--- title: Buy Extra Super Avana 200/60mg Pills Online description: Extra Super Avana combines Avanafil and Dapoxetine for erectile dysfunction and premature ejaculation. Order 200/60mg pills from our pharmacy. type: product language: en url: https://liabilis.com/order-extra-super-avana-online-en.html availability: in_stock shipping: - type: Standard Airmail price: 10.00 currency: USD area: Worldwide time: 14-21 days - type: Tracked Express price: 30.00 currency: USD area: Worldwide tracking: true time: 5-9 days price_min: 190.99 price_max: 925.99 currency: USD offers: - name: 200/60mg x 12 pills price: 190.99 - name: 200/60mg x 20 pills price: 343.30 - name: 200/60mg x 32 pills price: 498.99 - name: 200/60mg x 60 pills price: 925.99 --- # Buy Extra Super Avana 200/60mg Pills Online Extra Super Avana is a combination medication containing Avanafil for erectile dysfunction and Dapoxetine for premature ejaculation. This dual-action treatment addresses both sexual health concerns simultaneously, providing comprehensive support for men's sexual wellness. Our online pharmacy offers discreet access to Extra Super Avana in 200/60mg pill form for enhanced sexual performance. ## Pricing and Options | Dosage | Pack Size | Price (USD) | Price Per Pill | Status | | :--- | :--- | :--- | :--- | :--- | | **200/60mg** | 12 pills | **$190.99** | $15.92 | In Stock | | **200/60mg** | 20 pills | **$343.30** | $17.16 | In Stock | | **200/60mg** | 32 pills | **$498.99** | $15.59 | In Stock | | **200/60mg** | 60 pills | **$925.99** | $15.43 | In Stock | [Buy Now](https://liabilis.com/order-extra-super-avana-online-en.html) ## Introduction Extra Super Avana is a generic oral medication that combines the phosphodiesterase-5 inhibitor avanafil with the short-acting selective serotonin-reuptake inhibitor dapoxetine. The product is supplied as a 200 mg avanafil / 60 mg dapoxetine pill, intended for adult patients who experience erectile dysfunction (ED) and/or premature ejaculation (PE). By simultaneously enhancing penile blood flow and delaying ejaculation, the combination addresses two of the most common male sexual-function concerns in a single dose. ## Quick Reference Facts **Active Ingredient** : Avanafil with Dapoxetine **Form** : pill 200/60 mg **Primary Uses** : erectile dysfunction; premature ejaculation ## What is Extra Super Avana? Extra Super Avana is the generic version of medications that contain the active compound avanafil with dapoxetine. Avanafil is marketed under the brand name **Stendra**, while dapoxetine is sold as **Priligy** in many jurisdictions. The combination is formulated to treat both ED and PE, offering a convenient single-tablet regimen for patients who require therapy for both conditions. Specific information about the manufacturer of Extra Super Avana is limited in publicly available sources, but the product is classified as a generic drug and is distributed internationally through licensed pharmacies. ## How Extra Super Avana Works Avanafil belongs to the phosphodiesterase-5 (PDE5) inhibitor class. By blocking the PDE5 enzyme in penile smooth-muscle cells, avanafil prevents the breakdown of cyclic guanosine monophosphate (cGMP). Elevated cGMP levels lead to smooth-muscle relaxation, increased blood flow to the corpora cavernosa, and an erection sufficient for sexual activity when sexual stimulation is present. Dapoxetine is a short-acting selective serotonin-reuptake inhibitor (SSRI). It amplifies serotonergic neurotransmission in the central nervous system, which raises the threshold for ejaculation. Because dapoxetine’s half-life is approximately 1-2 hours, its effect is limited to the period surrounding sexual activity, reducing the risk of long-term SSRI-related adverse events. When combined, avanafil provides the hemodynamic support needed for erection, while dapoxetine extends the ejaculatory latency time. The two mechanisms act independently yet complement each other, allowing patients to achieve and maintain an erection longer than would be possible with either agent alone. ## Conditions Treated with Extra Super Avana - **Erectile Dysfunction (ED)** Avanafil improves penile blood flow, enabling an erection in response to sexual stimulation. It is effective in men with vascular, neurogenic, or psychogenic causes of ED. - **Premature Ejaculation (PE)** Dapoxetine delays the ejaculatory reflex by modulating serotonin levels, helping men increase intravaginal ejaculation latency time and improve sexual satisfaction. - **Combined Sexual Dysfunction** For patients who experience both ED and PE, the dual-action pill offers a single-dose solution, reducing the need for multiple prescriptions and simplifying treatment schedules. ## Is Extra Super Avana the Right Medication for You? Extra Super Avana is most appropriate for adult men who have been diagnosed with erectile dysfunction, premature ejaculation, or both, and who do not have contraindications to PDE5 inhibitors or SSRIs. It is especially useful for patients seeking a “one-pill-per-occasion” approach. **Suitable candidates** typically: - Have stable cardiovascular status (no recent myocardial infarction, uncontrolled hypertension, or heart failure). - Are not currently taking nitrates or nitric-oxide donors. - Do not have severe hepatic or renal impairment that would affect drug clearance. - Are not on monoamine-oxidase inhibitors (MAOIs) or other serotonergic medications that could precipitate serotonin syndrome. **Contraindications** include: - Concurrent use of nitrates (e.g., nitroglycerin) or guanylate cyclase stimulators. - Known hypersensitivity to avanafil, dapoxetine, or any excipients. - Severe uncontrolled hypertension (> 180/110 mmHg). - Recent history of non-arteritic anterior ischemic optic neuropathy (NAION). - Current major depressive episode requiring full-time SSRI therapy, or history of serotonin syndrome. Patients with moderate cardiovascular disease should discuss risks with a healthcare professional before initiating therapy. The decision to use Extra Super Avana must be individualized, weighing benefits against potential risks. ## Buying Extra Super Avana from [our online pharmacy](https://liabilis.com/order-extra-super-avana-online-en.html) **Why Choose Our Service?