Extra Super Avana (Avanafil with Dapoxetine )

Introduction

Extra Super Avana is a combination medication in pill form, formulated with the active ingredients Avanafil and Dapoxetine. Available in a dosage of 200/60mg, it is a generic combination product intended for the treatment of erectile dysfunction (ED) and premature ejaculation (PE) in adult men. Avanafil acts by improving blood flow to the penis, while Dapoxetine helps to delay ejaculation.

Quick Reference Facts

Active Ingredients

Avanafil with Dapoxetine

Form

Pill, 200/60mg

Primary and Off-Label Uses

Erectile Dysfunction, Premature Ejaculation

What is Extra Super Avana?

Extra Super Avana is a medication specifically formulated as a generic equivalent and combination therapy for men experiencing both erectile dysfunction (ED) and premature ejaculation (PE). It contains two active pharmaceutical ingredients: Avanafil, a phosphodiesterase type 5 (PDE5) inhibitor, and Dapoxetine, a short-acting selective serotonin reuptake inhibitor (SSRI). As a generic medication, Extra Super Avana offers the therapeutic benefits of its active compounds, providing a combined treatment approach for these common sexual health concerns. Generic versions of medications are bioequivalent to their brand-name counterparts, meaning they contain the same active ingredients and work in the same way, often at a lower cost.

How Extra Super Avana Works

The effectiveness of Extra Super Avana stems from the combined actions of its two active compounds. Avanafil works by inhibiting an enzyme called phosphodiesterase type 5 (PDE5). In the penis, PDE5 normally breaks down a substance called cyclic guanosine monophosphate (cGMP). By inhibiting PDE5, Avanafil increases the levels of cGMP, which leads to the relaxation of the smooth muscles in the penile arteries. This relaxation allows for increased blood flow into the penis, facilitating an erection when sexual stimulation occurs.

Dapoxetine, on the other hand, is a short-acting SSRI that works by affecting serotonin levels in the brain. Serotonin is a neurotransmitter that plays a role in mood, behaviour, and importantly, ejaculation. Dapoxetine works by increasing the availability of serotonin in the synaptic cleft, which is thought to enhance the activity of serotonin receptors that can inhibit ejaculation. This action helps to delay the ejaculatory reflex, prolonging the time to ejaculation. Together, these mechanisms address both the ability to achieve and maintain an erection and the control over ejaculation.

Conditions Treated with Extra Super Avana

Extra Super Avana is indicated for the treatment of two distinct, though often co-occurring, sexual health conditions in adult men:

• Erectile Dysfunction (ED): ED is defined as the persistent inability to achieve or maintain an erection sufficient for satisfactory sexual performance. Avanafil, one of the active ingredients in Extra Super Avana, improves erectile function by enhancing blood flow to the penis, making it easier for men with ED to achieve an erection in response to sexual stimulation.

• Premature Ejaculation (PE): PE is characterized by ejaculation occurring sooner than desired, often with minimal sexual stimulation and before or shortly after penetration, leading to distress for both the individual and their partner. Dapoxetine, the second active ingredient, is specifically designed to help delay ejaculation by modulating the neurological pathways that control this reflex.

By combining these two agents, Extra Super Avana provides a dual-action treatment that can address both the physiological and neurochemical aspects contributing to these common sexual health issues simultaneously.

Is Extra Super Avana the Right Medication for You?

Extra Super Avana may be a suitable option for adult men who are experiencing difficulties with both achieving and maintaining an erection, and who also find that they ejaculate too quickly. It is particularly useful for individuals who have been diagnosed with both erectile dysfunction and premature ejaculation or who have experienced these issues concurrently without a clear definitive cause.

This medication is generally recommended for men who have not found success with single-ingredient treatments for either condition, or who prefer a co-formulated, single-pill solution for convenience. The 200/60mg dosage is typically prescribed for men who require a higher strength of Avanafil combined with Dapoxetine.

However, Extra Super Avana is not suitable for everyone. It is contraindicated in individuals with known hypersensitivity to Avanafil, Dapoxetine, or any of the inactive ingredients. It should not be used by men who are taking nitrate medications (e.g., nitroglycerin, isosorbide mononitrate) for chest pain or heart problems, as this combination can cause a dangerous drop in blood pressure. Men with specific cardiovascular conditions, liver or kidney impairment, or a history of fainting may also not be suitable candidates and should consult a healthcare professional. Patients who experience priapism (a prolonged, painful erection) or have anatomical deformities of the penis should also seek medical advice before considering this medication.

