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Extra Super P-Force is a combination tablet marketed to treat two male sexual health problems at once: erectile dysfunction and premature ejaculation. It pairs a phosphodiesterase type 5 inhibitor with a short acting selective serotonin reuptake inhibitor in a single pill. Because the tablet contains high-strength active substances, it is not a routine first-line option in the UK and should only be taken after medical assessment.
Quick way around: How to take safely · Communication and social interaction · Alternative options · UK legal position
Principal active constituents with their strength values
Composition per tablet is typically:
- Sildenafil citrate 100 mg - a PDE5 inhibitor that enhances penile blood flow
- Dapoxetine 100 mg - a short acting SSRI used to delay ejaculation
The combined 100 mg + 100 mg dose is higher than the usual starting doses used individually in UK practice. Discuss lower-dose or single-agent options with your health care provider.
Who the intended audience is
The product is aimed at adult men with:
- Erectile dysfunction, meaning difficulty obtaining or sustaining an erection sufficient for sexual intercourse
- Premature ejaculation, defined by ejaculation occurring sooner than desired and causing distress
It is not indicated for enhancing sports performance or physical endurance and should not be used for those purposes.
How to take medications safely it gracefully
Follow the specific directions from the clinician who prescribes this product. Do not self-adjust the dose.
- Swallow the tablet whole with water; do not chew, crush, or split it.
- It can be taken with or without food, although fatty meals may delay onset.
- Typical timing recommended is 1 to 3 hours before sexual activity, but individual advice may vary.
- Do not take more than one tablet per 24 hour timeframe.
- Avoid excess alcohol before and after dosing because it can increase adverse effects and reduce effectiveness.
If the expected benefit is not achieved, do not increase the number of tablets yourself. Contact a healthcare professional to review other options.
Notice of risks and preventive steps
Before using a combination tablet of this type, inform your clinician if any of the following apply:
- Glaucoma or other major eye problems
- Impairment in hepatic or renal health
- Existing heart disease, recent heart attack, unstable angina, or if advised to avoid exertion
- Current treatment with antifungals or certain antivirals
- A history of psychiatric illness including depression, bipolar disorder, or mania
- Older age, for example over 65, when sensitivity to adverse events may be greater
While taking this medicine you should avoid driving or operating machinery if you feel dizzy or notice visual disturbances.
Not recommended: when to avoid using
This medicine should not be used if any of the following apply:
- Allergy to sildenafil, dapoxetine, or any inactive ingredient in the tablet
- Concurrent use of nitrates or nitric oxide donors
- Unstable or severe cardiac disease, uncontrolled high or low blood pressure
- Severely impaired liver function
- Inherited diseases of the retina including retinitis pigmentosa
- Recent stroke or heart attack
If you meet any of these criteria, your clinician can recommend safer different avenues. See Different medicines and related formulations.
Possible unwanted effects
Known secondary effects reported with the component medicines may occur. Usual and not grave effects include:
- Face reddened with warmth
- Cranial pain, fatigue, and dizziness
- Visual changes such as blurred vision or altered colour perception
- Dry mouth sensation and sweating
- Gastrointestinal discomfort
Seek immediate medical help for any of the following serious signs:
- Chest pain, fainting, or signs of a major drop in blood pressure
- Quick loss of sight or hearing. problems
- An erection lasting longer than 4 hours or causing pain (priapism)
Drug and substance engagement and communication effects
The combination in this tablet interacts with several drug groups and substances. Distinctive exchanges include:
- Nitrates and amyl nitrite-type substances: can cause dangerous hypotension and are strictly contraindicated
- Strong CYP3A4 inhibitors such as ketoconazole, itraconazole, certain macrolide antibiotics and protease inhibitors: may raise drug levels and side effect risk
- Alpha-blockers and many antihypertensives: combined blood pressure lowering effect
- Anticoagulant or antiplatelet therapy: discuss bleeding risks with your prescriber
- Certain antiepileptics and other antidepressants: potential for altered efficacy or increased adverse events
- Alcoholic drink product and recreational drugs including alkyl nitrites or "poppers": increase risk of severe reactions
Always show your prescriber a complete list of medicines, supplements and recreational substances you use. To discover more important safety information, see Alerts and safety guidelines.
Dose not taken this time protocol
This medication is typically taken on an as needed basis before sexual activity rather than on a fixed schedule. If you planned to take a tablet but did not, take it only if there is still enough time before activity and it does not exceed your prescriber's instructions. Do not take two doses within 24 hours.
