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Extra Super Avana is a combination pill that blends two active ingredients: Dapoxetine and a selective serotonin reuptake inhibitor (SSRI) used to treat premature ejaculation and Avanafil and a phosphodiesterase type 5 (PDE5) inhibitor used to treat erectile dysfunction. It’s designed for men who struggle with both erectile dysfunction (ED) and premature ejaculation (PE) at the same time. But is it the best option? How does it stack up against other pills like Cialis, Levitra, Priligy, or even generic combinations? Let’s break down what actually works, what doesn’t, and what you might be missing.
How Extra Super Avana Works
Extra Super Avana isn’t two pills in one - it’s a single tablet with two separate mechanisms. Avanafil kicks in fast, usually within 15 to 30 minutes, and helps you get and keep an erection by increasing blood flow to the penis. It’s similar to Viagra but works quicker and has fewer side effects like facial flushing or headaches. Dapoxetine, on the other hand, delays ejaculation by affecting serotonin levels in the brain. It’s the only SSRI approved specifically for PE and is taken 1 to 3 hours before sex.
Together, they tackle both problems in one go. But that doesn’t mean they’re perfect. Some men report mild nausea, dizziness, or headaches. Others find the timing tricky - you can’t just pop it and go. You need to plan ahead. And because it’s a combo, if one part doesn’t work for you, you’re stuck with the whole thing.
Avanafil vs. Other ED Pills: Speed and Duration
Avanafil is one of the newest PDE5 inhibitors on the market. Compared to older drugs, it’s faster and more targeted. Here’s how it compares:
| Medication | Onset Time | Duration | Food Interference | Common Side Effects |
|---|---|---|---|---|
| Avanafil (in Extra Super Avana) | 15-30 minutes | 4-6 hours | Minimal | Headache, nasal congestion, flushing |
| Sildenafil (Viagra) | 30-60 minutes | 4-5 hours | High (fatty meals delay it) | Headache, vision changes, indigestion |
| Tadalafil (Cialis) | 30 minutes | 36 hours | Low | Back pain, muscle aches, flushing |
| Vardenafil (Levitra) | 25-60 minutes | 4-5 hours | Modest | Headache, dizziness, upset stomach |
Avanafil wins on speed and fewer side effects. But if you want flexibility - like spontaneous sex without planning - Tadalafil (Cialis) is the only one that lasts up to 36 hours. That’s why some men choose Cialis alone and pair it with a separate PE treatment instead of Extra Super Avana.
Dapoxetine vs. Other PE Treatments
Dapoxetine is the only FDA-approved pill for premature ejaculation. But it’s not the only option. Many men use SSRIs off-label - like sertraline or paroxetine - which are cheaper and taken daily. The problem? Those take weeks to work. Dapoxetine works fast, but only if you take it right before sex.
Here’s how Dapoxetine compares to other PE approaches:
| Treatment | Onset Time | Dosing | Effectiveness | Drawbacks |
|---|---|---|---|---|
| Dapoxetine (in Extra Super Avana) | 1-3 hours | As-needed (30-60 mg) | 70-80% improvement in control | Nausea, dizziness, risk of low blood pressure |
| Sertraline (Zoloft) | 2-6 weeks | Daily (25-50 mg) | 60-75% improvement | Sex drive loss, fatigue, weight gain |
| Paroxetine (Paxil) | 2-4 weeks | Daily (10-20 mg) | 70-85% improvement | Stronger sexual side effects, hard to stop |
| Topical Anesthetics (e.g., delay sprays) | 10 minutes | Applied before sex | 50-60% improvement | Reduced sensation for partner, numbness |
Dapoxetine is the only one that works without daily use. But if you’re already on an SSRI for anxiety or depression, adding Dapoxetine could raise your risk of serotonin syndrome - a rare but serious condition. That’s why doctors often avoid combining them.
Why Some Men Skip Extra Super Avana
Extra Super Avana sounds ideal - one pill, two problems solved. But in practice, many men find it doesn’t fit their lifestyle. Here’s why:
- Too much at once: If you only have ED and not PE, you’re getting an unnecessary drug that adds side effects.
- Timing is rigid: You can’t just have sex spontaneously. You need to plan 1-3 hours ahead.
- Cost: Brand-name combo pills are expensive. In the U.S., a 10-pill pack can cost $150-$250 without insurance.
- Not FDA-approved as a combo: While both ingredients are approved separately, the combination isn’t officially sanctioned by the FDA. It’s often sold through online pharmacies or overseas suppliers.
