Characteristic	Description
Active Ingredients	Avanafil 200mg, Dapoxetine 60mg
Indications	Erectile Dysfunction, Premature Ejaculation
Formulation	Oral Tablets
Dosage	Avanafil 200mg, Dapoxetine 60mg
Packaging	Blister Packs
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Pharmacokinetics

Extra Super Avana combines two pharmacological agents. Avanafil, a phosphodiesterase type 5 inhibitor, rapidly absorbs into the bloodstream. It peaks within 30-45 minutes. Dapoxetine, a selective serotonin reuptake inhibitor, reaches peak plasma levels in 1-2 hours. Both components exhibit distinct half-lives. Avanafil’s half-life is approximately 5 hours. Dapoxetine’s is about 19 hours. These dynamics ensure a sustained therapeutic effect. Hepatic metabolism processes both agents. Avanafil primarily utilizes cytochrome P450 enzymes, specifically CYP3A4. Dapoxetine also involves CYP2D6. Excretion occurs via renal and fecal pathways. Understanding these kinetics aids in optimizing therapeutic outcomes. Monitoring liver function is advisable in long-term users. Bioavailability and absorption may vary based on individual health status.

Correct Use

Proper administration enhances efficacy. Consume Extra Super Avana orally with water. Do not crush or split tablets. Avanafil 200mg with Dapoxetine 60mg should be taken 30-60 minutes before intercourse. Avoid exceeding one tablet daily. Consistent timing optimizes results. Food intake influences absorption; a light meal is preferable. Alcohol may diminish effectiveness, so limit intake. Extra Super Avana is not intended for daily use. Reserve it for anticipated sexual activity. Efficacy may vary among users, influenced by age, health conditions, and other medications. Consultation with healthcare providers is recommended for personalized advice. Non-compliance may result in reduced therapeutic effects.

Extra Super Avana Precautions

Safety is paramount when using Extra Super Avana. Assessing medical history is critical. Conditions such as cardiovascular disease warrant caution. Hypotension risk increases with avanafil. Dapoxetine may affect mood, requiring evaluation for psychiatric history. Monitoring blood pressure during initial use is prudent. Avoid concurrent use with nitrate medications. Caution with alpha-blockers is advised due to hypotension risk. Inform your healthcare provider about all medications and supplements. This ensures potential interactions are managed. Discontinue use and seek medical attention if adverse reactions occur.

Cautions with Other Medicines

Drug interactions can significantly affect the efficacy and safety of Extra Super Avana. CYP3A4 inhibitors such as ketoconazole can increase avanafil’s plasma levels. This enhances the risk of side effects. Combining with SSRIs or other serotonergic drugs may cause serotonin syndrome. Avoid PDE5 inhibitors to prevent exacerbated hypotensive effects. Cautious administration with antihypertensives is necessary. Grapefruit juice may elevate avanafil levels, so it should be avoided. Thoroughly discuss all medications with healthcare providers. This proactive approach prevents harmful interactions. Adjustments in dosage or regimen might be needed based on co-administered therapies.

Side Effects

Extra Super Avana may produce side effects. Common reactions include headaches, flushing, and dizziness. Gastrointestinal disturbances such as nausea or diarrhea might occur. Serious but rare effects include vision changes or hearing loss. Seek immediate medical help if experiencing chest pain. Psychiatric side effects can arise from dapoxetine. Symptoms like mood swings or anxiety require prompt attention. Prolonged erections exceeding four hours necessitate urgent care. Regular monitoring and consultation with a physician can mitigate risks. An individualized approach ensures that benefits outweigh potential adverse effects. Maintaining open communication with healthcare providers is crucial.

Purchasing Extra Super Avana Without a Prescription

Online purchases of Extra Super Avana without a prescription pose risks. Quality and authenticity of drugs may be compromised. Reputable online pharmacies require a prescription. They ensure safe and effective medications. Illegitimate vendors might sell counterfeit products. These lack efficacy and could be harmful. Price variations indicate potential quality issues. Verify pharmacy credentials before purchasing. Seek platforms with secure payment options. Regulatory compliance is essential for consumer safety. Avoid deals that seem too good to be true. Professional guidance ensures correct dosage and safety.

Common Side Effects	Serious Side Effects
Headache	Chest Pain
Flushing	Vision Changes
Dizziness	Hearing Loss

• Consult a healthcare provider before starting any new medication.
• Adhere strictly to prescribed dosages.
• Monitor any side effects and report them to your doctor.