EXTRA SUPER AVANA TABLETS – Complete Patient Information Guide

---

Medicine Overview

Extra Super Avana is a combination medication prescribed by healthcare providers to adult men experiencing two concurrent conditions affecting sexual function. This prescription-only medicine contains two active pharmaceutical ingredients that work together to address different aspects of male sexual health concerns.

Healthcare professionals typically recommend this medication when a patient presents with both erectile difficulties and concerns related to premature ejaculation. The combination formulation allows for a dual-action approach, potentially reducing the need for multiple separate medications.

This medicine is intended exclusively for adult male patients and should only be used under proper medical supervision with a valid prescription from a qualified healthcare provider.

---

Mechanism of Action

Extra Super Avana contains two distinct active ingredients, each working through different biological pathways:

First Component (PDE5 Inhibitor): This ingredient works by relaxing the smooth muscle tissue within blood vessels supplying certain areas of the body. When sexual stimulation occurs, this relaxation allows increased blood flow to specific tissues, supporting the natural physiological response. The effect is temporary and requires natural stimulation to work—the medicine does not create artificial responses.

Second Component (Selective Serotonin Reuptake Inhibitor): This ingredient affects the balance of serotonin, a natural chemical messenger in the nervous system. By modifying how serotonin functions at nerve endings, it may help extend the time before ejaculation occurs during sexual activity. This component works on the neurological pathways involved in ejaculatory control.

Both components are absorbed into the bloodstream after oral administration and begin working within a specific timeframe. The effects are temporary, and the medicine is eventually processed and eliminated by the liver and kidneys.

---

Therapeutic Uses

Healthcare providers may prescribe Extra Super Avana for the following medically recognized purposes:

• Erectile Dysfunction Management: Supporting adequate erectile response in adult men diagnosed with erectile difficulties by a qualified healthcare provider
• Premature Ejaculation Control: Assisting men who have been clinically evaluated and diagnosed with premature ejaculation concerns
• Combination Therapy: Addressing both conditions simultaneously when a patient has been assessed and diagnosed with both erectile dysfunction and premature ejaculation

This medication is prescribed only after thorough medical evaluation, including assessment of cardiovascular health, medication history, and overall suitability for this type of treatment.

Important Note: This medicine is not intended for recreational use, is not suitable for women or children, and should never be used without proper medical authorization.

---

General Usage Guidance

Administration Method: Extra Super Avana is taken orally with water. The tablet should be swallowed whole and not crushed, chewed, or broken.

Typical Usage Pattern:

• This medicine is usually taken on an as-needed basis, not as a daily medication
• It should be taken approximately 30 to 60 minutes before anticipated sexual activity
• The exact timing and specific instructions will be provided by your prescribing doctor

Essential Usage Rules:

• Always follow your healthcare provider’s specific dosage instructions
• Do not exceed the prescribed dose or frequency
• Do not take more than one dose within a 24-hour period
• Food intake may affect absorption—discuss meal timing with your doctor
• Alcohol consumption should be limited or avoided when using this medication

What This Medicine Requires: Sexual stimulation is necessary for the erectile component to work. The medication supports natural physiological responses but does not create artificial arousal.

Your doctor will determine the appropriate strength and usage schedule based on your individual health status, other medications you take, and your response to treatment.

---

Potential Benefits

When used appropriately under medical supervision, Extra Super Avana may help provide the following outcomes:

• May support improved erectile function – The medication can assist in achieving and maintaining adequate erectile response when natural stimulation is present
• Can help extend ejaculatory latency – Men using this medication may experience increased time to ejaculation during sexual activity
• May improve sexual confidence – By addressing both functional concerns simultaneously, some patients report enhanced confidence in intimate situations
• Can reduce performance anxiety – Knowing that pharmaceutical support is available may help reduce psychological stress related to sexual performance
• May enhance relationship satisfaction – When sexual function concerns are better managed, some couples report improved intimacy and relationship quality

Realistic Expectations: Individual responses vary significantly. Not all patients experience the same degree of benefit, and some may find the medication more helpful for one aspect than another. Results depend on multiple factors including overall health, psychological state, relationship dynamics, and proper medication use.