Buying Extra Super Avana from Our Online Pharmacy

Accessing effective treatment for ED and PE can sometimes present challenges, whether due to cost, availability, or privacy concerns. Extra Super Avana, as a combination generic medication, offers a practical solution for men seeking to address these issues.

Why Choose Our Service?

Our online pharmacy service is dedicated to providing a reliable and accessible channel for obtaining medications like Extra Super Avana. We understand that sexual health is a sensitive matter, and discretion is paramount. Our platform is designed to offer a convenient and confidential way to purchase medications, ensuring that your privacy is maintained throughout the process. We aim to empower individuals by providing access to treatments that can significantly improve their quality of life and intimate relationships.

Quality & Safety Assurance

We facilitate access to medications through verified international partners who operate under recognised regulatory frameworks. These partners are committed to upholding stringent quality standards, ensuring that the medications supplied are authentic, safe, and of high quality. Our pharmacy service works exclusively with licensed overseas suppliers who adhere to Good Manufacturing Practices (GMP) and pharmaceutical quality control protocols, giving you confidence in the products you receive.

Pricing & Access

One of the significant advantages of choosing a generic medication like Extra Super Avana through our service is affordability. Generic drugs are typically priced lower than their brand-name counterparts, making essential treatments more accessible. Our platform strives to provide cost-effective pricing, ensuring that you do not face prohibitive expenses when seeking treatment for ED and PE. By streamlining the procurement process, we also enhance access to medications that might be less readily available through local pharmacies.

Discreet Delivery

We prioritize your privacy by offering discreet packaging for all deliveries. Your order will be shipped in plain, unmarked packaging, so you can receive your medication without any concern about its contents being visible. We offer reliable delivery options, with express delivery typically within 7 days and standard airmail reaching you in approximately 3 weeks, ensuring you receive your medication promptly and discreetly.

Use: Dosing, Missed Dose, Overdose

Dosing

The standard recommended dosage for Extra Super Avana is one pill containing 200mg of Avanafil and 60mg of Dapoxetine, taken as needed. This pill should be taken approximately 1-2 hours before anticipated sexual activity. It is crucial not to exceed one pill in a 24-hour period. Extra Super Avana should not be taken more frequently than prescribed or recommended. The medication should be swallowed whole with a glass of water and should not be crushed, broken, or chewed.

Missed Dose

As Extra Super Avana is taken on an as-needed basis before sexual activity, the concept of a "missed" dose in the conventional sense does not apply. If you forget to take the pill before sexual activity, do not attempt to take it afterwards to compensate. Simply proceed with your next dose only when you intend to engage in sexual activity, adhering to the recommended dosing interval.

Overdose

If you suspect an overdose of Extra Super Avana, seek medical attention immediately. Symptoms of an overdose could potentially include prolonged or painful erections, significant dizziness, fainting, blurred vision, or unusual nausea. There is no specific antidote for Avanafil or Dapoxetine. Treatment for overdose is typically supportive and aimed at managing the symptoms and monitoring the patient's condition. Contacting a Poisons Information Centre or emergency services is the recommended course of action in case of suspected overdose with Extra Super Avana.

Practical Precautions

• Alcohol: Consumption of alcohol should be limited, as it can increase the risk of dizziness, drowsiness, and impaired judgment, and may also reduce the ability to achieve an erection.
• Operating Machinery: Due to potential side effects such as dizziness and blurred vision, caution should be exercised when driving or operating heavy machinery after taking Extra Super Avana.
• Food: It is generally advisable to take Extra Super Avana on an empty stomach or after a light meal. Heavy, high-fat meals may delay the absorption of Avanafil and potentially reduce its effectiveness.

Safety Information

⚠️ Who Should Not Take Extra Super Avana

Extra Super Avana is contraindicated in several patient groups to ensure safety:

• Hypersensitivity: Individuals with a known hypersensitivity to Avanafil, Dapoxetine, or any other ingredient in the formulation.
• Nitrate Medications: Patients currently taking any form of organic nitrate (e.g., isosorbide mononitrate, isosorbide dinitrate, nitroglycerin), or those who have taken them recently. Concomitant use can lead to a severe and potentially life-threatening drop in blood pressure.
• Guanylate Cyclase Stimulators: Use with caution or avoid if taking medications like riociguat, which also affects blood pressure.
• Certain Cardiovascular Conditions: Men with a history of severe heart disease, stroke, myocardial infarction, unstable angina, or other serious cardiovascular issues.
• Severe Liver Impairment: Individuals with significant hepatic dysfunction.
• Severe Kidney Impairment: Patients with severe renal impairment requiring dialysis.
• Syncope (Fainting): A history of fainting or conditions predisposing to syncope, particularly related to neurological or psychological factors.
• Mental Health Conditions: Those with a history of mania or are currently experiencing severe depression.
• Specific Eye Conditions: Individuals with certain congenital retinal diseases like retinitis pigmentosa.

