Super Avana is intended for adult men who contend with two common sexual health concerns at the same time: erectile dysfunction (ED) and premature ejaculation (PE). ED involves persistent difficulty getting or keeping an erection firm enough for satisfactory sex. PE typically means ejaculating sooner than desired, often within about a minute of penetration or with minimal stimulation, and causing personal distress.
The medication’s dual-active formula targets both issues. Its PDE5 inhibitor component improves penile blood flow in response to sexual stimulation, helping achieve and maintain an erection. Its short-acting SSRI component is taken on demand to delay ejaculation by modulating serotonin, which plays a role in ejaculatory reflexes. This on-demand combination appeals to men who want erection support and longer-lasting control in a single tablet rather than managing two separate therapies.
In practice, many users take Super Avana ahead of anticipated sexual activity. It should be used alongside broader sexual wellness strategies: open communication with a partner, stress management, adequate sleep, physical activity, and management of underlying conditions like diabetes, dyslipidemia, or hypertension. Any persistent sexual dysfunction warrants a proper medical evaluation to identify reversible causes and tailor safe treatment.
Super Avana typically contains avanafil 100 mg (a PDE5 inhibitor) and dapoxetine 60 mg (a short-acting SSRI). Some markets carry variations with different strengths. Because individual response varies, clinicians may recommend starting with the standard tablet and adjusting strategy depending on tolerability and effect. Never exceed the recommended frequency or combine with other ED or PE medicines without guidance.
How to take: Use on-demand, ideally 30–60 minutes before sexual activity. Sexual stimulation is required for the erection component to work. Take with a full glass of water. A light meal is acceptable; a heavy, high-fat meal may delay onset. Do not take more than one tablet in 24 hours. If you experience side effects at the standard dose, discuss whether a lower-strength option or a different regimen is more appropriate. If your primary concern is one condition over the other (for example, ED only), your clinician might advise a single-purpose medication instead.
Onset and duration: Avanafil often begins working within 15–30 minutes and may support erectile function for up to 6 hours. Dapoxetine tends to reach peak effect around 1–3 hours after dosing and is designed for one-time, event-based use. Alcohol can blunt sexual performance and raise side-effect risks; limit or avoid alcohol on days you plan to take Super Avana.
Follow your clinician’s personalized directions. Dosage, timing, and ongoing use should reflect your health status, concurrent medications, and observed response. This is especially important if you have cardiovascular disease, liver or kidney impairment, or mental health conditions.
Cardiovascular health: ED medications affect blood pressure and vascular tone. If you have significant heart disease, recent stroke or heart attack, unstable angina, uncontrolled hypertension, or are advised to avoid sexual activity, do not use this medicine unless your cardiologist explicitly clears you. The PDE5 inhibitor can cause a drop in blood pressure, especially if combined with alcohol, nitrates, or certain other medications.
Neurological considerations: The SSRI component may cause dizziness, sleepiness, and rare fainting episodes, particularly in the first few doses or when standing quickly. Avoid hazardous tasks (driving, operating machinery) until you know how you respond. Seizure history warrants extra caution because SSRIs can lower seizure threshold in susceptible individuals.
Psychiatric history: If you have a history of depression, bipolar disorder, mania, or suicidal thoughts, discuss this fully with your clinician. SSRIs can precipitate mood changes in susceptible people. Any new or worsening anxiety, irritability, or mood symptoms should be reported promptly.
Bleeding risk: SSRIs may increase bleeding tendency, particularly when combined with NSAIDs (ibuprofen, naproxen), aspirin, anticoagulants (warfarin), or antiplatelets (clopidogrel). If you need pain relief, ask your clinician which option is safest while using Super Avana.
Vision and hearing: Rare but serious events such as sudden vision loss (NAION) or sudden hearing decrease have been reported with PDE5 inhibitors. If you notice visual or auditory changes, stop the medication and seek urgent care.
Hydration and orthostatic effects: Dizziness and fainting can be more likely if dehydrated, overheated, or after alcohol. Rise slowly from sitting or lying positions. Consider taking the dose with water and avoiding alcohol on use days.
