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Avanafil 50/100/200mgSolo su prescrizione

Consulto medico online per Avanafil 50/100/200mg.

Un medico autorizzato dall'UE esamina il Suo caso e, se idoneo, rilascia una prescrizione elettronica valida in qualsiasi farmacia dell'UE ai sensi della direttiva 2011/24/UE.

Confezione di Avanafil 50/100/200mg — farmaco su prescrizione che un medico abilitato nell'UE può prescrivere online dopo una consulenza Hi-Doctor.
  • Onset as fast as 15–30 minutes
  • The most recent PDE5 molecule
  • Narrower side-effect profile in some studies
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IN PAROLE SEMPLICI

Cos’è Avanafil 50/100/200mg e come ottenere un trattamento

Avanafil è una compressa con obbligo di ricetta per la disfunzione erettile. È autorizzato in tutta l’UE dal 2013 ed è la compressa di questo gruppo approvata più di recente. Agisce come le altre mantenendo rilassati i vasi sanguigni del pene, così il sangue può affluire durante l’eccitazione sessuale. Le informazioni sul prodotto dell’UE indicano che la dose abituale di 100 mg va assunta circa 15-30 minuti prima del rapporto sessuale. Come gli altri medicinali di questo gruppo, non deve mai essere assunto con medicinali nitrati per il cuore.

Avanafil 50/100/200mg è autorizzato per l’uso nell’UE dal 21 giugno 2013. Un medico abilitato può quindi prescriverlo quando è clinicamente adatto a Lei.

Posso ottenerlo?

Sì, se un medico ritiene che sia adatto a Lei. Avanafil 50/100/200mg è autorizzato nell’UE e può essere prescritto dopo una valutazione medica.

Cosa posso prendere al suo posto?

I nostri medici esaminano ogni opzione per Salute sessuale e consigliano quella più adatta alla Sua storia clinica e ai Suoi obiettivi.

Veda tutte le opzioni per Salute sessuale

Cosa mostrano gli studi?

Tutti gli studi su Avanafil 50/100/200mg sono elencati qui sotto con il numero di registro, il numero di partecipanti e l’indicazione se i risultati sono stati sottoposti a revisione paritaria o provengono da un annuncio dell’azienda.

Vada agli studi

EVIDENZE VERIFICATE

Avanafil 50/100/200mg: guida alle evidenze e alla regolamentazione.

CHE COS’È

Come agisce

Avanafil blocks the PDE5 enzyme that normally ends an erection, letting the blood vessels in the penis stay relaxed and fill with blood when a man is sexually aroused.

  • PDE5

FASE DI SVILUPPO

Medicinale autorizzato nell’UE

Registro degli studi3 studi registrati

Ogni identificativo NCT rimanda al record ClinicalTrials.gov. Una comunicazione dei risultati non equivale a una pubblicazione sottoposta a revisione paritaria.

Studi registrati per Avanafil 50/100/200mg
STUDIO / NCTPOPOLAZIONEPARTECIPANTISTATORISULTATO / COMPLETAMENTO
TA-301 — randomised, double-blind, placebo-controlled Phase 3 trialNCT00790751Men with mild to severe generalised erectile dysfunction646Con risultati2012-04-01
TA-302 — randomised, double-blind, placebo-controlled Phase 3 trialNCT00809471Men with type 1 or type 2 diabetes and erectile dysfunction390Con risultati2012-08-01
EU registration programme — four randomised, double-blind, placebo-controlled trials of up to 3 monthsGeneral erectile dysfunction, diabetic erectile dysfunction, and erectile dysfunction after bilateral nerve-sparing radical prostatectomy1,774Con risultati

Che cosa hanno riportato gli studi

I risultati sono separati per fonte e grado di evidenza, così i dati scientifici non vengono confusi con gli annunci del produttore.

