Extra Super Zhewitra appears to be a combination medication that is used to address sexual health issues in men, particularly those related to erectile dysfunction (ED) and premature ejaculation (PE). It combines two active ingredients: Vardenafil and Dapoxetine.

Vardenafil: Vardenafil Extra Super Zhewitra is a medication that belongs to the class of drugs known as phosphodiesterase type 5 (PDE5) inhibitors. It works by increasing blood flow to the penis during sexual stimulation, helping men achieve and maintain an erection sufficient for sexual activity. It's commonly used to treat erectile dysfunction (ED).

Dapoxetine: Dapoxetine is a medication that falls under the category of selective serotonin reuptake inhibitors (SSRIs). It is primarily used to treat premature ejaculation (PE), a condition where a man ejaculates too quickly during sexual activity, leading to dissatisfaction and distress. Dapoxetine works by increasing the levels of serotonin in the brain, which helps to delay ejaculation and improve control over ejaculation timing.

Combining vardenafil and dapoxetine in a single medication like Extra Super Zhewitra aims to provide a comprehensive solution for men who experience both erectile dysfunction and premature ejaculation. However, it's important to note that medications like these should be taken only under the supervision and guidance of a qualified medical professional. They can evaluate your specific health condition, consider potential interactions with other medications you might be taking, and provide you with the appropriate dosage instructions.