The active ingredients in Extra Super Zhewitra are Vardenafil and Dapoxetine. Vardenafil is used to treat erectile dysfunction (ED), while Dapoxetine is used to treat premature ejaculation (PE). This combination medication is designed to address both of these common sexual health issues in men. Vardenafil belongs to a class of drugs known as phosphodiesterase type 5 (PDE-5) inhibitors, while Dapoxetine is a selective serotonin reuptake inhibitor (SSRI). Together, they provide a comprehensive solution to improve sexual performance and satisfaction.