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Extra Super Zhewitra is a combination medication used to treat erectile dysfunction (ED) and premature ejaculation (PE). a PDE5 inhibitor similar to sildenafil (Viagra) and tadalafil (Cialis). It works by increasing blood flow to the penis, which helps men with ED achieve and maintain an erection when sexually stimulated.an SSRI (Selective Serotonin Reuptake Inhibitor) used to treat premature ejaculation. It helps delay ejaculation and improve control over sexual performance.