This medication addresses physiological aspects but does not resolve underlying psychological, emotional, or relationship issues that may contribute to sexual concerns. Comprehensive treatment may include counseling or therapy alongside medication.

---

Comparison Table: Extra Super Avana vs. Related Medications

Feature	Extra Super Avana	Single-Agent PDE5 Inhibitors	Single-Agent SSRI	Other Combination Products
Active Components	Dual-action combination	Single ingredient (PDE5 only)	Single ingredient (SSRI only)	Various combinations
Primary Use	Both ED and PE together	Erectile dysfunction only	Premature ejaculation only	Varies by formulation
Dosing Convenience	One tablet for two concerns	Separate medication needed for PE	Separate medication needed for ED	One tablet (varies)
Onset of Action	30-60 minutes	30-60 minutes (varies by type)	May require daily use for weeks	Varies by formulation
Duration of Effect	Several hours	4-36 hours (varies by type)	Continuous (daily dosing)	Varies by formulation
Prescription Status	Prescription required	Prescription required	Prescription required	Prescription required
Suitability	Men with both conditions	Men with ED only	Men with PE only	Men with both conditions

Important Considerations:

• No medication is universally “better”—the most appropriate choice depends entirely on individual diagnosis, health status, and medical evaluation
• This table is for educational comparison only and should not influence self-medication decisions
• Only a qualified healthcare provider can determine which medication is suitable for your specific situation
• Cost, insurance coverage, and side effect profiles also vary between options

---

Side Effects Information

Like all medications, Extra Super Avana can cause side effects, though not everyone experiences them.

Common Side Effects (may affect up to 1 in 10 users):

• Headache or facial flushing
• Nasal congestion or runny nose
• Dizziness or lightheadedness
• Digestive upset, nausea, or diarrhea
• Sleep disturbances or insomnia
• Dry mouth
• Temporary changes in color perception or blurred vision
• Fatigue or drowsiness

Less Common Side Effects:

• Increased sweating
• Tremors or nervousness
• Temporary changes in blood pressure
• Back pain or muscle aches
• Indigestion or heartburn

Serious Side Effects Requiring Immediate Medical Attention:

Seek emergency medical help if you experience:

• Chest pain, pressure, or discomfort (especially during or after sexual activity)
• Sudden vision loss in one or both eyes
• Sudden hearing loss or ringing in the ears
• Erection lasting more than 4 hours (priapism) – this is a medical emergency
• Severe dizziness, fainting, or irregular heartbeat
• Allergic reactions: swelling of face, lips, tongue, or throat; difficulty breathing; severe skin rash
• Mood changes, unusual thoughts, or behavior changes
• Seizures or convulsions

Important Guidance: Most side effects are mild and temporary, often decreasing as your body adjusts to the medication. However, if any side effect becomes bothersome, persistent, or concerning, contact your healthcare provider.

Never ignore serious symptoms thinking they will resolve on their own. When in doubt about any symptom, seek professional medical advice promptly.

---

Safety Warnings & Precautions

Cardiovascular Precautions: This medication affects blood flow and cardiovascular function. It is not suitable for men with certain heart conditions. You must inform your doctor if you have:

• Recent heart attack or stroke (within the past 6 months)
• Uncontrolled high or low blood pressure
• Severe heart failure or irregular heart rhythms
• Angina (chest pain) that occurs during sexual activity

Sexual activity itself places demands on the heart. Your doctor will assess whether you are healthy enough for sexual activity before prescribing this medication.

