ED and Premature Ejaculation Treatment Decision Tool
Which Treatment is Right for You?
This tool helps you compare Super Zhewitra with other ED and PE treatments based on your symptoms, medical history, and preferences.
Super Zhewitra is a combination pill that mixes two active ingredients-Dapoxetine and Vardenafil-to tackle both erectile dysfunction (ED) and premature ejaculation (PE) in one dose. It’s become popular among men looking for a dual-action solution, but it’s not the only option on the market. If you’re considering Super Zhewitra, you should know what else is out there, how they stack up, and which one might actually work better for your body and lifestyle.
What’s in Super Zhewitra?
Super Zhewitra combines Vardenafil a PDE5 inhibitor used to treat erectile dysfunction by increasing blood flow to the penis and Dapoxetine a selective serotonin reuptake inhibitor (SSRI) approved for treating premature ejaculation by delaying ejaculation. Together, they help men get and keep an erection while also giving them more control during sex.
Most men take one tablet about 60 minutes before sex. Vardenafil kicks in within 25 to 60 minutes and lasts up to 5 hours. Dapoxetine starts working in about 1 to 2 hours and can delay ejaculation by 2 to 3 times longer than usual. The combo works well for many, but side effects like headaches, dizziness, nausea, or nasal congestion are common. Some men report mild heart palpitations or changes in vision, especially if they’re taking nitrates or have heart conditions.
How Super Zhewitra Compares to Viagra (Sildenafil)
Viagra, or Sildenafil a PDE5 inhibitor with the same mechanism as Vardenafil but different pharmacokinetics, is the original ED pill. It’s been around since 1998 and is still widely prescribed. But Viagra only treats ED-it doesn’t help with premature ejaculation.
If you only have trouble getting an erection, Viagra might be cheaper and just as effective. Sildenafil takes about 30 to 60 minutes to work, lasts 4 to 5 hours, and has similar side effects to Vardenafil. But if you also struggle with PE, you’d need to take a separate SSRI like Dapoxetine or Sertraline. That means two pills, two sets of side effects, and more room for interaction.
Super Zhewitra wins here for convenience. One pill, two problems solved. But if you’re sensitive to Dapoxetine, or if your PE is mild, sticking with Viagra and behavioral techniques might be a better, lower-risk choice.
Cialis (Tadalafil) vs. Super Zhewitra
Tadalafil a long-acting PDE5 inhibitor with up to 36-hour effectiveness, often called the "weekend pill" is another major player. Cialis lasts way longer than Vardenafil-up to 36 hours-which means you don’t need to time sex around your pill. It’s great for spontaneous activity.
But like Viagra, Cialis doesn’t touch PE. So again, if you need help with both ED and PE, you’d still need a second medication. Some men use Cialis daily at low doses (2.5mg-5mg) for ongoing ED control, but that doesn’t help with early ejaculation.
Super Zhewitra’s advantage is timing. You take it right before sex, and it handles both issues in one go. Cialis is better if you want flexibility over days, not minutes. But if you’re looking for immediate, targeted control during sex, Super Zhewitra gives you more precision.
Priligy (Dapoxetine) Alone vs. Super Zhewitra
Priligy the only FDA-approved SSRI specifically for premature ejaculation is Dapoxetine in its pure form. It’s taken 1 to 3 hours before sex and delays ejaculation without affecting erections.
If your main issue is PE and you don’t have ED, Priligy is the cleaner option. No extra PDE5 inhibitor means fewer side effects like dizziness or low blood pressure. Some men find Priligy alone enough-especially when paired with pelvic floor exercises or the stop-start technique.
But if you have both ED and PE, taking Priligy and a separate ED pill means managing two drugs, two dosing schedules, and potential drug interactions. Super Zhewitra simplifies that. It’s a single tablet with both ingredients already balanced. For men who want one-step treatment, it’s more convenient. But if you’re trying to minimize medication load, starting with Priligy alone and adding an ED pill only if needed is a smarter approach.
Stendra (Avanafil) and Other Newer Alternatives
Avanafil a fast-acting PDE5 inhibitor that works in as little as 15 minutes is newer and faster than Vardenafil. It’s less likely to cause visual side effects and works well for men with diabetes or after prostate surgery.
But again, Stendra only treats ED. No PE help. Same goes for Levitra the brand name for Vardenafil, identical in composition to the Vardenafil in Super Zhewitra-it’s just the standalone version of the same ingredient.
There’s also Tadalafil already discussed, but worth noting again for its long duration and Sildenafil the original, now available as generic. None of these address PE. So if you’re comparing Super Zhewitra to any of these, you’re really comparing a combo drug to single-action pills.
For men who want a quick, single-dose solution for both problems, Super Zhewitra stands out. For men who only need ED help or want to avoid combining SSRIs with PDE5 inhibitors, sticking with standalone options is safer and more flexible.
When Super Zhewitra Might Not Be Right for You
Super Zhewitra isn’t for everyone. If you have:
- Heart disease, especially unstable angina or recent heart attack
- Low blood pressure or are taking nitrates (like nitroglycerin)
- Severe liver or kidney disease
- A history of priapism or retinal disorders
- Are taking other SSRIs or MAO inhibitors
then you should avoid it. Dapoxetine can increase the risk of serotonin syndrome if mixed with other antidepressants. Vardenafil can cause dangerous drops in blood pressure with nitrates.
