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Primer and basics

Extra Super P-Force is a combined oral tablet marketed for adult men who experience both erectile dysfunction (ED) and premature ejaculation (PE). The tablet pairs sildenafil citrate 100 mg with dapoxetine 100 mg to target two separate issues: sildenafil improves penile blood flow during sexual arousal while dapoxetine is intended to delay ejaculation.

Important safety note for readers in the United States: dapoxetine is not approved by the U.S. United States Food and Drug Administration. The fixed-dose product Extra Super P-Force is not FDA-approved for sale in the U.S. For more on legality and access, see the portion addressing legal matters at Legal and access informationrmation.

Active agents included in the marketed tablet are sildenafil citrate and dapoxetine. Typical advertised strength is 100 mg of each ingredient per tablet.

Live parts and how they act

• Sildenafil citrate (100 mg): a phosphodiesterase type 5 inhibitor that relaxes smooth muscle in penile arteries, improving blood flow in response to sexual stimulation. Onset is commonly 30 to 60 minutes; a high-fat meal can delay onset.
• Dapoxetine (100 mg): a short-acting selective serotonin reuptake inhibitor designed to increase time to ejaculation and improve control. Peak blood levels are usually within 1 to 2 hours. Note: dapoxetine itself is not FDA-approved in the USA.

Intended audience

This combination is aimed at adult men who have both erectile dysfunction and premature ejaculation. This article is not directed at women, children, or adolescents.

Because the tablet contains relatively high doses of two active drugs, a medical review is recommended before the therapy begins. If you have any of the conditions listed under Critical preventive actions to keep in mind or Not recommended: when to avoid using, consult a licensed clinician first.

Related topics include male sexual health, ED therapies, and strategies for managing premature ejaculation.

Dose amount and route of administration

• Take exactly as directed by your healthcare provider. Do not exceed the recommended dose.
• Swallow one tablet whole with water. Do not crush, split, or chew the tablet.
• Use on an as-needed basis. Many users take the tablet about 60 minutes before sexual activity, although the window can range from 1 to 3 hours.
• Food is acceptable, but a heavy meal high in fat may delay the effect of sildenafil.
• Do not take more than one dose per 24 hours.
• Avoid excessive alcohol consumption around dosing because alcohol can worsen dizziness and reduce sexual performance.

If you are older than 65, have significant kidney or liver disease, or take multiple medicines, your clinician may suggest a different timing or an an alternate solution therapy. Potential review the study maps how intercommunications evolve over time. at Pharmacokinetic and pharmacodynamic the exchange that happens when people meets in the user journey shape satisfaction..

Safety measures you should consider

Before using this product, discuss these points with your prescriber:

• Heart disease, recent heart attack or stroke, uncontrolled high or low blood pressure, or symptoms that make sexual activity unsafe.
• Impairment in renal function or hepatic function that may require dose adjustments or a further option treatment.
• Eye disorders such as glaucoma or serious retinal problems.
• History of mood disorders, depression, mania, or seizures.
• Current or recent use of medications that affect serotonin (for example SSRIs, SNRIs, MAOIs, triptans, tramadol) or strong CYP3A4 inhibitors.
• Bleeding disorders or concurrent use of anticoagulants and NSAIDs, since SSRIs may increase bleeding risk.
• Older age and symptoms of lightheadedness or orthostatic hypotension.

Do not drive or operate heavy machinery if you feel dizzy or drowsy after taking the product. If an erection persists longer than four hours, seek emergency medical care.

Cases where you should refrain from using

• Allergy to sildenafil, dapoxetine, or any other tablet ingredient.
• Concurrent use of nitrates (including some chest pain medications) or nitric oxide donors, or guanylate cyclase stimulators like riociguat.
• Unstable cardiovascular conditions, recent heart attack or stroke, severe heart failure, or severe low blood pressure.
• Severe hepatocellular disease or severe renal impairment.
• Retinal degenerative disorders such as retinitis pigmentosa.
• Use of monoamine oxidase inhibitors (MAOIs), thioridazine, or linezolid with dapoxetine.
• A history of mania, severe depression with suicidal thoughts, or any condition that makes sexual activity unsafe.

Vet the sections Safety caveats to keep in mind and Drug combination people engage through a series of the interactional flow among participantss. for a fuller assessment of risks.

Anticipated peripheral effects

Probable adverse effects do not occur in everyone. Commonly reported reactions include:

• Migraine and redness of the face, warmth, or redness.
• Head spinning, lightheadedness, drowsiness, or fainting sensations.
• Nausea, dry mouth, and stomach upset or diarrhea.
• Visual disturbances such as blurred vision or sensitivity to light.
• Sweating, tiredness, or trouble sleeping.
• Palpitations or tachycardia-like symptoms.
• Prolonged or painful erections (priapism) that require urgent medical attention.

Stop the medication and get immediate help for chest pain, sudden loss of vision or hearing, seizures, signs of serotonin syndrome (for example agitation, hallucinations, rapid heartbeat, fever, stiff muscles), or signs of a severe allergic reaction such as swelling or trouble breathing.

