Extra Super Avana Tablet
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What is Extra Super Avana Used For?
- Extra Super Avana is a dual-action combination tablet by Sunrise Remedies Pvt. Ltd. containing Avanafil 200mg + Dapoxetine 60mg, prescribed for men with both:
- Severe Erectile Dysfunction – Maximum avanafil dose (200mg) provides the strongest fast-onset PDE-5 inhibition for men requiring maximum avanafil efficacy with the fastest onset available.
- Premature Ejaculation – Dapoxetine 60mg (the maximum approved PE dose) extends ejaculatory latency by inhibiting serotonin reuptake in the ejaculatory reflex pathway.
- Dual Treatment at Maximum Avanafil Strength – Combines the fastest-onset PDE-5 inhibitor at maximum dose with the standard-of-care PE treatment in a single tablet.
How Does Extra Super Avana Work?
- Extra Super Avana delivers two pharmacologically distinct mechanisms:
- Avanafil 200mg inhibits PDE-5 in penile vascular smooth muscle, achieving maximal fast-onset PDE-5 inhibition with erection response as early as 15 minutes.
- Dapoxetine 60mg acts on serotonin transporters in the ejaculatory reflex pathway, delaying ejaculation and improving control across the sexual encounter.
- Both components act simultaneously for erection initiation, maintenance, and extended ejaculatory control.
How to Use Extra Super Avana
Dosage: One tablet 15–30 minutes before sexual activity, with or without food.
Timing: Avanafil active from 15 minutes; dapoxetine peaks at 1–2 hours; combined window 4–6 hours.
Precaution: One tablet per 24 hours. Contraindicated with nitrates and all serotonergic drugs.
Side Effects of Extra Super Avana
Common: Headache, nausea, dizziness, flushing, nasal congestion, dry mouth.
Serious (seek immediate help): Severe hypotension, serotonin syndrome, priapism, syncope.
Extra Dosage Comparison Guide
| Strength | Best For | Onset | Duration | Link |
|---|---|---|---|---|
| 40 mg + 60 mg | Lower strength option | 30–120 min | Up to 36 hrs | View → |
| 100 mg / 100 mg | Popular strength option | 30–120 min | Up to 36 hrs | View → |
| 200 mg / 60 mg | Maximum strength variant | 30–120 min | Up to 36 hrs | Current |
* Always consult your doctor before changing your dosage. This information is for educational reference only.
Drug Interactions — Important Information
| Drug / Substance | Interaction Type | Risk Level | Action Required |
|---|---|---|---|
| MAOIs (phenelzine, tranylcypromine, selegiline) | Serotonin syndrome — potentially fatal | 🔴 Absolute Contraindication | Do NOT combine; 14-day washout required after stopping MAOIs |
| Thioridazine | Serotonin syndrome | 🔴 Absolute Contraindication | Do NOT combine |
| Linezolid / IV methylene blue | Serotonin toxicity | 🔴 Contraindicated | Do NOT combine |
| SSRIs / SNRIs (fluoxetine, paroxetine, venlafaxine) | Serotonin syndrome; CYP2D6 inhibition raises dapoxetine levels | 🟠 Serious | Avoid co-use; physician supervision essential |
| Tramadol / opioids | Additive serotonin effect | 🟠 Serious | Avoid combination |
| Alcohol / CNS depressants | Enhanced CNS depression; increased syncope risk | 🟡 Moderate | Avoid alcohol before and after dose |
Always inform your doctor about all medications, supplements, and recreational substances you are taking before starting this medication. This list is not exhaustive.
Frequently Asked Questions
Q1: What is Extra Super Avana?
Extra Super Avana is a combination tablet by Sunrise Remedies Pvt. Ltd. containing Avanafil 200mg (the maximum approved avanafil dose) and Dapoxetine 60mg. It is prescribed for men with both erectile dysfunction and premature ejaculation requiring maximum avanafil strength with simultaneous PE treatment.
Q2: How does the combination of Avanafil 200mg and Dapoxetine 60mg work?
Avanafil 200mg inhibits PDE-5 to sustain penile blood flow during arousal, achieving the strongest fast-onset erection response in the avanafil class with response possible in 15 minutes. Dapoxetine 60mg delays ejaculation by inhibiting serotonin reuptake in the ejaculatory reflex pathway. Both mechanisms are active simultaneously.
Q3: Why choose Extra Super Avana over Super Avana or regular Avana?
Extra Super Avana contains the maximum avanafil dose (200mg vs 100mg in Super Avana) while maintaining Dapoxetine 60mg. It is prescribed when Super Avana 100mg/60mg provides adequate PE control but insufficient erection response — the extra avanafil dose addresses refractory ED while preserving full PE treatment.
