EXTRA SUPER AVANA

What is EXTRA SUPER AVANA?

EXTRA SUPER AVANA is a combination drug for men designed for the simultaneous correction of erectile dysfunction and premature ejaculation. The product combines a phosphodiesterase type 5 inhibitor and a substance that affects serotonin metabolism in the nervous system. This combination helps to improve the quality of erection and prolong the time to ejaculation. The drug does not directly increase sexual desire and works only in the presence of sexual stimulation.

EXTRA SUPER AVANA is usually available in the form of tablets for oral administration. The manufacturer of the product is the pharmaceutical company Sunrise Remedies. The drug belongs to the category of products for male sexual health and combines the properties of avanafil and dapoxetine. The exact composition of a specific package must be verified by the manufacturer's labeling and the accompanying instructions.

EXTRA SUPER AVANA is not a hormonal drug, an aphrodisiac, or a means for permanent enlargement of the genital organ. The tablet is used as needed, rather than as a continuous therapy without medical supervision. Before taking it, a doctor's consultation is required, especially in the presence of cardiovascular, hepatic, renal, or neuropsychiatric diseases. The body's response is individual, so the speed of onset of the effect, its severity, and tolerability may vary.

What is EXTRA SUPER AVANA prescribed for?

The main indication is erectile dysfunction — a persistent or recurrent inability to achieve or maintain an erection sufficient for sexual intercourse. Avanafil helps to increase the blood filling of the tissues of the genital organ during sexual arousal. The drug does not eliminate the psychological, hormonal, or vascular causes of the disorder, so diagnosis remains important. If the problem occurs regularly, an examination by a urologist, andrologist, or family doctor is necessary.

The second indication is premature ejaculation, when ejaculation occurs earlier than desired, is poorly controlled, and causes discomfort. Dapoxetine can increase the time to ejaculation and improve control over it. The doctor evaluates the duration of symptoms, their impact on the quality of life, and possible concomitant disorders. Single episodes against a background of stress do not always require drug treatment.

EXTRA SUPER AVANA is appropriate to consider when both disorders are present simultaneously and confirmed by a specialist. The combined formula makes it possible not to take two products separately, but it increases the importance of checking contraindications and interactions. The drug is not intended for prophylactic use by healthy men or for increasing athletic endurance. Self-treatment can mask symptoms of diabetes mellitus, atherosclerosis, arterial hypertension, or other diseases.

Composition and active ingredients of EXTRA SUPER AVANA

In its common form, EXTRA SUPER AVANA contains avanafil 200 mg and dapoxetine 60 mg in one tablet. Avanafil inhibits the enzyme phosphodiesterase type 5, thanks to which a substance that relaxes blood vessels is preserved in the tissues longer. This facilitates blood flow to the genital organ, but only in response to sexual stimulation. The 200 mg dose is high, so its acceptability must be determined by a doctor.

Dapoxetine is a short-acting selective serotonin reuptake inhibitor. In simple terms, it temporarily alters the transmission of nerve signals associated with the ejaculation reflex and can delay ejaculation. Auxiliary components form the tablet, ensure its stability and dissolution, but their list depends on the batch and the supply market. In case of allergies, lactose intolerance, or other excipients, you should carefully check the composition of the package.

Dosage of EXTRA SUPER AVANA

EXTRA SUPER AVANA is intended only for adult men and is taken as needed before planned sexual activity. Due to the content of avanafil 200 mg and dapoxetine 60 mg, one tablet corresponds to high doses of both components. Do not take more than one tablet within 24 hours or increase the dosage on your own. For a patient who has not previously used these substances, the doctor may recommend lower doses of individual drugs instead of a fixed combination.

The product is not prescribed as a daily long-term course without reassessment of the condition. The frequency of use, appropriateness of continuation, and effectiveness should be periodically discussed with a doctor. Adjustment of the regimen may be required for elderly patients, people with impaired liver or kidney function, low blood pressure, or a tendency to faint. Dividing the tablet for an arbitrary dose reduction is not recommended unless this option is directly provided for by the manufacturer's instructions.

How to take EXTRA SUPER AVANA correctly?

The tablet is swallowed whole with a sufficient amount of water, approximately one to three hours before sexual intercourse. The exact time depends on the individual response, food, and recommendations of the official instructions. Heavy and fatty meals can slow absorption and delay the expected effect. Sexual stimulation remains a necessary condition for the action of avanafil.

