Extra Super Zhewitra, like other medications containing prescription ingredients, requires a prescription from a healthcare provider. This ensures that the medication is safe and appropriate for your health condition and takes into account potential interactions with other medications you might be taking. It's important to inform your healthcare provider about all the medications you are taking, including any other prescriptions, over-the-counter drugs, and supplements. Some medications, particularly those affecting blood pressure or serotonin levels, can interact with the active ingredients in Extra Super Zhewitra.