Revisione paritaria
Goldstein I, McCullough AR, Jones LA, Hellstrom WJ, Bowden CH, Didonato K, Trask B, Day WW. A randomized, double-blind, placebo-controlled evaluation of the safety and efficacy of avanafil in subjects with erectile dysfunction. J Sex Med 2012;9(4):1122-1133. doi:10.1111/j.1743-6109.2011.02629.x (PMID 22248153)
Goldstein I, McCullough AR, Jones LA, Hellstrom WJ, Bowden CH, Didonato K, Trask B, Day WW. A randomized, double-blind, placebo-controlled evaluation of the safety and efficacy of avanafil in subjects with erectile dysfunction. J Sex Med 2012;9(4):1122-1133. doi:10.1111/j.1743-6109.2011.02629.x (PMID 22248153)
DOSE O GRUPPOVARIAZIONE MEDIA DEL PESOSETTIMANE
50 / 100 / 200 mgMean change in SEP2 and SEP3 success rates and in IIEF erectile function domain score significantly favoured every dose over placebo (p<=0.001)12
50 / 100 / 200 mgOf 300 attempts made within 15 minutes of dosing, 64% to 71% were successful vs 27% on placebo12
50 / 100 / 200 mgOf 80 attempts made more than 6 hours after dosing, 59% to 83% were successful vs 25% on placebo12

The 15-minute and 6-hour figures come from small subsets of attempts (300 and 80 respectively) inside a 12-week trial, so they are much less precise than the overall 12-week results.

SEGNALI DI SICUREZZA IDENTIFICATI

Che cosa è stato segnalato con Avanafil 50/100/200mg.

Headache

Listed as common in the EU product information — between 1 in 100 and 1 in 10 men — and named as one of the most frequently reported reactions across a safety database of 2,566 exposed subjects.

Flushing

Listed as common in the EU product information — between 1 in 100 and 1 in 10 men.

Nasal congestion

Listed as common in the EU product information — between 1 in 100 and 1 in 10 men. Sinus congestion is listed as uncommon.

Back pain

Listed as uncommon in the EU product information adverse-reaction table — between 1 in 1,000 and 1 in 100 men — although the safety summary names it among the most frequently reported reactions.

Dizziness and blurred vision

Both listed as uncommon in the EU product information — between 1 in 1,000 and 1 in 100 men.

Use with nitrates

Contraindicated with nitrate medicines and nitric-oxide donors, and in men with serious cardiovascular conditions such as recent heart attack, stroke or unstable angina.

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FormaCompressa orale
FrequenzaAl bisogno
RisultatiActs in ~15–30 minutes
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Sul trattamento

Che cos'è Avanafil 50/100/200mg?

Commercializzato anche come Spedra, Stendra.

Principio attivo: Avanafil · Dosaggi: 50 / 100 / 200 mg on demand

Avanafil is the most recent PDE5 inhibitor, with fast onset (15–30 minutes) and a somewhat narrower side-effect profile in some studies. It's useful when timing flexibility matters.

It's prescribed at 50, 100 or 200 mg on demand, around 15–30 minutes before sexual activity. If there's no response, the doctor reassesses: dose adjustment, a switch to another PDE5, or evaluation of underlying causes — never a self-prescribed change.

COME AGISCE

Che cosa fa Avanafil 50/100/200mg nel tuo corpo

Avanafil inhibits the PDE5 enzyme, improving penile blood flow in response to sexual stimulation. Its rapid absorption gives it one of the fastest onsets in the class.

  1. Arousal releases nitric oxide

    Avanafil does nothing on its own. When you are sexually aroused, nerves and blood-vessel lining in the penis release a gas called nitric oxide. That release is the trigger for everything that follows, which is why the EU product information states that sexual stimulation is required for the tablet to work.

  2. Nitric oxide raises cGMP

    Nitric oxide switches on an enzyme that makes cyclic guanosine monophosphate, usually shortened to cGMP. cGMP is the chemical messenger that tells the smooth muscle inside the erectile tissue to relax. As that muscle relaxes, blood flows into the penis faster than it drains away, and an erection builds.

  3. Avanafil blocks the cGMP breaker

    An enzyme called phosphodiesterase type 5, or PDE5, normally breaks cGMP down and ends the erection. Avanafil is described in the EU label as a highly selective, potent, reversible inhibitor of PDE5, so cGMP lasts longer and an erection is easier to reach and to keep.

Come aiuta

How it helps.

Fastest onset

Can act in as little as 15–30 minutes.

Modern molecule

The newest PDE5, with fewer vasomotor effects in some profiles.

Doctor-screened

The dose is tailored to your response and current medication.