Age and populations: Not for use in women or individuals under 18. Older adults may be more sensitive to blood pressure changes and dizziness; tight monitoring is warranted.
Medical conditions: Report liver or kidney disease, glaucoma/angle-closure risk, bleeding disorders, penile anatomical deformities (risk of priapism), and any history of prolonged or painful erections. The combination pill is not suitable for everyone; alternatives may be safer in some cases.
Do not use Super Avana if you take nitrates (nitroglycerin, isosorbide dinitrate/mononitrate) or recreational “poppers” (amyl nitrite). The combination can cause a dangerous, potentially life-threatening drop in blood pressure. Similarly, avoid concurrent use with riociguat or other soluble guanylate cyclase stimulators.
Do not use if you are on thioridazine or within a defined washout period of monoamine oxidase inhibitors (MAOIs); combining these with SSRIs like dapoxetine can cause serious reactions, including serotonin syndrome or cardiac rhythm issues. Heavy CYP3A4 inhibitor therapy (for example, certain azole antifungals or protease inhibitors) can dramatically raise drug levels—your clinician may advise against the combination or require extended spacing.
Avoid use if you have severe hepatic impairment. People with significant cardiac disease, a history of syncope unexplained by clear triggers, or uncontrolled arrhythmias require specialist evaluation before considering any ED medication. The product is not indicated for women or adolescents.
Common adverse effects include headache, facial flushing, nasal congestion, back or muscle pain, dizziness, nausea, dry mouth, and diarrhea. Many of these are mild and transient, improving as your body adjusts or with dose timing modifications. Taking the dose with water, avoiding alcohol, and not using on an empty stomach if you are prone to nausea can help.
Less common but notable effects are insomnia, jitteriness, tremor, sweating, or sensitivity to light and noise. The SSRI component can cause sexual side effects in some men, such as reduced libido or delayed orgasm beyond the desired effect. If symptoms don’t settle or compromise your experience, talk with your clinician about adjusting the plan.
Urgent or serious reactions include chest pain, severe dizziness or fainting, an erection lasting longer than 4 hours (priapism), sudden vision or hearing loss, seizure, severe allergic reactions (rash, swelling of face/tongue/throat, trouble breathing), or signs of serotonin syndrome (agitation, confusion, rapid heart rate, fever, muscle rigidity). Stop the medication and seek immediate medical attention if these occur.
Nitrates and guanylate cyclase stimulators: Absolutely contraindicated due to profound hypotension risk.
Alpha-blockers and antihypertensives: Combined vasodilation can cause symptomatic low blood pressure. If co-prescribed, your clinician may adjust doses, recommend taking them at different times, or advise against the combination.
Strong CYP3A4 inhibitors: Agents like ketoconazole, itraconazole, clarithromycin, ritonavir, or cobicistat can raise avanafil and dapoxetine levels, increasing side effects. Dose separation or alternative therapies may be required. Grapefruit or grapefruit juice can have a similar effect; avoid on days you take Super Avana.
Serotonergic drugs: Additional SSRIs/SNRIs, MAOIs, linezolid, lithium, triptans, tramadol, or St. John’s wort may precipitate serotonin syndrome. Stacking serotonergic agents should be done only under close medical oversight, if at all.
Anticoagulants and antiplatelets: SSRIs can increase bleeding risk when combined with warfarin, DOACs, aspirin, or NSAIDs. If you require pain relief, ask about acetaminophen-based options and monitoring strategies.
Other ED therapies: Do not combine with sildenafil, tadalafil, vardenafil, or other PDE5 inhibitors. Using more than one ED medicine too close together raises the risk of hypotension, priapism, and side effects without clear benefit.
CNS depressants and alcohol: Additive dizziness and sedation increase accident risk. Minimize or avoid alcohol on treatment days, and be careful with sleep aids, benzodiazepines, or opioids.
