SUPER ZHEWITRA

SUPER ZHEWITRA is a specialized combination generic medication designed for men who face two major sexual issues simultaneously: erectile dysfunction (ED) and premature ejaculation (PE). This generic combines Vardenafil (20 mg) for erection improvement and Dapoxetine (60 mg) for prolongation of intercourse, providing a powerful synergistic effect.

What is SUPER ZHEWITRA?

SUPER ZHEWITRA is a "2-in-1" medication containing the maximum standard dose of Vardenafil and the maximum standard dose of Dapoxetine.

1. Vardenafil (20 mg): The maximum standard dose of a PDE5 inhibitor. Vardenafil is valued for its high selectivity, fast onset of action, and proven efficacy, especially in diabetic patients.

2. Dapoxetine (60 mg): The maximum standard dose of the drug for ejaculation control. Dapoxetine is the only drug specifically designed for PE that is taken "on demand."

1. Target Audience and Synergy

The drug is intended for men who require not only a firm, sustained erection (Vardenafil's role) but also a significant increase in the time until orgasm (Dapoxetine's role). The SUPER ZHEWITRA combination ensures a reliable and predictable "window" of sexual activity.

Dual mechanism of action of SUPER ZHEWITRA

The medication acts simultaneously on the vascular and neurochemical systems.

• Erection Improvement (Vardenafil 20 mg): Vardenafil blocks the PDE5 enzyme. Upon sexual arousal, this leads to powerful relaxation of penile blood vessels and 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: SUPER ZHEWITRA ensures that the erection is maintained throughout the extended duration of intercourse provided by Dapoxetine.

Instructions for using SUPER ZHEWITRA

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

1. Dosage and timing of intake

• Dosage: One tablet (20 mg Vardenafil + 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 of Vardenafil (10 mg) and Dapoxetine (30 mg). The SUPER ZHEWITRA tablet must be split in half for first-time use.

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

• Timing: Take 1–3 hours before planned sexual activity. Dapoxetine requires time to reach the peak concentration (1–2 hours).

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 for SUPER ZHEWITRA

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

• Interaction with Nitrates: Absolutely forbidden! Combining Vardenafil 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.

Side effects of SUPER ZHEWITRA

Side effects can be caused by either of the two components.

• Common (from Vardenafil): Headache, facial flushing, nasal congestion.

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

Special Warning: The combination of Vardenafil (vasodilation) and Dapoxetine (neurochemistry) can increase the risk of hypotension and dizziness.

Professional advice on using SUPER ZHEWITRA

1. Splitting is the key to safety: The SUPER ZHEWITRA tablet should be split in half for starting therapy (10 mg Vardenafil + 30 mg Dapoxetine). Start with this dose.

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

3. Vardenafil for Diabetics: If you have diabetes and ED, this combination can be particularly effective, as Vardenafil shows high results in this patient group.

SUPER ZHEWITRA: Extended Q&A section

• How does SUPER ZHEWITRA differ from SUPER P-FORCE? By the active component for erection. SUPER ZHEWITRA uses Vardenafil (20 mg), which is less likely to cause visual disturbances, whereas Super P-Force uses Sildenafil (100 mg). Dapoxetine is 60 mg in both cases.

• How long does the effect last? The effect of erection (Vardenafil) and prolongation (Dapoxetine) lasts for 4–6 hours.

• Why must it be taken 1–3 hours beforehand? Dapoxetine requires time to reach the peak concentration needed for the maximum prolongation effect.

• Can SUPER ZHEWITRA be taken if I only have ED? If you only have ED, taking Dapoxetine is unnecessary and not advised. In this case, it is better to use pure Vardenafil (ZHEWITRA 20) to avoid unnecessary risks associated with Dapoxetine.