Cosa aspettarsi

How to take it.

On demand, shortly before sexual activity. The doctor tailors the dose to your response and current medication.

  1. Take it about 15–30 minutes before sexual activity
  2. The doctor starts from the dose that fits your case
  3. Never combine with nitrates
  4. If there's no response, the doctor reassesses — don't self-adjust

Doses your doctor can prescribe

  • Available doses50 / 100 / 200 mg
  • When~15–30 min before activity

NELLA VITA QUOTIDIANA

Usare Avanafil 50/100/200mg nella vita quotidiana

  1. Take it 15 to 30 minutes ahead

    Swallow one tablet by mouth roughly 15 to 30 minutes before sexual activity. That is the timing given in the EU product information for the usual 100 mg dose, and the same window applies to the 50 mg and 200 mg strengths.

  2. Arousal is still required

    The tablet does not cause an erection by itself. The label is explicit that sexual stimulation is needed for a response, because avanafil only extends a chemical signal that arousal starts in the first place.

  3. One dose in 24 hours

    The maximum recommended dosing frequency is once per day. Taking a second tablet because the first seemed not to work is outside the licence and raises the risk of low blood pressure, dizziness and fainting.

  4. Food is allowed, fat slows it

    You can take avanafil with or without food. A high-fat meal delays the peak blood level by about 1.25 hours on average and lowers it by about 39%, so a heavy meal beforehand can push back the onset.

  5. Avoid grapefruit juice

    Grapefruit juice inhibits the CYP3A4 enzyme that clears avanafil, which would raise the amount in your blood. The label advises avoiding grapefruit juice in the 24 hours before a dose.

  6. Be careful with alcohol

    Alcohol combined with avanafil made the drop in diastolic blood pressure significantly larger than either alone in a crossover study. Drinking raises the chance of dizziness, light-headedness or fainting after a dose.

  7. Report back to your prescriber

    Tell the prescriber whether the dose worked, how it was tolerated and what else you take. Any change of strength, or a decision to stop, is theirs to make with you rather than something to try alone.

Sicurezza prima di tutto

La sicurezza, per intero.

Avanafil 50/100/200mg è un farmaco efficace — e, come ogni farmaco, comporta dei rischi. Il medico verifica tutto questo prima di prescrivere. Ecco il quadro onesto, non solo una rassicurazione.

Effetti indesiderati, per frequenza

Stop and get urgent medical help if

seek medical help immediately

these need urgent attention, whatever the frequency

  • An erection lasts 4 hours or more, which is priapism and can permanently damage penile tissue
  • Sudden loss or disturbance of vision in one or both eyes
  • Sudden reduction or loss of hearing, sometimes with ringing in the ears and dizziness
  • Chest pain or chest tightness during or shortly after sex
  • Fainting, near-fainting or severe light-headedness after a dose
  • Swelling of the face, lips, tongue or throat, a rash, or difficulty breathing

Common

common (≥1/100 to <1/10)

roughly between 1 in 100 and 1 in 10 people

  • Headache
  • Flushing, a warm reddening of the face and neck
  • Blocked nose

Uncommon

uncommon (≥1/1,000 to <1/100)

roughly between 1 in 1,000 and 1 in 100 people

  • Dizziness or drowsiness
  • Sinus headache
  • Blurred vision
  • Palpitations, a noticeable heartbeat
  • Hot flushes
  • Blocked sinuses, or breathlessness on exertion
  • Indigestion, nausea, vomiting or stomach discomfort
  • Back pain or muscle tightness
  • Tiredness
  • Raised liver enzymes, a faster heart rate or an abnormal heart tracing on testing

Rare

rare (≥1/10,000 to <1/1,000)

roughly between 1 in 10,000 and 1 in 1,000 people

  • Chest pain or angina, a fast heartbeat
  • High or low blood pressure
  • Runny nose, congested airways or nosebleed
  • Dry mouth, gastritis, lower abdominal pain or diarrhoea
  • Rash
  • Flank pain, muscle aches or muscle spasms
  • Passing urine more often
  • Penile discomfort, an unprompted erection or genital itching
  • Weakness, swollen ankles or a flu-like feeling
  • Insomnia, premature ejaculation or restlessness

Disfunzione erettile negli uomini adulti.

