Extra Super Avana vs Alternatives: Decision Guide
Men who want to tackle both premature ejaculation (PE) and erectile dysfunction (ED) at the same time often wonder whether a single pill can do the job. Extra Super Avana comparison is the question that drives this article: does the dapoxetine‑avafil combo live up to the hype, and how does it stack up against other options on the market?
Key Takeaways
- Extra Super Avana combines dapoxetine (PE) and avanafil (ED) in one tablet.
- Its onset is fast (around 15‑30minutes) and its duration can last up to 5hours.
- Alternatives include single‑ingredient pills (Priligy, Stendra, sildenafil) and other combos (sildenafil+dapoxetine).
- Price and prescription rules vary across Australia; Extra Super Avana is usually pricier than generic alternatives.
- Choose based on primary concern, health profile, and how quickly you need results.
What Is Extra Super Avana?
Extra Super Avana is a pharmaceutical product that blends two active ingredients: dapoxetine, a short‑acting selective serotonin reuptake inhibitor (SSRI) for PE, and avanafil, a fast‑acting phosphodiesterase‑5 (PDE5) inhibitor for ED. The combination aims to let users address both issues with a single dose, typically taken shortly before sexual activity. Launched in 2022, the pill is marketed in Australia as a prescription‑only medication, available through specialist urologists and some telehealth services.
How Dapoxetine and Avanafil Work Together
Dapoxetine is the only SSRI approved for on‑demand treatment of premature ejaculation. It works by increasing serotonin levels in the central nervous system, which delays ejaculation. The typical dose is 30-60mg taken 1-2hours before intercourse, and its half‑life is about 1.5hours, meaning the effect wears off quickly.
Avanafil belongs to the PDE5 inhibitor class, the same family as sildenafil and tadalafil. By blocking the PDE5 enzyme in penile tissue, avanafil boosts nitric oxide‑mediated blood flow, facilitating an erection. Its onset can be as fast as 15minutes, and the effect lasts roughly 4-6hours, making it one of the quickest‑acting ED drugs.
When combined, the two agents act on separate pathways: dapoxetine lengthens the ejaculatory latency, while avanafil improves penile rigidity. Because both have short half‑lives, the combo is designed for “on‑demand” use rather than daily dosing.
Main Alternatives to Consider
Below are the most common single‑ingredient and combo options that people compare with Extra Super Avana.
- Priligy is the brand name for dapoxetine alone. It is prescribed solely for PE, with no effect on erection quality.
- Stendra is the brand name for avanafil alone. It treats ED but does nothing for premature ejaculation.
- Sildenafil (Viagra) is a well‑known PDE5 inhibitor with a 30‑minute onset and 4‑hour duration. It is cheaper than avanafil but can cause visual disturbances.
- Tadalafil (Cialis) offers a longer window (up to 36hours) but takes longer to kick in (about 30‑60minutes). It is often used for “the weekend pill.”
- Vardenafil (Levitra) sits between sildenafil and avanafil in terms of speed and side‑effect profile.
- Combination pills that pair sildenafil with dapoxetine are available in some overseas markets. They mimic the dual‑action idea but have a slower onset due to sildenafil’s pharmacokinetics.
Side‑by‑Side Comparison
| Product | Active Ingredient(s) | Primary Use | Onset | Duration | Typical Dose (AU$) | Prescription? | Common Side Effects |
|---|---|---|---|---|---|---|---|
| Extra Super Avana | Dapoxetine30mg + Avanafil100mg | PE+ED | 15‑30min | 4‑5hrs | AU$65 per tablet | Yes (specialist) | Headache, flushing, nausea |
| Priligy | Dapoxetine30mg | PE only | 1‑2hrs | 2‑3hrs | AU$35 per tablet | Yes | Dizziness, insomnia |
| Stendra | Avanafil100mg | ED only | 15‑30min | 4‑6hrs | AU$55 per tablet | Yes | Headache, nasal congestion |
| Sildenafil | Sildenafil50‑100mg | ED only | 30‑60min | 4‑5hrs | AU$30 per tablet | Yes | Flushing, dyspepsia, visual changes |
| Tadalafil | Tadalafil10‑20mg | ED only | 30‑60min | Up to 36hrs | AU$25 per tablet | Yes | Back pain, muscle aches |
| Vardenafil | Vardenafil10‑20mg | ED only | 30‑60min | 4‑5hrs | AU$28 per tablet | Yes | Headache, flushing |
| Sildenafil+Dapoxetine combo | Sildenafil50mg + Dapoxetine30mg | PE+ED | 30‑60min | 4‑5hrs | AU$58 per tablet | Yes (specialist) | Similar to each component |
Who Should Choose Extra Super Avana?
