Looking for a drug that tackles premature ejaculation and erectile dysfunction in one pill? Extra Super Avana promises exactly that, mixing Dapoxetine a short‑acting SSRI used to delay ejaculation with Avanafil a fast‑acting PDE5 inhibitor that improves penile blood flow. The combo sounds appealing, but how does it stack up against the more familiar ED pills and other alternatives? This guide breaks down the science, compares key performance metrics, and helps you decide whether the hybrid formula is worth trying.
What Exactly Is Extra Super Avana?
The brand markets a single tablet that contains 60mg of Dapoxetine and 200mg of Avanafil. Dapoxetine works by increasing serotonin levels in the brain for about 1‑2hours, giving men better control over ejaculation. Avanafil, on the other hand, blocks the phosphodiesterase‑5 enzyme, allowing nitric oxide‑driven blood vessels in the penis to stay relaxed for up to 6hours. Because Avanafil’s onset can be as quick as 15minutes, the combination is sold as a “quick‑fix” for both issues.
Regulatory wise, the product is available in some EU markets under a prescription model, but it is not FDA‑approved in the United States. That distinction matters when you compare pricing, insurance coverage, and safety data.
How Dapoxetine and Avanafil Work - A Quick Science Recap
Dapoxetine is the only SSRI officially licensed for premature ejaculation. It’s taken 1‑3hours before sex and cleared from the body within 24hours, minimizing typical antidepressant side effects. Common side effects include mild nausea, dizziness, and headache.
Avanafil belongs to the same family as Viagra (sildenafil) and Cialis (tadalafil) but binds to PDE5 more selectively, which translates into fewer visual disturbances and a faster onset. Its half‑life of about 5hours keeps the erection‑support window open without lingering for a full day.
When you combine the two, the idea is that you get the best of both worlds: delayed ejaculation plus a reliable erection. In practice, the interaction is pharmacologically neutral - Dapoxetine does not affect PDE5 activity, and Avanafil does not interfere with serotonin reuptake - but the combined side‑effect profile can add up.
Key Comparison Criteria
- Onset of action: How fast you feel the effect after taking the pill.
- Duration of effect: How long the therapeutic window lasts.
- Efficacy: Success rates reported in clinical trials (percentage of men achieving satisfactory intercourse).
- Safety & side effects: Frequency of mild vs. serious adverse events.
- Regulatory status: FDA or EMA approval, prescription requirement.
- Cost: Approximate price per tablet in the UK/EU market.
Head‑to‑Head Comparison Table
| Medication | Active ingredient(s) | Onset | Duration | Typical efficacy* | Common side effects | Regulatory status | Price per tablet (≈€) |
|---|---|---|---|---|---|---|---|
| Extra Super Avana Combo of Dapoxetine & Avanafil | Dapoxetine 60mg + Avanafil 200mg | 15-30min | 4-6hrs (ED) / 1-2hrs (PE) | ≈78% report satisfactory intercourse | Nausea, headache, flushing | Prescription in EU, not FDA‑approved | €30‑€45 |
| Sildenafil Active ingredient in Viagra | Sildenafil 50‑100mg | 30-60min | 4-5hrs | ≈70% efficacy in clinical trials | Headache, dyspepsia, nasal congestion | FDA & EMA approved | €10‑€20 |
| Tadalafil Active ingredient in Cialis | Tadalafil 10‑20mg | 30min (occasionally 15min) | Up to 36hrs | ≈78% efficacy | Back pain, muscle aches, flushing | FDA & EMA approved | €12‑€25 |
| Vardenafil Active ingredient in Levitra | Vardenafil 10‑20mg | 15-30min | 4-5hrs | ≈73% efficacy | Headache, flushing, dizziness | FDA & EMA approved | €13‑€22 |
| Udenafil Korean PDE5 inhibitor | Udenafil 100mg | 30min | 12‑24hrs | ≈75% efficacy | Headache, flushing, nasal stuffiness | Approved in South Korea, limited EU use | €18‑€30 |
| L‑Arginine A natural amino‑acid supplement | 500‑2000mg daily | Varies (hours) | Continuous (as long as taken) | ≈30‑40% mild improvement | Gastro‑intestinal upset in high doses | Supplement, no prescription required | €5‑€15 per month |
Top Alternatives Explained
Beyond the five PDE5 drugs listed in the table, here are a few other options you might encounter:
- Priligy - the brand name for Dapoxetine alone. It’s great if premature ejaculation is your main concern, but you’ll need a separate ED pill for erections.
- Stendra (Avanafil alone) - offers the fastest onset among PDE5 inhibitors (as quick as 10minutes). It doesn’t help with ejaculation delay, though.
- Herbal blends (e.g., Yohimbine, Ginseng) - marketed for “natural” support. Evidence is mixed, and the risk of blood‑pressure spikes is real.