Absolute Contraindications (Do Not Use If):

• You are taking nitrate medications for chest pain or heart problems (can cause dangerous blood pressure drop)
• You are allergic to any ingredients in this medication
• You have been advised to avoid sexual activity for medical reasons
• You have severe liver or kidney disease
• You have certain rare inherited eye conditions (such as retinitis pigmentosa)
• You are taking certain other medications for erectile dysfunction or premature ejaculation

Special Population Warnings:

Age Considerations:

• Not approved for use in men under 18 years of age
• Elderly patients (over 65) may require dose adjustment due to altered drug metabolism
• Regular medical monitoring is important for older users

Women and Children: This medication is not intended for use by women or children under any circumstances.

Existing Medical Conditions: Inform your doctor if you have:

• Liver or kidney problems
• Blood cell disorders (sickle cell anemia, leukemia)
• Physical deformity of the penis
• History of priapism (prolonged erections)
• Stomach ulcers or bleeding disorders
• Mental health conditions, especially depression or bipolar disorder
• Seizure disorders
• Bleeding problems or current use of blood thinners

Alcohol Interaction: Alcohol can increase the risk of side effects such as dizziness, headache, and low blood pressure. It may also impair sexual function. Limit alcohol consumption or avoid it entirely when using this medication.

Grapefruit Interaction: Grapefruit and grapefruit juice may interact with this medication, potentially increasing blood levels and side effect risk. Discuss dietary considerations with your healthcare provider.

Operating Machinery: This medication may cause dizziness, drowsiness, or visual disturbances. Do not drive, operate heavy machinery, or perform tasks requiring full alertness until you know how this medicine affects you.

Long-Term Use Considerations: While this medication can be used over extended periods under medical supervision, regular follow-up appointments are essential to monitor effectiveness, side effects, and overall health status. Long-term safety has not been established for continuous daily use.

---

Drug & Substance Interactions

Extra Super Avana can interact with numerous medications and substances. Some interactions are dangerous and potentially life-threatening.

Critical Interactions (Never Combine):

• Nitrate Medications: Used for chest pain, angina, or heart conditions (can cause severe, potentially fatal blood pressure drop)
• Nitric Oxide Donors: Such as amyl nitrite or recreational drugs called “poppers”
• Other Erectile Dysfunction Medications: Combining multiple ED drugs increases risk without increasing benefit
• MAO Inhibitors: Certain antidepressants can cause dangerous interactions

Medications Requiring Caution:

Cardiovascular Drugs:

• Blood pressure medications (alpha-blockers, beta-blockers)
• Heart rhythm medications
• Other vasodilators

Antidepressants and Psychiatric Medications:

• SSRIs and SNRIs (may increase bleeding risk or serotonin syndrome)
• Tricyclic antidepressants
• Lithium
• Antipsychotic medications

Other Categories:

• Antifungal medications (ketoconazole, itraconazole)
• Antibiotics (erythromycin, clarithromycin)
• HIV protease inhibitors
• Seizure medications
• Blood thinners (warfarin, aspirin)
• Pain medications, especially tramadol
• Migraine medications (triptans)
• Cough and cold medications containing dextromethorphan

Herbal and Supplement Interactions:

• St. John’s Wort
• Ginkgo biloba
• Supplements affecting serotonin levels

Substance Interactions:

• Recreational drugs, particularly stimulants or substances affecting blood pressure
• Excessive caffeine intake

Important Action Step: Provide your doctor and pharmacist with a complete list of all medications, supplements, vitamins, and herbal products you currently use or have used recently. This includes prescription drugs, over-the-counter medicines, and recreational substances.

Never start, stop, or change the dose of any medication without consulting your healthcare provider when using Extra Super Avana.

