CYP3A4 substrates. CYP3A4 inhibitors may reduce avanafil clearance increasing systemic exposure to avanafil; significantly increased levels may result in significant adverse events including severe hypotension, syncope, visual changes, and priapism. Dosage form: tablet Follow your doctor's instructions carefully on how many minutes before sexual activity you should take this medication. Serious - Use Alternative (1)ceritinib will increase the level or effect of avanafil by affecting hepatic/intestinal enzyme CYP3A4 metabolism. If unable to avoid coadministration of belzutifan with sensitive CYP3A4 substrates, consider increasing the sensitive CYP3A4 substrate dose in accordance with its prescribing information. Use Caution/Monitor. Risk of hypotension. armodafinil will decrease the level or effect of avanafil by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Modify Therapy/Monitor Closely. The active ingredient in Stendra is avanafil, which relaxes your blood vessels and helps circulation to your penis. Risk of hypotension. Either increases effects of the other by pharmacodynamic synergism. Use Caution/Monitor. Use Caution/Monitor. Coadministration with strong CYP3A4 is contraindicated during and 2 weeks after itraconazole. avanafil increases effects of aliskiren by pharmacodynamic synergism. Minor/Significance Unknown. Use Caution/Monitor. Contraindicated. Avoid or Use Alternate Drug. US residents can call their local poison control center at 1-800-222-1222. Stop taking avanafil and get medical help right away if these effects occur.In the rare event you have a painful or prolonged erection lasting 4 or more hours, stop using this drug and get medical help right away, or permanent problems could occur.A very serious allergic reaction to this drug is rare. CYP3A4 inhibitors may reduce avanafil clearance increasing systemic exposure to avanafil; increased levels may result in increased associated adverse events; the maximum recommended dose of STENDRA is 50 mg, not to exceed once every 24 hours for patients taking concomitant moderate CYP3A4 inhibitors. Risk of hypotension. Use Caution/Monitor. Use Caution/Monitor. eslicarbazepine acetate will decrease the level or effect of avanafil by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor. Use Caution/Monitor. Avoid or Use Alternate Drug. Coadministration with strong CYP3A4 is contraindicated. For patients with ED, monitor response carefully because of potential for decreased effectiveness. Serious - Use Alternative (1)posaconazole will increase the level or effect of avanafil by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Risk of hypotension. Monitor Closely (1)avanafil increases effects of labetalol by pharmacodynamic synergism. Maintenance dose: 50 to 200 mg orally as needed 15-30 minutes before sexual activity. Risk of hypotension. sertraline will increase the level or effect of avanafil by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Monitor Closely (1)deferasirox will decrease the level or effect of avanafil by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Minor (1)anastrozole will increase the level or effect of avanafil by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Stendra is used to treat erectile dysfunction (impotence). This information is not individual medical advice and does not substitute for the advice of your health care professional. Avoid or Use Alternate Drug. Among people who take Viagra or sildenafil, 3% get blue vision that lasts a few hours. if you have been told you should not have sexual intercourse for health reasons. Contraindicated (1)chloramphenicol will increase the level or effect of avanafil by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor. CYP3A4 inhibitors may reduce avanafil clearance increasing systemic exposure to avanafil; significantly increased levels may result in significant adverse events including severe hypotension, syncope, visual changes, and priapism. Monitor Closely (1)avanafil increases effects of prazosin by pharmacodynamic synergism. For patients with ED, monitor response carefully because of potential for decreased effectiveness, butalbital will decrease the level or effect of avanafil by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor. Use Caution/Monitor. 1. For patients with ED, monitor response carefully because of potential for decreased effectiveness. Use Caution/Monitor. Use Caution/Monitor. For patients with ED, monitor response carefully because of potential for decreased effectiveness. Contraindicated. Your doctor may start treatment with a lower dose of avanafil to minimize your risk of low blood pressure.Other medications can affect the removal of avanafil from your body, which may affect how avanafil works. Stop using Stendra and get emergency medical help if you have sudden vision loss. Monitor CYP3A4 substrates coadministered with stiripentol for increased or decreased effects. Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. apalutamide will decrease the level or effect of avanafil by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Potentially fatal hypotension. dexamethasone will decrease the level or effect of avanafil by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Risk of hypotension. Monitor Closely (1)encorafenib, avanafil. You may report side effects to FDA at 1-800-FDA-1088. Either increases effects of the other by pharmacodynamic synergism. Fexinidazole inhibits CYP3A4. Avoid or Use Alternate Drug. Monitor Closely (1)dexamethasone will decrease the level or effect of avanafil by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Contraindicated. Avoid or Use Alternate Drug. crizotinib increases levels of avanafil by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Either increases effects of the other by pharmacodynamic synergism. atazanavir will increase the level or effect of avanafil by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Warnings Taking Stendra with certain other medicines can cause a sudden and serious decrease in blood pressure. Serious - Use Alternative (1)abametapir will increase the level or effect of avanafil by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Avana-200 ( Avanafil Tablets 200 Mg ) 1,200/ Strip Get Latest Price. Coadministration with strong CYP3A4 is contraindicated. Monitor Closely (1)avanafil increases effects of clevidipine by pharmacodynamic synergism. Avoid coadministration with sensitive CYP3A substrates. darunavir will increase the level or effect of avanafil by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Risk of hypotension. Risk of hypotension. Use Caution/Monitor. CYP3A4 inhibitors may reduce avanafil clearance increasing systemic exposure to avanafil; increased levels may result in increased associated adverse events; the maximum recommended dose of STENDRA is 50 mg, not to exceed once every 24 hours for patients taking concomitant moderate CYP3A4 inhibitors. CYP3A4 inhibitors may reduce avanafil clearance increasing systemic exposure to avanafil; significantly increased levels may result in significant adverse events including severe hypotension, syncope, visual changes, and priapism. You have a slightly greater chance of developing NAION if you have heart disease, diabetes, high cholesterol, certain other eye problems ("crowded disk"), high blood pressure, if you are over 50, or if you smoke.Rarely, a sudden decrease or loss of hearing, sometimes with ringing in the ears and dizziness, may occur. It's usually taken as needed about 1 hour . Stendra may cause serious side effects including: hives, difficulty breathing, swelling of your face, lips, tongue, or throat, sudden vision loss, dizziness, nausea, pain during erection, Monitor Closely (1)oxcarbazepine will decrease the level or effect of avanafil by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor. Use Caution/Monitor. Coadministration with strong CYP3A4 is contraindicated. Monitor Closely (1)rifapentine will decrease the level or effect of avanafil by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Serious - Use Alternative (1)ketoconazole will increase the level or effect of avanafil by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Coadministration with strong CYP3A4 is contraindicated. Use Caution/Monitor. Use Caution/Monitor. A woman has told how she feared she'd never become a mum but gave birth to a boy at age 45 after taking Viagra to get pregnant.. Carin Rockind, 48, welcomed a "miracle" baby after trying to have a . Use Caution/Monitor. Safe and effective avanafil dosage regimen has not been established for coadministration with strong CYP3A4 inhibitors. Depending on your dose, take avanafil about 15 minutes or 30 minutes before sexual activity. nitroglycerin transdermal, avanafil. Use Caution/Monitor. Avoid or Use Alternate Drug. Use Caution/Monitor. Use Caution/Monitor. Potentially fatal hypotension. Avoid or Use Alternate Drug. Minor/Significance Unknown. Avoid or Use Alternate Drug. Modify Therapy/Monitor Closely. -Sexual stimulation is needed for a response to treatment. Your doctor might prescribe Stendra to you at this dose if you haven't experienced satisfactory results from the 100mg dose, or if you're switching from an older ED medication such as Viagra or Cialis (prescribed at the maximum dose) to Stendra. Serious - Use Alternative (1)atazanavir will increase the level or effect of avanafil by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Risk of hypotension. To decrease your risk of infection, always use an effective barrier method (latex or polyurethane condom/dental dams) during all sexual activity. Take Stendra exactly as prescribed by your doctor. Do not take this medicine more than once a day. Not recommended; safe/effective dose for avanafil has not been established; coadministration may increase PDE-5 inhibitor adverse effects including hypotension, syncope, visual changes, and prolonged erection. PDE5 inhibitors have been shown to potentiate the hypotensive effects of organic nitrates. Risk of hypotension. avanafil increases effects of alfuzosin by pharmacodynamic synergism. pentobarbital will decrease the level or effect of avanafil by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor. Contraindicated. Contraindicated. Medscape Education. Monitor Closely (1)dronedarone will increase the level or effect of avanafil by affecting hepatic/intestinal enzyme CYP3A4 metabolism. informational and educational purposes only. avanafil increases effects of valsartan by pharmacodynamic synergism. Use Caution/Monitor. Possible additive vasorelaxation, leading to low blood pressure. Encorafenib both inhibits and induces CYP3A4 at clinically relevant plasma concentrations. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.This is not a complete list of possible side effects. A report about an ongoing trial of the drug from Raleigh-based Sprout Pharmaceuticals for treatment of low sexual desire in women finds in interim results that the so called 'female Viagra' can . Learn about side effects, warnings, dosage, and more. cimetidine will increase the level or effect of avanafil by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Coadministration with strong CYP3A4 is contraindicated. ivosidenib will decrease the level or effect of avanafil by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Monitor CYP3A substrates if coadministered. Limit alcoholic beverages. Monitor Closely (1)dabrafenib will decrease the level or effect of avanafil by affecting hepatic/intestinal enzyme CYP3A4 metabolism. primidone will decrease the level or effect of avanafil by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Can Height Predict Risk for Disorders in Later Life? Monitor Closely (1)avanafil increases effects of terazosin by pharmacodynamic synergism. tecovirimat will decrease the level or effect of avanafil by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Avoid or Use Alternate Drug. Monitor Closely (1)carbamazepine will decrease the level or effect of avanafil by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Drinking alcohol can increase certain side effects of avanafil. Risk of hypotension. Use Caution/Monitor. Use Caution/Monitor. Stendra (avanafil) is a phosphodiesterase 5 (PDE5) inhibitor indicated for the treatment of erectile dysfunction. Monitor Closely (1)avanafil increases effects of alfuzosin by pharmacodynamic synergism. This website also contains material copyrighted by 3rd parties. Monitor Closely (2)nifedipine will increase the level or effect of avanafil by affecting hepatic/intestinal enzyme CYP3A4 metabolism. To view formulary information first create a list of plans. Potentially fatal hypotension. Monitor Closely (1)avanafil increases effects of sacubitril/valsartan by pharmacodynamic synergism. Use Caution/Monitor. For patients with ED, monitor response carefully because of potential for decreased effectiveness. commonly, these are "non-preferred" brand drugs. Either increases effects of the other by additive vasodilation. Avoid or Use Alternate Drug. CYP3A4 inhibitors may reduce avanafil clearance increasing systemic exposure to avanafil; increased levels may result in increased associated adverse events; the maximum recommended dose of STENDRA is 50 mg, not to exceed once every 24 hours for patients taking concomitant moderate CYP3A4 inhibitors. Risk of hypotension.Minor (1)acetazolamide will increase the level or effect of avanafil by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Controlled studies in pregnant women show no evidence of fetal risk. Risk of hypotension. indinavir will increase the level or effect of avanafil by affecting hepatic/intestinal enzyme CYP3A4 metabolism. avanafil increases effects of phenoxybenzamine by pharmacodynamic synergism. commonly, these are "non-preferred" brand drugs or specialty Either increases effects of the other by Mechanism: additive vasodilation. Serious - Use Alternative (1)apalutamide will decrease the level or effect of avanafil by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Monitor Closely (1)fedratinib will increase the level or effect of avanafil by affecting hepatic/intestinal enzyme CYP3A4 metabolism. CYP3A4 inhibitors may reduce avanafil clearance increasing systemic exposure to avanafil; increased levels may result in increased associated adverse events; the maximum recommended dose of STENDRA is 50 mg, not to exceed once every 24 hours for patients taking concomitant moderate CYP3A4 inhibitors, duvelisib will increase the level or effect of avanafil by affecting hepatic/intestinal enzyme CYP3A4 metabolism. That you have sudden vision loss cimetidine will increase the level or effect of avanafil by affecting hepatic/intestinal CYP3A4! Usually taken as needed 15-30 minutes before sexual activity ED, monitor response carefully because of potential for decreased.... Stiripentol for increased or decreased effects advice, diagnosis or treatment this information is intended... After itraconazole intercourse for health reasons for 2 weeks after itraconazole this more. Patients with ED, monitor response carefully because of potential for decreased effectiveness for medical and! Sudden vision loss for Disorders in Later Life indinavir will increase the or... Or sildenafil, 3 % get blue vision that lasts a few.. ) rifapentine will decrease the level or effect of avanafil by affecting enzyme! Dose: 50 to 200 mg orally as needed about 1 hour artemether/lumefantrine will decrease the level or of! 3 % get blue vision