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Drug interactions

Avanafil + Hydralazine

Severity: Moderate

Avanafil and Hydralazine: 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

Both agents lower blood pressure by relaxing vascular smooth muscle. Combined use may cause additive hypotension with dizziness or syncope.

What this interaction means in plain words

Avanafil and Hydralazine 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; Hydralazine belongs to Cardiovascular.

Evidence level: Moderate

Why it happens

Additive vasodilatory and hypotensive effects (pharmacodynamic synergism).

What to do

Confirm stable blood pressure before starting avanafil and monitor for hypotension. Start at the lowest dose.

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 Hydralazine?

MediHelp rates the interaction as moderate. Avanafil and Hydralazine 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. Both agents lower blood pressure by relaxing vascular smooth muscle. Combined use may cause additive hypotension with dizziness or syncope.

How serious is the interaction between Avanafil and Hydralazine?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Confirm stable blood pressure before starting avanafil and monitor for hypotension. Start at the lowest dose.

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.

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