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Extra Super P-Force is a combined oral tablet containing sildenafil 100 mg and dapoxetine 100 mg per dose. It is marketed for adult men who experience both erectile dysfunction and premature ejaculation. It is not intended for women or for persons under 18 years of age.
The fixed-dose tablet pairs a phosphodiesterase type 5 inhibitor with a short-acting selective serotonin reuptake inhibitor to target two distinct sexual performance concerns. This page explains how the medicine works, safe dosing, likely reactions, and relevant Australian regulatory the facts.
Skip ahead to topics: read about the mode of action in How the system operatesverify this. recommended use in Dosage and directions, or inspect import and notes on legality under Legal recognition in Australia.
How does this work?
Sildenafil improves penile blood flow by inhibiting the enzyme phosphodiesterase type 5 (PDE5). This relaxation of smooth muscle in the corpus cavernosum facilitates erection in response to sexual stimulation.
Dapoxetine acts centrally as a rapidly eliminated SSRI. By enhancing serotonin signaling in pathways that control ejaculation, it can lengthen intravaginal ejaculatory latency and help delay climax.
Combined use targets both vascular and neural contributors to erectile dysfunction and premature ejaculation. For more on preventive precautions relating to each component, see Risk mitigation steps and Adverse possible drug the exchange between people possibilities.
Dose quantity and usage directions
Follow a prescribers instructions exactly. The usual approach for this product is to take one tablet as a single dose before sexual activity. Do not exceed one dose within 24 hours unless advised by a clinician.
- Use a glass of water and swallow the tablet whole; do not crush or chew.
- The tablet can be taken with or without food; a high fat meal may delay onset of sildenafil.
- Timing: many men take the tablet 1 to 3 hours prior to anticipated activity to allow both sildenafil and dapoxetine to be effective.
If you are unsure when to take it, or if you are taking other medicines, consult your prescriber or see the section on Interacting drug effects.
Harm prevention measures
Discuss your full medical history with a healthcare professional before using this medicine. Pay particular attention to the following situations that may increase risk:
- Significant heart disease, recent myocardial infarction, or unstable angina.
- Blood pressure problems including low baseline blood pressure.
- Liver disease or serious kidney impairment where drug clearance may be reduced.
- Eye conditions such as non-arteritic anterior ischemic optic neuropathy or inherited retinal disorders.
- Current use of strong CYP3A4 inhibitors or other drugs that interact with either component.
- History of major mood disorders, bipolar disorder, or uncontrolled psychiatric illness.
Avoid excessive alcohol when taking this tablet. Spirits can worsen dizziness, impair performance, and increase the potential for adverse events. Older adults may be more susceptible to additional effects and should be monitored closely.
Medical when this treatment should not be used
- Hypersensitivity to sildenafil, dapoxetine, or any ingredient in the formulation.
- Concurrent nitrate therapy or use of nitric oxide donors due to risk of severe hypotension.
- Severe or unstable cardiovascular disease, recent stroke or heart attack.
- Critical liver impairment.
- Certain retinal diseases including retinitis pigmentosa.
- Patients with severe baseline hypotension or uncontrolled hypertension.
- Active or untreated psychiatric conditions where serotonergic agents are contraindicated.
If you meet any of these criteria, do not take this product until you have spoken with a medical professional. See also these items Expected secondary effects.
Temporary effects that may occur
Not everyone will experience adverse reactions. Commonly reported effects include:
- Headache flare, lightheadedness, or dizzy feelings.
- A warm face with flushing.
- Gastric upset, nausea, or dry mouth.
- Visual disturbances such as blurred vision or altered color perception.
- Sweating more than normal, tiredness, or malaise.
- Prolonged or painful erection (priapism). Seek immediate medical help if an erection persists beyond 4 hours.
Discontinue use and seek urgent care if you develop chest pain, sudden loss of vision, sudden hearing loss, fainting, or signs of serotonin toxicity such as severe agitation, high fever, tremor or changes in consciousness.
Drug collaborative interaction related risks
Both sildenafil and dapoxetine can interact with other medicines. Key the risks of mutual interaction are listed below.
- Nitrates and nitric oxide donors: coadministration is contraindicated because of the risk of dangerous hypotension.
- Strong CYP3A4 inhibitors (for example, ritonavir, cobicistat, ketoconazole, itraconazole): these can increase plasma levels of sildenafil and dapoxetine and worsen unintended consequences.
- Alpha-blockers and antihypertensive agents: combined use may cause symptomatic low blood pressure and requires careful performance monitoring.
- Anticoagulants and antiplatelet drugs: SSRIs can increase bleeding risk; use caution and monitor if combined with dapoxetine.
