Extra Super Avana should be taken 30 to 45 minutes before sexual activity. It is taken orally with a glass of water and should not be used more than once in 24 hours. Avoid alcohol and fatty meals, which can reduce its effectiveness. Possible side effects include headache, dizziness, nausea, flushing, and nasal congestion. Rare but serious effects may include prolonged erection (priapism), vision changes, or severe allergic reactions.
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