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Spedra

Avanafil

Prices from £3.71 per tablet

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    Delivery times vary by location but typically take 1–3 working days after your prescription is approved.
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Spedra Pack Size & Dosage

Spedra (avanafil) tablets are renowned for their rapid action, typically taking effect within 15–30 minutes. Order Spedra from Apomeds for fast, discreet delivery within 24–48 hours. You can either use an existing prescription or consult a partner doctor.

From £4.42 per tablet
  • 48 TABLETS
  • 36 TABLETS
  • 24 TABLETS
  • 12 TABLETS
  • 8 TABLETS
  • 4 TABLETS
From £3.71 per tablet
  • 48 TABLETS
  • 36 TABLETS
  • 24 TABLETS
  • 12 TABLETS
  • 8 TABLETS
  • 4 TABLETS
From £6.61 per tablet
  • 48 TABLETS
  • 36 TABLETS
  • 24 TABLETS
  • 12 TABLETS
  • 8 TABLETS
  • 4 TABLETS
Prices shown include medication, delivery and Apo Global platform fee. Excluding doctor's fee (if applicable).

How to buy Spedra online

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  • Similar treatments

    Special notes

    Special notes

    • Dosages

      Spedra contains avanafil and is available in 50mg, 100mg and 200mg tablets. The usual starting dose is 100 mg, taken as needed before sexual activity, with adjustments based on effectiveness and tolerability. It should not be taken more than once in 24 hours.

      Manufacturer

      Spedra is an original branded medicine marketed in Europe by the Menarini Group, a European pharmaceutical company specialising in cardiovascular and men’s health medicines.

      How to take

      Take Spedra approximately 15–30 minutes before sexual activity, making it one of the faster-acting ED medicines. It can be taken with or without food, although heavy meals may slightly delay its effect. Sexual stimulation is required for the medicine to work.

      Alternatives

      Other treatment options for erectile dysfunction (ED) include medicines containing Sildenafil, Tadalafil, and Vardenafil, as well as branded erectile dysfunction treatments (branded Viagra, Cialis, Levitra) depending on individual preference and response.

      Storage conditions

      Store Spedra tablets below 30°C, in the original packaging, protected from moisture and heat. Keep out of sight and reach of children and do not use after the expiry date.

    Important information about Spedra

    What is Spedra?

    Spedra (avanafil) is the newest erectile dysfunction medication in the PDE-5 inhibitor class. The active ingredient in Spedra, avanafil, was specifically developed to offer two key advantages: the fastest onset of action and exceptionally high selectivity, making it a popular choice for men looking to buy Spedra online.

    The fastest onset of action: Unlike older medications that take 30–60 minutes, Spedra can start working in as little as 15-30 minutes—and some users report improvements from about 12 minutes. This makes it ideal for men seeking increased spontaneity.

    High selectivity and good tolerability: Avanafil was developed to be highly selective for the PDE-5 enzyme in the penis. This means less impact on other phosphodiesterases in the body and potentially fewer side effects from Spedra compared to older PDE-5 inhibitors.

    Balanced duration of action: Spedra’s effect lasts up to 6 hours, long enough for natural flexibility without the prolonged action of medicines like Cialis.

    How effective is Spedra?

    Clinical trials show that Spedra is effective for most men when used correctly. In the pivotal Phase III study, 59% of men taking the 200 mg dose were able to successfully complete intercourse, compared to just 28% of those taking a placebo — more than doubling the success rate. [1]

    Even in harder-to-treat groups, such as men with type 2 diabetes, avanafil produced meaningful improvements, with success rates of up to 45% compared to 16% for the placebo group. [2]

    Spedra also stands out for its speed: it is the fastest-acting licensed erectile dysfunction treatment available, with measurable effects as early as 15 minutes after taking the tablet — though most men achieve the most reliable result by waiting 30 minutes. [3]

    Spedra dosage: timing and usage

    Dosages

    50 mg, 100 mg and 200 mg

    Recommended starting dose

    Spedra 100 mg

    Maximum dose

    Spedra 200 mg

    Dose timing

    15 - 30 minutes before sexual activity

    Effect duration

    Up to 6 hours

    Condition

    Requires sexual stimulation

    Minimum interval between doses

    24 hours

    Taking with food

    Can be taken independently of meals, but avoid very high-fat meal

    Spedra with alcohol

    Avoid drinking alcohol excessively

    How does Spedra work for erectile dysfunction treatment?