  • Assuma una compressa circa 15–30 minuti prima dell'attività sessuale.
  • Massimo una dose al giorno.
  • La stimolazione sessuale resta necessaria perché funzioni.
  • Un pasto abbondante o ricco di grassi ritarda l'inizio dell'effetto.

CHI NON DEVE ASSUMERLO E CHI RICHIEDE CAUTELA

  • You use organic nitrates or nitric oxide donors in any form, including glyceryl trinitrate spray and amyl nitrite
  • You take riociguat or another guanylate cyclase stimulator, because blood pressure can fall dangerously
  • You take a potent CYP3A4 inhibitor such as ketoconazole, itraconazole, ritonavir, atazanavir, clarithromycin, indinavir, nefazodone, nelfinavir, saquinavir or telithromycin
  • You have had a heart attack, a stroke or a life-threatening abnormal heart rhythm in the last 6 months
  • Your resting blood pressure is below 90/50 mmHg or above 170/100 mmHg
  • You have unstable angina, angina brought on by sex, or heart failure of New York Heart Association class 2 or above
  • You have severe liver impairment (Child-Pugh class C) or severe kidney impairment (creatinine clearance below 30 mL/min)
  • You have lost vision in one eye from non-arteritic anterior ischaemic optic neuropathy, or you have an inherited degenerative retinal disorder
  • You are allergic to avanafil or to any of the tablet's other ingredients
  • Do not combine it with other PDE5 inhibitors or other erectile-dysfunction treatments, because the combination is unstudied and raises the risk of prolonged erection; caution also applies if the penis is anatomically deformed, for example by angulation, cavernosal fibrosis or Peyronie's disease, or if you have a condition that predisposes to priapism such as sickle cell anaemia, multiple myeloma or leukaemia

Farmaci e sostanze che interagiscono

Interazioni tra Avanafil 50/100/200mg e altri farmaci
FARMACO O SOSTANZACOSA PUÒ ACCADERECOSA FA IL MEDICO
Nitrates and nitric oxide donors (e.g. GTN spray, amyl nitrite)Avanafil amplifies the blood-pressure-lowering effect of nitrates, which can become dangerous.Absolute contraindication; the prescriber will not issue avanafil alongside nitrates.
Riociguat and other guanylate cyclase stimulatorsAdditive lowering of systemic blood pressure with no demonstrated clinical benefit.Absolute contraindication; the prescriber chooses a different route for erectile dysfunction.
Potent CYP3A4 inhibitors (ketoconazole, ritonavir and similar)Ketoconazole raised avanafil exposure about 14-fold and lengthened its half-life to roughly 9 hours.Absolute contraindication; the prescriber checks every current medicine before issuing.
Moderate CYP3A4 inhibitors (erythromycin, diltiazem, verapamil, fluconazole)Erythromycin roughly tripled avanafil exposure and lengthened its half-life to about 8 hours.Caps the dose at 100 mg and no more than once every 48 hours.
Alpha-blockers (doxazosin, tamsulosin)Additive widening of blood vessels can cause symptomatic low blood pressure in some men.Starts avanafil at 50 mg, and only once you are stable on the alpha-blocker.
Other blood-pressure-lowering medicines (e.g. amlodipine, enalapril)Small additive falls in blood pressure; amlodipine also raised avanafil exposure by about 60%.Monitors blood pressure and warns you about dizziness on standing.
CYP3A4 inducers (rifampicin, carbamazepine, phenobarbital, efavirenz, bosentan)May clear avanafil faster and reduce how well it works; this has not been studied.Concomitant use is not recommended, so the prescriber reviews alternatives.
Grapefruit juice and alcoholGrapefruit juice raises avanafil levels; alcohol deepens the fall in diastolic blood pressure.Advises no grapefruit juice for 24 hours beforehand and caution with alcohol.
Fai valutare il tuo caso da un medicoÈ esattamente ciò che il medico verifica prima di prescrivere qualsiasi cosa.
Leggi il riepilogo completo sulla sicurezza di Avanafil 50/100/200mg

EVIDENZE

Che cosa hanno rilevato gli studi clinici

Avanafil's EU licence rests on four randomised, double-blind, placebo-controlled trials in 1,774 men, the programme reported by Goldstein and colleagues in 2012.

about 58%
attempts ending in successful intercourse, 100 mg

General population of men with erectile dysfunction

Placebo was about 28%. The 50 mg dose gave about 47% and 200 mg about 59%.

