Features of Super Zhewitra
Super Zhewitra is a medication designed to improve symptoms of erectile dysfunction (ED) and premature ejaculation (PE).

It is a combination drug composed of vardenafil from Levitra, the world's first ED treatment drug, and dapoxetine from Priligy, a premature ejaculation prevention drug. It is characterized by its reddish-brown round tablets.

■Comparison with Related Products
Super Zhewitra is a combination formulation of Levitra for erectile dysfunction treatment and Priligy for premature ejaculation prevention.
It not only provides the effects of both drugs simultaneously but is also a generic version made from the two active ingredients.

Super Zhewitra is more affordable than purchasing Levitra and Priligy separately.

※This table can be scrolled horizontally.

Medications for treating erectile dysfunction (ED) and preventing premature ejaculation require one tablet per sexual encounter.

If you suffer from complications of erectile dysfunction (ED) or premature ejaculation, we recommend taking Super Zhewitra.

Effects of Super Zhewitra
The main ingredients of Super Zhewitra, vardenafil and dapoxetine, are expected to treat ED (erectile dysfunction) and premature ejaculation, which are common concerns for men.

The PDE-5 enzyme breaks down cyclic guanosine monophosphate (cGMP), which is essential for erection.

When cGMP is broken down, erection cannot occur, a condition known as ED (erectile dysfunction).

Vardenafil inhibits the PDE-5 enzyme, dilating blood vessels around the penis and relaxing the muscles of the internal penile tissue (known as the corpus cavernosum).

This action dilates blood vessels and relaxes muscles, making it easier for more blood to flow into the internal penile tissue (corpus cavernosum), thereby promoting erection.

It is said that one cause of premature ejaculation is a deficiency in serotonin. Serotonin leads to excessive adrenaline secretion; when the sympathetic nervous system is under excessive stress or in a state of excitement or tension, ejaculation occurs at unintended times.

Serotonin is a neurotransmitter in the brain that balances emotions like excitement and anxiety by inhibiting the activity of dopamine (which enhances pleasure) and norepinephrine (which responds to tension and stress).

Dapoxetine is expected to increase serotonin concentration in the brain by blocking its reuptake at nerve endings, suppressing over-excitement, and prolonging ejaculation time.

It is known that 25% of men with ED also suffer from premature ejaculation, but since ED and premature ejaculation affect different mechanisms, they can be treated simultaneously.

Duration of Super Zhewitra
The effects are said to last 5 to 10 hours, but taking it does not force an erection; erection occurs only with sexual stimulation or arousal.

Dosage of Super Zhewitra
This medication is not approved and is therefore not available as a prescription drug.

You can purchase vardenafil 20 mg / dapoxetine 60 mg on this website, which handles personal imports.

Other Information
Super Zhewitra is the preferred medication for treating combined symptoms of ED and premature ejaculation.

※It is reported that approximately 25% of men with erectile dysfunction also suffer from premature ejaculation.

Related Pages for Super Zhewitra
※If you are looking for a premature ejaculation prevention drug with the same ingredients, we recommend Savitra Max.

・Generic Levitra
・Premature Ejaculation Prevention Drugs

Reference Sites
In addition to the product manuals from the country of sale, we refer to the following sites to explain our products.
・Dapoxetine - Wikipedia

Timing of Medication
The correct way to take Super Javitra is on an empty stomach, 30 minutes to 1 hour before sexual activity.
After taking one dose, the next dose should be taken at least 24 hours apart.

Dosage Reference
This product contains 20mg of the active ingredient Vardenafil and 60mg of Dapoxetine, with a total dosage of 80mg.

Some people may take double or triple the prescribed dose in pursuit of stronger effects, but this does not enhance efficacy.

The active ingredient Vardenafil can be taken up to 20mg per sexual act.

The active ingredient Dapoxetine can be taken up to 60mg per sexual act.

Please note carefully: after taking Super Javitra once, wait at least 24 hours before the next dose.

Recommended Dosage
When taking a medication containing the main ingredient Vardenafil for the first time, it is recommended to start with 10mg.

When taking a medication containing the main ingredient Dapoxetine for the first time, it is recommended to start with 30mg.

Effect of Food
Super Javitra is generally considered less affected by food, but according to the manufacturer, strictly speaking, meals with less than about 700 kcal and fat content within 30% have no effect.

The active ingredient Vardenafil in Super Javitra has rapid action due to its good water solubility.

Therefore, taking Super Javitra about 30 minutes before a meal allows Vardenafil and Dapoxetine to be absorbed by the body, reducing the impact of food.

If you need to use it after a meal, wait at least 2 hours before taking it.

If you do not wait for consumed food to digest sufficiently, it may hinder the absorption of Super Javitra.

Additionally, for high-fat meals such as grilled meat or fried foods, 2 hours may not be enough for full digestion, so it is best to take it on an empty stomach.

Note: After taking one dose and the ingredients are absorbed, consuming any food is not a problem.

