Yes, Extra Super Zhewitra, which contains a combination of vardenafil and dapoxetine, can be used by men over 50, but there are some important considerations:

Consultation with Healthcare Provider: It's essential for older adults to consult with a healthcare provider before starting any new medication, especially if they have underlying health conditions or are taking other medications.

Underlying Health Conditions: Men over 50 are more likely to have health issues such as cardiovascular disease, diabetes, or hypertension. A healthcare provider can assess whether Extra Super Zhewitra is safe based on an individual's overall health.

Dosage Adjustments: Older adults may require dosage adjustments or more careful monitoring for side effects due to changes in metabolism and the potential for drug interactions.

Potential Side Effects: While the medication can be effective for treating erectile dysfunction and premature ejaculation, older adults may be more susceptible to side effects such as dizziness or low blood pressure.

Lifestyle Considerations: Engaging in a healthy lifestyle, including a balanced diet and regular exercise, can enhance the effectiveness of the medication and overall sexual health.

In summary, while Extra Super Zhewitra can be used by men over 50, it's crucial to have a thorough evaluation by a healthcare provider to ensure safety and appropriateness.