Fonte: Spedra: EU Product Information (Summary of Product Characteristics and package leaflet)
24.7%
successful attempts about 15 minutes after a 100 mg dose

Men with erectile dysfunction · Single dose, measured at about 15 minutes

Time-to-onset study using the SEP3 measure. Placebo was 13.78% and the 200 mg dose gave 28.18%.

Fonte: Spedra: EU Product Information (Summary of Product Characteristics and package leaflet)
about 40%
attempts ending in successful intercourse, 200 mg, men with diabetes

Men with type 1 or type 2 diabetes and erectile dysfunction

Placebo was about 21%, and 100 mg gave about 34%.

Fonte: Spedra: EU Product Information (Summary of Product Characteristics and package leaflet)
about 26%
attempts ending in successful intercourse, 200 mg, after prostate surgery

Men with erectile dysfunction after bilateral nerve-sparing radical prostatectomy

Placebo was about 9%.

Fonte: Spedra: EU Product Information (Summary of Product Characteristics and package leaflet)

These figures are averages across groups of men in trials, not a forecast for any one person. A placebo tablet also worked some of the time, so the gap between avanafil and placebo is the meaningful part rather than the raw percentage. Results varied sharply by underlying cause, with much lower success rates after prostate surgery than in the general group, and an individual response can sit anywhere around these averages.

ALTERNATIVE

Avanafil next to the other PDE5 inhibitors

Avanafil 50/100/200mg a confronto con gli altri trattamenti di quest'area
FARMACOCOME SI ASSUMEOGNI QUANTOINTERVALLO DI DOSE ABITUALEINDICAZIONE AUTORIZZATA NELL'UEEVIDENZA PRINCIPALE
SildenafilCompressa per via oraleAl bisogno, fino a una volta al giorno25 to 100 mgTreatment of men with erectile dysfunction; sexual stimulation is required.EAU-cited trials: 56 to 84% reported improved erections
TadalafilCompressa per via oraleAl bisogno, o 5 mg una volta al giorno2.5 to 20 mgTreatment of erectile dysfunction, and of the signs and symptoms of benign prostatic hyperplasia in adult men.EAU-cited trials: 67 to 81% reported improved erections
VardenafilCompressa per via oraleAl bisogno, fino a una volta al giorno5 to 20 mgTreatment of erectile dysfunction in adult men; sexual stimulation is required.EAU-cited trials: 66 to 80% reported improved erections

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ACCESSO E COSTI

Come ottenere Avanafil 50/100/200mg e quanto costa

Avanafil is prescription-only across the EU, so no pharmacy in any member state can supply it without a valid prescription. Who pays varies: the rows below record what each national medicines register or national formulary states, and say so plainly where the official source does not publish a reimbursement position.

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Come viene dispensato e rimborsato Avanafil 50/100/200mg nell'UE
PAESEREGIME DI FORNITURARIMBORSATO DAL SISTEMA SANITARIO?FONTE UFFICIALE
SpagnaMedicinale soggetto a prescrizione medicaNot stated by the national registerAEMPS CIMA
Mostra gli altri paesi
GermaniaMedicinale soggetto a prescrizione medicaClassed as a lifestyle preparationPharmNet.Bund AMIce
FranciaMedicinale soggetto a prescrizione medicaNot reimbursedBase de données publique des médicaments
ItaliaMedicinale soggetto a prescrizione medicaRestricted — see national criteriaAIFA Medicinali
Paesi BassiMedicinale soggetto a prescrizione medicaNot in the GVS reimbursement systemCBG-MEB Geneesmiddeleninformatiebank
PortogalloMedicinale soggetto a prescrizione medicaNot stated by the national registerINFARMED Infomed
BelgioMedicinale soggetto a prescrizione medicaNot stated by the national registerFAGG-AFMPS medicines database
IrlandaMedicinale soggetto a prescrizione medicaNot stated by the national registerHPRA Find a Medicine
AustriaMedicinale soggetto a prescrizione medicaNot stated by the national registerBASG Medikamente Info Austria
PoloniaMedicinale soggetto a prescrizione medicaNot stated by the national registerRejestr Produktów Leczniczych

PREZZI

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Salute sessuale

UNA TANTUM

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Un consulto, un medico, una decisione.

