Extra Super Zhewitra addresses both ED and PE, making it a comprehensive solution for sexual performance issues in men. Vardenafil, a phosphodiesterase type 5 (PDE5) inhibitor, helps improve erectile function by increasing blood flow to the penis during sexual stimulation. Dapoxetine, a selective serotonin reuptake inhibitor (SSRI), helps delay ejaculation and improve control over ejaculation during sexual activity. Extra Super Zhewitra typically starts working within 30 minutes to 1 hour after ingestion. This rapid onset of action allows for spontaneity in sexual activity, as the medication can be taken shortly before anticipated sexual activity.