Extra Super Zhewitra is a medication used for the treatment of erectile dysfunction (ED) and premature ejaculation (PE) in men.  This is a phosphodiesterase type 5 (PDE5) inhibitor, which works by increasing blood flow to the penis during sexual stimulation. This helps in achieving and maintaining an erection sufficient for sexual activity. Vardenafil belongs to the same class of drugs as sildenafil (Viagra) and tadalafil (Cialis). This is a selective serotonin reuptake inhibitor (SSRI) used for the treatment of premature ejaculation. It works by increasing the levels of serotonin in the brain, which can help delay ejaculation and improve control over ejaculation. Combining these two medications in Extra Super Zhewitra can help men with both erectile dysfunction and premature ejaculation to achieve better sexual performance and satisfaction. However, like any medication, it should only be used under the supervision of a qualified healthcare professional, as it may have side effects and interactions with other drugs.