When you’re juggling both premature ejaculation (PE) and erectile dysfunction (ED), finding a single pill that tackles both can feel like hunting for a unicorn. Extra Super Avana promises exactly that - a combo of dapoxetine for PE and avanafil for ED. But is it truly the best bang‑for‑buck, or are there safer, cheaper, or more reliable alternatives? This guide breaks down the science, side‑effects, cost, and real‑world usability so you can decide if the duo lives up to the hype or if another option fits your needs better.

Quick Takeaways

• Extra Super Avana combines dapoxetine (PE) and avanafil (ED) in one tablet.
• Onset is fast (15‑30min) with a short 4‑6hour window, ideal for spontaneous activity.
• Alternatives like Viagra, Cialis, and Levitra target only ED; separate PE meds (Priligy) are needed.
• Cost per dose of Extra Super Avana is higher than single‑ingredient pills, but you save on a second prescription.
• Side‑effects are generally mild, but watch for headache, flushing, and rare dizziness.

What is Extra Super Avana?

Extra Super Avana is marketed in Australia as a combined therapy for men dealing with both PE and ED. The product contains 60mg of dapoxetine, a short‑acting selective serotonin reuptake inhibitor (SSRI) approved for on‑demand treatment of premature ejaculation, and 200mg of avanafil, a phosphodiesterase‑5 (PDE‑5) inhibitor known for its rapid onset. The tablet is prescription‑only and is typically taken 15‑30minutes before sexual activity.

Because both ingredients are fast‑acting, Extra Super Avana aims to reduce the waiting period that traditional ED drugs often require. Its formulation is designed for men who want a single, convenient pill rather than juggling two separate prescriptions.

How Dapoxetine and Avanafil Work Together

Dapoxetine works by increasing serotonin levels in the brain, which helps prolong the ejaculatory latency time. Clinical trials show an average increase of 2‑3minutes in intravaginal ejaculatory latency time (IELT) when taken 1‑2hours before intercourse.

Avanafil, on the other hand, enhances blood flow to the penis by inhibiting the PDE‑5 enzyme, allowing the smooth muscles to relax. Its rapid absorption (peak plasma levels in 30‑45minutes) means men can achieve an erection within 15‑30minutes, a shorter window than most other PDE‑5 inhibitors.

When combined, the two drugs do not interact pharmacologically, but the overall effect can be synergistic for men who suffer from both conditions. The short half‑life of dapoxetine (≈1.5hours) also means it clears the system quickly, reducing the risk of prolonged side‑effects when used intermittently.

Key Alternatives on the Market

While Extra Super Avana is a unique dual‑action pill, many men still consider single‑ingredient options or other combination strategies. Below is a snapshot of the most popular alternatives available in Australia in 2025.

Notice that none of the single‑ingredient pills address PE directly. Men who need both typically end up with two prescriptions (e.g., Viagra + Priligy). Extra Super Avana streamlines that, but the trade‑off is a higher per‑tablet price.

Side‑Effect Profile Comparison

Understanding side‑effects is crucial, especially when a medication combines two active agents. Below is a quick rundown of the most common adverse events reported in Australian post‑market surveillance for each option.

• Extra Super Avana: headache (12%), flushing (9%), nasal congestion (5%), occasional dizziness (3%). The dapoxetine component can cause nausea (4%).
• Viagra: headache (10%), flushing (8%), dyspepsia (6%), visual disturbances (2%).
• Cialis: headache (11%), back pain (7%), myalgia (5%), indigestion (4%).
• Levitra: headache (9%), flushing (7%), nasal congestion (4%).
• Priligy: nausea (7%), dizziness (5%), headache (5%).
• L‑Arginine: generally well tolerated; occasional stomach upset (2%).
• Yohimbine: anxiety (3%), increased heart rate (2%), headache (2%).

Overall, the dual‑action pill doesn’t dramatically increase risk compared with taking the two drugs separately, but the combined headache and flushing percentages are slightly higher. Men with cardiovascular concerns should discuss avanafil’s effects with a GP, as avanafil can interact with nitrates.

Cost & Accessibility in Australia

Prescription costs vary based on whether you have private health cover, use the Pharmaceutical Benefits Scheme (PBS), or pay out‑of‑pocket. As of 2025, Extra Super Avana is not listed on the PBS, meaning the full price falls to the patient.

Typical out‑of‑pocket costs (per tablet) are:

• Extra Super Avana: $45‑$55
• Viagra: $30‑$40
• Cialis: $35‑$45
• Levitra: $32‑$42
• Priligy: $25‑$35 (if taken separately)
• Supplements (L‑Arginine, Yohimbine): $10‑$20

If you need both PE and ED treatment, the combined price of Viagra + Priligy can reach $65‑$75, making Extra Super Avana the cheaper dual‑therapy option despite its higher single‑pill cost. However, insurance rebates differ; some private insurers cover avanafil but not dapoxetine, so you may still face a partial out‑of‑pocket expense.

Choosing the Right Option - Decision Guide

Use the following quick‑check questions to see which route aligns with your lifestyle, health status, and budget.

1. Do you need treatment for both PE and ED? If yes, a combo pill like Extra Super Avana saves a prescription and simplifies timing.
2. Do you prefer a longer window for spontaneity? Avanafil’s 4‑6hour window is shorter than Cialis’s 36‑hour effect. If you like flexibility, Cialis may be better.
3. Are you on nitrate medication or have severe heart disease? Avoid any PDE‑5 inhibitor (including avanafil) and discuss alternative therapies with your doctor.
4. Is cost a major factor? Calculate total out‑of‑pocket expense for separate meds versus the combo. For occasional use, the combo might be cheaper.
5. Do you tolerate SSRIs well? Dapoxetine can cause nausea; if you’re sensitive, a non‑SSRI approach (like behavioral therapy for PE) might be preferable.

In practice, many men start with a single‑ingredient ED drug (Viagra or Cialis) and add Priligy only if PE remains an issue. Switching to Extra Super Avana works best when both problems are persistent and you value a single tablet.

Frequently Asked Questions

Bottom line: Extra Super Avana offers a convenient, fast‑acting solution for men battling both PE and ED. If you value a single tablet, have mild cardiovascular risk, and can afford the out‑of‑pocket cost, it’s a solid choice. Otherwise, a tailored combo of a standard PDE‑5 inhibitor plus dapoxetine (or non‑drug PE therapy) may suit you better. Always chat with a GP or urologist before starting any new regimen.