Extra Super Zhewitra is a medication used for the treatment of erectile dysfunction (ED) and premature ejaculation. It typically contains two active ingredients: vardenafil and dapoxetine.

The reason certain medications, including Extra Super Zhewitra, may not be recommended for individuals with specific medical conditions is due to potential interactions, contraindications, or an increased risk of side effects. Common medical conditions that may contraindicate the use of medications like Extra Super Zhewitra include:

Cardiovascular issues: Since vardenafil is a phosphodiesterase type 5 (PDE5) inhibitor, it can potentially interact with nitrates found in some medications for heart conditions. This interaction may lead to a dangerous drop in blood pressure.

Liver or kidney problems: The metabolism of drugs, including vardenafil and dapoxetine, occurs in the liver and kidneys. Individuals with severe liver or kidney impairment may be at an increased risk of adverse effects, as these organs play a crucial role in drug metabolism and elimination.

Hypersensitivity or allergies: If an individual is allergic to vardenafil, dapoxetine, or any other components of Extra Super Zhewitra, it would be contraindicated.

Certain neurological or psychiatric conditions: Dapoxetine, which is used to treat premature ejaculation, may interact with medications used to treat certain psychiatric conditions or seizures.

It's important to note that the above list is not exhaustive, and contraindications can vary depending on the individual's health status and other medications they may be taking. Always consult with a healthcare professional before starting or discontinuing any medication, especially if you have pre-existing medical conditions.