Super Zhewitra represents a significant advancement in the pharmacological management of two of the most common male sexual health disorders: erectile dysfunction (ED) and premature ejaculation (PE). This combination medication leverages the proven efficacy of two distinct active pharmaceutical ingredients to address both the vascular and neurological components of sexual performance. By integrating Vardenafil, a potent phosphodiesterase type 5 (PDE5) inhibitor, and Dapoxetine, a selective serotonin reuptake inhibitor (SSRI), it offers a comprehensive therapeutic approach. Its development is grounded in clinical evidence demonstrating the high comorbidity of these conditions and the patient desire for a unified treatment solution. This product is designed for adult men seeking to restore confidence, improve sexual satisfaction, and achieve more predictable and controlled sexual experiences.

Features

• Active Ingredients: Vardenafil (20mg) and Dapoxetine (60mg)
• Drug Class: PDE5 Inhibitor + Short-Acting SSRI
• Dosage Form: Film-coated oral tablet
• Onset of Action: Vardenafil effects typically begin within 25-60 minutes
• Duration of Effect: Vardenafil’s effects can last up to 4-6 hours; Dapoxetine is taken 1-3 hours before anticipated sexual activity and its effects are confined to that period.
• Administration: Orally, with a full glass of water
• Prescription Status: Prescription-only medication

Benefits

• Dual Symptom Management: Effectively treats both the inability to achieve/maintain an erection and the inability to control ejaculation simultaneously.
• Enhanced Sexual Confidence: By providing reliable and predictable results, it helps reduce performance anxiety, a common exacerbating factor in both ED and PE.
• Improved Relationship Satisfaction: Successful management of these conditions can lead to increased sexual satisfaction for both partners, reducing stress and improving intimacy.
• Convenient Single-Dose Regimen: Eliminates the need to manage multiple prescriptions and dosing schedules, simplifying treatment and improving adherence.
• Rapid Onset and Defined Duration: Allows for spontaneous sexual activity while providing a clear therapeutic window, minimizing all-day side effects.

Common use

Super Zhewitra is specifically indicated for the treatment of erectile dysfunction concurrent with premature ejaculation in adult men. It is prescribed for men who experience difficulty achieving or sustaining a firm erection sufficient for satisfactory sexual performance, coupled with a persistent or recurrent pattern of ejaculation occurring within approximately one minute of vaginal penetration and before the patient wishes. It is intended for use prior to anticipated sexual activity and is not meant for continuous daily dosing. Its use should be based on a confirmed diagnosis from a healthcare provider, as both conditions can have underlying psychological or physiological causes that require comprehensive evaluation.

Dosage and direction

The standard recommended dose of Super Zhewitra is one tablet (Vardenafil 20mg / Dapoxetine 60mg) taken orally, with a full glass of water, approximately 1 to 3 hours before anticipated sexual activity. The tablet should not be divided, crushed, or chewed. The administration of Super Zhewitra may be taken with or without food; however, consumption with a high-fat meal may delay the absorption of Vardenafil, potentially prolonging the time until onset of action. Do not take more than one tablet within a 24-hour period. The efficacy is dependent on sexual stimulation; the drug will not cause an automatic erection. The dosing should be guided by a physician who may adjust based on efficacy and tolerability. It is not recommended for use in men for whom sexual activity is inadvisable due to underlying cardiovascular status.

Precautions

Prior to initiating treatment with Super Zhewitra, a thorough medical and cardiovascular assessment is mandatory due to the potential cardiac risk associated with sexual activity and the vasodilatory effects of Vardenafil. Patients should be advised of the potential for sudden drop in blood pressure ( hypotension). Use with caution in patients with anatomical deformation of the penis, conditions that may predispose to priapism, bleeding disorders, or active peptic ulceration. Dapoxetine may be associated with dizziness, syncope, and orthostatic hypotension; patients should be cautioned about engaging in potentially hazardous activities, such as driving or operating machinery. This medication offers no protection against sexually transmitted diseases. Patients should be screened for underlying psychiatric conditions before and during treatment.

Contraindications

Super Zhewitra is absolutely contraindicated in several patient populations. It must not be used by patients taking any form of organic nitrates (e.g., nitroglycerin, isosorbide mononitrate or dinitrate) or nitric oxide donors, as this combination can cause a severe, life-threatening drop in blood pressure. It is also contraindicated in patients taking potent CYP3A4 inhibitors like ritonavir, ketoconazole, itraconazole, or indinavir. Additional contraindications include a history of hypersensitivity to Vardenafil, Dapoxetine, or any inactive ingredients in the formulation; patients with severe hepatic impairment; patients with significant pathological cardiac conditions such as heart failure, unstable angina, or recent myocardial infarction; and patients with a history of stroke or life-threatening arrhythmia within the last 6 months.

