Taking Extra Super Avana with juice, particularly grapefruit juice, can potentially increase the levels of avanafil and dapoxetine in your bloodstream. Grapefruit juice contains compounds that can inhibit enzymes responsible for breaking down medications in your body, leading to higher-than-expected levels of the drug in your system.

This increased drug concentration can amplify the effects and side effects of Extra Super Avana, which may include dizziness, lightheadedness, fainting, flushing, headache, and changes in blood pressure. In some cases, it can lead to serious adverse effects.

It's generally recommended to avoid consuming grapefruit juice or any other grapefruit products while taking medications like Extra Super Avana unless your healthcare provider specifically advises otherwise. If you have any questions or concerns about how to take Extra Super Avana or potential interactions with other substances, including juice, it's best to consult with your healthcare provider for personalized advice.