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As with any medication, it's essential to use Extra Super Zhewitra only as prescribed by a healthcare professional and to follow the recommended dosage instructions. It's also important to discuss any pre-existing medical conditions or medications with your doctor before starting treatment with Extra Super Zhewitra to ensure safety and effectiveness. Common side effects of Extra Super Zhewitra may include headache, dizziness, flushing, nausea, and changes in vision or hearing. If you experience any severe or persistent side effects, it's important to seek medical attention promptly.