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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.
Ankit Yadav
4 November 2025 - 09:11 AM
Been using Avanafil alone for a few months now. Fast, clean, no brain fog. Dapoxetine? Nah. Too much like forcing your body to hold its breath. I’d rather just time it right and use the start-stop method. Free, no pills, no drama. Seriously, why overcomplicate it?
Meghan Rose
5 November 2025 - 14:38 PM
Okay but have you considered that maybe your partner doesn’t care about the timing? Like, maybe they just want you to be present? I tried the combo pill and honestly? Felt like a lab experiment. Also, why is everyone so obsessed with pills when therapy exists? 🤔
Steve Phillips
6 November 2025 - 14:03 PM
Ohhh, so you’re telling me this ‘Extra Super Avana’ is just a marketing gimmick dressed up like a superhero? Avanafil? Pfft. It’s just Viagra’s fancy cousin who went to med school. And Dapoxetine? That’s just an SSRI with a fancy name and a $200 price tag. The FDA doesn’t approve it? Then why is it on every shady website? This isn’t medicine-it’s a scam with a PDF.
Meanwhile, Tadalafil + Dapoxetine? That’s the real MVP. You control the dose. You control the timing. You control your damn life. This combo pill? It’s like buying a Ferrari with the engine locked in third gear. Why pay for speed you can’t use?
And let’s not even talk about how ‘generic sildenafil’ costs less than a Starbucks latte. I’m not paying $250 for a placebo with extra side effects. I’m not a lab rat for Big Pharma’s ‘convenience’ fantasy.
Also-alcohol? Please. You’re not a superhero. You’re a guy who thinks one pill makes him invincible. Newsflash: your liver doesn’t care about your ego. And if you’re over 65? You’re playing Russian roulette with your blood pressure. I’ve seen guys collapse after these combos. It’s not ‘side effects’-it’s a warning sign written in neon.
And don’t even get me started on the ‘behavioral therapy’ footnote. Like, sure, pelvic floor exercises? That’s cute. But if you’re reading this, you’re probably too busy Googling ‘how to last longer’ to do squats. We’re not here for yoga-we’re here for a fix. But not this fix.
Bottom line? This pill is the digital equivalent of a TikTok ‘life hack.’ Looks slick. Doesn’t work. And the people selling it? They’re not doctors. They’re influencers with a Shopify store.
Stick with the separate pills. Or better yet-talk to a real doctor. Not a Google ad. Not a Reddit post. A human with a stethoscope.
Rachel Puno
6 November 2025 - 23:35 PM
I love how this post breaks it all down without shaming anyone. Seriously, so many guys feel alone with this stuff. You’re not broken. You’re just trying to find what works. And yeah, the combo pill sounds nice-but it’s not the only way. I’ve seen friends go from panic to peace just by trying one thing at a time. Start with the ED med. Then add PE help if needed. And if you’re nervous? Try the start-stop method. It’s free. It’s safe. And honestly? It builds confidence more than any pill ever could. You’ve got this.
Clyde Verdin Jr
7 November 2025 - 11:30 AM
OMG I JUST TOOK THIS THING AND I THOUGHT I WAS GONNA DIE 😱
Like, I took it with a beer (yes I know, dumb) and suddenly my vision went all blurry and I felt like I was floating into a black hole 💀
My girlfriend thought I was having a stroke. I had to lie on the floor for 20 minutes. I’m not joking. This isn’t a ‘medication.’ It’s a dare. Don’t do it. Just… don’t. 😭
Key Davis
7 November 2025 - 11:41 AM
It is imperative to underscore that the pharmacological management of concurrent erectile dysfunction and premature ejaculation must be approached with rigorous clinical discernment. While the combination of avanafil and dapoxetine presents a theoretically synergistic profile, the absence of formal FDA approval for the co-formulated product introduces significant regulatory and safety concerns. The prudent clinician would advocate for sequential monotherapy trials prior to considering combination regimens, particularly in light of the documented risks of hypotensive synergy and serotoninergic excess. Furthermore, the socioeconomic implications of proprietary combination products versus generic alternatives warrant careful patient counseling. Evidence-based practice, not marketing convenience, must guide therapeutic decisions.
Cris Ceceris
9 November 2025 - 08:47 AM
I think the real question isn’t which pill works better-it’s why we feel like we need a pill at all. Like, we’ve turned sex into a performance metric. Last longer. Harder. Faster. What if the problem isn’t your body but the pressure you’re putting on yourself? I used to take everything. Then I just started breathing. Talking. Slowing down. And guess what? It got better. Not because of chemistry. Because of connection.
Not saying meds don’t help. But maybe we’re missing the forest for the trees.
Brad Seymour
11 November 2025 - 02:42 AM
Love the breakdown. I’ve been on Tadalafil daily for ED and Dapoxetine as-needed for PE for a year now. Best combo ever. No more guessing. No more side effect overload. And I can still have a beer on Friday night. The combo pill? Too rigid. Life’s not a script. Neither should your meds. Also-shoutout to pelvic floor exercises. I thought they were BS until I actually did them. 3 months in? Game changer. No pills needed on some days. Mind blown.
Malia Blom
11 November 2025 - 19:09 PM
Isn’t it funny how we treat sexual health like a math problem? Add pill A + pill B = perfect sex? But sex isn’t linear. It’s messy. Emotional. Human. And you can’t formula your way into intimacy. I’ve seen guys on this combo pill still cry after sex because they felt like a machine. The real fix isn’t in a tablet. It’s in the quiet moments before it even starts. The touch. The breath. The ‘I’m here with you.’ But no one sells that as a product. And that’s the tragedy.
Erika Puhan
13 November 2025 - 16:14 PM
Avanafil? Dapoxetine? These are just Western pharmaceutical band-aids for a cultural failure to educate men on sexual regulation. In India, we’ve had Ayurvedic protocols for millennia-ashwagandha, shilajit, yoga breathing. Yet here you are, paying $200 for a pill that’s just masking symptoms. You’re not treating the root-low testosterone, chronic stress, sedentary lifestyle-you’re just doping your biology. And the FDA doesn’t approve it? Of course not. Because Big Pharma profits more from dependency than from healing. Wake up.
Edward Weaver
13 November 2025 - 23:57 PM
Look, I don’t care if it’s FDA-approved or not. If it works, it works. And if some guy in India is selling it for $5 a pill, who’s gonna stop him? We don’t need government approval to feel good. This is America. You want to take a pill? Take it. You want to live your life? Live it. Stop worrying about what some bureaucrat in D.C. says. If it helps you get back in the game, that’s all that matters.
Lexi Brinkley
14 November 2025 - 09:24 AM
JUST TOOK IT 😍🔥 BEST NIGHT EVER 🤯💃
15 min and BOOM-hard as rock AND lasted 20 min 😭❤️
WIFE CRIED. I CRIED. WE BOTH CRIED.
THIS IS THE FUTURE. BUY IT. NOW. 🚀💊