Possible side effect

As with all pharmaceuticals, Super Zhewitra can cause side effects, although not everybody gets them. Common side effects are often mild to moderate and transient. These may include:

• Headache
• Flushing (feeling of warmth/redness)
• Dizziness
• Nasal congestion or rhinitis
• Dyspepsia (indigestion)
• Nausea (primarily associated with Dapoxetine)
• Diarrhea or constipation Less common but more serious side effects require immediate medical attention. These include:
• Priapism (a painful erection lasting more than 4 hours)
• Sudden decrease or loss of vision in one or both eyes
• Sudden decrease or loss of hearing
• Tinnitus
• Severe dizziness or fainting
• Signs of serotonin syndrome (e.g., agitation, hallucinations, fever, fast heart rate, muscle stiffness)
• Allergic reactions (rash, hives, swelling of the face/lips/tongue, difficulty breathing)

Drug interaction

Super Zhewitra has a significant potential for drug interactions due to its dual components. The most critical interaction is with nitrates and guanylate cyclase stimulators (e.g., riociguat), which is contraindicated. Alpha-blockers (e.g., doxazosin, tamsulosin) used for hypertension or BPH can potentiate the blood-pressure-lowering effects, leading to symptomatic hypotension. Potent inhibitors of the CYP3A4 enzyme (e.g., ketoconazole, itraconazole, ritonavir, clarithromycin) can significantly increase the plasma concentration of Vardenafil, necessitating avoidance or extreme caution. Other PDE5 inhibitors should not be used concurrently. Dapoxetine, as an SSRI, has interactions with other serotonergic drugs (e.g., other SSRIs, SNRIs, triptans, tramadol, MAOIs) which increase the risk of serotonin syndrome. MAOIs are contraindicated. Concurrent use with alcohol may increase the risk of orthostatic hypotension, dizziness, and syncope.

Missed dose

Super Zhewitra is not administered on a scheduled basis; it is taken on an as-needed basis prior to sexual activity. Therefore, the concept of a “missed dose” does not apply in the traditional sense. If you did not take a tablet before planned intercourse, simply take one tablet 1-3 hours before your next anticipated sexual activity. Do not take a double dose to make up for a missed opportunity.

Overdose

In the event of a suspected overdose, which may involve taking more than the recommended single tablet within 24 hours, seek immediate emergency medical attention or contact a Poison Control Center. Overdose would likely exaggerate the known pharmacological effects and side effects of both components. Symptoms may include severe hypotension, prolonged and painful erection (priapism), syncope, cardiovascular complications, severe dizziness, nausea, vomiting, and manifestations of serotonin syndrome (agitation, confusion, tachycardia, hyperthermia). Standard supportive measures should be employed. There is no specific antidote; treatment focuses on stabilizing the patient and managing symptoms. Priapism requires immediate urological intervention to prevent permanent tissue damage.

Storage

Store Super Zhewitra tablets at room temperature (between 15°C and 30°C or 59°F and 86°F). Keep the medication in its original blister pack or container to protect it from light and moisture. Ensure the container is tightly closed. Always keep all medicines out of the reach of children and pets. Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed through a medicine take-back program or by consulting your pharmacist.

Disclaimer

This information is intended for educational and informational purposes only and does not constitute medical advice. It is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition or before starting any new treatment. Never disregard professional medical advice or delay in seeking it because of something you have read here. The information provided is based on the typical properties of the drug’s active ingredients and may not cover all possible uses, directions, precautions, interactions, or adverse effects.

Reviews

• “After struggling with both ED and PE for years, my urologist suggested Super Zhewitra. The difference has been remarkable. I finally feel in control, and the confidence boost has improved my relationship significantly. The first time I experienced no issues with either problem was a turning point.” – Mark T., 52
• “I was initially skeptical about a combination pill, but the convenience won me over. I only experienced some mild flushing and a stuffy nose the first couple of times, which subsided. It works as described for me, providing a solid 4-5 hour window of effectiveness for both issues.” – David R., 48
• “The consultation with my doctor was thorough. He explained the precautions and ensured it was safe for me. I appreciate that it’s a serious medication treated as such. The effects are reliable, and it has taken a huge amount of anxiety out of my sex life. Well worth discussing with a healthcare professional.” – James K., 45