- Other serotonergic drugs (SSRIs, SNRIs, MAO inhibitors, St John’s wort, certain migraine medicines): concurrent use raises the possibility of serotonin syndrome.
- Grapefruit juice: may elevate sildenafil concentrations and should be avoided.
Always inform your prescriber about all medicines, supplements, and herbal products you use. For overlap with psychiatric drugs or HIV therapies, specialist advice is often needed.
Skipped medication dose
This medication is typically taken as required for sexual activity rather than on a fixed schedule. If you skip an intended dose, do not double the next dose; take the tablet only when you next need it and within the recommended frequency limits.
ODing
Symptoms of overdose may include profound low blood pressure, severe dizziness, fainting, chest pain, excessive flushing, nausea and vomiting, or priapism. If an overdose is suspected, seek emergency medical attention or contact emergency services immediately. Avoid driving or operating machinery until cleared by a clinician.
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- Keep at normal room temperature away from direct heat and humidity.
- Keep the item in its original container and keep it away from children and pets.
- Do not use when the expiry date printed on the pack has passed.
Complementary therapies and related medicines
If a combined sildenafil plus dapoxetine tablet is unsuitable, clinicians may recommend treating each condition separately or choosing replacement agents. Options include:
- For erectile dysfunction:
- Sildenafil as a single agent (generic or brand Viagra).
- Tadalafil (generic and brand Cialis), available for daily low-dose or as-needed use.
- Vardenafil (generic or brand Levitra).
- Avanafil (marketed as Spedra in some regions; availability in Australia varies).
- For premature ejaculation:
- Dapoxetine (sold as Priligy in some countries; note it is not TGA-registered in Australia).
- Topical anesthetic creams or condoms containing local anaesthetic.
- Off-label use of longer-acting SSRIs (for example, sertraline, paroxetine) under medical supervision.
- Behavioral therapies such as stop-start or squeeze techniques and sex therapy.
- Combination approaches:
- Separate prescriptions for an ED medicine plus a clinician-supervised option for PE may be used instead of a fixed combination product.
Choice of therapy depends on clinical history, concomitant medications, and tolerability. Discuss the options with a prescriber or pharmacist. Cross references Australian prices labelled AUD for cost context and The current legal framework in Australia for regulatory considerations.
Australia price quotes (AUD)
Costs vary by brand, pack size, pharmacy and whether a product is obtained locally or imported. The figures below are approximate ranges intended for comparison only.
- Extra Super P-Force (typically obtained from overseas vendors and not TGA-approved): about AUD 4 to AUD 10 per tablet depending on seller and quantity. Quality and legality are variable.
- Generic sildenafil 100 mg (TGA-registered when sold through Australian pharmacies): roughly AUD 1.50 to AUD 10 per tablet depending on dispensing and pack size.
- Brand Viagra 100 mg: commonly around AUD 20 to AUD 40 per tablet at retail prices.
- Tadalafil 10-20 mg (generic): approximately AUD 2 to AUD 12 per tablet; branded Cialis tends to cost more.
- Dapoxetine sourced overseas: frequently AUD 3 to AUD 8 per tablet; dapoxetine is not registered in Australia so import rules apply.
- Topical lidocaine-prilocaine creams for PE: typically AUD 15 to AUD 35 per tube, depending on brand and size.
These estimates are not endorsements. Prices change over time; check with reputable Australian pharmacies for current costs. For prescription-only medicines, a valid Australian prescription is normally required to purchase locally.
Legal standing in Australia
The Therapeutic Goods Administration (TGA) oversees medicines based in Australia. Important regulatory points to note:
- Sildenafil for erectile dysfunction is a prescription-only medicine (Schedule 4). You need a prescription from an Australian-registered prescriber to obtain TGA-registered sildenafil inside Australia.
- Dapoxetine is not listed on the Australian Register of Therapeutic Goods (ARTG). Combination products containing dapoxetine, including many extra-combination tablets sold overseas, are not TGA-approved.
- Personal importation scheme: Australians may occasionally import unapproved medicines for personal use under specified conditions, typically limited to a three month supply and requiring a prescription from an Australian medical practitioner. Border Force and the TGA can detain or destroy noncompliant shipments.
- Advertising restrictions: Promotion of prescription medicines to the general public is limited under Australian law.
- Safety reminder: Buying from unverified online sources carries risks of counterfeit, substandard, or mislabeled products. Prefer TGA-registered products supplied through accredited Australian drugstore providers.
If you are unsure about the legality or safety of importing a medicine, speak with your doctor or pharmacist and consult current TGA trusted guidance.
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