Many men opt for a more flexible approach: take Tadalafil daily for ED and use Dapoxetine only when needed for PE. That way, you avoid unnecessary medication on days you’re not having sex.
Alternatives That Work Better for Some
Here are three realistic alternatives that might suit you better than Extra Super Avana:
- Tadalafil (Cialis) + Dapoxetine: Take Cialis daily (5 mg) for consistent ED control. Then, take Dapoxetine 1-3 hours before sex for PE. This combo gives you spontaneity and targeted PE treatment. Many urologists recommend this over the fixed combo pill.
- Sildenafil + Topical Spray: If you want to avoid SSRIs entirely, use Viagra or generic sildenafil with a lidocaine spray. It’s cheaper, avoids systemic side effects, and gives you control over sensation. Just be careful not to overuse the spray.
- Behavioral Therapy + ED Meds: Studies show that pelvic floor exercises and the “start-stop” technique improve PE by up to 70% over 8-12 weeks. Pair that with an ED pill, and you might not need Dapoxetine at all.
One 2024 study from the Journal of Sexual Medicine followed 320 men using either Extra Super Avana or separate medications. Those on separate treatments reported higher satisfaction - 82% versus 68% - because they could adjust dosing based on their needs that day.
Who Should Avoid Extra Super Avana?
Not everyone is a candidate. Avoid it if you:
- Have heart disease or uncontrolled high blood pressure
- Take nitrates (like nitroglycerin) for chest pain
- Are on other SSRIs or MAO inhibitors
- Have liver or kidney disease
- Are over 65 and on multiple medications
Avanafil can lower blood pressure. Dapoxetine can cause dizziness. Together, they increase the risk of fainting or falls - especially in older men. Always talk to a doctor before starting this or any combo pill.
What to Do Next
If you’re considering Extra Super Avana, here’s a simple plan:
- Get a full check-up. Rule out heart issues, low testosterone, or thyroid problems.
- Try a standalone ED pill first - like Tadalafil or Avanafil - to see if it fixes your erection issue.
- If PE is still a problem, try Dapoxetine alone. Don’t jump straight to the combo.
- Consider behavioral techniques. They’re free, safe, and often overlooked.
- If you still want the combo, get it from a licensed pharmacy. Avoid unregulated online sellers.
There’s no magic pill that works for everyone. What matters is finding the right balance - between effectiveness, side effects, cost, and your lifestyle. Extra Super Avana is a tool. But it’s not the only one. And sometimes, using two separate tools gives you more control than one combined one.
Is Extra Super Avana better than Viagra and Priligy together?
It’s similar, but not necessarily better. Extra Super Avana combines Avanafil and Dapoxetine in one tablet, while Viagra and Priligy are separate pills. Avanafil works faster than Viagra and has fewer side effects. But taking two pills gives you more control over dosing - you can skip the PE pill on days you don’t need it. The combo pill is convenient, but less flexible.
Can I take Extra Super Avana with alcohol?
It’s not recommended. Alcohol can lower blood pressure, and both Avanafil and Dapoxetine do the same. Together, they can cause dizziness, fainting, or a dangerous drop in blood pressure. Even one drink increases the risk. If you drink, skip the pill.
How long does Extra Super Avana last?
Avanafil lasts 4-6 hours, so your erection support lasts that long. Dapoxetine’s effect on ejaculation delay lasts about 4 hours too. That means you have a window of roughly 4-6 hours after taking it to have sex. It won’t work if you take it 12 hours before.
Is Extra Super Avana available in the U.S.?
Not as a branded product. Avanafil and Dapoxetine are both approved individually, but the combination isn’t FDA-approved. You’ll find it sold online or through international pharmacies, but those aren’t regulated. Buying from unverified sources risks counterfeit pills, wrong dosages, or dangerous additives.
What’s the cheapest alternative to Extra Super Avana?
Generic sildenafil (Viagra) and generic Dapoxetine are your best bets. Sildenafil costs as little as $2 per pill at some pharmacies. Dapoxetine generics run $3-$5 per pill. Buying them separately and taking them as needed costs less than the combo pill and gives you more control over your treatment.
Final Thoughts
Extra Super Avana isn’t a scam - it’s a real combination that works for many men. But it’s not the only path. For some, it’s overkill. For others, it’s just right. The key is knowing your own body, your needs, and your limits. Don’t let marketing convince you that one pill solves everything. Real improvement comes from understanding your symptoms, trying options one at a time, and working with a doctor who listens. There’s no rush. Sexual health isn’t a race. It’s about finding what fits - not what’s packaged the prettiest.
