Extra Super Avana Tablets

Extra Super Avana is a fixed-dose combination used in adult men who have both erectile dysfunction (ED) and premature ejaculation (PE). Each tablet combines two active ingredients: avanafil (a phosphodiesterase-5 inhibitor for ED) and dapoxetine (a short-acting selective serotonin reuptake inhibitor for PE).

If you’re comparing options and plan to buy extra Super Avana from a legitimate pharmacy, review the strength on the label, how to take it, and the precautions below. People often also search for extra super avana, buy avana, or simply avana when comparing ED treatments online. Make sure you’re looking at the specific avanafil-plus-dapoxetine combination, not avanafil alone.

Uses

• Erectile dysfunction (ED): The avanafil component improves erectile response to sexual stimulation.
• Premature ejaculation (PE): The dapoxetine component helps increase control over ejaculation and lengthen the time to ejaculation.

If you’re exploring where to buy Avana or buy Extra Super Avana online, verify that the product indeed contains both avanafil and dapoxetine, and check the exact milligram amounts per tablet. Retailers sometimes list related combinations in different strengths; your clinician will choose a dose based on your health status and other medicines.

How It Works

• Avanafil (ED): During sexual arousal, chemical signals relax penile blood vessels so more blood can flow in. Avanafil helps this natural signal last longer, so it’s easier to get and keep an erection with stimulation.
• Dapoxetine (PE): Dapoxetine briefly increases serotonin activity in brain pathways that help delay ejaculation, which can improve ejaculatory control.

Mechanism of Action

Avanafil selectively inhibits phosphodiesterase type 5 (PDE5). By reducing cGMP breakdown in corpus cavernosum smooth muscle, it promotes smooth-muscle relaxation and increased blood flow during sexual stimulation.

Dapoxetine is a short-acting SSRI that inhibits presynaptic serotonin reuptake, thereby enhancing serotonergic signaling in spinal and cortical pathways involved in ejaculatory control. This is associated with longer intravaginal ejaculatory latency time (IELT) and improved control.

When It Starts Working and for How Long

• Onset: Avanafil can begin to work as early as about 15–30 minutes in many men (follow your prescriber’s timing advice).
• Duration: The erectile-support effect generally lasts for several hours; sexual stimulation is still required.
• Dapoxetine timing: Often taken 1–3 hours before sexual activity, depending on your clinician’s instructions.

Do not exceed the prescribed frequency. Taking more than advised will not improve results and can increase the risk of side effects.

How to Take Extra Super Avana

• Swallow the tablet whole with water, with or without food.
• Avoid alcohol excess, as it can worsen dizziness, blood-pressure changes, or fainting.
• Do not take more than one dose in 24 hours unless your clinician explicitly instructs otherwise.
• Inform your clinician about all medications and supplements you are taking.

If you’re planning to buy extra Super Avana or buy Avana online, choose a reputable pharmacy that provides pharmacist support and clear information about active ingredients, strength, batch or expiry, and storage.

Side Effects and Precautions

Common Side Effects

• Avanafil-related: Headache, flushing, nasal congestion, dizziness, or back pain.
• Dapoxetine-related: Nausea, dizziness, headache, insomnia, dry mouth.

These are usually mild to moderate and short-lived. If you search for Extra Super Avana reviews, remember that individual experiences vary; use them as general context, not as medical advice.

Severe Warnings (Seek Medical Care)

• Prolonged or painful erection (priapism): An erection lasting more than 4 hours requires emergency care.
• Sudden vision or hearing changes: Stop the drug and seek urgent evaluation.
• Fainting or severe dizziness: Particularly if combined with alcohol or interacting medicines.

Who Should Not Take It?

• Absolutely do not use with nitrates or nitric-oxide donors (e.g., nitroglycerin, isosorbide, or recreational poppers). This can cause dangerous, potentially life-threatening blood-pressure drops.
• Avoid if sexual activity is inadvisable because of significant cardiovascular disease.
• Use caution in patients with liver or kidney impairment; dose and choice of therapy may need adjustment.
• Dapoxetine-specific caution: History of fainting, certain heart rhythm problems, or use of MAO inhibitors, thioridazine, or potent CYP3A4 inhibitors or inducers. Your clinician will review interactions.

Drug and Substance Interactions

• Nitrates or riociguat: Contraindicated with avanafil—never combine.
• Potent CYP3A4 inhibitors (e.g., ketoconazole, ritonavir, clarithromycin): Can raise avanafil levels; medical guidance required.
• Other serotonergic agents (SSRIs, SNRIs, triptans, some analgesics): Use caution with dapoxetine and monitor for additive effects.
• Alcohol: Increases the risk of dizziness, orthostatic symptoms, and fainting; limit intake.

Storage and Packaging

Store at room temperature in a dry place, away from heat and light, and out of reach of children. If you need to compare packaging when you buy Avana online, ask the pharmacy for a clear product image and verify the manufacturer and strength.

Buying Guidance and Expectations

When you buy extra super avana online, focus on:

• Exact strength on the label (milligrams of avanafil plus dapoxetine).
• A legitimate source with pharmacist assistance and a clear return policy.
• Your medical suitability—do not choose a dose based on online anecdotes.

People often read extra reviews of Avana or Avana to compare experiences. Reviews can be helpful, but only a healthcare professional can determine if this combination is appropriate for you.

Warning

Always ask your healthcare provider before taking any medicine.