** Our platform provides a streamlined, secure way to obtain medications that may be difficult to source locally or that are priced higher through traditional retail channels. By sourcing directly from licensed international pharmacies, we help reduce out-of-pocket costs while maintaining rigorous quality standards. **Quality & Safety Assurance** We partner with licensed international pharmacies to ensure quality and authenticity. Every shipment is verified against the original manufacturer’s specifications and includes a full batch-release certificate where available. **Pricing & Access** Because Extra Super Avana is a generic formulation, it is offered at a fraction of the price of branded equivalents such as Stendra or Priligy taken separately. Our pricing model reflects near-wholesale rates, making the combination pill an economical option for patients who need treatment for both ED and PE. **Discreet Delivery** Orders are packaged in plain, unmarked envelopes and dispatched via express courier services that typically deliver within 7 days to most regions. Standard airmail, when selected, arrives in approximately 3 weeks. All personal data is encrypted and handled in compliance with international privacy regulations. ## Use: Dosing, Missed Dose, Overdose - **Standard dosing** The usual regimen is one 200 mg avanafil / 60 mg dapoxetine tablet taken orally with a glass of water approximately 30 minutes before sexual activity. Do not exceed one tablet per 24-hour period. The medication may be taken with or without food; a high-fat meal can delay avanafil absorption slightly. - **Missed dose** If the scheduled dose is forgotten and the intended sexual activity is still at least 4 hours away, the tablet may be taken as planned. If the window has passed, skip the dose and resume the regular schedule; do not double-dose to “make up” for a missed tablet. - **Overdose** Symptoms may include pronounced headache, dizziness, prolonged erection lasting more than 4 hours (priapism), severe nausea, or fainting. Seek immediate medical attention or contact your local poison-control center. Bring the medication packaging with you for reference. - **Precautions** Avoid excessive alcohol consumption, as it can amplify vasodilatory effects and increase the risk of hypotension. Do not operate heavy machinery or drive until you are sure the medication does not impair your coordination or alertness. ## Safety Information ### ⚠️ Who Should Not Take Extra Super Avana - Patients using nitrates (e.g., nitroglycerin, isosorbide dinitrate) or other nitric-oxide donors. - Individuals with a confirmed hypersensitivity to avanafil, dapoxetine, or any pill excipients. - Those with severe uncontrolled hypertension (> 180/110 mmHg). - Patients with a history of non-arteritic anterior ischemic optic neuropathy. - Persons currently on monoamine-oxidase inhibitors (MAOIs) or other serotonergic agents that could precipitate serotonin syndrome. - Men with significant cardiovascular disease who have not been cleared for sexual activity by a cardiologist. ### Common Side Effects - **Headache** (reported in up to 15 % of users) - usually mild and transient. - **Flushing** and **nasal congestion** - related to vasodilation; often resolve without intervention. - **Dizziness** - advise patients to rise slowly from seated positions. - **Nausea, diarrhea, or mild abdominal discomfort** - typical of dapoxetine; may diminish with continued use. - **Mild visual disturbances** (color tint changes) - rare, warranting ophthalmologic evaluation if persistent. ### Serious Side Effects (Seek Immediate Medical Help) - **Priapism** (erection lasting > 4 hours) - can cause permanent tissue damage. - **Sudden vision loss** or **sudden hearing loss** - possible signs of ocular or auditory ischemia. - **Chest pain, palpitations, or signs of myocardial ischemia** - especially in patients with underlying heart disease. - **Serotonin syndrome** (e.g., agitation, hyperreflexia, fever, sweating) - most likely if combined with other serotonergic drugs. - **Severe hypotension** leading to fainting or shock. ### Drug & Food Interactions - **Nitrates** (any form) - potentiate vasodilation → severe hypotension. - **CYP3A4 inhibitors** (e.g., ketoconazole, ritonavir) - increase avanafil plasma levels; dose reduction may be required. - **CYP3A4 inducers** (e.g., rifampin, St. John’s wort) - reduce avanafil efficacy. - **Other PDE5 inhibitors** - additive risk of hypotension; concurrent use is contraindicated. - **Other serotonergic agents** (SSRIs, SNRIs, tramadol, linezolid) - raise risk of serotonin syndrome. - **Alcohol** - can worsen hypotension and dizziness; limit intake. - **High-fat meals** - may delay avanafil absorption, reducing onset speed; not a contraindication but may affect timing. ## Off-Label and Investigational Uses of Extra Super Avana - **Female sexual dysfunction** - Some clinicians have explored PDE5 inhibitors for female arousal disorders; however, evidence remains limited and regulatory approval is absent. - **Psychogenic