Extra Super Zhewitra combines Vardenafil, a phosphodiesterase type 5 (PDE5) inhibitor that helps improve blood flow to the penis for better erections, with Dapoxetine, a selective serotonin reuptake inhibitor (SSRI) that helps delay ejaculation and improve control over ejaculation. Extra Super Zhewitra is used to treat both erectile dysfunction (impotence) and premature ejaculation, making it a comprehensive solution for sexual performance issues in men. It is not intended for use in women or children. Before using Extra Super Zhewitra or any medication for ED and PE, consult a healthcare professional to determine if it's suitable for you based on your medical history, current medications, and overall health.