    Spedra belongs to the PDE-5 inhibitor class. Its active ingredient, avanafil, blocks the PDE-5 enzyme that breaks down cGMP, a messenger responsible for relaxing blood vessel walls in the penis.

    During sexual stimulation, nitric oxide increases cGMP production. By inhibiting PDE-5, Spedra helps cGMP remain active longer, allowing better blood flow into the erectile tissue and supporting firmer erections.

    Important: Spedra tablets (as well as other ED medications) only work with sexual stimulation and do not increase libido.

    Is Spedra available without a prescription?

    No, Spedra is a prescription medication. It is not legal to buy avanafil tablets without a prescription. A doctor's assessment ensures that the medication is suitable for you, that there are no dangerous interactions, and that the dosage is correct. This also applies if you wish to buy Spedra online.

    Depending on your prescribed strength, you can buy Spedra 50 mg, buy Spedra 100 mg or buy Spedra 200 mg, allowing your doctor to tailor the treatment to your individual response and level of erectile dysfunction.

    Who is Spedra suitable for?

    Spedra tablets are suitable for adult males with erectile dysfunction who value rapid onset of action and spontaneity. It is particularly advantageous to order Spedra for:

    • Men who desire spontaneity: The rapid onset of action after 15-30 minutes allows for spontaneous sex without long waiting times.
    • First-time users of ED meds: Spedra's good tolerability due to high selectivity makes it a good choice for men trying ED treatments for the first time.
    • Patients with side effects from other erectile dysfunction medications: Men who have experienced bothersome side effects such as visual disturbances or nasal congestion with other PDE-5 inhibitors often tolerate Spedra better.
    • Men with occasional erectile dysfunction: The duration of action of up to 6 hours is ideal for occasional use without an excessively long effect.

    However, before ordering Spedra, you should always consult a doctor to determine whether:

    • Cardiovascular diseases are present
    • Other medications are being taken
    • Severe liver or kidney disease exists
    • An allergy to avanafil or other ingredients is present.

    How to take Spedra correctly to treat erectile dysfunction?

    Recommended dosage of Spedra:

    The standard dose is 100 mg of avanafil approximately 15 to 30 minutes before sexual activity. Depending on effectiveness and tolerability, the dose may be adjusted by increasing to 200 mg or lowering to 50 mg. 

    Important notes:

    • Take Spedra tablets at most once a day
    • A minimum interval of 24 hours between doses must be observed.
    • Swallow the tablet whole with a glass of water.
    • It can be taken regardless of meals.
    • For optimal effectiveness of Spedra: Avoid very fatty meals immediately before taking it.
    • When taken on an empty stomach: Fastest onset of action possible after 15 minutes.

    Avoid overdosing:

    Exceeding the recommended maximum dose of Spedra 200 mg does not lead to better results, but significantly increases the risk of Spedra side effects.

    When should Spedra not be taken?

    You should not buy or take Spedra if you:

    • are allergic to avanafil or any other ingredients in the medication
    • are taking nitrates or nitric oxide donors (e.g. for angina pectoris)
    • are taking guanylate cyclase stimulators such as riociguat
    • are taking strong CYP3A4 inhibitors such as ketoconazole, itraconazole, ritonavir, indinavir, saquinavir, nelfinavir, atazanavir or clarithromycin
    • have severe cardiovascular disease or recent stroke or heart attack (within the last 6 months)
    • have uncontrolled high blood pressure or very low blood pressure (below 90/50 mm Hg)
    • have severe liver failure (Child-Pugh class C)
    • have severe renal impairment with creatinine clearance below 30 ml/min
    • have previous vision loss due to non-arteritic anterior ischaemic optic neuropathy (NAION)
    • have congenital degenerative retinal disorders

    Spedra is not approved for women or persons under the age of 18.

    Tell your doctor if you have an anatomical deformity of the penis, including Peyronie’s disease, as this may increase the risk of complications such as a prolonged or painful erection and should be considered before using Spedra.

