Extra Super Zhewitra is a combination medication containing vardenafil and dapoxetine. Vardenafil is used to treat erectile dysfunction (ED), while dapoxetine is used to treat premature ejaculation (PE). While Extra Super Zhewitra can be effective in treating both conditions, it can also cause side effects in some individuals. Here are some reasons why someone might experience side effects when taking Extra Super Zhewitra: Individual sensitivity: Everyone's body reacts differently to medications, and some individuals may be more sensitive to the effects of Extra Super Zhewitra than others. Even at standard doses, some people may experience side effects such as headache, dizziness, or nausea. Interaction with other medications: Extra Super Zhewitra can interact with other medications, including nitrates, alpha-blockers, certain antibiotics, and antifungal medications. These interactions can increase the risk of side effects or reduce the effectiveness of Extra Super Zhewitra. It's essential to inform your healthcare provider about all medications you are taking before starting Extra Super Zhewitra to minimize the risk of interactions. Underlying health conditions: People with certain underlying health conditions, such as heart disease, liver or kidney problems, or neurological disorders, may be more prone to experiencing side effects from Extra Super Zhewitra. It's important to discuss your medical history with your healthcare provider before starting this medication. Dosage: Taking higher doses of Extra Super Zhewitra than recommended can increase the risk of side effects. It's essential to follow your healthcare provider's instructions regarding dosage and administration to minimize the risk of side effects. Alcohol consumption: Drinking alcohol while taking Extra Super Zhewitra can increase the risk of side effects such as dizziness, drowsiness, and low blood pressure. It's advisable to avoid alcohol or limit its consumption while taking this medication. Timing of administration: Taking Extra Super Zhewitra too close to a heavy or high-fat meal may delay its onset of action and increase the risk of side effects. It's generally recommended to take Extra Super Zhewitra on an empty stomach or with a light meal for optimal absorption and effectiveness. If you experience any side effects while taking Extra Super Zhewitra, it's essential to inform your healthcare provider. They can provide guidance on managing side effects and may adjust your treatment regimen if necessary. Do not stop taking Extra Super Zhewitra without consulting your healthcare provider, as sudden discontinuation may lead to withdrawal symptoms or a return of symptoms.