Two active ingredients are combined in Extra Super Avana: Avanafil 200mg and Dapoxetine 60mg, supplied only on prescription. Medicine uses to treat erectile dysfunction and premature ejaculation in adult men. Blood flow to the penis is enhanced by the action of Avanafil. Ejaculation is delayed through the targeted action of Dapoxetine. Throughout the entire course of treatment, continuous medical oversight is essential.
If your doctor has prescribed Extra Super Avana, you may have some questions.
This medicine combines two active ingredients in a single tablet. This treatment is intended for adult men diagnosed with both ED and PE.
Many men live with one or both of these conditions. These are recognised medical conditions, not simply lifestyle concerns.
You may be familiar with the reference brands Spedra (Avanafil) and Priligy (Dapoxetine). Extra Super Avana contains both active ingredients together. The medicine is a prescription medicine in the UK. Learn how it works, its benefits, side effects, and safety advice.
This guide covers the mechanism of action, expected outcomes, and safe usage of the medicine.
What Is Extra Super Avana?
Prescribed as a single tablet, Extra Super Avana brings together two active compounds in one combination treatment. It contains Avanafil 200mg and Dapoxetine 60mg in a single tablet.
This is completely normal as they contain the same active ingredient — Avanafil in Spedra and Dapoxetine in Priligy. Extra Super Avana combines both into one convenient dose.
Medicine Information Table
| Field | Details |
|---|---|
| Brand Name | Extra Super Avana |
| Drug Class | PDE5 inhibitor + SSRI (short-acting) |
| Active Ingredients | Avanafil 200mg + Dapoxetine 60mg |
| UK Reference Brands | Spedra (Avanafil) + Priligy (Dapoxetine) |
| Prescription Status | Prescription-only medicine (POM) |
| Therapeutic Use | Erectile dysfunction + premature ejaculation |
How Avanafil and Dapoxetine Work in the Body
How Avanafil Works
Classified as a phosphodiesterase type 5 (PDE5) inhibitor, Avanafil works by blocking a specific enzyme involved in blood flow regulation.
Nitric oxide is released by the body during sexual stimulation, relaxing the smooth muscle walls of penile blood vessels and widening them to allow greater flow.
PDE5 is an enzyme that hydrolyses the chemical cGMP. cGMP is what keeps those blood vessels open.
In men with ED, PDE5 acts too quickly. It breaks down cGMP before a firm erection can develop.
Because Avanafil inhibits the PDE5 enzyme, cGMP levels are sustained at a higher concentration, supporting the erection process. Blood flow to the penis improves. A firm erection becomes possible when arousal occurs.
An erection is not produced by Avanafil alone. Sexual stimulation must be present for the medicine to take effect.
How Dapoxetine Works
Dapoxetine is classified as a short-acting SSRI. Because Dapoxetine acts rapidly, it enters the bloodstream within a short window and is cleared from the body just as swiftly. No other treatment for premature ejaculation currently holds a licence in the UK, making Dapoxetine unique in its category.
Serotonin activity within the nervous system is elevated by Dapoxetine, which in turn extends the time to ejaculation. This slows down the ejaculatory reflex.
Dapoxetine is taken on demand. Unlike daily antidepressants, Dapoxetine is taken only as needed, acting rapidly and clearing the body within a few hours.
Together, Avanafil and Dapoxetine address both aspects of male sexual dysfunction in one tablet.
When Doctors Prescribe Extra Super Avana
A diagnosis of both erectile dysfunction and premature ejaculation may lead your doctor to prescribe Extra Super Avana.
These two conditions frequently occur together. Research suggests that men with ED often develop PE as a secondary condition due to performance anxiety.
A GP or specialist may prescribe this medicine when:
- Difficulty achieving or maintaining an erection is among the clinical indications that may make this treatment appropriate
- Persistent early ejaculation, occurring before the desired point for either partner, is another condition this medicine is intended to address
- Your symptoms are causing psychological distress or relationship difficulties
- Single-ingredient treatments have not been sufficient
- A combined approach has been deemed clinically appropriate for you
Not all men will be appropriate candidates for this treatment. Your doctor will review your medical history and current medicines before prescribing.
Benefits of Extra Super Avana
Extra Super Avana offers the advantage of treating two conditions with one tablet. This simplifies treatment for men managing both ED and PE.
Avanafil has a fast onset of action. Taking the tablet may produce noticeable effects in as little as 15 to 30 minutes, making it one of the faster-acting treatments in its class. This is generally faster than some other PDE5 inhibitors.
