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Extra Super Avana is a combination medication containing Avanafil (a PDE5 inhibitor) and Dapoxetine (an SSRI), used to treat erectile dysfunction (ED) and premature ejaculation (PE). Certain medications should not be combined with Extra Super Avana due to the risk of serious interactions. Below are medications to avoid:

1. Nitrates (e.g., Nitroglycerin, Isosorbide Mononitrate):

Combining Extra Super Avana with nitrates, which are often prescribed for chest pain or heart conditions, can cause a dangerous drop in blood pressure. This combination can lead to dizziness, fainting, or even heart attack.

2. Alpha-Blockers (e.g., Alfuzosin, Tamsulosin):

Alpha-blockers are used to treat high blood pressure or prostate problems. When combined with Extra Super Avana, they can lead to low blood pressure, causing dizziness, fainting, or even heart failure in severe cases.

3. Other ED Medications (e.g., Sildenafil, Tadalafil, Vardenafil):

Taking multiple erectile dysfunction medications together increases the risk of side effects such as prolonged erections (priapism), low blood pressure, or severe dizziness.

4. CYP3A4 Inhibitors (e.g., Ketoconazole, Ritonavir, Itraconazole):

These medications, used for fungal infections or HIV treatment, can increase the levels of Avanafil in the blood, increasing the risk of side effects like headache, dizziness, and low blood pressure.

5. Antidepressants/SSRIs (e.g., Fluoxetine, Paroxetine):

Combining Dapoxetine (an SSRI) with other SSRIs can increase the risk of serotonin syndrome, a potentially life-threatening condition characterized by agitation, rapid heartbeat, and confusion.

Always consult your doctor before combining Extra Super Avana with any other medications.