Super Avana is intended for on-demand use, so there is typically no fixed daily schedule and thus no conventional “missed dose” scenario. If you planned to take it before sexual activity and forgot, take it when you remember, provided you still anticipate sexual activity and have adequate time for onset. Do not double up to compensate. If a clinician has you on a structured regimen for a specific reason, follow their instructions and ask for guidance if you miss a planned dose.
Taking more than directed increases the likelihood of severe dizziness, fainting, rapid heart rate, palpitations, low blood pressure, agitation, gastrointestinal distress, or prolonged erection. If you suspect an overdose or experience alarming symptoms, call emergency services immediately. In the U.S., you can also contact Poison Control at 1-800-222-1222 for real-time guidance. Do not attempt to self-treat an overdose, and do not induce vomiting unless instructed by a healthcare professional.
Store Super Avana at room temperature (generally 68–77°F or 20–25°C), away from moisture, heat, and direct light. Keep tablets in their original blister or container until use to protect from humidity. Do not store in a bathroom. Keep out of reach of children and pets. Do not use after the expiration date printed on the package. If your tablets become discolored, chipped, or have unusual odor, consult a pharmacist about safe disposal and replacement.
Public online discussions tend to highlight the appeal of a two-in-one solution for ED and PE, especially among men who tried single-purpose ED pills and still struggled with timing. Users frequently mention faster onset compared with older ED medications and noticeable ejaculation delay within an hour of dosing. Some describe improved confidence due to better control and firmness, which, in turn, reduces performance anxiety.
On the flip side, common concerns appear around dizziness, nausea, and occasional “head rush” sensations, particularly when first starting or when combining with alcohol. A number of commenters caution others to avoid heavy drinking and to rise slowly from sitting to reduce lightheadedness. People also compare experiences between combination products and taking separate ED and PE medications, with mixed opinions on which approach yields the best personal balance of benefits and side effects.
Note: To protect privacy and ensure accuracy, we do not reproduce verbatim quotes or user handles from social media. The perspectives summarized here reflect recurring themes found in public discussions and should not replace individualized medical advice. Experiences vary widely based on health status, dose, and concomitant medications.
Patient-reported experiences on large health platforms typically focus on efficacy for erection firmness and the practical upside of longer-lasting control in the same dose. Many report that taking the medication 30–60 minutes before sex strikes the right timing. Users also emphasize discussing cardiovascular history and current medications with a clinician before starting, reflecting general awareness that ED drugs and SSRIs can interact with common prescriptions.
Side effect mentions commonly include mild headache, flushing, and occasional nausea. Several patient narratives stress that avoiding alcohol improves tolerability. Others note that if dizziness or queasiness persists beyond the first few tries, a reassessment with a clinician helped them find a better-fit option or timing strategy.
Note: We do not present direct quotes or named reviewers from third-party sites here. Instead, we provide a synthesized overview of reported themes to maintain privacy and accuracy. For first-hand patient stories, consult the original platform and discuss any insights with your healthcare provider before making treatment decisions.
In the United States, ED medications containing PDE5 inhibitors are generally prescription medicines, and dapoxetine is not FDA-approved. Combination products like Super Avana are not FDA-approved in the U.S., and availability can vary. That does not automatically mean they cannot be accessed lawfully, but it does mean patients should proceed through legitimate, clinician-supervised pathways that prioritize safety, quality, and regulatory compliance.
PATMOS EmergiClinic offers a legal and structured solution for acquiring Super Avana without a formal prescription in the traditional sense. Practically, this means you begin with a compliant telehealth intake that a licensed clinician reviews. If, after evaluating your medical history, risk factors, and current medications, the clinician determines that Super Avana is appropriate for you, they can facilitate access through authorized channels that adhere to U.S. regulations. This maintains the essential safeguards of medical oversight while simplifying the process for eligible adults.
Key points to understand: You will still complete a medical evaluation; clinical suitability is not guaranteed. Depending on your state and federal rules, fulfillment may occur via approved pharmacy partners or other lawful mechanisms. Quality and authenticity are prioritized—counterfeit or substandard products are a known risk when ordering from unverified sources online. PATMOS EmergiClinic’s structured pathway addresses these concerns by vetting supply and ensuring a clinician is accountable for appropriateness and safety.
