Extra Super Tadarise: cost options, prescription access, and savings ideas - in Australia

Overall view

Extra Super Tadarise is a fixed-dose tablet marketed to adult men to address two common sexual health concerns: erectile dysfunction and premature ejaculation. Each tablet combines a long-acting erectogenic agent with a short-acting ejaculation-delay medicine. Before you start taking this this product, read the Legal commentary on Australian law at Legal and regulatory considerations and consult a licensed prescriber.

• Primary topics: erectile dysfunction, premature ejaculation, combined pharmacotherapy.
• See sections on how to deal with this, the act of interaction profiles for drugs, and substitute options.

Essential active ingredients plus strength

The usual marketed combination strength is:

• Tadalafil dose 40 mg
• Dapoxetine 60 mg dose size

These are supplied together in a single tablet formulation in the fixed 40 mg/60 mg ratio.

Uses for which this is intended

This product is intended to help men who have been clinically assessed for both erectile dysfunction (difficulty achieving or maintaining an erection sufficient for intercourse) and premature ejaculation (orgasm that occurs sooner than desired). Do not self-prescribe if you have not had a medical assessment. If uncertainan in depth review cautionary measures and obtain licensed professional advice.

How does it work?

The tablet combines two agents with different modes of action to address erection and ejaculation:

• Tadalafil: a phosphodiesterase type 5 inhibitor that relaxes smooth muscle and increases blood flow to the penis when sexual stimulation occurs, supporting erection quality.
• Dapoxetine: a short-acting selective serotonin reuptake inhibitor that enhances serotonin action in the central nervous system to improve control over ejaculation and extend intravaginal ejaculatory latency.

Because they act on separate physiological pathways, the combination can target both timing of ejaculation and erection firmness. Examine the file the act of engaging with otherss at scale reveal systemic patterns. section before combining with other medicines.

Drug dosage and directions

Follow your prescriber. Typical guidance includes:

• Take one tablet whole with water; do not crush or chew the tablet.
• Timing: usually taken 1 to 3 hours before planned sexual activity, though onset may vary.
• Food: can be taken with or without food; very large high-fat meals may slow absorption.
• Frequency: do not take more than one tablet in any 24-hour period unless advised by a clinician.

If your clinician gives different instructions based on your health status, follow those. For questions about whether to take the medicine on a particular day, consult information for prescribed dose was misseds.

Guarding measures

Consider a full medical review before using this combination. Notable standard precautions include:

• Assessment first: ensure a clinician has evaluated causes of erectile dysfunction and premature ejaculation prior to treatment.
• Age limits: not for persons under 18; older patients should have a medication and cardiovascular review.
• Blood pressure effects: agents can lower blood pressure; use caution in people with low baseline blood pressure or those on antihypertensives.
• Cardiac risk: sexual activity increases cardiac demand. Seek advice if you have unstable angina, recent heart attack, or poorly controlled heart disease.
• Psychiatric and neurological history: use caution if you have depression, bipolar disorder, or a seizure disorder.
• Bleeding tendency: those on anticoagulants or with bleeding disorders may face added risk.
• Penile conditions: men with penile deformities or prior prolonged erections should get specialist input to reduce priapism risk.
• Impaired hepatic or renal function: severe organ impairment may require dose adjustment or contraindicate use.
• If you notice sudden visual or hearing changes, stop the medicine and seek urgent medical attention.
• Inform your prescriber about all medications, supplements, and herbal products to avoid dangerous the exchange that happens when people meets create context for decisions..
• Exercise caution when driving or operating machinery until you know how the medicine affects you; alcohol and CNS depressants may worsen drowsiness.

Medical health risks that preclude therapy

• Known hypersensitivity to tadalafil, dapoxetine, or any tablet component.
• Concurrent use of nitrates or nitric oxide donors, or soluble guanylate cyclase stimulators (for example, riociguat).
• Severe uncontrolled hypotension or significant orthostatic hypotension.
• Patients younger than 18 years.
• Severe cardiac disease where sexual activity is not recommended.
• Critical hepatic impairment or severe renal impairment where use is not appropriate.
• History of mania, uncontrolled psychiatric illness, or uncontrolled seizure disorder.
• Concomitant use of thioridazine or monoamine oxidase inhibitors.
• Use of recreational vasodilators such as amyl nitrite.

If you have not been formally diagnosed with ED or PE, do not use this combination without evaluation and a prescription. See strategic guidance on regulatory and legal considerations affairs for Australia, with commitment.

Potential systemic lingering reactions

Long term effects span from minor to critical. Common and less common reactions reported include:

• Chronic nasal congestion, facial flushing, and headache are commonly reported., dyspepsia, back pain, myalgia, nausea, dizziness, sleepiness.
• Other: decreased libido, increased sweating, dry mouth, epistaxis, episodes of low blood pressure.
• Serious (seek emergency care): chest pain, loss of consciousness, fits (seizure), prolonged painful erection lasting more than 4 hours, sudden vision or hearing loss, or signs of a severe allergic reaction.