Summary of information about a drug overdose
Taking more than the recommended amount may produce pronounced low blood pressure, severe dizziness, fainting, palpitations, nausea, and prolonged or painful erection. If overdosed on pills is suspected, contact emergency services or direct yourself to your nearest emergency department immediately.
Best practices for storage management helps organize and track items.
- Keep in a normal room temperature environment, away from direct heat and humidity.
- Retain the medicine in its original container until needed.
- Keep this out of sight and out of reach of children and animals.
Optional solutions and similar medicines
Several licensed options exist in the UK which clinicians commonly use depending on whether erectile dysfunction, premature ejaculation, or both are the main issues.
- Sildenafil (generic or Viagra): available in 25 mg, 50 mg and 100 mg strengths. Viagra Connect 50 mg can be supplied through a pharmacist after assessment.
- Tadalafil (Cialis and generics): 10 mg and 20 mg for as-needed use, or low-dose daily options (2.5 mg, 5 mg) for continuous control; longer duration of action than sildenafil.
- Vardenafil and avanafil: a different path PDE5 inhibitors with different onset times and side-effect profiles.
- Dapoxetine (Priligy): licensed for premature ejaculation in 30 mg and 60 mg tablets taken 1 to 3 hours before activity.
- Topical options such as lidocaine or prilocaine creams/sprays: local desensitizers that avoid systemic effects.
- Other medical strategies used off label in some settings include daily SSRIs or tricyclic antidepressants for PE; these require careful clinical supervision.
- Non-drug approaches: behavioral techniques, psychosexual therapy, pelvic floor exercises, condom use and lifestyle changes can be effective either alone or with medication.
A combined high-strength product like Extra Super P-Force is not a standard first choice in the UK. Many men respond well to a single agent for ED plus targeted therapy for PE arranged with a clinician.
Typical price range in the UK (approx)
Prices vary by supplier, pack size and whether you use NHS, high street pharmacy or private online services. The figures below are approximate private-pay ranges to aid comparison and are in British pounds sterling (GBP).
- Viagra Connect 50 mg (OTC from pharmacy): roughly 18 to 26 pounds for a pack of four tablets.
- Generic sildenafil (private prescription): about 0.8 to 4 pounds per 100 mg tablet depending on supplier and pack size, plus consultation fees.
- Tadalafil generic (private): typically 1.5 to 7 pounds per 10 to 20 mg tablet; daily 5 mg tariff schedule can be lower per tablet with larger packs.
- Avanafil (Spedra, private): about 6 to 13 pounds per tablet depending on strength.
- Dapoxetine (Priligy, private): approximately 15 to 40 pounds for a small pack of 30 mg tablets; 60 mg packs tend to cost more per pack.
- Extra Super P-Force (not licensed in the UK): some overseas online sellers list prices around 2.5 to 7 pounds per tablet; quality and legality are uncertain.
Remember to factor in any consultation, prescription and delivery charges when ordering online. NHS prescribing policies for ED and PE are variable and many of these medicines require a prescription.
Status under UK law and safe access
- Prescription-only medicines in the UK: most sildenafil preparations (except Viagra Connect 50 mg sold via pharmacist), dapoxetine and other prescription treatments require a valid UK prescription from an appropriate prescriber.
- Pharmacy supply: Viagra Connect 50 mg may be supplied without a prescription after a pharmacist completes a suitability check.
- Unlicensed combination products: the sildenafil plus dapoxetine combination sold as Extra Super P-Force does not hold an MHRA marketing authorisation for sale in the UK and is not legally supplied through UK medicine retailers.
- Online purchases: only use services that are registered with the General Pharmaceutical Council (GPhC) and provide prescriptions from UK-registered prescribers. Verify registration on the GPhC public register.
- Importation risks: bringing in prescription-only or unlicensed medicines without appropriate permission or a valid prescription may result in seizure by UK Border Force and could be unlawful.
- Counterfeit risk: medicines from unverified websites can contain the wrong ingredients, incorrect strengths or contaminants. This can be dangerous.
In short, for safe access in the UK consult an NHS GP, a private clinician, or a GPhC-registered online clinic. They can advise on licensed a secondary option options and arrange appropriate tracking and monitoring of performance.
Important note
The information on this page is intended for general guidance and should not replace personalised medical advice. Be sure to consult a healthcare professional before you begin the assignment, stop, or modify any medicine.
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