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COSA È INCLUSO

  • Consulto valutato da un medico abilitato nell'UE
  • Ricetta elettronica in caso di approvazione
  • Rimborso completo in caso di rifiuto

Rimborso completo se una valutazione non viene approvata

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DOMANDE FREQUENTI

Domande su Avanafil 50/100/200mg.

FONTI

Da dove provengono queste informazioni

  1. 01

    Spedra (avanafil): EPAR medicine overview European Medicines Agency, 2026

  2. 02

    Spedra: EU Product Information (Summary of Product Characteristics and package leaflet) European Medicines Agency, 2026

  3. 03

    Spedra 100 mg tablets: Summary of Product Characteristics electronic medicines compendium (Datapharm), 2026

  4. 04

    A randomized, double-blind, placebo-controlled evaluation of the safety and efficacy of avanafil in subjects with erectile dysfunction The Journal of Sexual Medicine 9(4):1122-33, 2012

  5. 05

    EAU Guidelines on Sexual and Reproductive Health: Management of Erectile Dysfunction European Association of Urology, 2026

  6. 06

    Viagra (sildenafil): EPAR medicine overview European Medicines Agency, 2026

  7. 07

    Cialis (tadalafil): EPAR medicine overview European Medicines Agency, 2026

  8. 08

    Levitra (vardenafil): EPAR medicine overview European Medicines Agency, 2025

  9. 09

    CIMA: Spedra 50/100/200 mg comprimidos, authorised and marketed, prescription-only AEMPS (Spanish Agency for Medicines and Medical Devices), 2026

  10. 10

    Avanafil, human medicines with a currently valid German authorisation: 28 entries, Spedra 50, 100 and 200 mg tablets (Menarini International Operations Luxembourg S.A., EU/1/13/841) and parallel-distributed packs, all prescription-only BfArM AMIce, public part, via PharmNet.Bund, Germany, 2026

  11. 11

    § 34 Abs. 1 SGB V: medicines used predominantly to improve sexual potency are excluded from statutory health insurance Bundesministerium der Justiz, Germany, 2026

  12. 12

    Base de données publique des médicaments: SPEDRA 50/100/200 mg, autorisation active, commercialisée, no reimbursement rate listed ANSM / Ministère de la Santé (France), 2026

  13. 13

    Banca Dati Farmaci: Spedra (avanafil), packs in classe C a totale carico dell'assistito and classe A with a therapeutic plan AIFA (Italian Medicines Agency), 2026

  14. 14

    Farmacotherapeutisch Kompas: avanafil (Spedra, Menarini Benelux), marked XGVS, not included in the GVS reimbursement system Zorginstituut Nederland, 2026

  15. 15

    INFOMED: Spedra (avanafil) 50/100/200 mg, Autorizado, at least one presentation marketed INFARMED (Portuguese National Authority of Medicines), 2026

  16. 16

    Geneesmiddelendatabank: Spedra 200 mg tabl., EU/1/13/841, availability recorded per pack, medisch voorschrift FAGG / AFMPS (Belgian Federal Agency for Medicines and Health Products), 2026

  17. 17

    Human Medicines authorised list: Spedra 50/100/200 mg tablets, registration status AU, supply through pharmacies only HPRA (Health Products Regulatory Authority, Ireland), 2026

  18. 18

    Medikamente Info Austria: Spedra 50/100/200 mg Tabletten, no discontinuation of marketing reported, repeat prescription, pharmacy supply BASG (Austrian Federal Office for Safety in Health Care), 2026

  19. 19

    Rejestr Produktów Leczniczych: Spedra (Avanafilum) 50/100/200 mg tabletki, centralised procedure, ATC G04BE10 Ministry of Health / e-Zdrowie (Poland), 2026

Revisionato dal team medico di Hi-Doctor · Ultima revisione 2026-07-27 · Prossima revisione prevista il 2027-07-27

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