Stendra

Impotence
Treatment
2 FDA approvals
15 Active Studies for Stendra

What is Stendra

AvanafilThe Generic name of this drug
Treatment SummaryAvanafil is a drug used to treat erectile dysfunction. It works by preventing the breakdown of a certain enzyme in the body, allowing blood flow to the penis and resulting in the ability to achieve an erection. Avanafil is less likely than other similar drugs to cause vision problems, but it is less selective than tadalafil. The FDA approved Avanafil in 2012 and the EMA approved it in 2013.
Stendrais the brand name
image of different drug pills on a surface
Stendra Overview & Background
Brand Name
Generic Name
First FDA Approval
How many FDA approvals?
Stendra
Avanafil
2013
12

Approved as Treatment by the FDA

Avanafil, otherwise called Stendra, is approved by the FDA for 2 uses including Erectile dysfunction and Impotence .
Erectile dysfunction
Helps manage Erectile Dysfunction
Impotence
Helps manage Erectile Dysfunction

Effectiveness

How Stendra Affects PatientsAvanafil is a medication that works by blocking an enzyme (PDE5) in order to improve blood flow. It is more effective at blocking the enzyme than other similar medications, like sildenafil and vardenafil, so it is less likely to cause vision problems or heart side effects. It also takes effect quickly, usually within fifteen minutes of taking it. Avanafil can have dangerous interactions with certain blood pressure medications and alcohol, and should not be taken by those who have had vision problems in the past.
How Stendra works in the bodyAvanafil helps people get erections by blocking an enzyme that breaks down a compound called cyclic guanosine monophosphate (cGMP). When you are sexually aroused, the body releases a molecule called nitric oxide which causes cGMP to build up in the muscles of the penis. This cGMP relaxes the muscles and allows blood to flow into the penis, creating an erection. Avanafil prevents the breakdown of cGMP so that it can remain at higher levels, helping to keep the erection. However, this only works when you are aroused, as avanafil needs nitric

When to interrupt dosage

The recommended dose of Stendra is contingent upon the diagnosed disorder. The quantity of the dosage fluctuates in regard to the method of administration detailed in the table beneath.
Condition
Dosage
Administration
Impotence
50.0 mg, 100.0 mg, 200.0 mg,
, Oral, Tablet, Tablet - Oral

Warnings

Stendra Contraindications
Condition
Risk Level
Notes
Retinal Degeneration
Do Not Combine
Renal Insufficiency
Do Not Combine
Pulse Frequency
Do Not Combine
Heart failure
Do Not Combine
Severe Hepatic Impairment
Do Not Combine
Pulse Frequency
Do Not Combine
Hypotension
Do Not Combine
Pulse Frequency
Do Not Combine
Optic Neuropathy, Ischemic
Do Not Combine
Angina, Unstable
Do Not Combine
Severe Hypersensitivity Reactions
Do Not Combine
Avanafil may interact with Pulse Frequency
There are 20 known major drug interactions with Stendra.
Common Stendra Drug Interactions
Drug Name
Risk Level
Description
Alprostadil
Major
The risk or severity of hypotension and priapism can be increased when Avanafil is combined with Alprostadil.
Amyl Nitrite
Major
The risk or severity of hypotension can be increased when Avanafil is combined with Amyl Nitrite.
Doxofylline
Major
The risk or severity of adverse effects can be increased when Avanafil is combined with Doxofylline.
Erythrityl tetranitrate
Major
The risk or severity of hypotension can be increased when Avanafil is combined with Erythrityl tetranitrate.
Fostamatinib
Major
The risk or severity of adverse effects can be increased when Avanafil is combined with Fostamatinib.
Stendra Toxicity & Overdose RiskNot much is known about overdoses of avanafil. Some people have taken single doses of up to 800mg and repeat doses of up to 300mg, and experienced side effects similar to those seen with regular doses, but more intense. Those who overdose on avanafil should receive standard treatments for the symptoms and be supported. Dialysis is not likely to help, as avanafil binds to proteins in the blood.
image of a doctor in a lab doing drug, clinical research

Stendra Novel Uses: Which Conditions Have a Clinical Trial Featuring Stendra?