    Side effects of Spedra: What to expect

    Frequently (up to 1 in 10)

    headache, flushing, nasal congestion

    Occasionally (up to 1 in 100)

    dizziness, tiredness, sinus congestion, back pain, rapid heartbeat, palpitations, indigestion, nausea, blurred vision, raised liver enzymes

    Rarely (up to 1 in 1,000)

    allergic symptoms, chest pain, high blood pressure, abdominal pain, diarrhoea, genital itching, spontaneous erections without stimulation, swelling of feet/ankles, blood in urine, abnormal PSA or creatinine levels, fever, nosebleeds

    Most side effects of Spedra are mild and short-lived.

    Seek urgent medical treatment if you experience:

    • persistent erection lasting >4 hours (priapism)
    • sudden decrease or loss of vision or hearing loss
    • severe chest pain 
    • severe allergic reaction with swelling

    A complete list is available in the package leaflet.

    Which medications are incompatible with Spedra?

    Avoid combining Spedra with:

    • Nitrates & NO-donors – dangerous drop in blood pressure
    • Strong CYP3A4 inhibitors – significant increase in avanafil levels
    • Moderate CYP3A4 inhibitors (e.g., erythromycin, grapefruit juice) – limit to max. Spedra 100 mg, 48-hour spacing
    • Alpha-blockers – risk of hypotension unless stable on therapy
    • Other erectile dysfunction medications – never mix PDE-5 inhibitors
    • Excessive alcohol – can worsen dizziness/headache

    Important:

    Always inform your doctor about all medications you are taking – including over-the-counter medications and herbal preparations.

    Spedra vs. Viagra: what's the difference?

    Spedra (avanafil) and Viagra (sildenafil) are both PDE5 inhibitors that work in the same way, increasing blood flow to the penis during sexual stimulation. They are both clinically proven to effectively treat erectile dysfunction. The main practical differences come down to speed and tolerability.

    Spedra acts faster, with effects possible from around 30 minutes, compared to 45–60 minutes for Viagra. It also has a lower rate of visual side effects, such as the blue-tinge disturbance sometimes reported with sildenafil.

    However, Viagra has over 25 years of real-world data behind it and is available in three dose strengths (25 mg, 50 mg and 100 mg). Generic sildenafil is also substantially cheaper than Spedra, which remains under patent. If cost is a factor and you are not in a hurry, buy Viagra or its generic version, as this is the more economical option. However, if speed of onset and tolerability are the priority, discuss Spedra with your prescriber.

    Experiences with Spedra

    Feedback from users of Spedra is consistently positive, particularly among men who have tried other erectile dysfunction treatments without achieving full satisfaction, especially those who found the timing demands of sildenafil inconvenient, or who experienced side effects such as flushing and visual disturbances.

    The faster onset is the most frequently cited advantage in forum discussions and patient reviews; men describe being able to take the tablet and then engage in sexual activity naturally, without having to time it. In clinical trials, Spedra was also associated with lower discontinuation rates due to side effects than some other PDE5 inhibitors, which aligns with patient reports.

    The most common complaints in user accounts are the price, as Spedra is significantly more expensive than generic sildenafil or tadalafil.

    "...found that for me, Avanafil (Spedra) is extremely effective and reliable. Much faster onset (15/30 minutes) and zero side effects (no congestion, no blushing, no blue vision). It is however much more expensive, and I have no clue for how long it will remain effective for me."

    franktalk.org

    As for tolerability, occasional headaches are the most frequently reported side effect across the PDE5 inhibitor class.

    "I often get a 36-hr headache on Cialis, and a racing heartrate on Viagra. Stendra (edit. another brand name of Avanafil) is just a little stuffy nose and very mild headache, and then only sometimes. I started at 50mg which didn't seem to do much, and now take 100mg which works fine. The erections feel very 'natural'."

    reddit.com

    Spedra tends to earn loyal users among men who have not responded well to other treatments or who simply want a faster, cleaner experience. However, for those trying an ED medication for the first time, most prescribers still start with sildenafil or tadalafil, given the cost difference and the depth of long-term data behind both.

    Where to buy Spedra safely in the UK?

    At the local pharmacy:

    With a valid doctor's prescription, you can buy Spedra from any licensed pharmacy. You will also receive personalised advice on dosage and administration.

    Online with a medical check-up through online doctor services:

    You can also buy Spedra online through a reliable healthcare platform like Apomeds. If you meet the requirements, you will receive an e-prescription and the medication will be conveniently delivered to your home.