Also, if you’re not sure whether your issue is ED, PE, or both, start with a doctor. Many men assume they have PE when it’s actually performance anxiety or relationship stress. Treating symptoms without diagnosing the root cause can lead to unnecessary medication use.
Real-World Use: What Men Actually Say
Online forums and patient reviews show mixed results. Some men say Super Zhewitra changed their sex life-finally feeling confident and in control. Others report the Dapoxetine dose (60mg) is too strong, leaving them dizzy or nauseous for hours. A few found they needed to split the pill or take it 90 minutes before sex to avoid side effects.
One 42-year-old man from Melbourne told his urologist he’d tried Viagra and Priligy separately. "I was taking two pills every time. I felt like a pharmacy. Super Zhewitra cut it down to one. But the first time, I got a headache and felt like I was going to pass out. Second time, I took half. Worked perfect. Now I keep half-pills in my wallet."
Another 56-year-old with diabetes said he switched from Cialis to Super Zhewitra because he was still having trouble lasting. "Cialis gave me the erection. But I was done in under two minutes. Super Zhewitra? I lasted 12 minutes. Didn’t feel weird. Just… normal."
These aren’t clinical trials-they’re real experiences. But they show that dosage adjustment, timing, and individual sensitivity matter more than brand names.
Cost and Accessibility
Super Zhewitra is often sold online as a "generic" or "herbal" combo, but many of these aren’t regulated. In Australia, it’s not approved by the TGA. That means you’re buying it from overseas pharmacies, often without a prescription. The risk? Fake pills, wrong dosages, or dangerous fillers.
Legally, you need a prescription for both Dapoxetine and Vardenafil in Australia. A doctor can prescribe them separately, or in rare cases, compound them. Generic Vardenafil (Levitra) costs about $1.50-$3 per tablet. Dapoxetine (Priligy) runs $3-$5 per tablet. So buying both separately might cost $5-$8 per use.
Online Super Zhewitra packs (10 tablets) often sell for $20-$40. That sounds cheaper-but you’re gambling on quality. If you’re going this route, at least use a verified pharmacy with a physical address and customer service. Never buy from sites that don’t ask for a prescription.
Final Decision: What Should You Choose?
Here’s how to pick:
- If you have both ED and PE and want one pill before sex → Super Zhewitra (if you can get a safe, verified version)
- If you have only ED and want flexibility → Tadalafil (Cialis)
- If you have only ED and want something cheaper → Sildenafil (Viagra)
- If you have only PE and want minimal side effects → Dapoxetine (Priligy)
- If you want to avoid medication entirely → try pelvic floor exercises, the start-stop technique, or couples counseling
There’s no "best" option. Only the best for you. What works for one man might leave another dizzy or disappointed. The key is starting low, tracking results, and talking to a doctor-not just buying online.
Sexual health isn’t about finding the strongest pill. It’s about finding the right balance-between effectiveness, safety, and your own comfort. Super Zhewitra offers a shortcut. But sometimes, the longer path leads to a better outcome.
Is Super Zhewitra approved in Australia?
No, Super Zhewitra is not approved by the Therapeutic Goods Administration (TGA) in Australia. While both Dapoxetine and Vardenafil are approved individually, their combination in a single tablet isn’t officially recognized. Most versions sold online are imported and unregulated, which carries risks of counterfeit ingredients or incorrect dosing.
Can I take Super Zhewitra with alcohol?
It’s not recommended. Alcohol can worsen side effects like dizziness, low blood pressure, and nausea. Combining alcohol with Dapoxetine may also increase the risk of fainting or heart rhythm issues. If you plan to drink, wait at least 4 hours after taking Super Zhewitra-or better yet, skip the alcohol on days you use it.
How long does Super Zhewitra last?
Vardenafil lasts up to 5 hours, and Dapoxetine’s effects on ejaculation delay can last 4 to 6 hours. Most men report peak effectiveness within 1 to 3 hours after taking it. You don’t need to wait for it to wear off completely before having sex again, but the benefits will fade after 6 hours.
Does Super Zhewitra increase libido?
No. Super Zhewitra doesn’t boost sex drive. It helps you get an erection and delay ejaculation, but it won’t make you feel more turned on. If low libido is your main issue, you may need to address hormonal imbalances, stress, or relationship factors instead.
Can women take Super Zhewitra?
No. Super Zhewitra is formulated for male physiology and has not been studied for use in women. Dapoxetine and Vardenafil are not approved for female sexual dysfunction. Women with sexual health concerns should consult a gynecologist or sexual health specialist for appropriate treatments.
Are there natural alternatives to Super Zhewitra?
Yes. For ED, regular exercise, weight loss, and quitting smoking can improve blood flow. For PE, pelvic floor exercises (Kegels), the start-stop technique, and mindfulness practices have shown success in clinical studies. Some men also find that reducing porn use or improving communication with their partner helps significantly. These approaches don’t offer instant results, but they’re safer and address root causes.
Next Steps
If you’re considering Super Zhewitra or any ED/PE medication, talk to your doctor first. Bring up your symptoms honestly-how often you struggle, how it affects your relationship, and what you’ve tried before. Ask for a prescription for the individual ingredients if you want to test them separately. Track your results with a simple journal: date, dose, time taken, effectiveness, side effects.
Don’t let embarrassment stop you. Millions of men face this. The goal isn’t to take the most pills-it’s to have satisfying sex without stress. Sometimes, the best solution isn’t a pill at all. It’s a conversation-with your doctor, your partner, or yourself.
