The recommended starting dose for Extra Super Zhewitra, which typically contains a combination of vardenafil and dapoxetine, is usually one tablet (100 mg of vardenafil and 60 mg of dapoxetine). Here are some key points to consider regarding the dosing: 1. Timing: Take Before Sexual Activity: It is generally advised to take Extra Super Zhewitra approximately 30 to 60 minutes before planned sexual activity. 2. Dosage Adjustment: Individual Tolerance: Depending on your response to the medication and any side effects experienced, a healthcare provider may recommend adjusting the dose. The maximum recommended dose of vardenafil is typically 200 mg, but this should only be done under medical supervision. Consult Your Doctor: Always consult a healthcare provider before making any changes to your dosage, especially if you have underlying health conditions or are taking other medications. 3. Frequency of Use: Daily Use Not Recommended: Extra Super Zhewitra is usually intended for as-needed use, not for daily consumption. It is important to follow your doctor's recommendations regarding frequency. 4. Considerations: Health Conditions: If you have certain health conditions (e.g., cardiovascular issues, liver or kidney problems), consult a healthcare provider to determine the safest and most effective dose for you. Alcohol and Drug Interactions: Avoid excessive alcohol consumption and inform your doctor about any other medications you are taking to prevent potential interactions. Starting with the recommended dose of 100 mg of vardenafil and 60 mg of dapoxetine allows for a safe and effective trial of Extra Super Zhewitra. Always follow the guidance of a healthcare provider for the best results tailored to your individual health needs.