There are 22 active clinical trials assessing the potential of Stendra to combat Impotence.
Condition
Clinical Trials
Trial Phases
Impotence
15 Actively Recruiting
Not Applicable, Phase 4, Early Phase 1, Phase 3, Phase 1, Phase 2

Stendra Reviews: What are patients saying about Stendra?

5Patient Review
1/8/2016
Stendra for Inability to have an Erection
Viagra really helped me out. I was surprised at how quickly it worked and how long the effects lasted.
4.7Patient Review
2/13/2016
Stendra for Inability to have an Erection
100mg is really effective. Just be careful not to drink alcohol while using it, as that will give you a nasty headache.
4Patient Review
3/12/2017
Stendra for Inability to have an Erection
This medication usually works well for me, but my insurance recently stopped covering it. Now I'm trying to figure out what else to ask my doctor for.
3.7Patient Review
9/25/2017
Stendra for Inability to have an Erection
Worked decently quickly, produced rock hard erections. Unfortunately, it also gave me a splitting headache every time I used it.
2.3Patient Review
3/15/2017
Stendra for Inability to have an Erection
I had a surgery to remove cancer which also resulted in erectile dysfunction. Stendra didn't work for me, but Viagra, Cialis or pumps didn't either.
2.3Patient Review
7/18/2018
Stendra for Inability to have an Erection
Unfortunately, this medication did not help me achieve an erection. However, it did give me a splitting headache.
2.3Patient Review
10/17/2015
Stendra for Inability to have an Erection
So far, I've been really disappointed with this treatment. I was told to cut a 200 [mg pill] in half, and it's been over an hour now with no results. fingers crossed the Cialis works better.
2.3Patient Review
3/18/2016
Stendra for Inability to have an Erection
Stendra was completely ineffective for me when compared to other similar treatments.
2Patient Review
11/12/2015
Stendra for Inability to have an Erection
The dosage I was given (200mg) initially took about two hours to work. Even then, I wasn't sure it would last long enough. In the past, I've used Levitra with much better results.
1.7Patient Review
11/10/2015
Stendra for Inability to have an Erection
I got headaches from this medication. Additionally, I tried using the Stendra savings card two times and had no success. The Walgreens pharmacist told me they couldn't get the discount for the drug. In short: don't advertise what you can't provide, Stendra.
1.7Patient Review
7/26/2021
Stendra for Inability to have an Erection
Tried a 100mg tablet. No effect at all. Next time I went with 200 mg. Three hours later, I had an incredibly severe headache that radiated down my back. My blood pressure also dropped to an alarming 86/60. This drug is way too dangerous and expensive for such weak results.
1.7Patient Review
8/30/2017
Stendra for Inability to have an Erection
I didn't even bother getting this prescription filled, as at $73.90 per pill it doesn't seem worth it based on other reviews I've read.
1.7Patient Review
3/8/2016
Stendra for Inability to have an Erection
I had hoped this drug would help me avoid headaches when drinking, but it gave me a headache even without alcohol. Additionally, I didn't see any benefits in the bedroom. Overall, not helpful at all.
1.7Patient Review
12/10/2015
Stendra for Inability to have an Erection
I took a 200mg pill, and saw zero results. Not for me, unfortunately.
1Patient Review
5/26/2016
Stendra for Inability to have an Erection
This pill is totally useless. It killed any sexual desire I may have had and even with my girlfriend's help, I could not get an erection.
1Patient Review
4/20/2018
Stendra for Inability to have an Erection
I was really disappointed with this medication. Not only did it not help me achieve an erection, but it also made my face red. I wouldn't recommend it to anyone.
image of drug pills surrounding a glass of water symbolizing drug consumption

Patient Q&A Section about stendra

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

What is the medicine avanafil used for?

"This medicine is used to treat erectile dysfunction in men. It belongs to a group of medicines called phosphodiesterase 5 (PDE5) inhibitors."

Answered by AI

When should I take avanafil?

"Avanafil comes in the form of a tablet that is meant to be taken orally. The recommended dosage for men is 100-mg or 200-mg, and it should be taken with or without food, depending on the need, about 15 minutes before sexual activity. The recommended dosage for men taking the 50-mg dose is to take it with or without food, depending on the need, about 30 minutes before sexual activity."

