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Extra Super Zhewitra is a medication that combines two active ingredients, Vardenafil and Dapoxetine. Vardenafil is a phosphodiesterase type 5 (PDE5) inhibitor that helps increase blood flow to the penis to help achieve and maintain an erection. Extra Super Zhewitra is a selective serotonin reuptake inhibitor (SSRI) that helps increase the time it takes to ejaculate and can improve control over ejaculation. It should be taken orally with water, usually about 1 hour before sexual activity. It can be taken with or without food, but high-fat meals might delay its effect. The dosage varies based on individual health conditions and response to treatment. It’s crucial to follow the dosage prescribed by a healthcare provider.