Can I get it?
Yes, if a doctor decides it is right for you. Avanafil 50/100/200mg is authorised in the EU and can be prescribed after a medical review.
Avanafil 50/100/200mg · BadajozPrescription only
Online medical consultation for Avanafil 50/100/200mg in Badajoz.
An EU-licensed doctor reviews your case and, if eligible, issues an electronic prescription valid in any pharmacy in Spain. Consultation €35, refunded if the doctor decides it is not safe to prescribe.
- Onset as fast as 15–30 minutes
- The most recent PDE5 molecule
- Narrower side-effect profile in some studies
Start consultationStart consultation · €35
Full refund if a review is not approved · Medication, if prescribed, is dispensed and paid for separately at a pharmacy.
IN PLAIN TERMS
What Avanafil 50/100/200mg is, and how to get treatment
Avanafil is a prescription tablet for erectile dysfunction, authorised across the EU since 2013 and the most recently approved of the tablets in this group. It works like the others by keeping the blood vessels in the penis relaxed so blood can flow in during sexual arousal. The EU product information says the usual 100 mg dose is taken about 15 to 30 minutes before sex. As with the rest of this group, it must never be taken with nitrate heart medicines.
Avanafil 50/100/200mg has been authorised for use in the EU since 21 June 2013, so a licensed doctor can prescribe it when it is clinically appropriate for you.
What can I take instead?
Our doctors review every Sexual health option and recommend what fits your history and goals.
See all Sexual health optionsWhat do the studies show?
Every trial behind Avanafil 50/100/200mg is listed below with its registry number, how many people took part, and whether the results are peer-reviewed or a company announcement.
Jump to the studiesLocal consultation facts
Can I get Avanafil 50/100/200mg in Badajoz?
Yes. People in Badajoz, Spain, can request an online doctor consultation about Avanafil 50/100/200mg with Hi-Doctor. A licensed EU doctor reviews the case and issues a prescription only when clinically appropriate. If approved, the electronic prescription arrives as a QR code that can be dispensed directly in Spain.
Availability
Avanafil 50/100/200mg is available to residents of Spain through the online consultation. A prescription follows only if the doctor approves it.
- Country
- Spain
- Language of service
- Spanish and English
- Prescription turnaround
- In less than 4 hours on average, only if the doctor approves
- Honoured locally
- QR electronic prescription, dispensed directly in Spain
How the EU prescription works where you are: In Spain, an approved prescription arrives electronically with a QR code for direct dispensing.
VERIFIED EVIDENCE
Avanafil 50/100/200mg: evidence and regulatory guide.
WHAT IT IS
How it works
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
DEVELOPMENT STAGE
EU-authorised medicine
Trial register3 registered trials
Every NCT identifier links to its ClinicalTrials.gov record. A readout is not the same as peer-reviewed publication.
| TRIAL / NCT | POPULATION | PARTICIPANTS | STATUS | READOUT / COMPLETION |
|---|---|---|---|---|
| TA-301 — randomised, double-blind, placebo-controlled Phase 3 trialNCT00790751 | Men with mild to severe generalised erectile dysfunction | 646 | Read out | 2012-04-01 |
| TA-302 — randomised, double-blind, placebo-controlled Phase 3 trialNCT00809471 | Men with type 1 or type 2 diabetes and erectile dysfunction | 390 | Read out | 2012-08-01 |
| EU registration programme — four randomised, double-blind, placebo-controlled trials of up to 3 months | General erectile dysfunction, diabetic erectile dysfunction, and erectile dysfunction after bilateral nerve-sparing radical prostatectomy | 1,774 | Read out | — |
What the studies reported
Results are grouped by source and evidence grade so journal data and manufacturer announcements cannot be confused.
Peer-reviewed
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 OR GROUP | MEAN WEIGHT CHANGE | WEEKS |
|---|---|---|
| 50 / 100 / 200 mg | Mean 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 mg | Of 300 attempts made within 15 minutes of dosing, 64% to 71% were successful vs 27% on placebo | 12 |
| 50 / 100 / 200 mg | Of 80 attempts made more than 6 hours after dosing, 59% to 83% were successful vs 25% on placebo | 12 |
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.
