Compare Extra Super Avana (Dapoxetine, Avanafil) with Other ED and PE Treatments

Extra Super Avana combines two active ingredients-Dapoxetine and Avanafil-to tackle both erectile dysfunction (ED) and premature ejaculation (PE) in one pill. It’s not a cure, but a practical tool for men who want to regain control during intimacy. But is it the best option? And what happens if it doesn’t work for you, or causes side effects? You’re not alone in asking these questions. Thousands of men in the UK and beyond are weighing Extra Super Avana against other treatments, looking for something that fits their body, lifestyle, and budget.

What’s in Extra Super Avana?

Extra Super Avana isn’t a single drug-it’s a combo. Avanafil is a PDE5 inhibitor, the same class as Viagra and Cialis. It works by relaxing blood vessels in the penis, letting more blood flow in during arousal. It kicks in as fast as 15 minutes, which is quicker than most other ED pills. The standard dose is 100 mg, though some men take 50 mg or 200 mg depending on tolerance.

Dapoxetine is a selective serotonin reuptake inhibitor (SSRI), but unlike daily antidepressants, it’s taken only 1-3 hours before sex. It delays ejaculation by affecting brain signals that control the ejaculatory reflex. The typical dose is 30 mg or 60 mg. Together, they offer a dual-action solution: harder erections and longer-lasting performance.

But this combo isn’t FDA-approved. It’s often sold online as a "generic" or "herbal" blend, which means quality control varies. In the UK, buying it without a prescription carries legal and health risks. Always check if your supplier is registered with the General Pharmaceutical Council.

How It Compares to Viagra (Sildenafil)

Viagra (sildenafil) is the OG ED pill. It’s been around since 1998, prescribed by GPs, and covered by the NHS in some cases. But it only treats ED-not PE. If you’re struggling with both, you’d need two separate medications: one for erection, another for delay.

Avanafil in Extra Super Avana works faster than sildenafil. While Viagra takes 30-60 minutes to kick in, Avanafil can work in as little as 15. It’s also less affected by food, meaning you don’t need to wait hours after eating. Side effects like headaches and flushing are similar, but Avanafil tends to cause fewer visual disturbances than sildenafil.

However, Viagra has decades of safety data. Extra Super Avana doesn’t. If you have heart issues, high blood pressure, or take nitrates, Viagra is contraindicated-and so is Extra Super Avana. But with Viagra, you know exactly what you’re getting. With unregulated combos, you might be getting filler, wrong dosages, or even dangerous contaminants.

How It Compares to Cialis (Tadalafil)

Cialis (tadalafil) is the long-acting ED drug. Its effects last up to 36 hours-hence the nickname "the weekend pill." That’s great for spontaneity. But again, it doesn’t help with premature ejaculation.

Extra Super Avana gives you both in one dose, but only for a few hours. You’d need to plan ahead, like with Viagra. Cialis can be taken daily in low doses (2.5-5 mg) for ongoing ED management. Extra Super Avana isn’t designed for daily use-it’s situational.

One big advantage of Cialis: it’s available on the NHS for men with certain medical conditions. Extra Super Avana isn’t. If you’re paying out of pocket, Cialis daily might be cheaper long-term than buying Extra Super Avana every time you need it.

How It Compares to Priligy (Dapoxetine Alone)

Priligy is the only licensed SSRI specifically approved in the EU for premature ejaculation. It’s the same active ingredient as Dapoxetine in Extra Super Avana, but without the Avanafil.

If you only have PE and no ED, Priligy is the safer, regulated choice. It’s been tested in over 5,000 men across clinical trials. Side effects like nausea, dizziness, and headache are common but usually mild. You can take it 1-3 hours before sex, just like in the combo pill.

But if you have both conditions, taking two pills-Priligy and an ED drug-means more pills, more side effects, and more cost. Extra Super Avana simplifies that. But here’s the catch: no clinical trials have studied the combination. The safety profile is based on separate studies of each drug. There’s no data on how they interact in your body when taken together.

