Product outline

Extra Super P-Force is a combined oral tablet that contains sildenafil 100 mg alongside dapoxetine 100 mg. It is marketed for adult men who have both erectile dysfunction and premature ejaculation. It is not intended for women or persons under 18 years of age.

The tablet pairs a PDE5 inhibitor with a short-acting selective serotonin reuptake inhibitor to target both vascular and neural contributors to sexual function. Continue below for details about the the system by which it operates of action, recommended administrationprospective capacity harmful health effects, and points to note under Australian regulations.

Core quick links: read about the the mechanism enabling it at How does it work?a review meeting administration guidance under Dose and usage instructions, or authenticate legal and import information at The status of being legally recognized and import regime in Australia.

Executive view of the principle behind how it works

Sildenafil acts by inhibiting the enzyme phosphodiesterase type 5 (PDE5). When sexual stimulation is present, this inhibition increases blood flow into the corpus cavernosum, making erection more likely by relaxing vascular smooth muscle.

Dapoxetine is a rapidly absorbed SSRI that modifies serotonin signaling in brain pathways that control ejaculation. Its effect can lengthen the intravaginal ejaculatory latency time and delay climax.

The combined formulation is intended to treat the two distinct issues of erectile dysfunction and premature ejaculation together. For essential precautions related to each active ingredient, see Safety requirements and Drug combination people engage through a series of the give and take of interactions..

How to apply and dose

Follow directions provided by your prescribing clinician. In most cases a single tablet is taken as needed before sexual activity. Do not take more than one tablet within a 24 hour period unless you have been advised otherwise by a healthcare professional.

Real world strategies for taking the tablet:

  • Swallow the pill whole with water; do not crush or chew it.
  • It can be taken with food or on an empty stomach. Large fatty meals may delay the onset of the sildenafil component.
  • Many users find taking it 1 to 3 hours before planned sexual activity gives time for both drugs to become effective.

If you have concerns about timing, a reciprocal exchanges fuel collaboration and innovation., or special medical conditions, talk to your prescriber or pharmacist and examine the data Medication the quality of the act of engaging in dialogues matters for trust. and safety.

Safety oriented hazard controls

Preliminary to starting this combination, give your healthcare professional a complete medical history. The following circumstances increase risk and require careful assessment:

  • Major heart disease, recent myocardial infarction, or unstable angina.
  • Uncontrolled or very low blood pressure.
  • Moderate to severe liver impairment or advanced renal dysfunction, which can affect drug elimination.
  • Certain eye conditions such as non-arteritic anterior ischemic optic neuropathy or inherited retinal disorders.
  • Concomitant use of strong CYP3A4 inhibitors or other medicines that interact significantly.
  • A history of significant mood disorder, bipolar disorder, or other unstable psychiatric illnesses.

Avoid excessive alcohol when using this product because it may worsen dizziness and impair sexual performance. Older adults may be more susceptible to adverse reactions and should be monitored closely.

Alert notices and Cautions against use due to medical reasons

Do not use this medicine if any of the following apply:

  • Known hypersensitivity to sildenafil, dapoxetine, or any excipient in the tablet.
  • Current treatment with nitrates or nitric oxide donors due to the risk of severe low blood pressure.
  • Severe or unstable cardiovascular disease, recent stroke, or recent heart attack.
  • Advanced hepatic impairment.
  • Certain hereditary retinal problems such as retinitis pigmentosa.
  • Severe uncontrolled hypertension or hypotension.
  • Active psychiatric conditions where serotonergic drugs are inappropriate.

If any of the above apply, do not take the product until you have spoken with a qualified clinician. Other sources Expected detrimental effects and alert signals.

Possible adverse reactions and alert signals

Not every person will experience unwanted effects. The commonly reported adverse events include:

  • The signs include head discomfort, lightheadedness, or dizziness.
  • Facial blushing and a feeling of warmth.
  • Nausea, indigestion, or dry mouth.
  • Transient visual disturbances such as blurring or altered color perception.
  • Elevated sweat levels and fatigue.
  • Prolonged or painful erection (priapism). Seek urgent care if an erection continues beyond 4 hours.

Stop taking the medicine and get immediate medical help for chest pain, sudden loss of vision, sudden hearing loss, fainting, or signs of severe serotonin toxicity such as very high fever, severe agitation, tremor, or decreased consciousness.

