AVANAFIL (Generic for STENDRA)

Avanafil 200mg, Oral tablet

Grapefruit juice

· Severity: Moderate

· Notes for Consumers: Grapefruit juice and grapefruit-containing foods may increase the side effects of Avanafil. Avoid grapefruit juice if possible, or do not significantly alter grapefruit juice intake while taking this drug. When taking Avanafil, contact your prescriber immediately if you experience chest pain, dizziness, fainting or falling spells, palpitations, shortness of breath, or a change in your usual heart beat (fast, slow, or irregular heart beat).

· Notes for Professionals: Avanafil serum concentrations may increase with concurrent consumption of grapefruit juice and grapefruit-containing foods; it is possible that avanafil-induced side effects could also be increased in some individuals, although this specific interaction have not been studied. Avanafil is a primary substurate of CYP3A4. Studies have shown that drugs that inhibit CYP3A4 can increase avanafil exposure. Grapefruit juice has been reported to decrease the metabolism of drugs metabolized via this enzyme. Grapefruit juice contains a furano-coumarin compound, 6,7dihydroxybergamottin that inhibits CYP3A4 in enterocytes in the GI tract.

Avanafil 200mg, Oral tablet

Alcohol

· Severity: Moderate

· Notes for Consumers: Do not drink Alcohol to excess (examples, 5 glasses of wine or 5 shots of whiskey) when taking Avanafil. When taken in excess, Alcohol can increase your chances of getting a headache or getting dizzy, increasing your heart rate or lowering your blood pressure.

· Notes for Professionals: Inform patients that substantial consumption of ethanol (e.g., greater than 3 units) in combination with avanafil may increase the potential for orthostatic signs and symptoms, including increase in heart rate, decrease in standing blood pressure, dizziness, and headache. Both alcohol and PDE5 inhibitors including avanafil act as vasodilators. Concomitant use may attenuate the blood-pressure-lowering effects of each individual compound.

<b>DISCLAIMER:</b><em> This drug information content is provided for informational purposes only and is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Patients should always consult their physician with any questions regarding a medical condition and to obtain medical advice and treatment. Drug information is sourced from GSDD (Gold Standard Drug Database ) provided by Elsevier.</em>