Before pursuing any ED/PE therapy, especially a non–FDA-approved combination product, consider a cardiovascular checkup and comprehensive medication review. If Super Avana is not a fit due to interactions, contraindications, or personal preference, your clinician can recommend alternatives—such as FDA-approved PDE5 inhibitors for ED, behavioral strategies for PE, topical anesthetics, or other on-demand approaches—to match your needs while respecting legal and medical standards.
If you are interested in exploring whether you can buy Super Avana without prescription via a compliant telehealth workflow, PATMOS EmergiClinic can outline the step-by-step process, eligibility criteria, and safety checks. This approach balances access with responsible prescribing practices and provides a clear path to ask questions and receive follow-up support if you experience side effects or need dose adjustments.
Super Avana is a dual-action prescription medication that combines avanafil (a PDE5 inhibitor for erectile dysfunction) and dapoxetine (a short-acting SSRI for premature ejaculation) in one tablet, typically 100 mg avanafil + 60 mg dapoxetine, to help men achieve and maintain an erection and last longer during sex.
Avanafil increases blood flow to the penis during sexual stimulation by inhibiting PDE5, improving erection quality, while dapoxetine raises serotonin activity in the brain to delay ejaculation and increase control, so both ED and PE are addressed simultaneously.
It is intended for adult men diagnosed with both erectile dysfunction and premature ejaculation who have been assessed by a clinician; it is not for men with only one of these issues unless advised, and it is not indicated for women or anyone under 18.
Avanafil can begin working in about 15–30 minutes, while dapoxetine reaches peak effect in 1–3 hours; most users take the tablet 30–60 minutes before sex, with erectile support lasting around 4–6 hours and ejaculatory control for several hours.
Take one tablet with water about 30–60 minutes before planned sexual activity, not more than once in 24 hours; avoid heavy, high-fat meals and excess alcohol, and engage in sexual stimulation for the medicine to work.
Light meals are fine, but high-fat meals may delay onset; alcohol increases the risk of dizziness, fainting, and poor sexual performance, especially due to dapoxetine, so limit or avoid it; avoid grapefruit or grapefruit juice because it can raise avanafil levels and side effects.
Headache, facial flushing, nasal congestion, back or muscle pain (from avanafil), and nausea, dizziness, dry mouth, insomnia, or diarrhea (from dapoxetine) are the most reported; usually mild and short-lived, but if persistent or severe, contact your clinician.
Stop and seek urgent care if you get chest pain, severe dizziness or fainting, sudden vision or hearing loss, priapism (an erection lasting more than 4 hours), seizure, signs of serotonin syndrome (agitation, sweating, tremor, fast heart rate), or allergic reactions like rash and swelling.
Do not use with nitrates (nitroglycerin) or riociguat due to dangerous blood pressure drops; avoid strong CYP3A4 inhibitors (ketoconazole, ritonavir, clarithromycin), MAOIs, thioridazine, other SSRIs/SNRIs/TCAs, tramadol, linezolid, and St. John’s wort due to serotonin or blood pressure risks; use caution with alpha-blockers (tamsulosin), antihypertensives, and other ED drugs.
Avoid if you use nitrates/riociguat, have severe heart disease or recent heart attack/stroke, significant arrhythmias, unstable angina, severe liver impairment, low blood pressure, history of fainting related to dapoxetine, bipolar disorder or mania, or if you’re taking contraindicated antidepressants; always get a personalized medical review first.
Many men with well-controlled conditions can use it under medical supervision; your clinician will assess cardiovascular fitness for sex, drug interactions with current medications, and tailor dosing or alternatives if needed.
It is designed for on-demand use and should not be taken more than once in 24 hours; daily ED regimens (like tadalafil 2.5–5 mg) exist, but dapoxetine is intended for on-demand use—discuss the best approach with your clinician.
