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Top Avana is a medication that is used to manage male erectile dysfunction. It increases and helps maintain the penile building. Top Avana also helps manage premature ejaculation. It improves the sense of control and physical satisfaction in men. Top Avana includes Avanafil and Dapoxetine. Top Avana helps to manage, maintain, and increase penile building. It significantly decreases premature ejaculations . It improves the sense of control and physical satisfaction in men. Top Avana has a faster start of the action and starts acting within 15 minutes of uptake. Avanafil works by repressing a particular phosphodiesterase type 5 of an enzyme found in many body muscles, but mainly in the corpus cavernosum of the penis. The enzymatic interference by Top Avana points to continued and sustained penile erecting. Dapoxetine acts by repressing the serotonin transporter, leading to enhanced serotonin's work at pre and postsynaptic receptors. Increasing the central anxious system activi