Two active drugs in a single tablet: avanafil for erectile function, and dapoxetine, an SSRI developed specifically for premature ejaculation rather than for depression. The 160 mg figure on the pack is the combined total of both, with four tablets in the blister.
Dapoxetine is unusual among SSRIs in being absorbed and cleared quickly, so it was designed for on-demand rather than continuous use - which is what makes pairing it with a fast-acting PDE5 inhibitor in one tablet workable. Both components are oral, and this Indian-made combination is the only dual-action item in the set.