avanair 100 tablet - Avanafil (100mg) medicine

Avanair 100 Tablet (avanafil 100 Mg): Comprehensive Medicine Guide

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🏭 Cipla Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Nov 11, 2026
📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: High
Dr. Ravishankar Kumar
Medically Reviewed by Dr. Ravishankar Kumar ✓ Verified Doctor
B.A.M.S. (RMLAU Ayodhya) • Ex-Balrampur Hospital, Lucknow
Dr. Ravishankar Kumar
Clinically Verified by Dr. Ravishankar Kumar (B.A.M.S., RMLAU) — View Medical Verification Profile ↗
Clinical Background: Balrampur Hospital, Lucknow (Emergency Medicine) & SCPM Hospital | Standards: CDSCO, Indian Pharmacopoeia (IP) & WHO

When to Call Your Doctor IMMEDIATELY

  • Erection lasting more than 4 hours
  • Sudden vision loss in one or both eyes
  • Sudden hearing loss or ringing in the ears
  • Chest pain, shortness of breath, or irregular heartbeat
  • Severe dizziness or fainting
  • Swelling of face, lips, or throat
  • Severe headache with visual changes

If experiencing severe symptoms, call emergency services immediately.

What is avanair 100 tablet used for?

This medicine is a prescription oral tablet containing avanafil 100 mg, used to treat erectile dysfunction in adult men. It works by increasing blood flow to the penis during sexual stimulation. It should not be taken with nitrates.

  • Generic Name: Avanafil
  • Manufacturer: Cipla Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 avanair 100 tablet के बारे में (Hindi Summary)

उपयोग: यह दवा एवनाफिल 100 मिलीग्राम युक्त एक ओरल टैबलेट है, जिसका उपयोग वयस्क पुरुषों में स्तंभन दोष (इरेक्टाइल डिसफंक्शन) के इलाज के लिए किया जाता है। यह दवा पीडीई5 इनहिबिटर वर्ग की है और यौन उत्तेजना के दौरान लिंग में रक्त के प्रवाह को बढ़ाकर काम करती है। यह दवा अपने आप से इरेक्शन नहीं करती, बल्कि यौन उत्तेजना की आवश्यकता होती है। यह दवा नाइट्रेट दवाओं के साथ नहीं लेनी चाहिए क्योंकि इससे रक्तचाप खतरनाक रूप से गिर सकता है। इस दवा का उपयोग केवल डॉक्टर के पर्चे पर ही करें।

साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में सिरदर्द, चेहरे पर लालिमा, नाक बंद होना और पीठ दर्द शामिल हैं। ये आमतौर पर हल्के होते हैं और कुछ समय में ठीक हो जाते हैं। कभी-कभी चक्कर आना, मतली या दृष्टि में बदलाव हो सकता है। दुर्लभ मामलों में, 4 घंटे से अधिक समय तक इरेक्शन बने रहना एक आपातकालीन स्थिति है और तुरंत डॉक्टर से संपर्क करना चाहिए। अचानक दृष्टि या सुनने में कमी होने पर दवा बंद करें और तुरंत चिकित्सा सहायता लें।

सुरक्षा सलाह: इस दवा को लेने से पहले अपने डॉक्टर को अपनी सभी स्वास्थ्य समस्याओं और दवाओं के बारे में बताएं। यदि आप छाती में दर्द के लिए नाइट्रेट दवा लेते हैं तो यह दवा बिल्कुल न लें। शराब का सेवन सीमित करें क्योंकि इससे रक्तचाप कम हो सकता है। अंगूर का रस न पिएं क्योंकि यह दवा के स्तर को बढ़ा सकता है। 24 घंटे में एक से अधिक बार इस दवा का सेवन न करें। यदि इरेक्शन 4 घंटे से अधिक समय तक बना रहे तो तुरंत आपातकालीन चिकित्सा सहायता लें।

💡 Did You Know? The first generic medicine was introduced in India in 1970 after the Patents Act was amended.

avanair 100 tablet Uses & Benefits

Erectile dysfunction Well-established

This medicine is used to treat erectile dysfunction in adult men by improving blood flow to the penis during sexual stimulation.

