Extra Super Zhewitra is a combination medication used to treat erectile dysfunction (ED). It contains Vardenafil and sometimes other compounds depending on the formulation, both of which are PDE5 inhibitors. These drugs work by relaxing blood vessels in the penis, increasing blood flow, and helping achieve and maintain an erection during sexual stimulation.

For men taking anticoagulants (blood thinners such as warfarin, apixaban, or rivaroxaban), caution is necessary. PDE5 inhibitors like Extra Super Zhewitra do not directly affect blood clotting, but they can cause minor blood pressure drops, flushing, or interactions with medications that affect liver enzymes. In some cases, this may increase the risk of bleeding or bruising, especially if combined with other medications that affect circulation.

It is crucial to consult a healthcare professional before using Extra Super Zhewitra if you are on anticoagulants. A doctor can evaluate possible interactions, adjust dosages if needed, and ensure it is safe based on your overall health and other medications. Side effects of Extra Super Zhewitra can include headache, dizziness, nasal congestion, or visual disturbances.

In summary, Extra Super Zhewitra can be used cautiously under medical supervision in men on anticoagulants, but self-medication is not recommended due to potential risks.