Effect of Alcohol
Do not use with alcohol as the main ingredient Dapoxetine can intensify alcohol's side effects.

If you wish to drink alcohol, do so 1 to 4 hours after taking the medication.

The exact mechanism is not fully understood, but since both alcohol and Dapoxetine act on brain hormones (such as serotonin and norepinephrine), their combined effect may cause nausea, palpitations, headache, excessive sweating, intoxication-like reactions, or even fainting.

Contraindications
・Individuals with cardiovascular disease (heart or blood vessel disorders) who are not suitable for sexual activity

・Individuals with severe liver impairment

・Individuals with low blood pressure, or uncontrolled high blood pressure

・Individuals with a history of stroke or cerebral hemorrhage within the past 6 months

・Individuals with severe angina or myocardial infarction

・Individuals with severe heart valve disease

・Individuals with sick sinus syndrome

・Individuals with a history of orthostatic hypotension or fainting

・Individuals with depression or bipolar disorder

・Individuals with epilepsy

・Individuals under 20 years of age or over 65 years of age

※Always follow your doctor's instructions when taking the medication.

Main Side Effects
The main side effects include decreased blood pressure due to vasodilation, eye congestion, facial flushing, heart palpitations, nasal congestion, headache, dry mouth, dizziness, and nausea.

These are thought to be caused by vasodilation, and the side effects may lessen when sexual desire increases blood flow to the penis.

Specific Symptoms
Specific symptoms include visual abnormalities, such as feeling like wearing blue-tinted glasses or being unable to distinguish between blue and green.

In most cases, this is temporary and does not cause any problems. However, if your vision significantly deteriorates, you may be at risk of developing Non-Arteritic Anterior Ischemic Optic Neuropathy (NAION).

If you experience symptoms such as sudden decrease or loss of vision, consult an ophthalmologist or other specialist.

Additionally, if your erection is painful and lasts for more than 4 hours, you may have priapism.

If your erection lasts for more than 4 hours, seek immediate medical attention.

※What is Non-Arteritic Anterior Ischemic Optic Neuropathy (NAION)?
When the blood supply to the optic nerve stops, the optic nerve cells begin to malfunction or die. This condition is called ischemic optic neuropathy.
Although the causal relationship is unclear, a slight correlation has been suggested between this condition and individuals taking erectile dysfunction medications.

※What is priapism?
Priapism, also known as persistent erection, refers to a condition where the penis remains erect and cannot return to normal or has difficulty returning to normal.
It is also called penile rigidity.
The primary cause is believed to be a rupture in the arterial system of the corpora cavernosa.
If your erection does not return to normal for four consecutive hours, seek immediate medical attention.

Contraindications for Concurrent Use
Drugs that cannot be taken together are those incompatible with Super Zhewitra and should not be used concurrently.

- Nitrates and Nitric Oxide Donors
(Nitroglycerin, Amyl Nitrite, Isosorbide Dinitrate)
Concurrent use may enhance the antihypertensive effect.

- Amiodarone Hydrochloride
(Ancaron Tablets)
Concurrent use may enhance the QTc prolongation effect of amiodarone hydrochloride.

・CYP3A4 Inhibitors
(Antifungal drugs, anti-HIV drugs, telithromycin, naproxen, ketoconazole, itraconazole, ritonavir, saquinavir, nelfinavir, atazanavir, etc.)
The plasma concentration of this medication may increase, and its half-life in the blood may be prolonged.

- Nirmatrelvir-Ritonavir (Paxlovid)

- Encequidar (Zokova)

- Serotonergic Drugs
(Selective serotonin reuptake inhibitors, serotonin-norepinephrine reuptake inhibitors, tricyclic antidepressants, L-tryptophan, triptans, tramadol, linezolid, lithium, St. John's wort)

・MAO Inhibitors (Antidepressants)
When used with dapoxetine, it may cause autonomic instability, such as abnormally high fever, rigidity, mental instability, and delirium.

・Psychotropic Drugs
(Thioridazine)

Precautions for Combined Use
Drugs that require caution when taken with Super Zhewitra are those that should be used carefully in combination with Super Zhewitra.

・Grapefruit (including grapefruit juice)
The furanocoumarin component in grapefruit inhibits the action of metabolic enzymes in the body, slowing the breakdown of the drug.
As a result, the amount of drug absorbed in the body may exceed the required level, potentially leading to stronger effects and side effects.

・Antihypertensive Drugs
Super Zhewitra has blood pressure-lowering effects, and concurrent use with antihypertensive drugs may cause hypotension symptoms, such as temporary dizziness or lightheadedness.

・Store in a place away from direct sunlight, dry and cool.

・Keep out of reach of children.

・To avoid accidental ingestion or product deterioration, do not change the container.

・If consuming a single-pack product in portions, store the remaining part in an airtight container and consume within 2 days.

・Do not consume or use products beyond the expiration date.

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