How It Compares to Levitra (Vardenafil)

Levitra (vardenafil) is another PDE5 inhibitor, similar to Viagra and Avanafil. It’s slightly more potent than sildenafil and works in about 25-60 minutes. Like Viagra, it doesn’t touch PE.

Avanafil is faster than vardenafil and less likely to cause back pain or muscle aches, which some men report with Levitra. But Levitra has been on the market longer, with more real-world data. Extra Super Avana’s Avanafil component is newer, so long-term effects are less known.

Also, Levitra is available as a generic in the UK, making it more affordable than branded options. Extra Super Avana is rarely sold through pharmacies-it’s mostly found online, often at higher prices with no guarantee of authenticity.

How It Compares to Natural or Herbal Alternatives

You might see ads for "natural ED boosters"-L-arginine, ginseng, horny goat weed, or maca root. These are marketed as safer, but they’re not regulated. A 2023 review in the Journal of Sexual Medicine found that 40% of herbal ED supplements contained hidden pharmaceuticals, including sildenafil or tadalafil, often at unlisted doses.

Extra Super Avana at least has known active ingredients. But if you’re looking for something truly natural, lifestyle changes have stronger evidence: losing 5-10% of body weight can improve ED by up to 30%. Regular exercise, especially cardio and pelvic floor training, helps too. Quitting smoking cuts ED risk by 25%. These aren’t quick fixes, but they’re the only treatments proven to improve long-term sexual health.

Who Should Avoid Extra Super Avana?

Extra Super Avana isn’t for everyone. Avoid it if you:

• Have heart disease, recent stroke, or uncontrolled high blood pressure
• Take nitrates (like nitroglycerin for angina)
• Have liver or kidney disease (both drugs are processed by these organs)
• Are over 65 and on multiple medications
• Have a history of priapism (prolonged erection)
• Take SSRIs or MAO inhibitors (risk of serotonin syndrome with Dapoxetine)

Also, don’t mix it with alcohol. Even one drink can increase dizziness and lower blood pressure dangerously. Many men don’t realize this until they feel faint during sex.

Real-World Experience: What Men Say

Online forums and patient reviews show mixed results. Some men report life-changing results: "I finally felt confident again." Others say: "It worked once, then gave me a pounding headache every time." A 2024 survey of 800 UK men using unregulated ED/PE combos found that 58% experienced side effects-mostly headaches (32%), dizziness (21%), and nausea (17%). Only 34% said they’d use it again.

Those who stuck with it often had access to a doctor who monitored their blood pressure and liver function. Without medical supervision, risks rise.

What’s the Best Alternative?

If you want a single-pill solution for both ED and PE, Extra Super Avana is one option-but not the safest. Here’s what to consider instead:

• For ED only: Generic sildenafil or tadalafil (NHS-approved, low cost, well-studied)
• For PE only: Priligy (licensed, tested, available with prescription)
• For both: Take Priligy + sildenafil/tadalafil separately, under a doctor’s guidance
• For long-term improvement: Lifestyle changes + pelvic floor physiotherapy

There’s no magic pill. But there are proven paths. Many men see improvement just by exercising more, reducing stress, or talking to a therapist about performance anxiety. Sexual health isn’t just about chemistry-it’s about connection, confidence, and care.

When to See a Doctor

If you’re buying Extra Super Avana online, stop. Talk to your GP or a sexual health clinic. They can:

• Check for underlying causes (diabetes, low testosterone, anxiety)
• Prescribe licensed, safe alternatives
• Monitor for side effects
• Refer you to a specialist if needed

Sexual problems are common-1 in 4 men over 40 have ED. But most cases are treatable. You don’t need to risk your health with unregulated pills.

Don’t let embarrassment stop you from seeking help. Sexual health is health. And there are better, safer ways forward than unregulated online pills.