Sources
Last reviewed 2026-07-27
- EMA EPAR — Spedra (avanafil), EMEA/H/C/002581, marketing authorisation issued 21/06/2013
- EMA — Spedra EPAR product information (SmPC sections 4.2, 4.8, 5.1; general-population success rates ~47% / 58% / 59% for 50 / 100 / 200 mg vs ~28% placebo)
- J Sex Med 2012 — Randomised, double-blind, placebo-controlled evaluation of avanafil (PMID 22248153)
- ClinicalTrials.gov — TA-301 avanafil Phase 3 trial (NCT00790751)
- ClinicalTrials.gov · NCT00790751
- ClinicalTrials.gov · NCT00809471
NAMED SAFETY SIGNALS
What has been reported with 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.
FormOral tablet
FrequencyOn demand
ResultsActs in ~15–30 minutes
StatusPrescription only
About
What is Avanafil 50/100/200mg?
Active ingredient: Avanafil · Dosages: 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.
How it works in the body
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.
How it helps
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.
What to expect
How to take it.
On demand, shortly before sexual activity. The doctor tailors the dose to your response and current medication.
- Take it about 15–30 minutes before sexual activity
- The doctor starts from the dose that fits your case
- Never combine with nitrates
- 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
Your schedule is personal
These are typical steps only. Your doctor adjusts the plan to how you respond and tolerate it — and you can message them at any point.
Safety first
Safety, in full.
Avanafil 50/100/200mg is an effective medicine — and like any medicine it carries risks. Your doctor screens for all of this before prescribing. Here's the honest picture, not just reassurance.
Erectile dysfunction in adult men.
- Take one tablet about 15–30 minutes before sexual activity.
- Maximum one dose per day.
- Sexual stimulation is still required for it to work.
- A heavy or high-fat meal delays the onset of effect.
Who should not take it
- Anyone taking nitrates or nitric-oxide donors (including amyl nitrite 'poppers') — the combination can cause a life-threatening drop in blood pressure.
- Anyone taking riociguat.
- Heart attack or stroke within the last 6 months, unstable angina, or severe heart failure.
- Uncontrolled high blood pressure, or low blood pressure.
- Severe liver or kidney impairment.
- Loss of vision from non-arteritic anterior ischaemic optic neuropathy (NAION) or hereditary retinal disorders.
- Combination with strong CYP3A4 inhibitors such as ketoconazole or ritonavir.
When to seek urgent care
For severe, sudden or unexpected symptoms, call your local emergency number or go to the nearest emergency department. Then let your doctor know through your account chat.
PRICING
You only pay if treatment is approved.
€35 for one sexual-health consultation. Paid once, with no recurring charge.
Sexual health
ONE-OFF
€35 one-off
One consultation, one doctor, one decision.
Nothing stored publicly, ever
Start consultation
Full refund if a review is not approved
WHAT'S INCLUDED
- Consultation reviewed by an EU-licensed doctor
- Electronic prescription if approved
- Full refund if not approved
Full refund if a review is not approved
If a review is not approved, we refund the €35 consultation fee in full.
Note: The medication, if the doctor prescribes it, is paid separately at the pharmacy at the price it sets. Hi-Doctor does not sell medications.
HOW THE DOCTOR DECIDES
A licensed doctor reviews your case, not an algorithm
An EU-licensed doctor reads your questionnaire and answers in less than 2 hours on average.
If the doctor decides it is not safe to prescribe, the consultation fee is refunded in full.
Follow-up happens in the private chat inside your account, under GDPR. No WhatsApp, no SMS.
FREQUENTLY ASKED QUESTIONS
Questions about Avanafil 50/100/200mg.
OTHER SEXUAL HEALTH TREATMENTS
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Find out if it's right for you
See if Avanafil 50/100/200mg is appropriate for you.
Answer a few questions and a licensed EU doctor reviews your case in less than 2 hours on average. Refunded in full if it's not right for you.