Is it safer than other PDE5s?

All PDE5s are safe under medical supervision and without nitrates. Avanafil may produce fewer vasomotor effects in some profiles, but the choice is individualised in consultation.

What if there is no response to avanafil?

The doctor reassesses: dose adjustment, switch to another PDE5, or evaluation of underlying causes (cardiovascular, hormonal, psychological). The change is not self-prescribed.

How long before sex do you take avanafil?

About 15 to 30 minutes before sexual activity, according to the EU product information. That is the recommended window for the usual 100 mg dose, and the maximum is one dose in any 24 hours. A high-fat meal slows absorption, delaying the peak by about 1.25 hours on average, so a heavy meal beforehand can push the onset back. Sexual stimulation is still needed, because the tablet extends a signal that arousal has to start. Your prescriber decides the right strength and timing for you.

Is avanafil the fastest-acting erectile dysfunction tablet?

The EU product information records that avanafil reaches peak blood levels 0.5 to 0.75 hours after a dose taken on an empty stomach, and the EAU guideline table lists that as the shortest time to peak of the four PDE5 inhibitors it compares. In one onset study, about 24.7% of attempts roughly 15 minutes after a 100 mg dose ended in successful intercourse, against 13.78% on placebo. These are separate measurements rather than a head-to-head trial, and they do not mean avanafil suits any individual better. A prescriber weighs onset against duration, other medicines and health conditions.

Why is avanafil described as causing fewer visual side effects?

That comes from enzyme selectivity in the label, not from a proven clinical advantage. The EU product information states avanafil is more than 100-fold more potent against PDE5 than against PDE6, the enzyme in the retina responsible for converting light into nerve signals. Blurred vision is still listed as an uncommon side effect, meaning it affected between 1 in 1,000 and 1 in 100 people in trials. Serious eye events such as non-arteritic anterior ischaemic optic neuropathy have been reported with PDE5 inhibitors as a class. Any sudden change in vision means stopping the tablet and seeking medical advice immediately.

Can I get a consultation for Avanafil 50/100/200mg from Rome?

Yes. Hi-Doctor runs 100 % online across the EU, so if you live in Rome you can fill in the questionnaire and receive the medical review without travelling. The electronic prescription issued by the licensed doctor is valid in any EU pharmacy under Directive 2011/24/EU; outside Spain, the pharmacist dispenses the locally marketed equivalent of the same active ingredient.

Is my sexual health consultation fully confidential?

Yes. All communication happens in the private chat of your account, GDPR-compliant. The doctor treats discretion as a core of the service and there is no history visible outside your consultation.

What is the private electronic prescription and why is it valid across the EU?

The private electronic prescription (Receta Médica Privada Electrónica) is issued by a licensed doctor in Spain. It is a PDF carrying every field required by EU Directive 2011/24/EU (patient, prescriber with country of registration, active ingredient, dose), which makes it legally recognised across all 27 EU member states. In Spanish pharmacies it is dispensed from the QR; outside Spain, the pharmacist dispenses the locally marketed equivalent of the same active ingredient.

How does Hi-Doctor work step by step?

1) Fill in an online medical questionnaire in about 4 minutes. 2) The plan is €25/month for weight loss or €15/month (billed €45 every 3 months) for hair growth; sexual health is €35 per consultation. 3) An EU-licensed doctor reviews your case and, if appropriate, issues an electronic prescription. 4) Collect it at any EU pharmacy. If the review is not approved, the applicable fee is refunded in full.

How much does it cost and what does the price include?

The plan is €25/month for weight loss or €15/month (billed €45 every 3 months) for hair growth; a one-off sexual-health consultation is €35. Each includes a licensed doctor's review and an electronic prescription if approved. If the review is not approved, the applicable fee is refunded in full. Medication is paid for separately at the pharmacy at the price it sets.

Avanafil 50/100/200mg · RomePrescription only

Online medical consultation for Avanafil 50/100/200mg in Rome.

An EU-licensed doctor reviews your case and, if eligible, issues an electronic prescription valid in any pharmacy in Italy. Consultation €35, refunded if the doctor decides it is not safe to prescribe.

Avanafil 50/100/200mg pack shot — a prescription medicine an EU-licensed doctor can prescribe online after a Hi-Doctor consultation in Rome.

Onset as fast as 15–30 minutes
The most recent PDE5 molecule
Narrower side-effect profile in some studies

€35 one-offFull refund if a review is not approved

Start consultation · €35 See how it works

Medication, if prescribed, is dispensed and paid for separately at a pharmacy.

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.

As with other PDE5 inhibitors, headache, flushing or nasal congestion can occur. In some studies avanafil showed somewhat fewer vasomotor effects — the doctor reviews your tolerance at follow-up.

Not suitable if you

Take nitrates for chest pain
Have unstable cardiovascular disease
Have been advised against sexual activity for cardiac reasons

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

Two clear ways to continue your care.

€35 one-off. €25/month for weight loss or €15/month (billed €45 every 3 months) for hair growth.

ONE-OFF

One-off consultation

€35

One consultation, one doctor, one decision.

Start consultation

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 For a one-off consultation, we refund the €35 consultation fee. For a subscription review, we refund that period's fee and cancel the plan.

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 within 24 hours.

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.

Read the full Avanafil 50/100/200mg guide

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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 within 24 hours. Refunded in full if it's not right for you.

Start consultation · €35 See Sexual health

ALSO AVAILABLE IN

The Avanafil 50/100/200mg consultation works the same way across the EU.

MilánIT NaplesIT TurínIT FlorenceIT BolognaIT PalermoIT GenoaIT BariIT CataniaIT

AVAILABLE ACROSS SPAIN