Answered by AI

Is avanafil good for Ed?

"Avanafil is safe and effective for treating erectile dysfunction in men with diabetes. It is effective as early as 15 minutes and more than 6 hours after dosing. The adverse events seen with avanafil are similar to those seen with other phosphodiesterase 5 inhibitors."

Answered by AI

Can you take avanafil with high blood pressure?

"It is important that your doctor knows when you last took avanafil if you need emergency medical care for a heart problem. Do not use this medicine if you are also using a nitrate medicine, often used to treat angina (chest pain) or high blood pressure."

Answered by AI

Clinical Trials for Stendra

Image of Wake Forest University Health Sciences in Winston-Salem, United States.

Exparel/Bupivacaine Mixture for Postoperative Pain in Erectile Dysfunction Surgery

18+
Male
Winston-Salem, NC
The inflatable penile prosthesis (IPP) is the gold standard for surgical management of erectile dysfunction (ED) and there is no consensus on the best postoperative pain management regimen. In the wake of the opioid epidemic, postoperative pain management is heavily scrutinized. The National Institute of Health estimated over 81,000 individuals died following overdose of any opioids in 2022 alone; of these, over 14,000 deaths were linked to prescription opioids. Thus, strategies to minimize postoperative pain should not only improve patient experience but also lessen the need to escalate to opioid usage.
Phase 4
Waitlist Available
Wake Forest University Health SciencesRyan Terlecki, MD
Image of Mount Sinai Hospital in New York, United States.

SAFE Technique for Erectile Dysfunction

18+
Male
New York, NY
Robotic-assisted radical prostatectomy (RALP) has become the standard of care in the management of localized prostate cancer. However, post-prostatectomy erectile dysfunction (ED) and urinary incontinence still pose a challenge that adversely affects the patient's quality of life. Hydrodissection (HD) was introduced in 1987 in the medical field and it was tested for the first time during a retropubic radical prostatectomy back in 2005. Since then, research has indicated an improvement in erectile function results, presumably because of a less traumatic neural dissection and a decreased risk of neuropraxia. In an effort to achieve a balance between oncological excision and functional preservation, prostate surgery is evolving to incorporate intraoperative real-time evaluation of extracapsular extension. Recently, a micro-ultrasound operating at 29 MHz has been introduced. It provides a resolution down to 70 μ to assess the glandular pattern and cellular density of the prostatic tissue. Given the experience in more than a thousand cases with this technology, and the growing literature showing promising results in the detection and staging of prostate cancer; the researchers decided to implement this tool as guidance for hydrodissection of the layers of the lateral prostatic fascia. Robotic-Assisted Laparoscopic Prostatectomy and SAFE (Saline assisted fascial engorgement) nerve preservation guided by Microultrasound (MUS) is a prospective randomized controlled trial designed to evaluate the impact of normal saline solution hydrodissection (HD) on erectile function outcomes after RALP. This innovative approach consists of a transrectal ultrasound-guided HD using a high-resolution Microultrasound (MUS) (ExactVu micro-ultrasound, Exact Imaging, Markham, Canada). The technique will be applied to those patients who undergo grade 1, 2, or 3 NS approach taking into account the grading system proposed by Tewari et al. The hypothesis is that the SAFE technique could minimize the risk of a traumatic neurovascular bundle dissection while assessing the prostatic capsule integrity with a high-resolution MUS. The researchers also hypothesize that the use of SAFE along with RALP will optimize the post-surgery recovery of erectile function.
Phase 3
Recruiting
Mount Sinai HospitalAshutosh Kumar Tewari, MBBS, MCh, FRCS (Hon.)
Have you considered Stendra clinical trials? We made a collection of clinical trials featuring Stendra, we think they might fit your search criteria.Go to Trials
Have you considered Stendra clinical trials? We made a collection of clinical trials featuring Stendra, we think they might fit your search criteria.Go to Trials
Have you considered Stendra clinical trials? We made a collection of clinical trials featuring Stendra, we think they might fit your search criteria.Go to Trials
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