Common Side Effects

Some individuals may experience mild to moderate side effects when taking Extra Super Avana. These are generally temporary and resolve on their own. Common side effects include:

• Headache
• Dizziness
• Nausea
• Flushing (redness of the face or skin)
• Fatigue or drowsiness
• Diarrhoea
• Dry mouth

If any of these side effects become persistent or bothersome, it is advisable to consult a healthcare professional.

Serious Side Effects (Seek Immediate Medical Help)

Although rare, more severe side effects can occur. It is critical to seek emergency medical attention if you experience any of the following:

• Priapism: An erection that lasts for more than 4 hours. This is a medical emergency that can lead to permanent damage to the penile tissue if not treated promptly.
• Sudden Vision Loss: Unexplained loss of vision in one or both eyes, which may be a sign of non-arteritic anterior ischaemic optic neuropathy (NAION).
• Sudden Hearing Decreased or Loss: Any sudden change in hearing or ringing in the ears.
• Severe Allergic Reactions: Symptoms may include rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, or difficulty breathing.
• Seizures: Convulsions or fits.
• Significant Blood Pressure Changes: Extreme drops or increases in blood pressure, potentially leading to fainting.

Drug & Food Interactions

Extra Super Avana can interact with various medications and substances, potentially leading to serious adverse effects. It is crucial to inform your doctor or pharmacist about all medications, supplements, and herbal products you are currently taking.

• Nitrates: As mentioned, contra-indicated due to severe hypotension risk.
• Strong CYP3A4 Inhibitors: Medications such as ketoconazole, itraconazole, ritonavir, or clarithromycin can increase Avanafil levels, potentially leading to increased side effects.
• Strong CYP2D6 Inhibitors: Such as fluoxetine, paroxetine, or quinidine, can increase Dapoxetine levels.
• Serotonergic Drugs: Concomitant use with other SSRIs, SNRIs, triptans, lithium, St. John's Wort, or tramadol may increase the risk of serotonin syndrome.
• Anticoagulants: Such as warfarin, should be used with caution due to potential bleeding risks.
• Alpha-blockers: Medications used for prostate issues or high blood pressure, such as doxazosin or terazosin, may cause symptomatic hypotension when taken with PDE5 inhibitors.
• Alcohol: As noted, can potentiate dizziness and drowsiness and may impair erectile function.
• Grapefruit Juice: May inhibit CYP3A4 and increase Avanafil concentrations, potentially leading to increased side effects.

Off-Label and Investigational Uses of Extra Super Avana

While Extra Super Avana is approved and indicated for the treatment of erectile dysfunction and premature ejaculation, clinical research and anecdotal evidence have explored its use in other contexts, though these are considered off-label.

• Combined Sexual Dysfunction in Specific Populations: Although not officially approved for all individuals experiencing both ED and PE, Extra Super Avana is formulated to treat these co-occurring conditions. In some clinical settings, it may be considered for men with specific comorbidities or psychological factors contributing to their sexual dysfunction, after careful assessment by a healthcare professional.
• Investigational Uses: Research into Avanafil and Dapoxetine as individual agents continues, which may inform future potential uses or combinations. However, any use of Extra Super Avana outside its approved indications should only be considered under the strict supervision of a qualified healthcare provider who can assess the potential benefits against the risks for the individual patient. Efficacy and safety for these off-label applications have not been formally established by regulatory authorities.

Storage & Handling

Extra Super Avana pills should be stored in their original packaging to protect them from light and moisture. Keep the medication at room temperature, typically between 15°C to 30°C (59°F to 86°F). Avoid storing it in humid environments, such as bathrooms, or in excessively cold or hot conditions. Ensure the medication is kept out of the reach of children and pets. Once the expiry date indicated on the packaging has passed, the medication should not be used and should be disposed of safely. Check local guidelines for pharmaceutical waste disposal to ensure responsible disposal.

Frequently Asked Questions

About Using Extra Super Avana

• Can I take Extra Super Avana with grapefruit juice? Grapefruit juice can interact with Avanafil by inhibiting a liver enzyme (CYP3A4) that metabolizes the drug. This can lead to higher levels of Avanafil in your bloodstream, potentially increasing the risk of side effects. It is generally recommended to avoid consuming large amounts of grapefruit juice while taking Extra Super Avana.