Interpersonal engagements

Important two-way communication in action categories:

• Absolutely avoid nitrates and similar vasodilators because of the risk of profound hypotension.
• Serotonergic agents and MAO inhibitors: combining dapoxetine with other serotonergic medicines or MAO inhibitors may raise the risk of serotonin syndrome; some antidepressants are contraindicated.
• Drugs that impair consciousness: opioids, benzodiazepines, sedative antihistamines, alcohol and some sleep agents can potentiate drowsiness and respiratory depression.
• Medications that prolong the QT interval: certain antiarrhythmics and antipsychotics may increase arrhythmia risk with dapoxetine.
• Alpha-blockers and other blood pressure medicines: may cause additive blood pressure lowering; monitor and consider dose separation.
• CYP3A4 inhibitors (for example, ketoconazole, clarithromycin, ritonavir): these can increase tadalafil exposure; strong inducers (for example, rifampicin) may lower efficacy.

Always provide a full list of medicines to your prescriber and pharmacist. For handling an accidental excess, see an opioid overdose.

Missed today

This preparation is normally taken on an as-needed basis prior to sexual activity. There is no routine daily dosing schedule for the fixed-dose tablet. If you miss a planned dose, do not double the next dose; take it only when needed and as prescribed.

Overdose risk

Signs of suspected overdose may include severe nausea, vomiting, agitation, fainting, dizziness, fast or irregular heartbeat, chest pain, very low blood pressure, or a stubborn erection lasting more than four hours.

• Please discontinue the medicine immediately.
• Seek urgent medical attention or contact emergency services for chest pain or priapism.

Stowage and handling

• Keep tablets in their original packaging at room temperature away from excess heat and moisture.
• Store in a dry place and protect from direct sunlight.
• Keep away from children and pets; make sure they cannot reach or see it.

Options and evaluative comparisons

If this fixed-dose product is unsuitable or not accessible, clinicians often consider separate agents or nonpharmacological approaches. Options include:

• PDE5 inhibitors for erectile dysfunction:
  • Tadalafil (brand Cialis or generic): available as on-demand or low-dose daily regimens.
  • Sildenafil (Viagra and generics).
  • Vardenafil (Levitra and generic brands).
  • Avanafil alias Spedra for a rapid onset option.
• Therapies aimed at premature ejaculation:
  • Dapoxetine as a single active ingredient where registered or available.
  • Off-label use of some SSRIs (paroxetine, sertraline, fluoxetine) under clinician supervision.
  • Topical anesthetics (lidocaine-prilocaine preparations) applied locally to reduce penile sensitivity.
  • Behavioral therapy, sex therapy, and pelvic floor rehabilitation supervised by appropriate professionals.
• Combining individual agents: a prescriber may recommend pairing a PDE5 inhibitor with a PE-specific treatment tailored to the patient's health and medication profile rather than a single fixed-dose combination.

Choice depends on medical history, tolerance, interacting medicines, and treatment goals. Juxtapose prices and availability in the app. competitive pricing section chunk.

Prices in AUD on an indicative basis

Prices vary with brand, pack size, pharmacy, and whether products are obtained domestically or from overseas suppliers. The following are approximate per-tablet ranges for planning purposes only:

• Extra Super Tadarise 40 mg + 60 mg (overseas online suppliers): roughly AUD 6 to 12 per tablet.
• Tadalafil 20 mg generic: roughly AUD 1.50 to 4 per tablet online; branded Cialis typically costs more (for example, AUD 15 to 25 per 20 mg tablet in some Australian pharmacies).
• Sildenafil 50 to 100 mg generic: about AUD 1 to 3 per tablet online; branded Viagra often AUD 15 to 20 per tablet situated within Australia.
• Avanafil 100 to 200 mg: approximately AUD 8 to 20 per tablet depending on brand and pharmacy source.
• Dapoxetine 30 to 60 mg (where available overseas): commonly AUD 3 to 6 per tablet.

These figures are indicative estimates and do not include shipping, consultation, or dispensing fees. Confirm current fixed pricing with your local pharmacist or prescriber before purchasing.

Australian law and regulatory notes

• Prescription requirement: Tadalafil and sildenafil are Schedule 4 prescription-only medicines in Australia; you must have a valid prescription for lawful supply.
• Dapoxetine registration status: at the time of writing, dapoxetine is not registered by the Therapeutic Goods Administration (TGA) for general supply located within Australia. Fixed-dose combinations containing dapoxetine, such as Extra Super Tadarise, are therefore unlikely to be stocked by Australian pharmaceutical stores.
• Personal importation: under the TGA Personal Importation Scheme, it may be possible to import prescription medicines for personal use if conditions are met (valid prescription, limited quantity, documentation in original packaging). Inspect the settings TGA guidance and consider customs and biosecurity rules.
• Border controls: declare medicines if requested by Australian Border Force. Some substances require permits or are prohibited.
• Sporting considerations: while PDE5 inhibitors are not generally prohibited by major anti-doping bodies, athletes should confirm current rules with Sport Integrity Australia in addition to their governing bodies. Always disclose medication use to team medical staff.
• Quality and safety: medicines from unverified overseas sellers may not meet Australian manufacturing and quality standards. Use regulated supply chains and clinical oversight where possible.

This a short outline of the key ideas is informational in nature and should not be regarded as legal advice. Regulations change; verify details on the official TGA and Australian Border Force websites or consult a healthcare professional. Go back to the very top

Further notes

This page aims to provide a concise, practical summary for adults in Australia considering Extra Super Tadarise or similar therapies. It does not replace a face-to-face medical review and should not be used to make a diagnosis.