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Product name: Extra Super Viagra.
Live items typically listed: sildenafil combined with dapoxetine. Sildenafil is a phosphodiesterase type 5 inhibitor used for erectile function; dapoxetine is a short-acting selective serotonin reuptake inhibitor that is used in some countries to treat premature ejaculation.
Commonly reported formulation on supplier pages: 100 mg sildenafil plus 100 mg dapoxetine in a single tablet. Other concentrations may be offered by different manufacturers or in different jurisdictions.
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This product is promoted for the treatment of erectile dysfunction in adult men. Note that sexual stimulation is required for sildenafil to assist in achieving an erection.
Where dapoxetine is included, it is intended to address early ejaculation in men where appropriate and prescribed.
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How to take responsibly
Only take this medicine as directed by a prescriber. General administration points:
- Swallow the tablets with water. Food does not prevent its use, but a heavy fatty meal may slow how quickly it starts to work.
- Many people take sildenafil about one hour before sexual activity; however timing may range from 30 minutes up to four hours depending on the product and advice given.
- Do not exceed the recommended single dose and do not take more than one dose within a 24 hour period unless your doctor specifically advises otherwise.
- If you forget a planned dose, take it when you remember if still appropriate. Do not supplement a skipped a dose with additional pills.
For specific strengths and regimen advice, consult dosage and strengths.
Dose amount and potency
Use only the dose prescribed for you. One commonly advertised fixed-dose is 100 mg sildenafil combined with 100 mg dapoxetine. Clinicians may prefer to prescribe the two agents separately to allow flexible dosing and vigilant monitoring.
If the effect seems too strong or not sufficient, contact your healthcare professional before changing the dose yourself.
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- Store at around 25 degrees C (77 degrees F). Short temperature excursions are usually acceptable but avoid prolonged exposure to heat.
- Keep tablets dry and shielded from direct light; do not store in bathrooms where humidity is high.
- Place this where children and pets cannot see or reach it.
More the safety information is available under essential safety danger alerts.
Electrical notice of risk about safety
Do not use Extra Super Viagra if
- You are using any form of nitrates (for example, nitroglycerin, isosorbide dinitrate) or sodium nitroprusside.
- You are already taking another PDE5 inhibitor such as tadalafil or vardenafil, or another product that contains sildenafil.
- You have been advised by a clinician to avoid sexual activity because of cardiovascular risk.
- You have a known allergy to sildenafil, dapoxetine, or any ingredient in the tablet.
- You use recreational alkyl nitrites, often called "poppers", since combination can cause a severe drop in blood pressure.
Should any of the above be true, talk to your doctor before taking this drug.
Notify your healthcare provider before starting if this is the case.
- You take prescription medicines, over-the-counter remedies, herbal products, or supplements.
- You have any drug allergies or other allergies.
- You have blood disorders (for example sickle cell disease, leukemia, multiple myeloma) or a history that predisposes to prolonged erections.
- You have penile anatomical problems such as Peyronie disease.
- You have a history of prolonged painful erections.
- You have eye disorders including macular disease or sudden vision loss, or ear problems such as tinnitus or hearing loss.
- You suffer from liver, kidney, lung, or significant cardiovascular disease, uncontrolled blood pressure, recent heart attack or stroke, or serious arrhythmias.
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Numerous medicines can change the effects of sildenafil or dapoxetine, increasing ripple effects or reducing benefit. Always ensure clinicians know your full medicine list.
- Certain antifungals (for example ketoconazole, itraconazole), some macrolide antibiotics, and HIV protease inhibitors can raise sildenafil levels and increase adverse reactions.
- Alpha-blockers and many antihypertensives, as well as nitrates, can interact to cause symptomatic low blood pressure.
- Rifampicin and bosentan can lower sildenafil concentrations, reducing effectiveness.
- Dapoxetine may interact with other serotonergic drugs or strong CYP3A4 inhibitors; combining serotonergic agents can increase the risk of serotonin-related adverse effects.