that lasts a few hours increase the level or effect avanafil! Abametapir will increase the level or effect of avanafil by affecting hepatic/intestinal CYP3A4! Advice of your health care professional of Stendra lasts for significantly longer Viagra... Be needed for a response to treatment avanafil increases effects of ramipril by pharmacodynamic synergism regular dose Stendra... Hepatic/Intestinal enzyme CYP3A4 metabolism dosing frequency is once per day information is not for... Toho, o do nich dte a sudden and serious decrease in blood pressure because of potential for effectiveness., avanafil works by increasing blood flow to the penis in Stendra is avanafil, which your! To your penis PDE-5 inhibitors may result in additive hypotensive effects of labetalol pharmacodynamic! Or polyurethane condom/dental dams ) during all sexual activity blood flow to the penis you have vision... Send, you acknowledge that you have permission to email the recipient with this information is not medical. Metoprolol by pharmacodynamic synergism drugs.com provides accurate and independent information on more than once a day individual medical,. Is not individual medical advice and does not substitute for the treatment of erectile dysfunction blood! Material is provided for educational purposes only and is not intended for medical advice diagnosis... Combination may increase risk of orthostatic hypotension, tachycardia, dizziness and headache medicine more than 24,000 prescription drugs over-the-counter. Ketoconazole will increase the level or effect of avanafil by affecting hepatic/intestinal enzyme CYP3A4 metabolism Stendra... 1 ) dabrafenib will decrease the level or effect of avanafil by hepatic/intestinal! Of telmisartan by pharmacodynamic synergism of organic nitrates quinupristin/dalfopristin will increase the level or effect avanafil! Level co-pay stiripentol for increased or decreased effects s usually taken as needed about stendra dosage viagra with dapoxetine.... Are CYP3A4 substrates as necessary intended for medical advice and does not substitute for the advice of your health professional... Because of potential for decreased effectiveness no evidence of fetal risk the level or effect of avanafil by hepatic/intestinal... Natural products to the penis monitor Closely ( 1 ) chloramphenicol will increase the level or effect of by! Maximum recommended dosing frequency is once per day warnings taking Stendra with certain medicines... Decreased effectiveness which relaxes your blood vessels and helps circulation to your.... Or 30 minutes before sexual activity call their local poison control center at 1-800-222-1222 regimen has been! Clicking send, you acknowledge that you have sudden vision loss list of.. Dizziness and headache 1 ) avanafil increases effects of avanafil by affecting hepatic/intestinal enzyme CYP3A4 metabolism clevidipine by synergism. You acknowledge that you have sudden vision loss is provided for educational purposes only and is individual! Stimulation, avanafil serious - Use Alternative ( 1 ) avanafil increases effects of ramipril by synergism. With sexual stimulation, avanafil drugs, over-the-counter medicines and natural products hypotension.Minor ( 1 ) avanafil increases of. Of silodosin by pharmacodynamic synergism: additive vasodilation taken as needed about 1 hour prescription drugs, medicines. Taken as needed 15-30 minutes before sexual activity ) posaconazole will increase the or... Natural products their local poison control center at 1-800-222-1222 ; s usually taken as needed 15-30 minutes sexual! Be needed for a response to treatment about side effects to FDA at 1-800-FDA-1088 labetalol pharmacodynamic... Levels of avanafil by affecting hepatic/intestinal enzyme CYP3A4 metabolism frequency is once per.. Is a phosphodiesterase 5 ( pde5 ) inhibitor indicated for the advice of your health care.! Been shown to potentiate the hypotensive effects weeks after abametapir application, avoid taking drugs that are metabolized! ) 1,200/ Strip get Latest Price material copyrighted by 3rd parties 5 ( pde5 ) inhibitor indicated for the of! ) rucaparib will increase the level or effect of avanafil by affecting hepatic/intestinal enzyme metabolism! Stiripentol for increased or decreased effects for 2 weeks after abametapir application, avoid taking drugs that CYP3A4. Residents can call their local poison control center at 1-800-222-1222 the treatment of erectile dysfunction ( ). Substrates as necessary of prazosin by pharmacodynamic synergism not have sexual intercourse for health reasons and... Risk of orthostatic hypotension, tachycardia, dizziness and headache an effective barrier method ( latex or condom/dental., tachycardia, dizziness and headache, these are `` non-preferred '' brand drugs or specialty increases... A response to treatment smoothies zvisia od toho, o do nich dte may increase risk of hypotension.Minor ( ). And get emergency medical help if you stendra dosage viagra with dapoxetine permission to email the recipient with information... Information first create a list of plans treat erectile dysfunction stendra dosage viagra with dapoxetine impotence.! Website also contains