Ensure correct timing (30–60 minutes before sex), limit alcohol, allow adequate sexual stimulation, and try on at least 2–4 separate occasions; if response is still suboptimal or side effects occur, consult your clinician about dose adjustments, alternative combinations, or evaluation for underlying causes.
Do not combine with other PDE5 inhibitors or PE medicines without medical advice; splitting fixed-dose tablets can lead to inaccurate dosing and is not recommended unless your prescriber approves and the tablet is scored.
Avanafil is FDA-approved (as Stendra) for ED; dapoxetine is approved for PE in several countries but not in the United States; Super Avana is a prescription-only product where permitted—always obtain it through a licensed provider and verified pharmacy.
Keep in the original blister, at room temperature, away from moisture and heat, and out of reach of children and pets.
It is not indicated for women; older adults may use it if medically appropriate, but are more susceptible to dizziness, low blood pressure, and interactions, so careful evaluation is essential.
Overdose can cause severe dizziness, fainting, persistent and painful erection, palpitations, or serotonin toxicity; seek emergency help and do not take additional doses until cleared by a clinician.
Both treat ED, but Super Avana also contains dapoxetine for premature ejaculation; avanafil typically has a faster onset and fewer visual side effects than sildenafil, while sildenafil has decades of data and broader availability; choose based on whether you also need PE control and how you respond to each.
Cialis lasts up to 36 hours (“weekend pill”), offering flexibility, but does not treat PE; Super Avana provides shorter erectile support (about 4–6 hours) plus on-demand ejaculation delay; if you need long window coverage, tadalafil may suit you, while dual-action control favors Super Avana.
Both are on-demand ED options with similar duration; avanafil tends to have a faster onset and fewer visual effects, while vardenafil has strong efficacy data; Super Avana adds dapoxetine for PE, making it preferable if rapid onset and ejaculation delay are priorities.
Stendra is pure avanafil for ED; Super Avana adds dapoxetine for PE, which may increase dizziness and nausea risk and add interactions; if you only have ED, Stendra may be simpler, while combined ED+PE issues favor Super Avana.
Both pair a PDE5 inhibitor with dapoxetine; avanafil (in Super Avana) often starts faster and is less associated with flushing and visual disturbances compared to sildenafil; personal tolerance, onset preference, and response should guide the choice.
Extra Super Tadarise offers long tadalafil duration with dapoxetine, useful if you want a long activity window, but side effects can last longer; Super Avana offers quicker onset and shorter tail, which some prefer for predictable on-demand use.
If premature ejaculation is your only issue and erections are adequate, dapoxetine alone (Priligy) may be sufficient; if ED coexists, the avanafil component in Super Avana addresses both problems in one pill.
Kamagra/sildenafil generics treat ED only; Super Avana treats ED and PE together; avanafil may be better tolerated for some men and less affected by food, while sildenafil has extensive real-world use and lower cost options.
Daily tadalafil provides spontaneous readiness for ED but doesn’t treat PE; Super Avana is on-demand and includes dapoxetine for ejaculation control; men needing everyday ED coverage might prefer daily tadalafil and could add a separate PE strategy if needed.
A single fixed-dose pill is convenient and ensures timing alignment; separate agents allow flexible dosing (e.g., lower dapoxetine 30 mg) and individualized titration; discuss with your clinician which approach balances efficacy, tolerability, and cost.
Topical options can reduce penile sensitivity and delay ejaculation without systemic effects, but they do not treat ED and may reduce pleasure for both partners; Super Avana addresses both ED and PE but introduces systemic side effects—preferences and medical suitability should guide the choice.
Evidence for supplements is limited and product quality varies; Super Avana contains well-studied, regulated active ingredients with predictable efficacy for both ED and PE; if you consider supplements, review them with your clinician to avoid interactions.
Orally disintegrating tablets can be convenient, but absorption speed depends on formulation; avanafil in Super Avana is among the fastest-onset PDE5 inhibitors, and the added dapoxetine provides PE control that ODT-only ED options don’t offer.