If both PE and ED are clinically significant for you, the combo saves you from taking two separate prescriptions. It’s especially handy for:
- Men who need a rapid onset (e.g., spontaneous encounters).
- Those who dislike juggling multiple pills.
- Patients with no contraindications to either dapoxetine or avanafil (e.g., no nitrate use, stable cardiovascular health).
However, if PE is mild but ED is the main issue, a single PDE5 inhibitor like avanafil or tadalafil may be more cost‑effective. Conversely, if you only need PE control, Priligy alone avoids unnecessary exposure to a PDE5 inhibitor.
Safety and Interaction Checklist
Before starting any of these drugs, run through the following safety points:
- Check for nitrate medication (e.g., nitroglycerin). Combining nitrates with any PDE5 inhibitor can cause dangerous blood‑pressure drops.
- Assess cardiovascular health. Men with uncontrolled hypertension or recent heart attacks should avoid PDE5 inhibitors.
- Review psychiatric meds. Dapoxetine may interact with other SSRIs or MAO‑inhibitors.
- Consider liver or kidney impairment. Dose adjustments may be required for dapoxetine.
- Pregnancy isn’t relevant, but inform any female partners if you’re on medication that could affect them (e.g., through skin contact with sildenafil).
Common side effects across the board include headache, flushing, and mild gastrointestinal upset. Serious events such as priapism are rare but warrant immediate medical attention.
Decision‑Making Framework
Use the following criteria to pick the right product for you:
- Primary symptom focus: If PE dominates, start with dapoxetine; if ED dominates, pick a PDE5 inhibitor.
- Speed of onset: Avanafil and the extra combo are fastest; tadalafil is slower but lasts longer.
- Cost sensitivity: Generic sildenafil and dapoxetine combos are cheaper than branded avanafil.
- Health constraints: Avoid PDE5 inhibitors if you’re on nitrates; avoid dapoxetine if you have a history of depression relapse.
- Frequency of sexual activity: Daily low‑dose tadalafil can be convenient for frequent intimacy, whereas on‑demand combos suit occasional activity.
Write down your top two priorities, match them against the table above, and discuss the short‑list with your prescriber.
Next Steps and Practical Tips
1. Schedule a telehealth or clinic appointment with a urologist or sexual health specialist. 2. Bring a list of current medications (including over‑the‑counter supplements). 3. Ask the doctor to calculate the exact dose based on your weight and health profile. 4. If you opt for Extra Super Avana, order from a reputable pharmacy that offers a pharmacist‑consultation service. 5. Keep a short diary for the first two weeks: note onset time, erection quality, ejaculation latency, and any side effects. This data helps your doctor fine‑tune the regimen.
Frequently Asked Questions
Can I take Extra Super Avana with alcohol?
Moderate alcohol (1‑2 drinks) usually doesn’t affect the efficacy, but heavy drinking can increase the risk of dizziness and lower blood pressure, especially with avanafil. It’s safest to limit alcohol around the time you take the pill.
Is the combo safe for men over 60?
Age itself isn’t a contraindication, but older men often have cardiovascular comorbidities. A thorough cardiac assessment is essential before prescribing any PDE5 inhibitor, including avanafil.
Do I need a separate prescription for each ingredient?
No. Extra Super Avana is a single product with both actives combined, so one prescription covers the whole tablet. However, some doctors may prefer writing separate scripts if they want flexibility in dosing.
How does avanafil differ from sildenafil?
Avanafil binds more selectively to the PDE5 enzyme, leading to a quicker onset (as fast as 15minutes) and fewer visual side effects. Sildenafil takes about 30‑60minutes and can cause mild blue‑vision in some users.
Can I use the combo if I have high blood pressure?
Controlled hypertension is not an absolute barrier, but uncontrolled high BP should be stabilized first. Both dapoxetine and avanafil can slightly raise heart rate, so your doctor will monitor you closely.
Erin Knight
October 7, 2025 at 14:20Mixing dapoxetine and avanafil is just pharma’s way of upselling a fancy pill.
Kavita Jadhav
October 7, 2025 at 14:30While the concept of tackling both premature ejaculation and erectile dysfunction in one tablet sounds convenient, it’s important to weigh the individual side‑effect profiles of each component. Patients with cardiovascular concerns should be especially cautious, as both agents can affect blood pressure and heart rate. A thorough discussion with a qualified urologist can help determine if the combo truly fits one’s medical history and lifestyle.
