Overview brief
Extra Super Viagra is described as a single tablet that combines two active agents: sildenafil, a medication commonly used to treat erectile dysfunction, and dapoxetine, a short-acting selective serotonin reuptake inhibitor that has been developed to treat premature ejaculation in some regions. This page summarizes practical information about this combination in the context of the United States.
- Active agents: sildenafil and dapoxetine. See details at Principal active constituents present.
- The primary application is treating erectile dysfunction in adult men.
- Typical combination strength often cited: 100 mg sildenafil plus 100 mg dapoxetine, though formulations may vary.
- Form: oral tablet taken as needed before sexual activity.
- Important: sexual arousal is required for sildenafil to work; the tablet does not produce automatic erection.
For price level comparisons, go to the section for pricing overview. USD Price Ranges. For regulatory information consult Legal framework status in the US.
Signs of progress
The product is intended to help adult males with erectile dysfunction achieve and sustain an erection adequate for sexual intercourse. If premature ejaculation is also a concern, discuss separate evaluation and management with your clinician because dapoxetine is not approved in the United States for this indication.
How to Endure It
Follow directions from your healthcare professional. The following are general recommendations and may be adjusted by your prescriber:
- Timing: take the tablet about one hour before sexual activity. Some people notice an effect as early as 30 minutes; others may take up to four hours beforehand.
- Food: the presence of a high-fat meal can delay absorption and slow onset of effect.
- Frequency: do not use more than once every 24 hours unless specifically instructed by a clinician.
- Dose not taken at scheduled time: since dosing is event-driven, take only when you plan to engage in sexual activity; do not double doses.
- Note: the medication enhances erectile response only in the presence of sexual stimulation.
For questions about changing dose or timing, see Dosing directions and the Protective measures for safety.
Dosing information
Dosage must be individualized. A clinician will select the appropriate strength based on health status, other medicines and previous responses. General rules include:
- Adhere to the prescriber's dose and schedule. Do not increase the dose on your own.
- Do not integrate with other phosphodiesterase type 5 inhibitors or other products that contain sildenafil.
- If incidental effects are problematic or the response is inadequate, contact your prescriber for reassessment rather than self-adjustment.
Advice on Proper Storage module
- Keep at room temperature, around 77 F (25 C). Short variations are typically acceptable unless the manufacturer states otherwise.
- Protect tablets from moisture, excessive heat, and direct light.
- Store away from children and pets and do not keep in bathroom environments.
Pharmacologically active ingredient list
The combination contains two pharmacologic agents that act on different systems:
- Sildenafil: a phosphodiesterase type 5 inhibitor that facilitates erection by increasing blood flow to the penis when sexual stimulation is present.
- Dapoxetine: a short-acting selective serotonin reuptake inhibitor developed for treatment of premature ejaculation in some countries; it is not FDA approved in the United States.
Review Interaction Potential Between Medications and Safety precaution list for information relevant to these components.
Safety protocols
Do not use this product if you have a medical condition:
- Are taking any nitrate medications or recreational nitrates such as amyl or butyl nitrite; combining with nitrates can cause dangerous drops in blood pressure.
- Have been advised to avoid sexual activity because of significant cardiovascular disease.
- Are allergic to sildenafil, dapoxetine, or any other tablet ingredient.
- Are already using another PDE5 inhibitor like tadalafil or vardenafil or any other sildenafil-containing product.
Talk to your doctor before use if you have:
- Penile deformities or conditions that increase risk of prolonged erection, such as Peyronie disease or sickle cell disorder.
- A history of priapism or blood disorders including leukemia or multiple myeloma.
- Compromised liver or kidney function, uncontrolled blood pressure, recent stroke or heart attack, or unstable heart disease.
- Eye or hearing problems, including sudden vision or hearing loss.
- Concurrent use of herbal remedies, over-the-counter supplements, or other prescription medicines.
If any of these apply, obtain medical advice prior to taking the drug. For interactive engagement specifics, see the help document section. Drug Combinations and Interactions among users.
OTC and Prescription Drug Reciprocal the study maps how social interactions evolve over time.
Tell your healthcare provider about every medicine and supplement you use. Necessary frequent a mutual exchange of ideass boost coordination. include:
- Nitrates or nitroprusside: may cause severe, life-threatening hypotension if taken with sildenafil.
- Alpha-blockers and many antihypertensives: may increase the chance of symptomatic low blood pressure.
- Strong CYP3A4 inhibitors: agents such as ketoconazole, itraconazole, ritonavir and some macrolide antibiotics can raise sildenafil levels and follow-on effects.