    Warning about dubious offers:

    Websites advertising with claims like " Buy Spedra without a prescription " are operating illegally. Such products may be counterfeit, ineffective, or even harmful to your health.

    How much does Spedra cost in the UK?

    Spedra is one of the pricier ED treatments available in the UK, largely because avanafil remains under patent and no generic equivalent is currently licensed. Prices vary by dose and pack size, but as a guide:

    Pack size

    Spedra 50 mg

    Spedra 100 mg

    Spedra 200 mg

    4 tablets

    £30–35

    £35–40

    £40–50

    8 tablets

    £55–65

    £60–70

    £70–85

    Spedra prices are approximate.

    For context, a single Spedra tablet typically costs around £8–12, compared to under £2 for generic sildenafil or tadalafil in similar pack sizes. The price premium reflects the novelty of the compound and the absence of generic competition — not a difference in how the drug works.

    Dr Dora Matis
    Medically reviewed by: 
    Medical doctor specialising in clinical psychiatry and psychotherapy. Dr Matis reviews Apomeds health content to ensure medical accuracy and compliance with current clinical evidence.

    • [1] Goldstein I, et al. A randomized, double-blind, placebo-controlled evaluation of the safety and efficacy of avanafil. J Sex Med. 2012;9(4):1122–1133. doi.org/10.1111/j.1743-6109.2011.02629.x

      [2] Goldstein I, et al. Avanafil for the treatment of erectile dysfunction in men with diabetes. Mayo Clin Proc. 2012;87(9):843–852. doi.org/10.1016/j.mayocp.2012.06.016

      [3] Burke RM, Evans JD. Avanafil for treatment of erectile dysfunction: review of its potential. Vasc Health Risk Manag. 2012;8:517-523. doi: 10.2147/VHRM.S26712

    Patient Information Leaflet

    Package leaflet for Spedra 50 mg, 100 mg and 200 mg for download.

    Meet the Medical Advisory Board

    See all experts arrow
    • Spedra remains effective for approximately 4 to 6 hours after taking the tablet. This is broadly comparable to sildenafil (Viagra), though the window begins earlier given Spedra's faster onset. The drug itself stays in the body longer — the half-life of avanafil is around 5 hours — but the clinically relevant period for achieving an erection with sexual stimulation is 4 to 6 hours for most men.

    • Yes, through a reputable online provider. Spedra is a prescription-only medicine, so any legitimate service will require you to complete a medical consultation before a prescription is issued and the medication dispensed. Apomeds offers a regulated online consultation process; once approved, Spedra is delivered discreetly, usually within one to three working days.

    • The duration of effect at 200 mg is the same as at lower doses — around 4 to 6 hours. The higher dose does not extend the window of action; it increases the likelihood and reliability of response within that window, which is why 200 mg is typically prescribed when 100 mg has not produced a sufficient effect.

    • No. Avanafil (Spedra) is a prescription-only medicine in the UK and cannot be purchased without a valid prescription. Any website offering it without a medical consultation is operating outside UK law. A regulated online provider makes obtaining a prescription straightforward — but the medical step cannot be skipped.

    • Rarely. NHS prescribing of PDE5 inhibitors for erectile dysfunction is restricted under Schedule 11 of the NHS Regulations, and Spedra is not routinely available on an NHS prescription. In practice, even when NHS prescribing of ED medication is appropriate, sildenafil is almost always the preferred option given its cost. Spedra is typically obtained via private prescription.

    • Less than with sildenafil. A high-fat meal can delay the absorption of Spedra slightly, but the effect is less pronounced than the food interaction seen with Viagra. For the fastest and most consistent onset, taking Spedra on an empty stomach or after a light meal is advisable — but unlike sildenafil, a normal meal is unlikely to meaningfully delay or reduce the effect for most men.

    • Generally no, when used appropriately. However, Spedra can slightly lower blood pressure. Men with cardiovascular disease, severe hypertension, or relevant risk factors should use it only after medical evaluation.

    • Spedra 200 mg is the maximum dose. If it is not effective, speak to a doctor to assess timing, interactions, health conditions or alternative erectile dysfunction treatments.

    While we take great care to ensure that the information is accurate, it is not a substitute for professional medical advice. If you have questions about a specific treatment, prescription or medication, please consult a doctor or pharmacist.

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