Extra Super Avana contains Avanafil and Dapoxetine, which are used to treat erectile dysfunction (ED) and premature ejaculation (PE). When considering interactions with birth control pills, it’s important to understand the specifics of how these medications might interact. Here's a detailed look:

Interactions Between Extra Super Avana and Birth Control Pills

1. Avanafil (PDE5 Inhibitor)

   • Mechanism: Avanafil works by inhibiting the enzyme phosphodiesterase type 5 (PDE5), which increases blood flow to the penis.
   • Interaction with Birth Control: There is no significant evidence to suggest that Avanafil interacts with hormonal birth control pills. It does not alter the effectiveness of birth control pills or vice versa.

2. Dapoxetine (SSRI for PE)

   • Mechanism: Dapoxetine is a selective serotonin reuptake inhibitor (SSRI) used to delay ejaculation.
   • Interaction with Birth Control: Similarly, Dapoxetine does not have known interactions with hormonal contraceptives. It does not affect the efficacy of birth control pills or other hormonal contraceptives.

General Considerations

• Lack of Direct Interaction: Based on current medical knowledge, neither Avanafil nor Dapoxetine has been shown to have a direct impact on the effectiveness of birth control pills.
• Other Medications: Always consider potential interactions with other medications or supplements you might be taking, as these could indirectly affect the effectiveness of either Extra Super Avana or your birth control.