EXTRA SUPER AVANA is used as needed, so the concept of a missed dose is usually not applicable to it. Do not take an additional tablet if the effect does not occur immediately, or repeat the intake on the same day. Dehydration, overheating, and sudden standing up should be avoided, as dapoxetine can cause dizziness or fainting. Before the first use, a doctor's consultation and blood pressure measurement are mandatory.

Side effects of EXTRA SUPER AVANA

Common adverse reactions include headache, flushing, nasal congestion, nausea, dry mouth, dizziness, and digestive disorders. Insomnia, fatigue, increased sweating, diarrhea, or temporary decrease in concentration are possible. Sometimes palpitations, fluctuations in blood pressure, anxiety, or visual disturbances occur. The individual response of the body is unpredictable, and the combination of two active substances can enhance certain symptoms.

Immediate medical attention is required for chest pain, fainting, seizures, severe allergic reaction, or sudden deterioration of vision or hearing. A dangerous condition is priapism — a painful erection lasting more than four hours that can damage tissues. Also requiring urgent examination are a sharp drop in pressure, shortness of breath, heart rhythm disturbances, or signs of serotonin syndrome: agitation, trembling, high temperature, and muscle rigidity. With moderate but persistent side effects, intake is stopped until consulting a doctor.

Contraindications of EXTRA SUPER AVANA

EXTRA SUPER AVANA is contraindicated in case of allergy to the components, simultaneous use of nitrates, nitric oxide donors, or the guanylate cyclase stimulator riociguat. Such a combination can cause a dangerous drop in blood pressure. The product is not used in severe cardiovascular conditions in which sexual activity is undesirable, after a recent heart attack or stroke, as well as in uncontrolled hypotension or hypertension. Absolute limitations may include severe hepatic impairment and certain hereditary retinal diseases.

Due to dapoxetine, the drug is not combined with monoamine oxidase inhibitors, thioridazine, other serotonergic antidepressants, and some strong liver enzyme inhibitors. Caution is required in epilepsy, bipolar disorder, tendency to faint, blood clotting disorders, peptic ulcer disease, and anatomical deformation of the genital organ. EXTRA SUPER AVANA is not intended for women, particularly during pregnancy or breastfeeding, and persons under 18 years of age. Elderly men require a particularly thorough assessment of cardiac risk, concomitant diseases, and all medications taken.

Interaction of EXTRA SUPER AVANA with other drugs and alcohol

Dangerous interactions are possible with nitrates, alpha-blockers, blood pressure drugs, other erectile dysfunction products, antidepressants, tramadol, lithium, St. John's wort, and drugs affecting blood clotting. Ritonavir, ketoconazole, itraconazole, clarithromycin, and some other CYP3A4 enzyme inhibitors can significantly increase the concentration of active substances. Grapefruit can also alter the metabolism of avanafil and dapoxetine. The doctor must be informed about all prescription and over-the-counter products, supplements, and herbal preparations.

Alcohol during the use of EXTRA SUPER AVANA should be excluded, as it increases dizziness, drowsiness, drop in pressure, coordination impairment, and the risk of fainting. Alcohol can also impair erection and reduce control over ejaculation. After taking it, you should not drive vehicles or operate machinery if dizziness, blurred vision, drowsiness, or decreased attention occur. Even without obvious symptoms, normal tolerability of the drug should be ensured before driving.

Where to buy EXTRA SUPER AVANA in Ukraine

EXTRA SUPER AVANA in Ukraine may be offered by individual pharmacy services and online stores, but availability and regulatory status must be checked before ordering. It is worth choosing a seller who provides data on the manufacturer Sunrise Remedies, batch, expiration date, composition, delivery conditions, and documents regarding the origin of the goods. A suspiciously low price, lack of Ukrainian labeling, or selling piece by piece without factory packaging may indicate a counterfeit. Purchasing does not replace a doctor's consultation and checking the compatibility of the drug with other medicines.

Store the tablets in their original packaging, in a dry place protected from light and out of reach of children, at a temperature specified by the manufacturer. During delivery, it is important to avoid overheating, freezing, and damage to the blister. Do not use the product after the expiration date or if the appearance of the tablet changes. The final decision regarding taking EXTRA SUPER AVANA should be based on a medical examination, as efficacy and safety depend on the individual response of the body.