---

Storage & Handling Advice

Proper Storage Conditions:

• Store at room temperature between 20°C to 25°C (68°F to 77°F)
• Keep tablets in the original packaging until ready to use
• Protect from excessive moisture, heat, and direct sunlight
• Do not store in bathrooms or near sinks where humidity is high
• Keep container tightly closed when not in use

Safety and Access Control:

• Store out of sight and reach of children and pets
• Keep in a secure location to prevent unauthorized access
• This medication should only be used by the person for whom it was prescribed
• Never share this medication with others, even if they have similar symptoms

Tablet Integrity:

• Check expiration date before use—do not use expired medication
• Inspect tablets before taking—discard any that appear discolored, crumbled, or damaged
• Do not remove tablets from packaging until immediately before use

Disposal Guidelines:

• Do not flush medications down the toilet or pour into drains
• Do not throw in household trash where others might access them
• Take unused or expired medication to a pharmacy take-back program or authorized disposal location
• If no take-back program is available, consult your pharmacist for safe disposal methods
• Remove any personal information from the medication packaging before disposal

Travel Considerations:

• When traveling, keep medication in carry-on luggage rather than checked baggage
• Maintain proper storage conditions during travel
• Carry prescription documentation when traveling with controlled medications

---

Patient FAQs

Q1: How quickly does Extra Super Avana start working, and how long do the effects last?

Extra Super Avana typically begins working within 30 to 60 minutes after taking the tablet. However, the two components work on different timelines. The erectile function component usually shows effects within this window and may last for several hours. The ejaculation control component also begins working within the same timeframe. Individual response times vary based on factors like food intake, metabolism, and overall health. For best results, take the medication on an empty stomach or after a light meal, as heavy or fatty meals can delay absorption. Never take a second dose if you feel the first isn’t working quickly enough—this increases side effect risk without improving outcomes.

---

Q2: Can I take this medication every day, or should it only be used when needed?

Extra Super Avana is typically prescribed for on-demand use, meaning you take it only when you plan to engage in sexual activity, not as a daily medication. Most healthcare providers recommend not exceeding one dose per 24-hour period. Some patients mistakenly believe daily use will provide continuous benefit or “cure” their condition, but this is not how the medication works and can increase side effect risks. The appropriate frequency depends on your specific situation, other health conditions, and your doctor’s assessment. If you find yourself wanting to use this medication very frequently, discuss this with your healthcare provider, as they may want to evaluate whether underlying health issues need additional treatment or whether a different medication approach might be more suitable.

---

Q3: What should I do if I experience a severe headache or dizziness after taking this medicine?

Mild headache and slight dizziness are relatively common side effects that often diminish with continued use as your body adjusts. If you experience a mild headache, rest in a comfortable position, stay hydrated, and avoid sudden movements. Over-the-counter pain relief may be appropriate, but consult your pharmacist first as some pain medications can interact with Extra Super Avana. However, if you experience severe, sudden, or unusual headache (particularly if described as “the worst headache of your life”), severe dizziness that prevents you from standing safely, or dizziness accompanied by chest pain, vision changes, or difficulty breathing, seek immediate medical attention. These could indicate serious complications requiring urgent evaluation. Document when symptoms occur and their severity to discuss with your doctor at your next appointment.

---

Q4: Is it safe to drink alcohol while using this medication?

Medical guidance strongly recommends limiting or avoiding alcohol when using Extra Super Avana. Alcohol can significantly increase the risk and severity of side effects, particularly dizziness, lightheadedness, fainting, and dangerously low blood pressure. Alcohol also impairs sexual function independently, which may counteract the medication’s intended benefits. Additionally, alcohol affects judgment and may lead to unsafe decisions regarding medication use or sexual activity. If you choose to consume alcohol, limit intake to small amounts (typically no more than one standard drink) and observe how your body responds. Be especially cautious with the first dose, as you won’t yet know how the combination affects you personally. If you have difficulty controlling alcohol consumption or have concerns about drinking, discuss this openly with your healthcare provider, as it may impact treatment decisions.

---

Q5: What happens if I accidentally take more than the prescribed dose?