- Enzyme inducers like rifampin can lower drug levels and reduce effectiveness.
- Grapefruit and grapefruit juice: can increase sildenafil exposure and the risk of negative pharmacologic effects.
- Other serotonergic drugs: adding dapoxetine to other serotonin-affecting medicines can increase the risk of serotonin-related adverse events; coadministration should be supervised by a clinician.
This enumeration is not complete. Seek expert input a prescriber or pharmacist before starting, stopping, or combining drugs. See Fundamental safety measures providing further context.
Probable adverse effects
Most users tolerate the components well, but adverse sequelae may occur. Regular mild effects that are common include:
- Headache symptoms
- Face flush
- Esophageal reflux or indigestion
- Nasal stuffiness
- Vertigo
- Gastrointestinal upset, such as nausea or diarrhea
Major adverse effects that require prompt medical attention
- Signs of allergic reaction: hives, swelling of the face, lips, tongue, or throat, trouble breathing
- Chest pain, fainting, an irregular or fast heartbeat
- Sudden loss or decrease of vision in one or both eyes
- Ringing in the ears or sudden hearing loss
- Neurologic symptoms such as sudden weakness, numbness, or seizure
- Prolonged or painful erection lasting more than four hours (seek emergency care)
If you experience any unexpected or severe symptoms, contact emergency services or your healthcare provider immediately.
Similar and complementary medicines
Because Extra Super Viagra mixes a PDE5 inhibitor with a drug intended for premature ejaculation, consider these different avenues available in the United States:
- Sildenafil alone (generic Viagra): widely used for erectile dysfunction; onset typically 30 to 60 minutes, effect duration around 4 hours.
- Tadalafil (generic Cialis): longer duration of action, up to 36 hours in some users; available as daily low-dose or as-needed higher doses.
- Vardenafil (generic options may be available): comparable to sildenafil for many patients and sometimes preferred for tolerability.
- Avanafil (brand Stendra): can have a faster onset for some individuals, reported as early as 15 to 30 minutes.
- For premature ejaculation: behavioral methods, topical anesthetics such as lidocaine-prilocaine formulations, or off-label use of certain antidepressants may be discussed with a clinician; dapoxetine is not approved by the FDA.
Aggregated products of sildenafil plus dapoxetine are not approved by the FDA. If both ED and premature ejaculation are present, clinicians typically treat each problem with separate approved therapies or evidence-based approaches.
See price estimate details for typical cost comparisons in US united States dollars.
Projected Prices expressed in United States dollars
The following are approximate retail prices in the United States without insurance. Actual costs vary by pharmacy, discounts, insurance coverage, dosage strength, and quantity.
- Generic sildenafil (50 to 100 mg): roughly 1 to 10 USD per tablet at many retailers; brand Viagra can cost about 70 to 90 USD or more per tablet.
- Generic tadalafil: around 1 to 8 USD per 5 mg tablet for daily dosing; approximately 2 to 12 USD per 10 or 20 mg tablet for as-needed use; brand Cialis often 60 USD plus per tablet.
- Vardenafil generics: commonly 5 to 15 USD per tablet where available; brand formulations typically cost more.
- Avanafil (brand Stendra): often ranges from 30 to 75 USD per tablet depending on strength and pharmacy.
Because fixed-dose sildenafil plus dapoxetine combinations are not FDA approved and generally not stocked by US pharmacies, reliable domestic tiered pricing is not established. International online sources may offer such combinations at varying prices, but importing unapproved medication carries legal and safety risks. Discount programs, coupons, mail-order pharmacies and telehealth services can substantially reduce out-of-pocket costs for approved medicines.
Status of US law
- Prescription requirement: approved PDE5 inhibitors such as sildenafil, tadalafil, vardenafil and avanafil are prescription-only medications in the United States.
- Approval status: fixed-dose tablets combining sildenafil and dapoxetine are not approved by the US Food and Drug Administration and are therefore not authorized for sale or distribution in the US at the market.
- Importation: importing unapproved drugs into the United States is generally illegal. The FDA may exercise limited discretion for certain personal importations in narrow circumstances, but this rarely applies where authorized different substitutes are available domestically. Imported unapproved drugs may be seized.
- Telehealth: evaluation and e-prescribing for erectile dysfunction is permitted in most states when performed by a licensed US clinician; use reputable, state-licensed services and retail pharmacies.
- Age and safety: these products are intended for adult use only. Follow driving and safety directives if you experience dizziness, visual changes or other impairing effects.
If you are uncertain about legality or safety of a source, contact your prescriber, pharmacist, or state board of pharmacy. Verify online pharmacies through established accreditation bodies before purchasing.
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