Extra Super Avana is a combination medication that blends Sildenafil Citrate and Dapoxetine. Sildenafil Citrate, a well-known treatment for erectile dysfunction, works by increasing blood flow to the penis, helping achieve and maintain an erection. Dapoxetine, on the other hand, is a selective serotonin reuptake inhibitor (SSRI) specifically used to address premature ejaculation by increasing serotonin levels, which helps delay ejaculation.