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Extra Super Zhewitra is a dual?action prescription medicine used to treat two common male sexual performance issues: erectile dysfunction (ED) and premature ejaculation (PE). It combines vardenafil (40?mg), a PDE5 inhibitor that enhances blood flow to the penis to support stronger, sustained erections, and dapoxetine (60?mg), a short?acting SSRI that helps delay ejaculation and improve control during intercourse. Common mild effects include headache, flushing, dizziness, nausea, or nasal congestion. Rare but serious effects—like prolonged erection (priapism), sudden vision changes, or chest pain—require immediate medical attention.