Price range: £34.99 through £54.99
Spedra 200mg is the maximum licensed strength of avanafil for erectile dysfunction (ED). It is intended for men who did not achieve adequate response with lower strengths. A UK prescriber reviews your online questionnaire and, if appropriate, issues a prescription. Orders are packed discreetly and delivered across the UK.
Avanafil is a phosphodiesterase type‑5 (PDE‑5) inhibitor. It helps relax blood vessels in the penis, improving blood flow during sexual arousal to support erections.
Most men notice effects within 15–30 minutes. Results can last up to 4–6 hours. High‑fat meals may delay onset.
200mg is typically considered when 50mg or 100mg did not provide adequate results. Always follow prescriber guidance for dose selection.
See Warnings below and consult the prescriber if you have any medical conditions or take other medicines.
Take one tablet with water about 15–30 minutes before sexual activity. You may take it with or without food; a high‑fat meal can delay the effect.
Keep alcohol low to avoid reduced performance and increased side‑effect risk. Avoid grapefruit/grapefruit juice.
Do not take more than one tablet in 24 hours. Do not exceed the prescribed dose.
Do NOT use if you take nitrates (e.g., for chest pain) or riociguat. Use with caution with alpha‑blockers. Unsuitable after a recent heart attack or stroke, with severe cardiovascular disease, hypotension, or certain eye disorders. Stop and seek urgent care for chest pain, sudden vision/hearing loss, or erections lasting over 4 hours (priapism). For adults 18+ only. Tell the prescriber about liver/kidney problems and all medicines you take.
Common: headache, flushing, nasal congestion, dizziness. Less common but serious: chest pain, visual or hearing changes, prolonged/painful erections. Seek medical help if severe or persistent.
If 200mg is not appropriate, consider lower strengths: Spedra 50mg or Spedra 100mg. You can also discuss alternatives such as Sildenafil (Viagra), Tadalafil (Cialis), or Vardenafil (Levitra).
Orders are shipped in plain packaging with no medication details on the outside. Cut‑off times and delivery options are shown at checkout. For returns, contact our pharmacy team.
Most men notice effects in 15–30 minutes. A high‑fat meal can delay this.
Up to 4–6 hours. Individual response varies.
Keep alcohol low—excess can reduce efficacy and raise side‑effect risk.
Do not take with nitrates or riociguat; not suitable after recent heart attack or stroke or with severe heart disease.
Only under pharmacist/prescriber guidance. Never exceed one dose in 24 hours.
| Size | 4 Tablets, 8 Tablets |
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