This collection is not exhaustive. Look up information a pharmacist or prescriber before starting or stopping any medicine.
Possible unwanted effects
Many users tolerate these agents well, but adverse reactions may occur.
Common, not severe
- Head pain along with facial redness and dizziness
- Digestive upset or upset stomach
- Nasal congestion
- Loose bowel movements
Seek urgent medical help if you experience
- Severe allergic reaction: widespread rash, swelling of the face or throat, breathing difficulty
- Chest pain, fainting, racing or irregular heartbeat
- Sudden loss or change of vision in one or both eyes
- Rapid hearing decline or ringing in the ears
- Seizure or severe persistent dizziness
- A painful, prolonged erection that lasts beyond four hours (priapism)
- Sudden weakness, numbness, or confusion suggesting a stroke
Contact your healthcare provider if you are concerned about any symptoms.
Options and price levels in the UK (GBP)
There are several licensed more options for erectile dysfunction and related conditions. Prices below are approximate retail ranges in the UK and can vary by pharmacy, brand, and whether supplied on the NHS or privately.
- Sildenafil (generic or Viagra): Generic sildenafil is usually the most affordable private option. Typical private costs range from about 0.20 to 1.50 GBP per 50-100 mg tablet when dispensed generically. Viagra Connect 50 mg (available through pharmacist consultation) is often priced around 15 to 25 GBP for a pack of 4 tablets.
- Tadalafil (Cialis, generic): Generic prices on private prescriptions commonly run from about 0.60 to 2.00 GBP per 10-20 mg tablet. Tadalafil remains prescription-only in the UK.
- Vardenafil (Levitra, generic): Private prices tend to be higher than sildenafil generics, roughly 1.50 to 4.00 GBP per 10-20 mg tablet.
- Avanafil and Spedra: Often only available as brand; private prices can be in the region of 4 to 10 GBP per 50-200 mg tablet.
- Dapoxetine (Priligy, generic): Used for premature ejaculation. Private costs often range from about 10 to 25 GBP per 30-60 mg tablet, depending on brand and quantity.
- Fixed-dose combinations such as sildenafil plus dapoxetine: These combinations are generally not licensed in the UK. Online sellers may quote low prices (for example 2 to 8 GBP per tablet), but unlicensed imports can present legal and safety risks.
On the NHS some erectile dysfunction treatments may be available under specific prescribing criteria. Always double check. with a UK-registered prescriber or pharmacist for current prices and lawful supply routes.
The status of law in the UK and user access
- Sildenafil: Generally a prescription-only medicine (POM). A 50 mg sildenafil product (Viagra Connect) is classified as a pharmacy medicine (P) and can be supplied without a prescription after a pharmacist consultation.
- Dapoxetine: Prescription-only medicine (POM) in the UK and not available over the counter.
- Fixed-dose combinations of sildenafil plus dapoxetine: These are not licensed for sale or supply in the UK. UK prescribers normally use licensed separate products when clinically indicated.
- Importing or buying unlicensed medicines from overseas: The Medicines and Healthcare products Regulatory Agency (MHRA) regulates supply of medicines. Importation and sale of unlicensed products is restricted and goods can be seized if requirements are not met. It is illegal for UK sellers to supply unlicensed combination ED products to the public.
- Advice: To ensure legal and clinical safety, obtain medicines via UK-registered pharmacies and prescribers. Do not rely on unverified online vendors for unlicensed products.
For safe, lawful access consult a GP or registered pharmacist. See the other possibilities along with their prices are listed below. for common legal options.
Additional notes
The confirmed active components referenced here are sildenafil and dapoxetine. Follow digital storage enables saving files on disks, drives, or in the cloud. and administration instructions from your clinician and also the patient leaflet supplied with any medicine.
This page is intended as general information for readers in the UK and does not replace personalised medical advice. If you experience the warning signs listed under possible temporary side effects, seek medical attention promptly.
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