Extra Super Avana is a combination medicine that contains avanafil and dapoxetine. It is designed to address two common male sexual health concerns—erectile dysfunction and premature ejaculation—in a single formulation. Avanafil works to improve blood flow to the penis, aiding in erection, while dapoxetine helps delay ejaculation, thereby enhancing overall sexual performance and satisfaction.

Mechanism of Action
This dual-action tablet works through two distinct mechanisms:

• Avanafil, a phosphodiesterase type 5 (PDE5) inhibitor, enhances blood flow to the penis by preserving the levels of cyclic guanosine monophosphate (cGMP), which helps in achieving and maintaining an erection. It starts acting within fifteen to thirty minutes of intake and works only in response to sexual stimulation.

• Dapoxetine, a selective serotonin reuptake inhibitor (SSRI), increases serotonin activity in the nervous system. This helps delay ejaculation by enhancing control over the ejaculatory reflex and increasing the time between penetration and climax.

  Uses
  Extra Super Avana is used in adult men for the treatment of two conditions:

  1. Erectile Dysfunction – Difficulty in getting or maintaining an erection.

  2. Premature Ejaculation – Ejaculation that occurs sooner than desired during sexual activity.

     Adverse Effects
     While Extra Super Avana is effective for many men, it may cause some side effects.
     Common side effects from avanafil include headache, flushing, nasal congestion, and dizziness. Dapoxetine may cause nausea, dry mouth, restlessness, or insomnia. Some men may also experience mild gastrointestinal discomfort.

     Less common but serious effects can include low blood pressure, sudden changes in vision or hearing, and prolonged erections. Dapoxetine may also occasionally cause mood changes, light-headedness, or fainting, especially when standing up suddenly.

     It is advised not to combine this medicine with alcohol or other central nervous system depressants, and it should not be used by individuals taking nitrates or those with certain heart conditions.

     Medical consultation is important before starting this combination therapy to ensure safety and suitability based on individual health profiles.