Off-Label & Investigational Uses:

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Primary Treatment for: Erectile dysfunction

📋 Drug Information

Generic Name(s)Avanafil
Brand NameAvanair 100 Tablet
ManufacturerCipla Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassSEX STIMULANTS REJUVENATORS
Action ClassPhosphodiesterase-5 (PDE5) Inhibitor
Route of AdministrationOral
StorageStore at room temperature between 15°C and 30°C (59°F to 86°F). Keep away from moisture and heat. Keep in the original container.
Shelf Life24 months from the date of manufacture.
WHO GuidelineNot established from the available information.
ICMR GuidelineNot established from the available information.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Take this medicine about 30 minutes before sexual activity for best results.
2
Avoid taking this medicine with nitrates or nitric oxide donors as it can cause a dangerous drop in blood pressure.
3
Limit alcohol consumption as it can reduce the effectiveness of this medicine and increase the risk of side effects.
4
Do not take more than one dose in 24 hours.
5
If you experience an erection lasting more than 4 hours, seek emergency medical help immediately.
6
Inform your doctor about all other medicines you are taking, especially alpha-blockers and antifungal drugs.
7
This medicine does not protect against sexually transmitted infections; use appropriate protection.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Erectile dysfunction
This medicine is commonly prescribed for this condition.
Likely Use
❌
Low libido
This medicine does not increase sexual desire.
Not Primary
❌
Premature ejaculation
This medicine is not indicated for premature ejaculation.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionThis medicine is rapidly absorbed after oral administration. The absolute bioavailability is approximately 38% to 41%. Food does not significantly affect the absorption of this medicine, but a high-fat meal may delay the onset of action.
DistributionThis medicine is distributed into body tissues, including the penis. The volume of distribution is approximately 60 to 70 liters. It is highly protein-bound.
Protein BindingApproximately 99% of this medicine is bound to plasma proteins.
MetabolismThis medicine is primarily metabolized in the liver by the cytochrome P450 enzymes CYP3A4 and, to a lesser extent, CYP2C9. Its major metabolites are inactive or have minimal activity.
Half-LifeThe elimination half-life of this medicine is approximately 5 to 6 hours.
ExcretionThis medicine and its metabolites are primarily excreted in the feces, with a smaller amount excreted in the urine.
BioavailabilityThe absolute bioavailability of this medicine is approximately 38% to 41%.
Onset of ActionThis medicine typically starts working within 15 to 30 minutes after oral administration, but the onset can vary from person to person.
Peak Plasma TimeThe peak plasma concentration of this medicine is reached approximately 30 to 45 minutes after oral administration in the fasted state.
Duration of ActionThe duration of action of this medicine is approximately 4 to 6 hours, but this can vary depending on individual factors.

How It Works

This medicine works by selectively inhibiting the enzyme phosphodiesterase type 5 (PDE5). When a man is sexually stimulated, nitric oxide is released in the penis, which increases cyclic guanosine monophosphate (cGMP). cGMP causes smooth muscle relaxation and increased blood flow, leading to an erection. PDE5 normally breaks down cGMP. By blocking PDE5, this medicine helps cGMP levels remain higher, allowing for a stronger and longer-lasting erection when sexual stimulation occurs. This medicine does not directly cause an erection and requires sexual arousal to be effective.

Mechanism Steps

1
Sexual stimulation triggers nitric oxide release: During sexual arousal, nerve endings in the penis release nitric oxide, which diffuses into smooth muscle cells.
2
Nitric oxide increases cGMP: Nitric oxide activates an enzyme called guanylate cyclase, which converts GTP into cyclic guanosine monophosphate (cGMP).
3
cGMP causes smooth muscle relaxation: Elevated cGMP levels lead to relaxation of smooth muscle in the penile arteries and corpus cavernosum, increasing blood flow.
4
This medicine inhibits PDE5: Avanafil blocks the action of PDE5, the enzyme that normally breaks down cGMP, thereby prolonging its effects.
5
Enhanced erection: The sustained high levels of cGMP result in improved and maintained erection during sexual activity.

