Extra Super Zhewitra is a medication used to treat erectile dysfunction (ED), and it's generally taken as needed rather than on a daily basis. It contains a combination of two active ingredients: Vardenafil and Dapoxetine. Vardenafil helps improve blood flow to the penis, while Dapoxetine is used to treat premature ejaculation. Typically, you would take Extra Super Zhewitra about 30 to 60 minutes before sexual activity. It's not meant for daily use, but rather for occasions when you anticipate needing it. Always follow the dosage instructions provided by your healthcare provider and consult them if you have any questions or concerns about your medication regimen.