Drug the exchange that happens when people meet prevention

• Nitrates and riociguat: may cause a dangerous fall in blood pressure. See Should not be used under these conditions.
• Strong CYP3A4 inhibitors such as ketoconazole, itraconazole, ritonavir, and cobicistat: can raise sildenafil levels and increase ill effects.
• CYP2D6 inhibitors like fluoxetine and paroxetine: can increase dapoxetine exposure.
• Other serotonergic drugs including SSRIs/SNRIs, MAOIs, triptans, tramadol, linezolid, and St. Johns wort: risk of serotonin syndrome when combined with dapoxetine.
• Alpha-blockers and other blood pressure medicines: additive blood pressure lowering and greater chance of dizziness.
• Anticoagulants and antiplatelet drugs: higher bleeding risk may occur with SSRIs.
• Grapefruit juice and alcohol: may increase residual effects or reduce effectiveness.
• Combining with other ED medicines or recreational PDE5 inhibitors should be avoided.

Guidance for a the dose was missed

This medication is taken when needed for sexual activity, so a i skipped the dose is not treated the same as daily medicines. Do not take two doses at once to make up for a i skipped the dose; wait until the next planned occasion and take a single tablet.

Overdose case information update

Exceeding the recommended dose can produce severe low blood pressure, fainting, pronounced dizziness, chest pain, prolonged erections, fever, or marked gastrointestinal upset and visual problems. If experiencing an overdose is suspected, go to the emergency room right away.

Instructions for storage refers to the act of keeping items or data for future use.

• Store at room temperature in a dry place, away from heat and moisture.
• Keep the tablets in their original packaging until use.
• Keep this item beyond the reach of children and pets.

Alternate medicines and similar drugs

If a combined product like Extra Super P-Force is not appropriate, clinicians in the USA may consider separate, approved therapies for ED and PE. See rough rough price estimates at Standard market prices in addition to the legal notes shown at the end Legal access information.

• Sildenafil tablets (Viagra or generic sildenafil): approved for ED. Common doses are 25 mg, 50 mg, and 100 mg and are taken about 30 to 60 minutes before sex.
• Tadalafil (Cialis or generic): longer duration of action, up to 36 hours for on-demand dosing; daily low-dose options also available.
• Vardenafil (Levitra) and orally disintegrating vardenafil (Staxyn): different avenues with similar onset to sildenafil for on-demand use.
• Avanafil (Stendra): has a rapid onset for some users; brand availability varies by a market.
• Strategies for premature ejaculation in the USA: dapoxetine is not approved, so clinicians often use off-label SSRIs such as paroxetine, sertraline, or fluoxetine, on-demand clomipramine, or topical anesthetic creams or sprays. Behavioral techniques can be combined with medication.
• Combination approach: a clinician may safely prescribe an approved ED medicine plus a separate PE treatment rather than a fixed-dose foreign combination, so safety checks together with the dynamics of interactions with others are the core of collaboration. are managed.
• Similar combo products sold abroad: some countries have products like Super P-Force (sildenafil 100 mg + dapoxetine 60 mg), but these are not FDA-approved in the USA.

Discuss the best tailored option with a licensed U.S. clinician who can review cardiovascular risk, other medicines, and personal preference.

Typical current prices in the United States

Price estimates vary by pharmacy, quantity, insurance coverage, and discount programs. The figures below are approximate retail costs in US dollars per tablet or unit at the time of writing:

• Extra Super P-Force (not approved in the USA): international online sellers may list prices in the range of $3 to $10 per tablet. Quality and legality can be uncertain; see Legal guidance information and access guidelines.
• Generic sildenafil (100 mg): commonly about $1 to $5 per tablet with coupons or discount plans; branded Viagra can cost $70 or more per tablet without insurance.
• Generic tadalafil (10 to 20 mg): roughly $1 to $4 per tablet with discounts; brand Cialis is usually more expensive.
• Avanafil (Stendra): often in the $30 to $70 per tablet range, depending on dose and pharmacy.
• Topical lidocaine-prilocaine products for PE: typically $20 to $50 per bottle.
• Off-label SSRIs for PE such as paroxetine or sertraline (generic): generics can be very inexpensive, sometimes $4 to $15 per month with discount programs.

Prices are constantly changing. Ask a local pharmacist or use verified price comparison chart tools and discount cards to find current local pricing model.

Legislation and access information in the United States

• FDA approval status: sildenafil is FDA-approved for ED. Dapoxetine is not FDA-approved in the United States. Therefore, the fixed-dose product Extra Super P-Force is not legally approved for marketing in the U.S.
• Prescription requirement: All prescription oral ED medicines legally dispensed in the U.S. require a prescription from a licensed clinician. Telehealth evaluation and prescribing are allowed when clinical standards are met.
• Personal importation: The FDA generally does not permit importation of unapproved drugs for personal use. Limited exceptions are rare and typically do not apply to sexual dysfunction medicines. Shipments of unapproved products may be detained or refused by U.S. Customs and Border Protection.
• Online pharmacies: Use verified U.S.-licensed pharmacy networks. Resources like the NABP and FDA guidance can help identify legitimate sellers. Avoid vendors that supply prescription drugs without requiring a valid U.S. prescription.
• Safety and age limits: These treatments are for adults only. Because dapoxetine can cause dizziness or fainting, caution is advised for driving and hazardous tasks after dosing.
• Not legal advice: This information is educational only. For lawful and safe access to medication, consult your healthcare provider, pharmacist, or legal advisor as needed.

For practical steps, consider obtaining a prescription through a licensed clinician or telehealth service and filling it at a verified U.S. pharmacy rather than attempting to import an unapproved fixed-dose combination. Also check out Regular subscription pricing to set the cost context.