Buy Avanafil + in Ukraine

Avanafil + (Super Avana / Top Avana): The Fastest Combination for ED and PE

Avanafil + (also known by the trade names Super Avana or Top Avana) is an innovative combination generic designed for men who simultaneously suffer from two of the most common sexual issues: erectile dysfunction (ED) and premature ejaculation (PE).

The drug is unique because it combines the newest PDE5 inhibitor—Avanafil—and an effective prolonging agent—Dapoxetine.

What is in Avanafil +?

Avanafil + is a "2-in-1" pill that usually combines:

1. Avanafil (100 mg): The active ingredient of "Stendra." It is a new-generation PDE5 inhibitor known for its ultra-fast speed of action (sometimes less than 15 minutes) and high selectivity, ensuring a firm erection.

2. Dapoxetine (60 mg): This is the "+" component. It's the maximum standard dose of the drug for ejaculation control. Dapoxetine is the only drug specifically developed for PE that is taken "on demand."

Key Advantages of the Combination

The main advantage of Avanafil + is the speed of onset. Avanafil acts faster than Sildenafil and Vardenafil, and Dapoxetine provides effective PE control. This is an ideal solution for men who value maximum spontaneity.

Dual Mechanism of Action: Speed and Control

The medication acts simultaneously on the vascular and neurochemical systems.

• Erection Improvement (Avanafil 100 mg): Avanafil blocks the PDE5 enzyme. Upon sexual arousal, this leads to powerful relaxation of penile blood vessels and rapid blood flow, ensuring a stable erection.

• Ejaculation Control (Dapoxetine 60 mg): Dapoxetine blocks the reuptake of serotonin in the brain. This temporarily increases serotonin concentration, exerting an inhibitory effect on the ejaculation centers. The 60 mg dose provides the maximum clinical prolongation effect.

Key takeaway: Avanafil + ensures the fastest start for the ED component and reliable PE control, allowing intercourse time to be increased by 3–4 times.

Instructions for Using Avanafil +

Taking a combination drug requires strict adherence to the rules due to the presence of two active components.

1. Dosage and Timing of Intake

• Dosage: One tablet (100 mg Avanafil + 60 mg Dapoxetine) – is the absolute maximum daily dose. It is strictly prohibited to take more than one tablet within 24 hours.

• Initial Dose: Never start with a whole tablet. You should start with smaller doses (e.g., half a tablet – 50 mg Avanafil + 30 mg Dapoxetine).

• Method: Swallow the tablet whole with a full glass (at least 250 ml) of water. Do not chew.

• Time of Intake: Take 1–3 hours before planned sexual activity. Avanafil starts acting very quickly (15-30 min), but Dapoxetine needs time (1-2 hours) to reach its peak effect.

2. Influence of Alcohol

• Alcohol: Absolute prohibition. The combination of Dapoxetine with alcohol manifold increases the risk of neurocognitive side effects (dizziness, drowsiness) and can lead to fainting (syncope).

Critical Contraindications

The list of contraindications is amplified due to the summation of risks from the two molecules.

• Interaction with Nitrates: Absolutely forbidden! Combining Avanafil with any form of organic nitrates (Nitroglycerin) or nitric oxide donors ("poppers") causes a life-threatening drop in blood pressure.

• Serotonin Syndrome: Strictly forbidden to take with MAO Inhibitors (MAOIs), as well as with other SSRIs and antidepressants.

• Cardiovascular Disorders: Cardiac rhythm disturbances, severe heart failure, recent heart attack or stroke.

• Liver and Kidneys: Severe hepatic or renal failure.

Possible Side Effects

Side effects can be caused by both components.

• From Avanafil: Headache, facial flushing, nasal congestion (often milder than Sildenafil).

• From Dapoxetine: Nausea (the most frequent side effect), dizziness, drowsiness.

Professional Advice on Using

1. Splitting is the key to safety: The Avanafil + tablet should be split in half for starting therapy (50 mg Avanafil + 30 mg Dapoxetine). Start with this dose.

2. Speed: Thanks to Avanafil, this is the fastest-acting combination for ED and PE.

3. Take with water, while sitting: To minimize the risk of fainting, always take the drug while standing or sitting, washing it down with a full glass of water, and avoid standing up abruptly.

Avanafil +: Extended Q&A Section

• How long does Avanafil + last? The erection effect (Avanafil) lasts about 5–6 hours. The prolongation effect (Dapoxetine) lasts for 4–6 hours.

• Why is Avanafil better than Sildenafil? Avanafil acts faster (15-20 min vs 45-60 min), has a shorter half-life, and a lower risk of side effects related to vision and back pain.

• Can I take Avanafil + if I only have ED? If you only have ED, taking Dapoxetine is unnecessary. In this case, it is better to use pure Avanafil (Stendra or Avana).