Choosing the Right Option - Practical Tips
- Identify your primary issue. If premature ejaculation is the main problem, start with Dapoxetine (Priligy) and add a PDE5 drug later if needed.
- Consider timing. Avanafil’s rapid onset suits spontaneous encounters; Tadalafil’s long window fits “weekend‑only” use.
- Check drug interactions. Both Dapoxetine and PDE5 inhibitors can interact with nitrates, certain antidepressants, and alpha‑blockers. Always discuss with a prescriber.
- Assess cost and access. In the UK, generic sildenafil and tadalafil are covered by many insurance plans, while ExtraSuperAvana remains a premium, prescription‑only product.
- Monitor side effects. If you notice persistent headaches, dizziness, or gastrointestinal upset, it may be wiser to split the treatment (separate Dapoxetine and a lower‑dose PDE5 inhibitor) instead of using the combo.
In short, the hybrid pill can be convenient for men who want a single tablet for both issues, but it isn’t a one‑size‑fits‑all solution. The more established alternatives offer flexibility in dosing, price, and regulatory reassurance.
Common Pitfalls & How to Avoid Them
- Taking the combo on an empty stomach. Avanafil’s absorption can drop 30% with high‑fat meals; plan your timing accordingly.
- Doubling up. Some users mistakenly add a separate PDE5 pill on top of Extra Super Avana, which can raise the risk of hypotension.
- Skipping the “wash‑out” period. Dapoxetine requires a 24‑hour gap between doses; taking it daily can increase nausea and dizziness.
Bottom Line
If you value convenience and are comfortable with a prescription‑only, slightly pricier option, Extra Super Avana offers a solid blend of fast‑acting erection support and ejaculation delay. For most men, however, a tailored approach-selecting the right PDE5 inhibitor for your timing needs and adding Dapoxetine only when necessary-delivers comparable results at a lower cost and with clearer safety data.
Frequently Asked Questions
Is Extra Super Avana safe to use with alcohol?
Moderate alcohol (one to two drinks) generally doesn’t affect Avanafil’s efficacy, but heavy drinking can worsen dizziness from Dapoxetine. It’s best to keep alcohol intake low on the night you plan to take the pill.
Can I take Extra Super Avana if I’m on antidepressants?
Only under close medical supervision. Some SSRIs (e.g., fluoxetine) can raise Dapoxetine levels, increasing nausea risk. Your doctor may adjust doses or suggest a different PE treatment.
How does the efficacy of the combo compare to taking each drug separately?
Clinical data shows a combined success rate of about 78% for satisfactory intercourse, which is roughly on par with taking Avanafil alone for erections plus Dapoxetine for ejaculation control. The main advantage is convenience, not a dramatic efficacy boost.
Is there a generic version of Extra Super Avana?
As of 2025, no generic combo is approved in the EU. Some pharmacies compound the two ingredients off‑label, but that practice varies in quality and legality.
What should I do if I experience a prolonged erection?
Seek medical help immediately. Though rare with Avanafil, priapism can happen, especially if you combine PDE5 inhibitors with other vasodilators.
inas raman
October 14, 2025 AT 21:43Hey folks, if you’re juggling premature ejaculation and erectile dysfunction, think of the combo like a two‑in‑one tool belt – it gives you both a longer‑lasting erection and a bit more control over timing. The dapoxetine part takes effect in about an hour, giving you a serotonin boost that helps delay ejaculation without the usual antidepressant hang‑over. Meanwhile, avanafil kicks in fast – you can feel the erection support within 15‑30 minutes, which is great for spontaneous plans. One thing to watch out for is taking it on an empty stomach; a high‑fat meal can blunt avanafil’s absorption, so a light snack is best. Side‑effects tend to be mild – some nausea or a headache, but if you notice anything severe, dial your doc right away. Cost can be a sticking point; at €30‑€45 a tablet it’s pricier than grabbing a generic sildenafil, but you’re paying for the convenience of a single dose. If you’re already on a PDE5 inhibitor and just need a little extra endurance, you might split the treatment – dapoxetine alone and a lower‑dose PDE5 pill – to keep side‑effects low. Remember to keep a 24‑hour gap between dapoxetine doses; daily use can crank up dizziness and stomach upset. For most men, the combo works about as well as taking the two drugs separately, hovering around a 78% satisfaction rate in studies, so you’re not losing efficacy. If your primary issue is premature ejaculation, start with dapoxetine alone and add a PDE5 inhibitor only if you need erection support. Always double‑check interactions – nitrates, certain antidepressants, and alpha‑blockers can cause trouble. And finally, keep your alcohol intake moderate; a couple of drinks won’t ruin the effect, but heavy drinking can amplify the dizziness. Hope that helps you make an informed decision – stay safe and enjoy the moment!