TOP AVANA

TOP AVANA is a modern combined generic medication intended 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 (100 mg)—and an effective prolonging agent—Dapoxetine (60 mg).

What is TOP AVANA?

TOP AVANA is a "2-in-1" pill that combines two active substances with fundamentally different mechanisms of action:

1. Avanafil (100 mg): A new-generation active substance known for its ultra-fast speed of action (sometimes less than 15 minutes) and high selectivity, ensuring a firm erection. 100 mg is the standard effective dose.

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

1. Key advantages of the combination

The main advantage of TOP AVANA 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: TOP AVANA 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 TOP AVANA

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.

• Timing: Take 30 minutes – 1 hour before planned sexual activity. Avanafil starts acting very quickly, but Dapoxetine requires time.

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 TOP AVANA

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.

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

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

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

Professional advice on using TOP AVANA

1. Splitting is the key to safety: The TOP AVANA 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 (orthostatic hypotension), always take the drug while standing or sitting, washing it down with a full glass of water, and avoid standing up abruptly.

TOP AVANA: Extended Q&A section

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

• Why must it be taken 30 minutes – 1 hour beforehand? Avanafil starts working faster than Dapoxetine. Taking it at 30 minutes provides a fast erection, but for the maximum PE control provided by Dapoxetine, waiting 1 hour is better.

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

• Why is Avanafil better than Sildenafil? Avanafil acts faster, has a shorter half-life (less "hangover" the next day), and a lower risk of vision-related side effects.