premature ejaculation** - Dapoxetine has been evaluated as part of behavioral therapy programs, but formal endorsement for combination therapy has not been established. - **Management of low-grade anxiety associated with sexual performance** - Small open-label studies suggest that short-acting SSRIs may alleviate performance anxiety, yet robust clinical trials are lacking. All off-label applications should be pursued only under the direct supervision of a qualified healthcare provider, as efficacy and safety have not been formally validated by regulatory bodies. ## Storage & Handling - Store the tablets at a temperature not exceeding 30 °C (86 °F). - Keep the bottle tightly closed, protected from moisture and direct sunlight. - Do not use the medication after the expiry date printed on the packaging. - Dispose of unused tablets in accordance with local regulations; many pharmacies accept returned medicines for safe disposal. ## Frequently Asked Questions **Practical Use & Lifestyle** - **Can I take Extra Super Avana after a heavy meal?** Yes, the tablet can be taken with food, but a high-fat meal may delay the onset of avanafil’s effect by up to 30 minutes. Planning the dose 1 hour before activity can help maintain timing. - **Will traveling across time zones affect how I use the medication?** The drug is taken only when sexual activity is anticipated, so time-zone changes do not require dose adjustment. Ensure the tablet is stored in a temperature-controlled environment during travel. - **Is it safe to combine Extra Super Avana with a daily multivitamin?** Most multivitamins do not contain ingredients that interact with avanafil or dapoxetine. However, avoid supplements that include high doses of niacin or grapefruit extract, as they may affect drug metabolism. **Product & Formulation Details** - **What do Extra Super Avana tablets look like?** The tablets are round white, and imprinted with “200/60 mg”. Appearance may vary slightly between manufacturing batches. - **Are any inactive ingredients likely to cause allergies?** Inactive components include lactose, magnesium stearate, and microcrystalline cellulose. Patients with known lactose intolerance or hypersensitivity to these excipients should consult a pharmacist before use. - **Can the tablet be split or crushed?** The tablet should be swallowed whole. Splitting may result in dose inaccuracy, especially for the dapoxetine component, and crushing could alter the release profile. **Regulatory & Safety Nuances** - **Will Extra Super Avana appear on a standard drug test for athletes?** Avanafil and dapoxetine are not prohibited substances under most major sports anti-doping agencies, but athletes should verify current regulations before competition. - **Is importing this medication legal in my country?** Import regulations vary; many jurisdictions allow personal import of a limited quantity for personal use when prescribed. Patients should review local customs and health authority rules before ordering. - **Is Extra Super Avana safe for older adults?** Age-related changes in metabolism and cardiovascular risk require careful assessment. Elderly patients should start at the lowest effective dose and be monitored for hypotension or visual disturbances. **Scientific & Clinical Curiosity** - **How does avanafil differ from other PDE5 inhibitors?** Avanafil has a rapid onset of action (≈15 minutes) and a relatively short half-life, which can reduce the duration of side effects compared with longer-acting agents such as sildenafil. - **Why is dapoxetine formulated for on-demand use rather than daily dosing?** Dapoxetine’s short half-life limits systemic exposure, minimizing typical SSRI-related adverse effects while providing sufficient serotonergic activity to delay ejaculation when taken shortly before sexual activity. - **Has the combination of a PDE5 inhibitor and dapoxetine been studied in clinical trials?** Some small pilot studies have examined co-administration for men with both ED and PE, reporting improved satisfaction scores. Large-scale, randomized trials have not yet been completed, and the combination remains off-label in most regions. ## Glossary **Phosphodiesterase-5 (PDE5) Inhibitor** : A class of drugs that block the PDE5 enzyme, preventing cGMP breakdown and promoting smooth-muscle relaxation in the penis, facilitating erection. **Selective Serotonin-Reuptake Inhibitor (SSRI)** : A medication that increases serotonin levels in the brain by inhibiting its reabsorption, used to treat depression, anxiety, and, in short-acting forms, premature ejaculation. **Priapism** : A prolonged, often painful erection lasting more than four hours, which constitutes a medical emergency due to risk of permanent tissue damage. **Serotonin Syndrome** : A potentially life-threatening condition caused by excessive serotonergic activity, characterized by agitation, hyperreflexia, fever, and autonomic instability. ## Disclaimer The information presented about **Extra Super Avana** is intended for general educational purposes and does not replace professional medical consultation. All treatment decisions-including those concerning off-label applications-should be made under the guidance of a qualified healthcare professional. Readers are presumed to be responsible adults capable of making informed health choices. Our pharmacy service provides access to **Extra Super Avana** for individuals who may encounter limited availability through conventional channels or who seek cost-effective generic alternatives. Prior to initiating, modifying, or discontinuing any medication, it is essential to discuss the plan with your doctor.