Taking more than the prescribed dose (overdose) can cause serious complications including severe dizziness, fainting, prolonged erection (priapism), vision problems, irregular heartbeat, and potentially life-threatening drops in blood pressure. If you accidentally take an extra dose, contact a poison control center or seek emergency medical care immediately, even if you don’t feel unwell yet—some serious effects may not appear immediately. Do not wait to see if symptoms develop. Bring the medication packaging with you to the emergency department so healthcare providers know exactly what you’ve taken. Never intentionally take more than prescribed thinking it will work better—higher doses increase risk without improving effectiveness. If you missed a dose and are unsure what to do, contact your doctor or pharmacist for guidance rather than trying to “make up” for it by taking extra.

---

Q6: Can this medication permanently cure erectile dysfunction or premature ejaculation?

No, Extra Super Avana does not cure these conditions. It is a symptom management medication that provides temporary support when taken. Both erectile dysfunction and premature ejaculation can have multiple underlying causes—physical, psychological, hormonal, vascular, or neurological. This medication addresses the physiological mechanisms involved but does not fix root causes. When you stop taking the medication, the original symptoms typically return. Some men find that addressing underlying health issues (such as cardiovascular disease, diabetes, obesity, or anxiety) through lifestyle changes, other medical treatments, or therapy can improve their condition over time, potentially reducing dependence on medication. A comprehensive treatment approach may include counseling, pelvic floor exercises, communication training with partners, treatment of underlying medical conditions, and lifestyle modifications alongside medication. Discuss long-term management strategies with your healthcare provider.

---

Q7: Why do I need regular check-ups if the medication seems to be working fine?

Regular medical follow-up is essential even when the medication appears effective. Your doctor needs to monitor several important factors: cardiovascular health (as sexual activity and this medication both affect the heart), blood pressure trends, liver and kidney function (these organs process the medication), effectiveness of the current dose, any emerging side effects that you might not recognize as concerning, interactions with any new medications you’ve started, and changes in your overall health that might affect medication safety. Additionally, conditions like erectile dysfunction can sometimes be early warning signs of serious health issues such as cardiovascular disease or diabetes. Regular monitoring allows early detection of such problems. These appointments also provide opportunities to discuss whether your treatment approach needs adjustment, whether underlying conditions have changed, and whether alternative or additional treatments might be beneficial. Skipping follow-ups can mean missing important health changes that affect medication safety.

---

Medical Disclaimer

Important Information for Patients:

The information provided in this document is intended for general educational and informational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment.

This content does not:

• Replace consultation with a qualified healthcare provider
• Provide personalized medical recommendations
• Diagnose any medical condition
• Recommend specific treatment plans or dosages
• Guarantee specific outcomes or results from medication use

You should always:

• Consult your doctor or qualified healthcare professional before starting, stopping, or changing any medication
• Provide your healthcare provider with complete information about your medical history, current medications, and health concerns
• Follow your prescribing doctor’s specific instructions, which may differ from general information provided here
• Seek immediate medical attention for serious symptoms or medical emergencies
• Read the official patient information leaflet provided with your medication
• Report any side effects or concerns to your healthcare provider promptly

Medical decisions should be made collaboratively between you and your healthcare provider based on your individual circumstances. Self-medication or medication sharing can be dangerous and is strongly discouraged.

Regulatory Compliance: This information is compiled from medical literature, pharmaceutical guidelines, and healthcare standards. However, medical knowledge evolves continuously. For the most current prescribing information, consult official drug regulatory authority resources or speak directly with healthcare professionals.

Privacy and Use: If you have questions about this medication or your treatment, please contact your prescribing physician, pharmacist, or qualified healthcare provider who has access to your complete medical records.

---

Last Note: This comprehensive guide is designed to help you understand Extra Super Avana Tablets better. Informed patients who understand their medications tend to use them more safely and effectively. However, information alone cannot replace the expertise and personalized care provided by your healthcare team. Always prioritize direct communication with your medical providers regarding your specific situation.