Extra Super Avana vs. Other ED & Premature Ejaculation Meds - Detailed Comparison

When you’re dealing with both erectile dysfunction (ED) and premature ejaculation (PE), finding a single pill that tackles both can feel like striking gold. Extra Super Avana claims to do exactly that by pairing Dapoxetine - a short‑acting SSRI for PE - with Avanafil, a fast‑onset PDE5 inhibitor for ED. But does the combo really beat the traditional stand‑alone options? This guide walks you through the science, the side‑effect profiles, costs, and real‑world use cases so you can decide whether the combo is right for you or if a different regimen makes more sense.

What is Extra Super Avana?

Extra Super Avana is a fixed‑dose combination tablet that contains 30 mg of dapoxetine and 100 mg of avanafil. It was launched in 2023 in New Zealand and several EU markets as a convenience pill for men who experience both PE and mild‑to‑moderate ED. The drug is taken on an as‑needed basis: dapoxetine 1‑2 hours before anticipated sexual activity and avanafil 15‑30 minutes prior. Because the two agents work via different mechanisms - serotonin reuptake inhibition and phosphodiesterase‑5 inhibition - the product promises rapid erection support plus delayed ejaculation without the need for multiple prescriptions.

How Dapoxetine Works (and What to Expect)

Dapoxetine is a short‑acting selective serotonin reuptake inhibitor (SSRI) specifically approved for premature ejaculation. Unlike traditional SSRIs used for depression, dapoxetine has a half‑life of about 1.5 hours, meaning it clears the system quickly and reduces the risk of mood‑related side effects. The drug increases serotonin levels in the central nervous system, which raises the ejaculatory latency time (IELT) by roughly 2‑3 fold in most clinical trials. Typical dosing is 30 mg taken 1‑2 hours before intercourse; some men step up to 60 mg if the lower dose is insufficient.

How Avanafil Works (and What to Expect)

Avanafil is a third‑generation PDE5 inhibitor. It blocks the enzyme phosphodiesterase‑5, which normally breaks down cyclic‑GMP, the messenger that relaxes smooth muscle in the penis. By preserving cyclic‑GMP, avanafil facilitates blood flow for an erection. The hallmark of avanafil is its rapid onset - many men feel the effect within 10‑15 minutes, sooner than sildenafil or tadalafil. A standard dose is 100 mg taken about 30 minutes before sex; the tablet can be taken with or without food, although a high‑fat meal can delay absorption slightly.

Traditional Alternatives for Erectile Dysfunction

• Sildenafil - the original PDE5 blocker, usually 50‑100 mg taken 30‑60 minutes before intercourse. Onset 30‑45 minutes, duration up to 5 hours.
• Tadalafil - known for its long half‑life (≈17 hours). Typical dose 10‑20 mg, can be taken daily (2.5‑5 mg) for spontaneous activity.
• Vardenafil - similar to sildenafil but claims slightly better side‑effect tolerance. Dose 10‑20 mg, onset 30 minutes, duration 4‑5 hours.

Traditional Alternatives for Premature Ejaculation

• Paroxetine - a full‑time SSRI taken daily (20 mg) that can increase IELT by 2‑3 fold, but carries typical antidepressant side effects.
• Sertraline - another daily SSRI (50 mg) used off‑label for PE; slower onset (weeks) but useful for men who prefer a single daily pill.
• Topical anesthetic sprays (e.g., lidocaine) - provide temporary penile desensitization but don’t affect erectile function.

Side‑Effect Snapshot Across Options

• Extra Super Avana: headache (15 %), flushing (10 %), nausea (5 %), mild visual disturbance (<2 %). Rarely, dizziness when combined with nitrates.
• Sildenafil: headache, facial flushing, dyspepsia, occasional priapism.
• Tadalafil: back pain, muscle aches, headache, dyspepsia.
• Dapoxetine: nausea, dizziness, insomnia, rare mood changes.
• Paroxetine: sexual dysfunction (paradoxical), weight gain, insomnia.

Cost Comparison (NZ$ per 30‑day supply)

Pros and Cons: Extra Super Avana vs. Separate Pills

Pros of the combo

• Convenient single‑pill regimen - fewer trips to the pharmacy.
• Synchronised timing: avanafil kicks in fast, dapoxetine covers the 1‑2 hour window.
• Potential cost savings if both drugs are purchased separately.
• Reduced pill fatigue for men who dislike taking multiple tablets.

Cons of the combo

• Fixed dosing - you can’t adjust dapoxetine without also changing avanafil.
• Side‑effects of both agents stack (e.g., headache + nausea).
• Higher upfront price than a single generic sildenafil tablet.
• If you only need one function (say, only ED), the extra SSRI is unnecessary.

Decision Guide: Which Option Fits Your Lifestyle?

Use the following quick‑check to narrow down the best choice:

1. Do you need both PE and ED coverage? - If yes, the combo is worth testing.
2. Do you have heart disease or take nitrates? - Both avanafil and other PDE5i are contraindicated; talk to a cardiologist.
3. Are you comfortable with daily medication? - Daily SSRIs (paroxetine/sertraline) may be easier if you already take other chronic meds.
4. Budget matters? - Generic sildenafil + separate dapoxetine (if prescribed) usually costs less than the combo.
5. Timing preferences? - Avanafil offers the fastest onset, ideal for spontaneous activity; if you plan ahead, tadalafil’s long window may be better.

Most clinicians start patients on separate, low‑dose pills to gauge tolerance, then consider a combination if both issues persist.

Frequently Asked Questions

Bottom line: Extra Super Avana offers a neat, on‑demand solution for men battling both ED and PE, but it isn’t a one‑size‑fits‑all. If you only need one function, have specific dosing requirements, or are on interacting medications, traditional separate therapies may be a smarter, cheaper route. Talk to your healthcare provider, weigh the side‑effect profile, and consider how often you’re sexually active - that’s the fastest way to land on the right choice.