Q4: How quickly does Extra Super Avana work?
Avanafil 200mg maintains the fastest onset of any PDE-5 inhibitor — erection response as early as 15 minutes for some men. Dapoxetine peaks at 1–2 hours and provides ejaculatory control throughout the 4–6 hour activity window.
Q5: What serotonergic drugs are dangerous with Extra Super Avana?
All serotonergic drugs are contraindicated with the dapoxetine component: MAOIs (must be stopped 14 days before), SSRIs, SNRIs, tricyclics, triptans, tramadol, linezolid, and St John's wort. Co-administration risks serotonin syndrome, which can be life-threatening.
Q6: What are the side effects of Extra Super Avana?
Headache, nausea, dizziness, flushing, and nasal congestion are most common. Dry mouth from dapoxetine and back pain from avanafil may also occur. The maximum avanafil dose amplifies hypotension risk relative to lower doses.
Q7: Is Extra Super Avana appropriate for first-time ED treatment?
No. Maximum avanafil dose combined with maximum dapoxetine is a step-up treatment for men who have documented both ED and PE as co-existing conditions. First-line therapy would typically begin at lower doses of each component.
Q8: Can alcohol be taken with Extra Super Avana?
Alcohol is strongly discouraged. Dapoxetine significantly amplifies alcohol's CNS depressant and cardiovascular effects. Combined with maximum-dose avanafil's blood pressure-lowering effect, even moderate alcohol creates significant syncope risk.
Q9: Who should not take Extra Super Avana?
Men taking nitrates, riociguat, MAOIs, any serotonergic medication, strong CYP3A4 inhibitors, or those with cardiovascular disease, hepatic impairment, uncontrolled hypertension, or hereditary retinal disease must not use Extra Super Avana.
Q10: Is priapism a concern with Extra Super Avana?
Yes. Any erection lasting more than 4 hours requires immediate emergency medical treatment. The maximum avanafil dose increases priapism risk, particularly in men with sickle cell disease, leukaemia, or multiple myeloma.
Q11: How does Extra Super Avana compare to Extra Super P-Force?
Extra Super Avana uses Avanafil 200mg for faster onset and fewer visual side effects; Extra Super P-Force uses Sildenafil 100mg. Both include Dapoxetine 60mg for PE. The choice between them depends on physician assessment of which PDE-5 inhibitor suits the individual patient better.
Q12: Is a prescription required for Extra Super Avana?
Yes. Both avanafil and dapoxetine are prescription-only medicines. A physician must evaluate cardiovascular safety, screen for all serotonergic drug interactions, and confirm that both ED and PE are co-existing conditions requiring maximum avanafil dose treatment.
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Customer Reviews
Andrew P.
Netherlands · 6 weeks ago
“Delivery took about 13 days to the Netherlands. Tablets were in original sealed blisters. No issues with customs at all.”
Brian K.
Australia · 3 months ago
“Packaging was incredibly discreet. Tablets are sealed with lot number and manufacturing date visible. Genuine product.”
Luke H.
UK · 4 months ago
“Ordered Vidalista 20mg. Arrived in 9 days to London. Completely plain packaging with no indication of contents.”
Kevin B.
Canada · 1 month ago
“Already on my third order. Consistent quality every time, discreet shipping, and helpful email support team.”
Steve H.
UK · 2 months ago
“Great product and great service. Discreet envelope, no branding outside. Invoice from a generic company name inside.”
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Clinical References
This product information is supported by peer-reviewed clinical evidence:
- Pryor JL, et al. (2006). Efficacy and tolerability of dapoxetine in treatment of premature ejaculation: an integrated analysis of two double-blind, randomised controlled trials. Lancet, 368(9539), 929–937. [PubMed: 16962882]
- McMahon CG, et al. (2008). An evidence-based definition of lifelong premature ejaculation: report of the International Society for Sexual Medicine Ad Hoc Committee for the Definition of Premature Ejaculation. BJU International, 102(3), 338–350. [PubMed: 18498422]
- Hatzimouratidis K, et al. (2010). EAU Guidelines on Male Sexual Dysfunction. European Urology, 57(5), 804–814. [PubMed: 20189712]
Disclaimer
The information provided on Medionix Pharma is intended for general informational purposes only. It should not be considered as medical advice, diagnosis, or treatment. Always consult a qualified healthcare professional before using any medication or starting any treatment.
Medionix Pharma does not encourage self-medication. Customers are responsible for ensuring that purchases comply with local laws and prescription requirements in their country. If you have any questions or concerns regarding the content on our website, please contact us at sales@medionixpharma.com.