While Extra Super Zhewitra is generally well-tolerated, it is not without risks, especially for those with compromised heart health. Common side effects include headache, dizziness, and flushing, which are typically mild and transient. However, more serious cardiovascular complications such as palpitations, chest pain, and changes in blood pressure have been reported in rare cases. For individuals with heart conditions or risk factors, these adverse effects raise concerns about the safety of using Extra Super Zhewitra. The relationship between sleep and ED is bidirectional, with each influencing the other in a complex interplay of physiological processes. Numerous studies have highlighted the detrimental effects of poor sleep on erectile function.