💡 How to Take avanair 100 tablet

Strength: Avanafil 100 mg immediate-release tablet

1Take this medicine orally with a glass of water.
2It can be taken with or without food, but a high-fat meal may delay its effect.
3Take it approximately 30 minutes before sexual activity.
4Do not take more than one dose in 24 hours.
5Avoid grapefruit juice and alcohol while taking this medicine.
6If you have any questions, consult your doctor or pharmacist.

Dosage Information

Adult DosageThe recommended starting dose of this medicine for erectile dysfunction is 100 mg taken orally approximately 30 minutes before sexual activity. The dose may be adjusted by your doctor based on efficacy and tolerability. The maximum recommended dosing frequency is once daily. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function, and concomitant medications.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageNo dose adjustment is required based on age alone. However, elderly patients may be more sensitive to the effects of this medicine, and caution is advised. Dose must be individualized by a qualified clinician.
Renal ImpairmentFor patients with mild to moderate renal impairment, no dose adjustment is needed. For severe renal impairment, the dose should be reduced to 50 mg based on tolerability. Dose must be individualized by a qualified clinician.
Hepatic ImpairmentFor patients with mild to moderate hepatic impairment, no dose adjustment is needed. For severe hepatic impairment, this medicine is contraindicated. Dose must be individualized by a qualified clinician.
Maximum Daily Dose100 mg once daily.

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

🍽️ Food Timing Guide

With or without food
Can be taken with or without food
Food does not significantly affect absorption, but a high-fat meal may delay onset.
Grapefruit juice
Avoid
May increase the levels of this medicine in the body.

⏰ What to Do If You Miss a Dose

📌 If you miss a dose and still plan to have sexual activity
→ Take the missed dose as soon as you remember.
💡 Do not take more than one dose in 24 hours.
📌 If you miss a dose and do not plan to have sexual activity
→ Skip the missed dose.
💡 Do not double the dose to catch up.

⚠️ Side Effects of avanair 100 tablet

✅ Common Side Effects

Headache (Common (5-10%))
Usually resolves on its own. If persistent or severe, consult your doctor.
Flushing (Common (5-10%))
This is usually temporary. Stay hydrated and avoid alcohol.
Nasal congestion (Common (5-10%))
Usually resolves without treatment. Consult doctor if bothersome.
Back pain (Common (2-5%))
May resolve on its own. If severe or persistent, consult your doctor.

🚨 Serious Side Effects

Prolonged erection (priapism) (Rare (<0.1%))
Seek immediate medical attention if erection lasts more than 4 hours.
Sudden vision loss (Rare (<0.1%))
Stop taking this medicine and seek emergency medical help immediately.
Sudden hearing loss (Rare (<0.1%))
Stop taking this medicine and consult a doctor immediately.
Severe low blood pressure (Rare (<0.1%))
Seek emergency medical attention if you feel dizzy, faint, or have chest pain.

⚠️ Rare Side Effects

Seizures
Seek immediate medical attention.
Transient global amnesia
Consult a doctor immediately if you experience sudden memory loss.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Nitrates Major
Riociguat Major
Strong CYP3A4 inhibitors Major
Alpha-blockers Moderate
Moderate CYP3A4 inhibitors Moderate
Alcohol Moderate
Aspirin/NSAIDs Minor

🚨 Major Interactions

  • Nitrates (e.g., nitroglycerin, isosorbide mononitrate)
  • Riociguat
  • Strong CYP3A4 inhibitors (e.g., ketoconazole, ritonavir, clarithromycin)

⚡ Moderate Interactions

  • Alpha-blockers (e.g., doxazosin, tamsulosin)
  • Moderate CYP3A4 inhibitors (e.g., erythromycin, grapefruit juice)
  • Alcohol

🍷 Alcohol Interaction

Drinking alcohol while taking this medicine can increase the risk of low blood pressure, dizziness, and can reduce your ability to get an erection. It is advisable to limit or avoid alcohol consumption.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Concomitant use of nitrates or nitric oxide donors","Concomitant use of riociguat","Known hypersensitivity to avanafil or any component of the tablet","Severe cardiovascular disorders such as recent myocardial infarction or stroke","Uncontrolled hypotension or hypertension","Severe hepatic impairment","End-stage renal disease requiring dialysis"]

