Extra Super Avana

What Is Extra Super Avana?

Extra Super Avana is the maximum-strength Avanafil-based dual-active combination tablet in the Avana range — containing:

• Avanafil 200mg — maximum-standard above-standard PDE-5 inhibitor dose for severe erectile dysfunction
• Dapoxetine 60mg — full recommended on-demand SSRI dose for premature ejaculation

The designation signals the escalated Avanafil component — distinguishing it from Super Avana and positioning it as the step-up combination product for men whose severe ED requires above-standard PDE-5 inhibition while simultaneously managing PE at full Dapoxetine strength.

Extra Super Avana vs. Super Avana — The Critical Distinction

How Extra Super Avana Works

Avanafil achieves the maximum achievable oral PDE-5 inhibition through Avanafil pharmacotherapy — suppressing the enzyme most completely and maintaining Avanafil's superior PDE-5/PDE-6 selectivity even at maximum dose. This means deeper ED pharmacological action with still fewer visual side effects than Sildenafil 200mg at comparable inhibition levels. Active within 15 to 30 minutes. Duration: 4 to 6 hours.

Dapoxetine 60mg — Maximum On-Demand PE Management:

At the full recommended 60mg dose, Dapoxetine achieves complete standard SERT inhibition — raising the ejaculatory threshold maximally through on-demand pharmacotherapy. Active approximately 1 to 2 hours post-dose. PE control window: 1 to 3 hours after peak.

Important dual-duration consideration:
Avanafil's erectile support lasts 4 to 6 hours. Dapoxetine's PE control lasts 1 to 3 hours after peak concentration. These are independent timelines — plan sexual activity within the Dapoxetine window for full dual-condition coverage.

Extra Super Avana Uses

• Severe Erectile Dysfunction — Avanafil 200mg — above-standard dose for documented 100mg non-responders
• Premature Ejaculation — Dapoxetine 60mg — full on-demand PE management

Extra Super Avana tablet is appropriate for men who:

• Have severe comorbid ED and PE requiring above-standard Avanafil dosing alongside full-dose Dapoxetine management
• Have used Super Avana (100mg Avanafil) and found the erectile component insufficient while PE management at 60mg Dapoxetine was adequate
• Previously required above-standard Sildenafil doses (120mg, 200mg) for ED alongside PE treatment and found visual side effects problematic — Extra Super Avana provides comparable or superior PDE-5 inhibition with Avanafil's better PDE-6 selectivity
• Have explicit medical authorization for 200mg Avanafil with documented 100mg inadequacy

How to Take Extra Super Avana

Confirm your prescription explicitly authorizes Avanafil 200mg + Dapoxetine 60mg — at maximum Avanafil dose plus full Dapoxetine, dose verification is non-negotiable.

Take after a light meal with a full glass of water. At 60mg Dapoxetine, nausea is the most common side effect — the light meal is clinically essential, not optional.

Dapoxetine 60mg plus Avanafil 200mg's vasodilation creates the highest combined orthostatic hypotension risk in the Avana range. Remain seated for 30 minutes after taking. Rise slowly.

Alcohol is completely and absolutely prohibited with Extra Super Avana. At 200mg Avanafil + 60mg Dapoxetine, alcohol represents a genuine cardiovascular emergency risk.

Avanafil's faster onset combined with above-standard PDE-5 inhibition provides maximum erectile support when arousal is present. Dapoxetine raises the ejaculatory threshold simultaneously.

Safety rules — most stringent in the Avana range:

• One tablet per 24 hours — absolute limit
• No nitrates — fatal interaction
• No MAOIs — fatal serotonin syndrome — 14-day washout mandatory
• No SSRIs or SNRIs — serotonin syndrome
• No strong CYP3A4 inhibitors — absolutely contraindicated at 200mg Avanafil
• No alcohol — completely prohibited

Side Effects

• Headache, pronounced flushing, nasal congestion, indigestion, back pain, dizziness, visual changes
• Nausea — essential to take with light meal
• Orthostatic dizziness — remain seated; rise slowly
• Dry mouth, sweating, insomnia, anxiety, sleep disruption
• Priapism — erection beyond 4 hours
• Serotonin syndrome
• Severe orthostatic collapse
• Sudden vision or hearing loss
• Chest pain or cardiac arrhythmia
• Anaphylaxis

Drug Interactions

• Nitrates — fatal Avanafil hypotension — most critical at 200mg
• MAOIs — fatal Dapoxetine serotonin syndrome — 14-day washout mandatory
• SSRIs / SNRIs — serotonin syndrome with Dapoxetine
• Strong CYP3A4 inhibitors (ketoconazole, ritonavir, clarithromycin) — absolutely contraindicated at 200mg Avanafil — dangerous plasma elevation
• Riociguat — severe hypotension
• Thioridazine — cardiac arrhythmia with Dapoxetine
• Alcohol — complete prohibition at this combination

Requires most stringent management:

• Alpha-blockers — most severe hypotension in Avana range
• Moderate CYP3A4 inhibitors — contraindicated at 200mg Avanafil
• Antihypertensives — additive blood pressure lowering
• Grapefruit and juice — eliminate on dosing days

Buy Extra Super Avana Online at Vyrox

When you buy Extra Super Avana through Vyrox, every tablet is pharmacy-verified through licensed supply chain partners — authenticated for genuine Sunrise Remedies production with confirmed 200mg Avanafil and 60mg Dapoxetine content per tablet.

At above-standard Avanafil plus full-dose Dapoxetine, both active ingredient accuracy and product authenticity are patient safety priorities. All orders ship in completely plain, unmarked packaging.

Available Strengths of Avana

• Avana 50mg — Starting conservative dose — mild ED
• Avana 100mg — Full standard dose — most prescribed Avanafil
• Avana 200mg — Maximum dose — severe ED
• Super Avana — Avanafil 100mg + Dapoxetine 60mg — standard dual combination
• Top Avana — Avanafil + Dapoxetine — combination variant

Frequently Asked Questions

Q: What is the difference between Super Avana and Extra Super Avana?
A: Only the Avanafil dose — Super Avana has 100mg, Extra Super Avana has 200mg; Dapoxetine is 60mg in both.

Q: What does "Extra Super Avana 260mg" mean?
A: This refers to the combined total dose — 200mg Avanafil + 60mg Dapoxetine = 260mg total; it describes the same product as Extra Super Avana 200mg/60mg.

Q: Can I start combination therapy with Extra Super Avana?
A: No — begin with Super Avana (100mg Avanafil); Extra Super Avana requires documented inadequate response to 100mg Avanafil under medical supervision.

Q: Why is alcohol absolutely prohibited rather than just limited?
A: Dapoxetine 60mg plus Avanafil 200mg creates a serious orthostatic collapse risk with alcohol — this is a clinical prohibition, not a recommendation.

Q: Are strong CYP3A4 inhibitors contraindicated with Extra Super Avana?
A: Yes — absolutely contraindicated specifically at 200mg Avanafil; these drugs elevate Avanafil to dangerously high plasma concentrations at the 200mg baseline.

Q: Does Extra Super Avana have more visual side effects than Sildenafil-based combinations?
A: No — Avanafil's superior PDE-6 selectivity is maintained at 200mg, producing fewer visual side effects than Sildenafil 200mg at comparable PDE-5 inhibition levels.

Q: What is the MAOI washout period for Extra Super Avana?
A: A mandatory 14-day minimum must pass after stopping any MAOI before taking any Dapoxetine product — this is non-negotiable at any Dapoxetine dose.