Super Avana is a combination medication that typically contains two active ingredients: avanafil and dapoxetine. Avanafil is a phosphodiesterase type 5 (PDE5) inhibitor used for the treatment of erectile dysfunction (ED), while dapoxetine is a selective serotonin reuptake inhibitor (SSRI) used to treat premature ejaculation.

When it comes to assessing the long-term side effects of Super Avana, it's important to note that individual responses to drugs can vary, and the long-term effects of a medication may not be fully understood until it has been used over an extended period. 

Common Side Effects: Both avanafil and dapoxetine can cause side effects. Common side effects associated with PDE5 inhibitors like avanafil may include headache, flushing, nasal congestion, and back pain. Common side effects of SSRIs like dapoxetine may include nausea, dizziness, and insomnia.

Cardiovascular Effects: PDE5 inhibitors have been associated with cardiovascular effects, and it's important to consider any pre-existing cardiovascular conditions. If you have a history of cardiovascular issues, it's crucial to discuss this with your healthcare provider.

Long-term Safety: The long-term safety of Super Avana specifically may not be fully established. PDE5 inhibitors have been on the market for many years, and their overall safety profile is generally good, but individual responses can vary.

If you are considering using Super Avana or have concerns about its long-term use, it is crucial to consult with a healthcare professional. They can provide guidance based on your individual health history and assess the risks and benefits of the medication in your specific case.