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Drug interactions

Avanafil + Carvedilol

Severity: Moderate

Avanafil and Carvedilol: moderate interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Carvedilol has alpha-blocking activity in addition to beta-blockade, so combining it with avanafil may cause additive hypotension. Orthostatic dizziness or syncope is possible, especially at initiation.

What this interaction means in plain words

Avanafil and Carvedilol can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Avanafil belongs to Genitourinary; Carvedilol belongs to Cardiovascular.

Evidence level: Moderate

Why it happens

Additive vasodilation from PDE5 inhibition and the alpha- and beta-blocking activity of carvedilol.

What to do

Start avanafil at the lowest dose in patients on stable carvedilol. Monitor blood pressure and counsel on orthostatic symptoms.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Avanafil with Carvedilol?

MediHelp rates the interaction as moderate. Avanafil and Carvedilol can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Carvedilol has alpha-blocking activity in addition to beta-blockade, so combining it with avanafil may cause additive hypotension. Orthostatic dizziness or syncope is possible, especially at initiation.

How serious is the interaction between Avanafil and Carvedilol?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Start avanafil at the lowest dose in patients on stable carvedilol. Monitor blood pressure and counsel on orthostatic symptoms.

What other medicines interact with Avanafil?

MediHelp also lists interactions of Avanafil with, for example, Amyl nitrite, Atazanavir, Clarithromycin. The full list is on the Avanafil page.

Full monographs, dosing and an interaction checker in the MediHelp app

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