Extra Super Zhewitra is a medication used to treat erectile dysfunction, containing a combination of vardenafil, tadalafil, and dapoxetine. Each of these ingredients affects the body in different ways:

1. Vardenafil and Tadalafil: Both are phosphodiesterase type 5 (PDE5) inhibitors that improve blood flow to the penis, helping achieve and maintain an erection. They generally have minimal direct effects on sleep patterns.
   
2. Dapoxetine: This is a selective serotonin reuptake inhibitor (SSRI) used to treat premature ejaculation. SSRIs can influence sleep patterns, often leading to insomnia or disrupted sleep in some people. Extra Super Zhewitra is likely the ingredient that could most significantly affect your sleep.
   

Potential side effects of Extra Super Zhewitra might include:

• Insomnia or disturbed sleep: Due to the dapoxetine component.
• Increased alertness: Some individuals might experience heightened alertness or restlessness, affecting their ability to fall asleep.
• Other side effects: Headaches, dizziness, or gastrointestinal issues could indirectly impact sleep.

If you're experiencing significant sleep disturbances while taking this medication, it’s a good idea to consult with a healthcare provider to discuss your symptoms and explore alternative treatments.