Extra Super Zhewitra is a medication used for the treatment of erectile dysfunction (ED) and premature ejaculation. It contains two active ingredients: vardenafil and dapoxetine. Priapism, a persistent and painful erection lasting more than four hours, is a rare but serious side effect associated with medications used for ED. Although it's not common with vardenafil, which is one of the active ingredients in Extra Super Zhewitra, it's important to be aware of the potential risk.

You should be aware of the risk of priapism when using Extra Super Zhewitra if:

You have a history of priapism or conditions predisposing you to priapism, such as sickle cell anemia or leukemia.
You are using other medications known to increase the risk of priapism, such as certain antidepressants or antipsychotics.
You have anatomical issues with your penis, such as Peyronie's disease (a condition involving the growth of scar tissue inside the penis).
You are using recreational drugs like cocaine or methamphetamine, which can increase the risk of priapism.
If you experience a prolonged and painful erection while using Extra Super Zhewitra, it's essential to seek medical attention immediately. Priapism, if left untreated, can cause permanent damage to the penis and lead to complications such as erectile dysfunction.

Always use medications like Extra Super Zhewitra under the guidance of a healthcare professional, and inform them of any medical conditions or medications you are currently taking to mitigate the risk of priapism and other potential side effects.