Dapoxetine is designed for on demand use. Unlike daily SSRIs, it does not need to be taken every day. This reduces exposure to systemic side effects.
For many men, addressing both conditions simultaneously can improve confidence during intimate moments. Managing performance anxiety may also reduce the severity of symptoms over time.
Combining two treatments into a single tablet may also improve adherence. Fewer medicines to manage can make it easier to follow medical advice.

Alternative Medicine Doctors May Consider
Depending on your individual symptoms and clinical background, alternative treatments may be judged more appropriate by your doctor.
For erectile dysfunction alone, your doctor may consider:
- Spedra (Avanafil)
- Viagra (Sildenafil)
- Cialis (Tadalafil)
- Levitra (Vardenafil)
Duration of action and onset time vary between available options.
For premature ejaculation alone, Priligy (Dapoxetine) is the only MHRA-licensed treatment for PE in the UK. Between one and three hours before sexual activity, the tablet should be taken to allow sufficient time to take effect.
If you have cardiovascular concerns, your doctor may prefer a lower-strength PDE5 inhibitor. Always follow your prescriber’s guidance on the most appropriate choice for you.
Possible Side Effects
Like any medicine, Extra Super Avana carries the possibility of side effects, though these do not affect every person who takes it.
| Category | Side Effect | Details |
|---|---|---|
| Common Side Effects | Headache | — |
| Flushing | Of the face or neck | |
| Nasal congestion | — | |
| Dizziness or light-headedness | — | |
| Nausea | — | |
| Dry mouth | — | |
| Less Common Side Effects | Low blood pressure | Hypotension |
| Blurred vision | — | |
| Palpitations | — | |
| Insomnia or sleep disturbance | — | |
| Changes in mood | — | |
| Rare but Serious Side Effects | Priapism | A prolonged and painful erection persisting beyond four hours — requires urgent medical attention |
| Sudden changes in vision or hearing | Seek emergency care immediately | |
| Severe hypersensitivity reaction | Rash, swelling, or difficulty breathing | |
| Fainting or collapse | Seek emergency care immediately |
Should priapism develop, or should a sudden loss of vision or hearing occur, emergency medical care must be sought without delay.
Side effects that do not resolve, or that cause concern, warrant prompt discussion with your GP or pharmacist.
Important Safety Advice
Drug Interactions
Extra Super Avana must not be taken alongside nitrate medicines under any circumstances. This includes GTN spray, isosorbide mononitrate, and similar heart medicines.
Because nitrates and PDE5 inhibitors interact dangerously, combining them can cause a severe, potentially fatal drop in blood pressure.
Tell your doctor if you have or have had any of the following, and disclose all medicines currently being taken — including herbal remedies and over-the-counter medicines.
Extra Super Avana may interact with:
- Medicines prescribed for hypertension or benign prostatic hyperplasia (BPH), including alpha-blockers, are among the treatments that may interact with Extra Super Avana
- Certain antibiotics and antifungals (e.g. ketoconazole, erythromycin)
- Medicines for HIV or hepatitis C
- Other medicines that affect serotonin levels
- Anticoagulants or blood-thinning medicines
Alcohol and Food
Alcohol should not be consumed during a period in which Extra Super Avana has been taken, as it can heighten certain risks. Because alcohol lowers blood pressure, drinking whilst taking this medicine can heighten dizziness and raise the likelihood of fainting.
Grapefruit and grapefruit juice are known to alter the absorption of Avanafil and should be avoided throughout the course of treatment.
The absorption of Avanafil can be slowed by consuming a high-fat meal beforehand. An empty stomach or a light meal provides the most favourable conditions for the medicine to work effectively.
Medical Conditions to Disclose
Tell your doctor before taking Extra Super Avana if you have any of the following conditions:
- Tell your doctor if you have or have had any of the following: heart disease, a recent heart attack, or stroke
- A history of blood clots or heart problems, or uncontrolled high or low blood pressure, must also be disclosed
- Severe liver or kidney disease is a further condition to report before this medicine is prescribed
- A history of priapism
- Inherited eye conditions such as retinitis pigmentosa
- Bipolar disorder or psychiatric conditions
- A history of seizures or epilepsy
Who Should Not Take This Medicine
Extra Super Avana is not suitable for women, children, or anyone under 18.
Men aged over 65 should not take this medicine unless a specialist has reviewed their suitability.