• Is it safe to take Extra Super Avana while traveling across time zones? When travelling across time zones, maintain your normal routine as much as possible. You can take Extra Super Avana approximately 1-2 hours before intended sexual activity, irrespective of your destination. However, be mindful of extended travel that might alter your sexual activity patterns, and always adhere to the maximum of one dose per 24-hour period.

• What happens if I have an erection that lasts longer than 4 hours? A prolonged erection, known as priapism, is a medical emergency. If you experience an erection that lasts for more than 4 hours and it is painful, seek immediate medical attention. Persistent priapism can cause permanent damage to the erectile tissues of the penis.

Product Information

• What do Extra Super Avana pills look like? Extra Super Avana pills typically combine Avanafil 200mg and Dapoxetine 60mg. The appearance, such as exact shape, colour, and any markings, can vary slightly between manufacturers of generic medications. It is advisable to check the packaging for specific descriptions and to confirm the dosage.

• Can I split or crush Extra Super Avana pills? No, Extra Super Avana pills should be swallowed whole with a glass of water. Do not crush, split, or chew the tablets, as this can affect the way the medication is absorbed into your body and may alter its effectiveness or increase the risk of side effects.

Safety & Regulations

• Will taking Extra Super Avana show up on a drug test? Extra Super Avana is not a controlled substance, and neither Avanafil nor Dapoxetine are typically tested for on standard drug screening panels. However, some specialized forensic drug tests may be able to detect specific metabolites if the test is designed to look for them.

• Are there any specific warnings for elderly men taking Extra Super Avana? Elderly men may be more sensitive to the effects of medication and may have co-existing medical conditions. While Extra Super Avana can be used by elderly men, careful medical assessment is recommended to ensure suitability and manage potential interactions or side effects.

• Is Extra Super Avana legal to import for personal use? Legality of personal import varies significantly by country and customs regulations. While many countries permit the import of small quantities for personal medical use, it is essential to research and comply with the specific laws of your country to avoid any legal complications.

Scientific & Clinical Curiosity

• How quickly does Extra Super Avana start working? Avanafil is known for its relatively rapid onset of action compared to some other PDE5 inhibitors. It typically begins to work within 15-30 minutes after taking the pill, with peak effects occurring later. However, this can vary between individuals and is dependent on sexual stimulation.

• Are there any differences between Extra Super Avana and other ED/PE combination treatments? The primary difference lies in the specific active ingredients and their dosages. Extra Super Avana contains Avanafil (200mg) and Dapoxetine (60mg), which offer a specific pharmacokinetic profile and efficacy compared to other combinations that might use different PDE5 inhibitors or other agents for PE control.

Glossary

Erectile Dysfunction (ED)

A persistent inability to achieve or maintain an erection adequate for satisfactory sexual intercourse.

Premature Ejaculation (PE)

A common male sexual dysfunction characterised by ejaculation that occurs sooner than desired, often with minimal sexual stimulation, leading to a feeling of loss of control and distress.

Phosphodiesterase Type 5 (PDE5) Inhibitor

A class of medications that work by inhibiting the PDE5 enzyme, leading to increased blood flow and relaxation of smooth muscles, often used to treat erectile dysfunction.

Selective Serotonin Reuptake Inhibitor (SSRI)

A type of medication that works by increasing levels of the neurotransmitter serotonin in the brain, primarily used to treat depression, anxiety disorders, and certain other conditions, including premature ejaculation when formulated with an appropriate agent.

Bioequivalent

Refers to a generic drug that has the same active ingredient, dosage form, strength, and route of administration as a brand-name drug, and demonstrates comparable bioavailability in vivo.

Disclaimer

The information provided about Extra Super Avana is for general knowledge and informational purposes only. It does not constitute medical advice and should not be used as a substitute for professional medical consultation, diagnosis, or treatment. All treatment decisions, including any considerations for off-label use, must be made in consultation with and under the direct supervision of a qualified healthcare provider who can assess your individual health status and needs. We assume that all readers are responsible adults capable of making informed decisions regarding their health and well-being. Our online pharmacy service offers access to Extra Super Avana for individuals who may seek alternative avenues for obtaining their medication, particularly when facing challenges with traditional pharmacies or seeking cost-effective generic options. Always consult your doctor or other qualified health professional before starting, changing, or discontinuing any medication, or if you have any questions about your medical condition.