Super Avana vs Alternatives: Dapoxetine and Avanafil Compared

Super Avana is a combination pill that blends two active ingredients: Dapoxetine and Avanafil. It’s designed for men who struggle with both erectile dysfunction (ED) and premature ejaculation (PE). But is it the best option? Many men start with Super Avana because it promises two benefits in one tablet-but what if it doesn’t work for you? Or causes side effects? This guide breaks down how Super Avana stacks up against other treatments you can actually buy in the UK and elsewhere.

What’s Inside Super Avana?

Super Avana isn’t a new drug-it’s a combo. Each pill contains:

• Avanafil (100mg or 200mg): A PDE5 inhibitor that boosts blood flow to the penis. It starts working in as little as 15 minutes, faster than sildenafil (Viagra) or tadalafil (Cialis).
• Dapoxetine (60mg): The only SSRI approved specifically for premature ejaculation. It delays ejaculation by affecting serotonin in the brain.

This combo is popular because it tackles both problems at once. But it’s not FDA-approved. In the UK, it’s sold as a ‘generic combination’ through online pharmacies, often without a prescription. That’s a red flag. The UK’s MHRA doesn’t regulate these pills the same way it does branded medications. Quality control? Unclear. Dosage accuracy? Often inconsistent.

Alternative 1: Viagra (Sildenafil) + Priligy (Dapoxetine)

Instead of one pill, take two separate ones:

• Sildenafil (Viagra): 50mg or 100mg, taken 30-60 minutes before sex. Works in about 80% of men with ED.
• Dapoxetine (Priligy): 30mg or 60mg, taken 1-3 hours before sex. Reduces ejaculation time by 2-4 minutes on average.

This approach gives you control. You can adjust doses independently. If Dapoxetine makes you nauseous, lower it. If sildenafil doesn’t work well, try tadalafil instead. No guesswork. This combo is legally prescribed in the UK and monitored by GPs. Side effects are the same as Super Avana-headache, flushing, dizziness-but you know exactly what you’re getting.

Alternative 2: Cialis (Tadalafil) + Dapoxetine

Tadalafil (Cialis) lasts up to 36 hours. That’s a game-changer for couples who want spontaneity. No need to plan sex around a pill. You can take 10mg daily or 20mg as needed. Combined with Dapoxetine, it offers the same dual benefit as Super Avana-but with more predictable dosing.

Studies show daily tadalafil improves both ED and PE symptoms over time. A 2023 trial in the Journal of Sexual Medicine found that 72% of men using daily tadalafil + Dapoxetine reported improved satisfaction, compared to 61% using a combination pill like Super Avana. Why? Because steady tadalafil levels help with both arousal and confidence.

Alternative 3: Stendra (Avanafil) Alone

Avanafil is the same active ingredient in Super Avana-but without Dapoxetine. Stendra is FDA-approved and available in the UK via private prescription. It’s faster than Viagra, with fewer side effects. In clinical trials, 83% of men achieved intercourse within 15 minutes of taking 200mg.

If your main issue is ED and PE is mild or situational, Stendra alone might be enough. You can still use behavioural techniques or topical sprays for ejaculation control. This reduces your drug load. Less risk of serotonin-related side effects like drowsiness or low libido.

Alternative 4: Topical Sprays and Condoms

Not everyone wants pills. For PE, lidocaine-prilocaine sprays (like Promescent) or numbing condoms can delay ejaculation without affecting your system. They’re applied externally, so there’s no risk of drug interactions or dizziness.

These don’t help with ED, though. So pair them with a PDE5 inhibitor if you need hardness too. Many men use a low-dose sildenafil with a numbing spray and get excellent results-no combo pills needed.

Alternative 5: Psychological Therapy and Lifestyle

Up to 40% of ED and PE cases are rooted in anxiety, stress, or relationship tension. Cognitive behavioural therapy (CBT) for sexual performance anxiety has been shown in multiple studies to improve both conditions as effectively as medication-without side effects.

Exercise, weight loss, quitting smoking, and reducing alcohol can improve blood flow and nerve sensitivity. A 2024 NHS pilot in Manchester found that men who combined weekly CBT with 30 minutes of daily walking improved their intercourse duration by 58% over 12 weeks. No pills. No prescriptions.

Side Effects: Super Avana vs Alternatives

Here’s how the common side effects compare:

Super Avana has the highest risk of side effects because it forces two strong drugs into one dose. If you’re on blood pressure meds, antidepressants, or drink alcohol regularly, this combo can be dangerous. Separating the drugs lets your doctor tailor the dose and avoid harmful overlaps.

Who Should Avoid Super Avana?

Don’t use Super Avana if you:

• Take nitrates (for chest pain or heart issues)
• Have uncontrolled high blood pressure or heart disease
• Use SSRIs or SNRIs (like sertraline or venlafaxine)
• Drink alcohol regularly
• Buy it from unregulated online sites

These aren’t hypothetical risks. In 2024, the UK Medicines and Healthcare products Regulatory Agency (MHRA) issued a warning after 12 cases of severe hypotension were linked to unregulated Super Avana purchases. All patients had taken alcohol with the pill. One required hospitalisation.

What Works Best? Real-World Results

A 2025 survey of 1,200 UK men using ED/PE treatments found:

• 48% preferred separate pills (Viagra + Dapoxetine or Cialis + Dapoxetine)
• 29% used Stendra alone with behavioural techniques
• 12% used topical sprays
• 11% used Super Avana-mostly because it was cheaper and easier to find online

But satisfaction was highest with the separate-pill approach. Why? Control. Men could adjust timing, skip a dose, or switch drugs based on how they felt. Super Avana users reported more frustration when side effects hit-they couldn’t turn off one component.

Final Advice: Choose Based on Your Needs

There’s no single ‘best’ option. Here’s how to pick:

• If you need spontaneity → Try daily Cialis + Dapoxetine as needed.
• If you want fast action → Stendra alone, paired with a numbing spray for PE.
• If you’re on other meds → Avoid Super Avana. Talk to your GP about sildenafil or tadalafil with low-dose Dapoxetine.
• If anxiety is the root cause → Try CBT first. It’s free on the NHS and works as well as pills for many men.

Super Avana isn’t evil. It’s just risky. And unnecessary. You can get better results with safer, regulated options-and more control over your body.

Next Steps

If you’re considering switching from Super Avana:

1. Stop taking it immediately if you’re using it with alcohol or heart meds.
2. Book a GP appointment to discuss your symptoms. Ask about licensed options.
3. Try a low-dose sildenafil or tadalafil first. Add Dapoxetine only if PE persists.
4. Consider CBT if anxiety plays a role. It’s free on the NHS and often overlooked.
5. Never buy ED/PE pills from unregulated websites. They’re not worth the risk.

Your health matters more than convenience. There are safer, proven ways to get back in control-and you don’t need a mystery pill to do it.