⚠️ Warnings & Precautions

["Before taking this medicine, inform your doctor if you have any heart problems, as sexual activity may pose a risk.","This medicine can cause a sudden drop in blood pressure, especially when taken with nitrates or alpha-blockers.","If you experience a prolonged erection lasting more than 4 hours, seek immediate medical help.","Sudden vision or hearing loss has been reported rarely; stop the medicine and consult a doctor immediately.","Do not take this medicine with grapefruit juice or strong CYP3A4 inhibitors.","This medicine does not protect against sexually transmitted infections; use appropriate protection.","Do not share this medicine with others, even if they have similar symptoms."]

🤱 Lactation Safety

Not applicable. This medicine is not indicated for use in women.

💊 Overdose Management

If you suspect an overdose, seek emergency medical attention immediately. Symptoms of overdose may include severe hypotension, dizziness, fainting, and prolonged erection. Treatment is supportive and symptomatic. There is no specific antidote. Hemodialysis is not expected to be effective in removing this medicine from the body.

⏰ Missed Dose

This medicine is taken on an as-needed basis before sexual activity. If you miss a dose, take it as soon as you remember if you still plan to have sexual activity. Do not take more than one dose in 24 hours. Do not double the dose to make up for a missed one.

Additional Safety Advice

General Safety

Before taking this medicine, tell your doctor if you have heart disease, low blood pressure, uncontrolled high blood pressure, liver or kidney problems, or a history of stroke. Do not take this medicine if you are using any nitrate medicine for chest pain, as the combination can be life-threatening. Avoid drinking large amounts of alcohol before or after taking this medicine, as it can increase the risk of low blood pressure and reduce your ability to get an erection. Grapefruit juice may increase the levels of this medicine in your body, so it is best to avoid it. Do not take this medicine more than once a day. If you get an erection that lasts longer than four hours, seek emergency medical help immediately to prevent permanent damage. This medicine is not for use in women or children. Keep this medicine out of reach of children and store it at room temperature away from moisture and heat. Always follow your doctor's instructions and do not share this medicine with anyone else.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may be more sensitive to the effects of this medicine, especially hypotension and dizziness. Caution is advised, and dose adjustment may be necessary based on renal and hepatic function. Regular monitoring is recommended.

🤰 Pregnancy Planning (TTC)

This medicine is not indicated for use in women. It is used for erectile dysfunction in men. If you are planning pregnancy with your partner, this medicine does not affect fertility. Consult your doctor for any concerns.

🏥 Post-Surgery Considerations

If you have recently undergone surgery, especially cardiac or penile surgery, consult your doctor before taking this medicine. Sexual activity may need to be avoided during the recovery period.

🦷 Dental Procedures

This medicine does not have any specific interactions with dental procedures. However, inform your dentist about all medicines you are taking, including this one, before any dental procedure.

💚 Lifestyle Tips for Better Results

🏃
Maintain a healthy weight to improve overall cardiovascular health.
🥗
Regular exercise can improve blood flow and erectile function.
😴
Reduce stress through relaxation techniques like meditation or yoga.
💧
Avoid smoking as it can worsen erectile dysfunction.
🧘
Limit alcohol consumption as it can reduce the effectiveness of this medicine.
🌞
Get adequate sleep to support overall health.

🏋️ Exercise Considerations

This medicine can cause dizziness or low blood pressure. Avoid strenuous exercise immediately after taking this medicine, especially if you are prone to dizziness. Consult your doctor before starting any new exercise regimen.

🥗 Diet Recommendations

Eat a balanced diet rich in fruits, vegetables, and whole grains.
Include omega-3 fatty acids from fish or flaxseed.
Limit processed foods and high-fat meals.
Stay well hydrated.
Avoid grapefruit juice.

💼 Impact on Daily Work & Life

This medicine may cause dizziness or vision changes in some people. If you experience these effects, avoid driving or operating heavy machinery until you know how this medicine affects you. It does not affect your ability to work otherwise.

🛑 When to Stop This Medicine

Do not stop taking this medicine without consulting your doctor. If you experience serious side effects such as prolonged erection, sudden vision or hearing loss, or severe hypotension, stop the medicine and seek immediate medical attention. Your doctor may adjust or discontinue the medicine based on your response and side effects.

