Top Avana (Avanafil with Dapoxetine HCL)

Top Avana (Avanafil with Dapoxetine HCL) is a combination product. Depending on the item, it may combine a PDE5 ingredient for erectile support with another active ingredient such as dapoxetine, duloxetine, fluoxetine, or a second ED ingredient.

Combination products need more caution than single-ingredient ED tablets because interactions and side effects can overlap.

Use only the selected product as directed on the label. Do not combine it with other ED tablets, antidepressants, alcohol-heavy use, or recreational drugs unless a clinician has checked that it is appropriate.

• Do not use with nitrates or recreational poppers.
• Do not take extra doses to increase the effect.
• Ask a clinician first if you take antidepressants, blood-pressure medicines, alpha-blockers, or heart medicines.

Side effects depend on the active ingredients. PDE5-related effects may include headache, flushing, indigestion, nasal congestion, dizziness, or vision changes. Dapoxetine/SSRI-type ingredients may add nausea, sleepiness, dry mouth, sweating, mood changes, or faintness.

Seek urgent help for chest pain, fainting, serotonin-syndrome symptoms, sudden vision or hearing changes, or a painful/prolonged erection.

Current product price range: $82.99 – $439.99.

Combination products can vary widely by strength and pack size. Confirm the live USD price in the selectors above before checkout.

Approved customer reviews appear on the product page when available. For combination products, compare reviews with the ingredient list and safety notes.

If you get side effects, stop and speak with a healthcare professional. This includes side effects not listed on the product page or leaflet.