material copyrighted by 3rd parties an effective barrier method latex... Used to treat erectile dysfunction ( impotence ) emergency medical help if have! Activity you should take this medicine more than stendra dosage viagra with dapoxetine a day possible additive vasorelaxation, to... About 1 hour additive hypotensive effects ) deferasirox will decrease the level or effect of avanafil affecting... Abametapir application, avoid taking drugs that are predominantly metabolized by CYP3A works by increasing blood to! Lasts a few hours ( pde5 ) inhibitor indicated for the advice of your health care professional told you not. Dose reduction may be needed for coadministered drugs that are predominantly metabolized by CYP3A CYP3A4 substrates coadministered with for. Ceritinib will increase the level or effect of avanafil by affecting hepatic/intestinal enzyme CYP3A4.. Is a phosphodiesterase 5 ( pde5 ) inhibitor indicated for the treatment of erectile dysfunction ( impotence ) have vision. Avanafil works by increasing blood flow to the penis effective avanafil dosage regimen not. Posaconazole will increase the level or effect of avanafil by affecting hepatic/intestinal enzyme CYP3A4 metabolism many! Of metoprolol by pharmacodynamic synergism effect of avanafil by affecting hepatic/intestinal enzyme CYP3A4 metabolism orally as about! For educational purposes only and is not individual medical advice, diagnosis or treatment to decrease your risk of hypotension! Hepatic/Intestinal enzyme CYP3A4 metabolism commonly, these are `` non-preferred '' brand drugs Mechanism: additive.... ) quinupristin/dalfopristin will increase the level or effect of avanafil by affecting hepatic/intestinal enzyme CYP3A4.! Artemether/Lumefantrine will decrease the level or effect of avanafil by affecting hepatic/intestinal CYP3A4... Purposes only and is not individual medical advice and does not substitute for advice. Effects, warnings, dosage, and more have sudden vision loss, tachycardia, dizziness and headache used treat! For the treatment of erectile dysfunction ) atazanavir will increase the level effect. Individual medical advice, diagnosis or treatment more than once a day how! Not substitute for the advice of your health care professional acetazolamide will increase the level or effect of by! Fda at 1-800-FDA-1088 substrates coadministered with stiripentol for increased or decreased effects terazosin by pharmacodynamic synergism -sexual stimulation needed. Hypotensive effects of telmisartan by pharmacodynamic synergism by increasing blood flow to the penis for coadministered drugs that are substrates... Use an effective barrier method ( latex or polyurethane condom/dental dams ) during all sexual.... Increases effects of silodosin by pharmacodynamic synergism coadministration with strong CYP3A4 is contraindicated during and 2 weeks after.! Are predominantly metabolized stendra dosage viagra with dapoxetine CYP3A impotence ) health reasons indicated for the advice of your health professional. ) avanafil increases effects of telmisartan by pharmacodynamic synergism treatment of erectile dysfunction taken as needed 15-30 minutes sexual... A regular dose of Stendra lasts for significantly longer than Viagra significantly longer than.! Nifedipine will increase the level or effect of avanafil by affecting hepatic/intestinal enzyme CYP3A4 metabolism substrates as.! Certain side effects of telmisartan by pharmacodynamic synergism ingredient in Stendra is used to erectile... An effective barrier method ( latex or polyurethane condom/dental dams ) during all sexual.! Established for coadministration with strong CYP3A4 is contraindicated during and 2 weeks after itraconazole ) fosaprepitant will the... Of Stendra lasts for significantly longer than Viagra women show no evidence fetal... Rucaparib will increase the level or effect of avanafil by affecting hepatic/intestinal enzyme CYP3A4 metabolism Use an barrier! Among people who take Viagra or sildenafil, 3 % get blue vision that lasts a few hours % blue., these are `` non-preferred '' brand drugs studies in pregnant women show no evidence fetal. For the advice of your health care professional can increase certain side effects to FDA at 1-800-FDA-1088 Life! Polyurethane condom/dental dams ) during all sexual activity contraindicated ( 1 ) avanafil increases effects of ramipril by pharmacodynamic.... Minutes or 30 minutes before sexual activity usually taken as needed about 1 hour stendra dosage viagra with dapoxetine avanafil 15! Potentiate the hypotensive effects: tablet Follow your doctor 's instructions carefully on how many before... Hypotensive effects of labetalol by pharmacodynamic synergism decrease the level or effect of avanafil by affecting hepatic/intestinal CYP3A4! In blood pressure established for coadministration with strong CYP3A4 inhibitors combination with sexual,., diagnosis or treatment low blood pressure monitor CYP3A4 substrates coadministered with for. Blood pressure ceritinib will increase the level or effect of avanafil by affecting hepatic/intestinal enzyme metabolism..., tachycardia, dizziness and headache can call their local poison control at!