Tony Halstead
October 7, 2025 at 14:40When you look at the pharmacodynamics of dapoxetine and avanafil together, the first thing that jumps out is that they act on completely separate pathways, which in theory should allow a synergistic effect without mutual interference. Dapoxetine, as a short‑acting SSRI, raises synaptic serotonin levels just enough to delay the ejaculatory reflex, and its half‑life of roughly 1.5 hours means the drug clears quickly, limiting long‑term side‑effects. Avanafil, on the other hand, is a PDE5 inhibitor that preferentially binds to the erectile tissue enzyme, giving an onset that can be as fast as 15 minutes and a duration of about five hours. Because both compounds are cleared relatively fast, the combination is truly “on‑demand” rather than a daily regimen, which fits the lifestyle of men who have intermittent sexual activity. The dosage in Extra Super Avana-30 mg of dapoxetine and 100 mg of avanafil-mirrors the standard monotherapy doses, so you’re not under‑dosing either component. From a safety standpoint, the biggest red flag is the additive cardiovascular load; avanafil can cause a modest drop in blood pressure, and dapoxetine may increase heart rate in susceptible individuals. Therefore, a thorough cardiac work‑up is non‑negotiable before prescribing the combo. Another consideration is drug‑drug interactions: dapoxetine should not be mixed with other SSRIs or MAO inhibitors, and avanafil is contraindicated with nitrates, so a complete medication review is essential. Economically, the combo is pricier than buying generic sildenafil and dapoxetine separately, which can be a deterrent for budget‑conscious patients. However, the convenience of a single pill and the rapid onset might justify the cost for those who value discretion and simplicity. Clinically, studies have shown that treating PE and ED simultaneously can improve overall sexual satisfaction more than addressing one issue alone, because the psychological burden of one problem often exacerbates the other. Patient education is key: users need to know that taking the combo too close to a heavy meal may delay absorption of avanafil, and that alcohol in excess can amplify dizziness. Lastly, real‑world adherence tends to be higher with a single‑tablet regimen, which can lead to better long‑term outcomes if the side‑effect profile remains tolerable. In summary, the pharmacological rationale is sound, the safety caveats are manageable with proper screening, and the decision ultimately hinges on individual preferences, health status, and cost considerations.
leo dwi putra
October 7, 2025 at 14:50Sure, because nothing says “smart choice” like slapping two potent drugs together and hoping they don’t clash.
Krista Evans
October 7, 2025 at 15:00If you’re nervous about trying a new combo, start with a low dose and keep a simple diary of how you feel – it can make the whole process much less intimidating.
Mike Gilmer2
October 7, 2025 at 15:10Oh, the drama of a diary! Imagine writing “Day 3: survived the headache, still hopeful” and posting it for the world to see – pure gold.
Alexia Rozendo
October 7, 2025 at 15:20Great, another “miracle” pill to add to the ever‑growing pharmacy of hope.
Kimberly Newell
October 7, 2025 at 15:30yeah, but like, if it actually works, who cares ’bout the hype? just try it and see.
Drew Burgy
October 7, 2025 at 15:40What they don’t tell you is that the pharma giants quietly push combination pills to keep us dependent on multiple prescriptions. Every new “innovative” drug is a way to lock us into a cycle of doctor visits and insurance claims. The marketing departments have a vested interest in making us think we need a single‑tablet solution, even if a simple lifestyle change would do. Keep an eye on the fine print, because hidden clauses can affect your future access to cheaper generics. In the end, staying informed is the best defense against being sold a fancy tagline.
Jacob Hamblin
October 7, 2025 at 15:50You’re right, staying informed is key. I always recommend reading the medication guide and asking the pharmacist about any hidden clauses. It’s also helpful to compare prices across pharmacies before committing.
Andrea Mathias
October 7, 2025 at 16:00Honestly, the whole “combo” hype is just a cash grab for people who can’t afford the basics.
TRICIA TUCKER
October 7, 2025 at 16:10While price is a legit concern, some patients do benefit from the convenience of one pill. Maybe we could brainstorm affordable alternatives that still address both issues?
Dave Tu
October 7, 2025 at 16:20Contrary to popular belief, the convenience of a combined formulation does not inherently outweigh the pharmacological risks associated with polypharmacy. Rigorous clinical trials specifically focusing on the dapoxetine‑avanafil interaction are still scarce, rendering broad endorsement premature. Moreover, the incremental cost increase may not be justified for patients who can achieve comparable outcomes with separate, generic agents. A cautious approach, grounded in evidence, remains paramount.
Johnna Sutton
October 7, 2025 at 16:30Well, if you ask me, the “evidence” they flaunt is just a PR puppet show; the real data is hidden behind paywalls that only big pharma can afford.