Common use

Extra Super Avana is an enhanced formula dual action ED PE medication combining a higher dose of avanafil (200 mg) with dapoxetine (60 mg) for men who need extra strength treatment of both erectile dysfunction and premature ejaculation. When you buy Extra Super Avana online, you receive a premium combination tablet engineered for maximum sexual performance. Avanafil is a next-generation PDE5 inhibitor known for its rapid onset of action — it increases blood flow to the penile tissue by inhibiting the enzyme that restricts blood vessel dilation, enabling strong and sustained erections during sexual stimulation. Dapoxetine, the SSRI component, works on the serotonin pathways in the brain to significantly delay ejaculation and give men greater control over the duration of intercourse. The extra strength avanafil dosage in this formulation makes it particularly suitable for men who have found standard-dose ED PE treatments insufficient. This dual action ED PE tablet addresses both conditions simultaneously, simplifying treatment and enhancing overall confidence and satisfaction in intimate encounters.



Dosage and direction

Adults should take one Extra Super Avana tablet (200 mg avanafil / 60 mg dapoxetine) approximately 30 minutes before planned sexual activity. The avanafil dapoxetine combination begins working rapidly, with many men experiencing onset of action within 15 to 30 minutes — making this one of the fastest-acting ED PE treatments on the market. The erectile dysfunction component typically remains effective for 4 to 6 hours, while the premature ejaculation benefit is active throughout each sexual encounter. Do not exceed one tablet in any 24-hour period regardless of circumstances. Swallow the pill whole with a full glass of water. Heavy, fatty meals can slow absorption and delay the onset of action, so a light meal or empty stomach is recommended. Your prescribing physician will evaluate whether this enhanced formula dosage is appropriate based on your health profile, previous treatment responses, and any concurrent medications.



Precautions

Before you buy Extra Super Avana, obtain a thorough medical evaluation from a qualified healthcare provider. Test for any allergic reactions to avanafil, dapoxetine, or related compounds before beginning treatment. Alcohol is strictly contraindicated during use — combining alcohol with dapoxetine significantly increases the risk of severe dizziness, dangerously low blood pressure, syncope (fainting), and excessive sedation. Grapefruit and grapefruit juice must be avoided as they interfere with the hepatic metabolism of avanafil through CYP3A4 inhibition, potentially raising blood levels to unsafe concentrations. Rise slowly from sitting or lying positions after taking the medication to avoid orthostatic hypotension. Stay well hydrated during sexual activity. If you experience persistent dizziness, visual disturbances, or chest discomfort, discontinue use and seek medical advice immediately.



Contraindications

Extra Super Avana is strictly prohibited for anyone under 18 years of age. Significant hepatic (liver) dysfunction represents an absolute contraindication, as both active ingredients undergo extensive hepatic metabolism. Cardiovascular conditions that contraindicate use include: heart failure of any severity, unstable angina, recent myocardial infarction or cerebrovascular accident (within 6 months), uncontrolled cardiac arrhythmias, severe hypotension (resting blood pressure below 90/50 mmHg), and uncontrolled severe hypertension. Concurrent use of nitrate medications in any form is absolutely prohibited due to the risk of fatal hypotensive crisis. Patients with retinitis pigmentosa, non-arteritic anterior ischemic optic neuropathy (NAION) history, or conditions predisposing to priapism (sickle cell disease, multiple myeloma, leukemia) must not use this medication. Consult your physician to identify all individual contraindications before purchasing this extra strength dual action sexual performance medication.



Possible side effect

Any severe side effect requires immediate medical attention. Potentially serious adverse reactions from Extra Super Avana include: priapism (a painful erection persisting beyond 4 hours — seek emergency treatment immediately to prevent permanent tissue damage); severe allergic reactions including anaphylaxis, skin rash, urticaria, or angioedema; sudden vision loss in one or both eyes; sudden hearing loss or tinnitus; chest pain, palpitations, or arrhythmia; significant shortness of breath; pronounced swelling of the extremities; and severe hypotension with fainting. Common and generally self-limiting side effects may include mild headache, facial flushing, nasal congestion, dizziness, minor nausea, back pain, and myalgia. The higher avanafil dose in this enhanced formula may produce more pronounced vasodilatory side effects compared to standard-strength products. Report any persistent or concerning symptoms to your healthcare provider without delay.



Drug interaction

The active ingredients in Extra Super Avana have significant interactions with multiple drug classes. Organic nitrates (nitroglycerin, isosorbide dinitrate, isosorbide mononitrate, amyl nitrite) are absolutely contraindicated — co-administration causes severe, potentially fatal drops in blood pressure. Alpha-adrenergic blockers (tamsulosin, doxazosin, terazosin) produce additive hypotensive effects and require careful dose titration if combined. Strong CYP3A4 inhibitors including erythromycin, ketoconazole, itraconazole, ritonavir, and clarithromycin significantly increase avanafil plasma concentrations and must not be taken concurrently with this extra strength formulation. Serotonergic medications including MAO inhibitors, SSRIs, SNRIs, tramadol, triptans, and linezolid must not be combined with the dapoxetine component due to the risk of serotonin syndrome. A minimum 14-day washout from MAO inhibitors and 7 days from other serotonergic drugs is required before starting Extra Super Avana therapy.



Missed dose

Extra Super Avana tablets (200/60 mg avanafil with dapoxetine) are used on an as-needed basis before sexual activity and are not taken on a regular daily schedule. There is no missed dose in the conventional sense. Simply take one tablet before your next planned sexual encounter, ensuring at least 24 hours have passed since your last dose. Never double up on tablets to compensate for a forgotten dose — exceeding one tablet per day significantly increases the risk of serious adverse events.



Overdose

Overdose of Extra Super Avana's avanafil dapoxetine combination can produce life-threatening conditions requiring immediate emergency intervention. Excessive avanafil intake may cause severe hypotension, dangerous priapism resulting in permanent penile tissue damage, and serious visual disturbances. Excessive dapoxetine can trigger serotonin syndrome — characterized by agitation, confusion, rapid heart rate, elevated body temperature, tremor, and muscle rigidity. If you have consumed more than one tablet in a day or suspect overdose, contact emergency medical services immediately. Do not delay seeking help.



Storage

Store Extra Super Avana tablets at controlled room temperature between 20°C and 25°C (68°F to 77°F), protected from direct sunlight, moisture, and excessive heat. Keep in original blister packaging until use. Store securely out of the reach of children and pets. Discard any tablets that are expired, discolored, or damaged.



Disclaimer

We provide only general information about medications which does not cover all directions, possible drug integrations, or precautions. Information at the site cannot be used for self-treatment and self-diagnosis. Any specific instructions for a particular patient should be agreed with your health care adviser or doctor in charge of the case. We disclaim reliability of this information and mistakes it could contain. We are not responsible for any direct, indirect, special or other indirect damage as a result of any use of the information on this site and also for consequences of self-treatment.