An allergy to Avanafil, Dapoxetine, or any ingredient in the tablet is a contraindication, and the medicine must not be used.
Dependence Risk
Dapoxetine is a short-acting SSRI taken on demand. It does not carry the same dependence profile as long-term antidepressants.
However, psychological reliance on the medicine is possible. Speak to your doctor if you feel you cannot manage sexual activity without it.
When Should You Speak to a Doctor?
Contact your GP or prescriber promptly if you notice any of the following:
- Should side effects fail to resolve following several doses, further guidance from your doctor or pharmacist is needed
- No improvement in erection or ejaculation control after several uses
- Chest pain, breathlessness, or irregular heartbeat during or after sexual activity
- Priapism — an erection lasting longer than four hours — requires immediate attendance at A&E
- Swelling of the face, lips, or throat — possible signs of a serious allergic reaction — must be assessed by a clinician promptly
- A sudden and unexplained reduction in vision or hearing warrants immediate contact with a medical professional
The prescribed dose should not be altered without first consulting your doctor. Always discuss any adjustments with your doctor beforehand. Only one tablet may be taken within any 24-hour period.
Can Extra Super Avana Be Used With Other Medicines?
Always tell your GP, specialist, and pharmacist about every medicine you take. This includes vitamins, supplements, and herbal remedies.
Pharmacists can screen for interactions using dispensing software. This is an important safety step before starting any new medicine.
Other medicines for erectile dysfunction must not be taken at the same time as Extra Super Avana. When PDE5 inhibitors are combined with other medicines, the likelihood of serious side effects increases considerably.
Storage and Handling Advice
- Extra Super Avana should be stored at room temperature, ensuring it does not exceed 25°C
- At all times, the tablets must be kept within their original packaging
- Direct sunlight and moisture can degrade the medicine, so appropriate storage conditions should be observed
- Like any medicine, this one must be kept completely out of the reach of children at all times
- Once the date printed on the packaging has been exceeded, the tablets are no longer safe to use and must be discarded appropriately
- Rather than discarding medicines in household waste, unused or out-of-date tablets should be returned to a pharmacy for safe disposal
Responsible Access to Treatment
You must obtain medicine with a valid prescription from a registered healthcare professional. Supplying Extra Super Avana without one is not permitted under UK law.
Buying prescription medicines from unregulated online sources carries serious risks. These include receiving counterfeit, substandard, or contaminated products.
Frequently Asked Questions (FAQs)
Q: What is the use of extra super Avana tablet?
A: Medicine uses to treat erectile dysfunction and premature ejaculation in adult men. It contains Avanafil 200mg and Dapoxetine 60mg. Always take it under medical supervision.
Q: Is Avanafil stronger than Viagra?
A: Avanafil has a faster onset of action than Sildenafil (Viagra), with effects reported within 15 minutes. Effectiveness in treating erectile dysfunction is shared by both options, with the most appropriate choice determined in consultation with your doctor.
Q: Can I take Avanafil daily?
A: Avanafil is not indicated for daily use and should be taken only as needed. Take one tablet as needed, no more than once in 24 hours. Always follow your prescriber’s instructions carefully.
Q: What is the price of Extra Super Avana?
A: Prices vary depending on the pharmacy and pack size. Always buy from a registered UK pharmacy. Consult your GP or pharmacist for current pricing and availability.
Conclusion
Containing Avanafil 200mg and Dapoxetine 60mg, Extra Super Avana is prescribed specifically for men who present with both erectile dysfunction and premature ejaculation concurrently.
During sexual stimulation, penile blood flow is increased through the action of Avanafil. Ejaculation time is extended by Dapoxetine through its targeted action on serotonin pathways in the nervous system.
For suitable patients, having both active ingredients in a single tablet provides a convenient and clinically practical approach to treatment. Before this medicine is taken, a thorough medical assessment must be completed.
Always consult a registered healthcare professional before starting or changing any treatment. Prescription medicines should never be taken without prior consultation with your GP or a registered prescriber.
Registered prescribers can advise on the full range of available treatment options for both erectile dysfunction and premature ejaculation.
References and Authoritative Sources
- NHS — Erectile dysfunction (impotence): nhs.uk/conditions/erection-problems-erectile-dysfunction
- NHS — Premature ejaculation: nhs.uk/conditions/premature-ejaculation
Medical Disclaimer
This article is for informational purposes only and does not replace professional medical advice. Always consult a registered healthcare professional before starting or changing any treatment.