📅 Long-Term Use Effects

Long-term use of this medicine has not been associated with any serious long-term effects in clinical studies. However, it is important to have regular check-ups with your doctor to monitor blood pressure and cardiovascular health. If you experience any persistent side effects, consult your doctor. Do not use this medicine for prolonged periods without medical supervision.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Lifestyle modifications

Weight loss, exercise, and stress reduction can improve erectile function.

Evidence: Well-established
Psychotherapy

Counseling can help with psychological causes of erectile dysfunction.

Evidence: Well-established
Vacuum erection devices

Mechanical devices can help achieve erection.

Evidence: Moderate

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

There are no known interactions between this medicine and vaccines. However, consult your doctor before receiving any vaccine while taking this medicine.

📦 Storage Guide

✅ DO

Store at room temperature (15-30°C)

❌ DON'T

Do not refrigerate unless specified

✅ DO

Keep in original container

❌ DON'T

Do not transfer to unmarked containers

✅ DO

Keep away from direct sunlight

❌ DON'T

Do not store in bathroom cabinet

✈️ Traveling with This Medicine

When traveling with this medicine, carry it in its original packaging along with a copy of your prescription. Keep it in your carry-on luggage to avoid loss or exposure to extreme temperatures. Store it at room temperature and away from direct sunlight. If crossing time zones, take the medicine as needed for sexual activity, but do not exceed one dose in 24 hours. Check local customs regulations regarding prescription medicines before traveling internationally.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 55-year-old man with erectile dysfunction and mild hypertension
He was prescribed this medicine by his doctor after a thorough evaluation. He was advised to take it 30 minutes before sexual activity and to avoid alcohol. He noticed a significant improvement in his ability to achieve and maintain an erection. He experienced mild headache initially, which subsided after a few uses. He was careful not to take it with his blood pressure medicines without consulting his doctor.
💡 Lesson: This medicine can be effective for erectile dysfunction, but it is important to follow your doctor's instructions and report any side effects.
👤 A 62-year-old man with diabetes and erectile dysfunction
He started this medicine after his doctor adjusted his other medications. He found that taking it on an empty stomach worked faster. He also learned to avoid grapefruit juice as it increased the side effects. He was advised to monitor his blood pressure regularly. He was satisfied with the results and continued using it as needed.
💡 Lesson: Individual factors like diet and other medications can affect how this medicine works. Always consult your doctor before making changes.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: This medicine typically starts working within 15 to 30 minutes after taking it, but this can vary. It requires sexual stimulation to be effective.

Q: Can I take this medicine with food?

A: Yes, it can be taken with or without food. However, a high-fat meal may delay the onset of action.

Q: What should I do if I get an erection lasting more than 4 hours?

A: Seek emergency medical attention immediately. Prolonged erection can cause permanent damage if not treated promptly.

Q: Is this medicine safe for daily use?

A: This medicine is taken as needed, not daily. Do not take more than one dose in 24 hours. Consult your doctor for long-term use.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my heart?
  • Can I drive after taking this medicine?
  • Does it interact with my blood pressure medicine?
  • What if I miss a dose?
  • Can I drink alcohol while taking this?

🔄 Substitutes for avanair 100 tablet

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: This medicine can be taken without sexual stimulation to get an erection.
    Fact: This medicine requires sexual stimulation to be effective; it does not cause an erection on its own.
  • Myth: This medicine is an aphrodisiac.
    Fact: This medicine does not increase sexual desire; it only helps with erectile function.
  • Myth: This medicine is safe to take with nitrates.
    Fact: This medicine is absolutely contraindicated with nitrates due to the risk of severe hypotension.

🔄 Alternative Options

Generic Alternatives

  • Avanafil

Brand Alternatives

  • Avanair 100 Tablet

📊 Comparison with Similar Medicines

MedicineOnsetDurationFood Effect
Avanafil15-30 minutes4-6 hoursMinimal
Sildenafil30-60 minutes4-6 hoursHigh-fat meal delays
Tadalafil30-60 minutesUp to 36 hoursMinimal

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