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Super Avana is a fast-acting combination medicine. Avanafil typically works quickly compared to other ED drugs, while dapoxetine provides short-term control during sexual activity. It does not increase sexual desire and requires sexual stimulation to be effective. It is usually taken about 30 to 60 minutes before sexual activity, depending on individual response, food intake, and metabolism. High-fat meals or alcohol may reduce its effectiveness or increase side effects.