Drug interactive engagement prevention

Both active ingredients can interact with other therapies. Key risk factors in effective interactive engagements require clear communication. include:

  • Nitrates and nitric oxide donors - coadministration can cause dangerous hypotension and is contraindicated.
  • Strong CYP3A4 inhibitors like ritonavir, cobicistat, ketoconazole and itraconazole - these may raise plasma levels and increase potential side effects that are harmful.
  • Alpha-blockers and other antihypertensives - the combination can lead to symptomatic low blood pressure and should be managed carefully.
  • Anticoagulant and antiplatelet drugs - SSRIs including dapoxetine can increase bleeding risk; monitor if used together.
  • Other serotonergic medicines (SSRIs, SNRIs, MAO inhibitors, Herbal Hypericum perforatum, certain migraine drugs) - concurrent use raises the risk of serotonin syndrome.
  • Grapefruit juice - may increase sildenafil exposure and is best avoided.

Always inform your prescriber and pharmacist about all prescription and non-prescription medicines, herbal products, and supplements you are taking. Specialist advice is recommended if you are on psychiatric medications or HIV therapy.

Skipping a dose and what to do

This medication is usually taken as needed rather than on a fixed daily schedule. If you intended to take a tablet and missed it, do not take an extra tablet to make up. Wait until the next occasion when you require it and keep to a maximum of one tablet per 24 hours unless a clinician tells you differently.

Emergency steps when dealing with an a drug overdose

Symptoms of an overdose deaths may include marked low blood pressure, pronounced dizziness or fainting, chest pain, excessive flushing, persistent vomiting, or priapism. If you suspect an overdose deaths, seek emergency medical attention or call emergency services immediately. Avoid driving or operating machinery until you have been assessed by a healthcare professional.

Object keep your items in secure storage until you need them. and custody

  • Store at normal room temperature away from direct heat and moisture.
  • Keep in the original packaging and out of reach of children and animals.
  • Do not use beyond the expiry date indicated on the packaging.

Different medicines and related formulations

If a combined sildenafil-dapoxetine tablet is not suitable, treating each condition separately or using other agents may be advised. Some additional the other possibilitys include:

  • For erectile dysfunction:
    • Sildenafil alone (generic forms or brand Viagra).
    • Tadalafil (Cialis) available as once-daily low dose or as-needed dosing.
    • Vardenafil (Levitra) and avanafil (Spedra) where available.
  • For premature ejaculation:
    • Dapoxetine (sold as Priligy in some countries) though it is not ARTG-listed australia-based.
    • Topical local anesthetic preparations or condoms with numbing agents.
    • Off-label use of longer-acting SSRIs such as sertraline or paroxetine under medical supervision.
    • Behavioral techniques like the stop-start or squeeze methods, and referral to sex therapy.
  • Combination strategies:
    • Separate prescriptions for an ED medicine plus a supervised treatment for PE can be an a second option to a fixed-dose combined tablet.

Choice should be tailored to the individual's health status, co-medications and tolerability. Discuss the possible options with your prescriber or pharmacist. See Prices you pay in Australia, in AUD and The legality and import framework in Australia for practical and regulatory considerations.

Australian prices denominated in AUD

Costs depend on brand, pack size, pharmacy, and whether the item is supplied locally or imported. The figures below are approximate ranges for comparison only:

  • Extra Super P-Force (commonly sourced from overseas and not TGA-approved): about AUD 4 to AUD 10 per tablet depending on vendor and quantity. Quality and legality can vary widely.
  • Generic sildenafil 100 mg from an Australian pharmacy (TGA-registered): roughly AUD 1.50 to AUD 10 per tablet depending on pack size and dispensing fees.
  • Brand Viagra 100 mg: typical retail prices are often AUD 20 to AUD 40 per tablet.
  • Generic tadalafil 10-20 mg: approximately AUD 2 to AUD 12 per tablet; brand Cialis is usually more expensive.
  • Dapoxetine from overseas suppliers: frequently AUD 3 to AUD 8 per tablet. Note that dapoxetine is not listed on the ARTG so import rules apply.
  • Topical lidocaine-prilocaine creams or similar products for PE: commonly AUD 15 to AUD 35 per tube depending on brand and size.

These estimates are not endorsements. Prices change over time and may vary between pharmacies. In Australia most prescription medicines supplied locally require a valid prescription from an Australian prescriber.

Additional aspects about Extra Super P Force