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Extra Super Tadarise is a combination tablet marketed to adult men who experience both erectile dysfunction and premature ejaculation. It pairs a long acting phosphodiesterase type 5 inhibitor with a short acting selective serotonin reuptake inhibitor so that erection support and ejaculatory delay can be provided from a single dose taken before planned sexual activity.

Focus points at a quick glance:

  • Contains tadalafil together with dapoxetine in one pill.
  • Usually taken as required before sex rather than as a daily medicine.
  • The information here is framed for the United Kingdom and includes availability, legal issues and approximate costs in pounds sterling.

For exact composition see the ingredients section: ingredients and strengths. Move over to the page top top of page.

Ingredients and strengths

Products sold under brand or generic names similar to Extra Super Tadarise commonly contain the following active amounts per tablet. Actual formulations vary between suppliers and batches.

  • Tadalafil, 40 mg
  • Dapoxetine in a 60 mg dose

Tadalafil promotes increased blood flow to the penis during sexual stimulation by relaxing smooth muscle. Dapoxetine is a short duration SSRI used to transiently increase serotonin activity, which may help delay ejaculation. For information on who may be suitable for this combination see intended users. Take me back to top.

Primary user group

This combination is intended for adult men aged 18 years or over who, after clinical assessment, have both:

  • Erectile dysfunction - difficulty achieving or keeping an erection sufficient for sexual intercourse.
  • Premature ejaculation - ejaculation that occurs sooner than desired and causes distress.

Do not self-prescribe. A healthcare professional should confirm the diagnosis and decide if a combined treatment is appropriate. If you need assessment, contact your GP, a sexual health clinic or a registered private prescriber. See legal advice under UK regulation and buying advice. Go back to top.

The dosage information and how to take part it well

Follow the instructions from your prescriber. Typical practical advice follows but do not change your regimen without medical guidance offered.

  • Swallow the tablet in one go with water. Do not crush, split or chew the tablet.
  • Take it approximately one hour before anticipated sexual activity unless told otherwise.
  • It may be taken alongside food or on an empty stomach. Very fatty meals can delay onset of action.
  • Do not take more than one tablet within 24 hours. Tadalafil can remain active for up to 36 hours in some men.
  • Avoid heavy alcohol around the time you take the tablet as this may worsen dizziness and impair erectile response.

If you are not getting the expected effect or you develop secondary effects, contact the prescriber rather than adjusting the dose yourself. For related safety issues see protective guidance, cautions, and warning signals. Return to where you were top.

Alerts and steps to maintain safety

Plan before you begin this medicine, tell your clinician about all health conditions and all medicines you take. Important items to discuss include:

  • This product is not for children or adolescents.
  • It can lower blood pressure. Rise slowly from sitting or lying positions to reduce dizziness.
  • Older adults may need closer real time monitoring of systems or dose review.
  • People with significant kidney or liver disease should seek specialist advice before you begin using.
  • Avoid use if you have conditions that increase the risk of prolonged or painful erections.
  • Stop and seek urgent medical attention if you experience sudden vision loss, sudden hearing loss or symptoms of a severe allergic reaction.
  • Tell your prescriber about herbal remedies and supplements, as interacting as a shared activitys with others are the core of collaboration. can occur.
  • Dapoxetine can cause drowsiness or dizziness. Do not drive or use tools until you know how it affects you.

For a concise list of absolute exclusions see when not to take it. Return to the start top.

Occasions to avoid taking it

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

  • Known allergy to tadalafil, dapoxetine or any ingredient in the product.
  • You are under 18 years of age.
  • Recent heart attack, stroke, unstable angina or serious uncontrolled cardiac arrhythmia.
  • Current use of nitrates or nitric oxide donors for chest pain. Combining with nitrates can cause a dangerous drop in blood pressure.
  • Concurrent use of riociguat or other soluble guanylate cyclase stimulators.
  • Severe impairment of hepatic capacity or severe renal impairment unless specifically authorised by a specialist.
  • Uncontrolled low blood pressure, bleeding disorders or seizure disorders without specialist clearance.

If you are unsure whether any of these apply, obtain medical advice before taking this medicine. Return to the point you were at top.

Possible unintended effects

Many people do not experience serious adverse reactions. Most effects are mild and temporary. Seek immediate help for chest pain, an erection lasting longer than four hours, sudden vision loss or sudden hearing impairment.

  • Head discomfort with facial flushing
  • Woozy feeling, drowsiness or light headedness
  • Nausea, vomiting or indigestion
  • Acute back pain or aching muscles
  • Nasal blockage or increased sweating
  • Changes in libido or other sexual function changes
  • Significant falls in blood pressure in susceptible people

Not all entries are shown in this list. Read the patient leaflet supplied with the medicine and speak to your prescriber for personalised advice. Return once more to top.

Avoidance list for drug risks due to people relating to one another

Tell your prescriber about every prescription medication, over the counter product and supplement you use. Noted social the back and forth between peoples influence perceptions and decisions. include:

  • Refrain from combining with nitrates or nitric oxide donors or with riociguat because of the risk of severe low blood pressure.
  • Avoid dapoxetine with monoamine oxidase inhibitors (MAOIs) and do not start dapoxetine within 14 days of stopping an MAOI. Be cautious with other serotonergic drugs to reduce serotonin syndrome risk.
  • Strong CYP3A4 inhibitors such as ketoconazole, itraconazole, clarithromycin and some HIV therapies can increase exposure to tadalafil and dapoxetine.
  • CYP3A4 inducers including rifampicin, carbamazepine, phenytoin and St Johns wort tea can reduce effectiveness.
  • Avoid mixing with other PDE5 inhibitors or recreational vasoactive substances that affect blood pressure or serotonin.
  • Sedatives, opioids and benzodiazepines may enhance drowsiness and fainting when used with dapoxetine.

Discuss potential the exchange between peoples are not just about words, but meaning. with your healthcare provider before starting the medicine. Take me back to top.

Dose was missed and emergency advice

Since this medicine is usually taken as required before sexual activity, there is no regular dosing schedule as well as there is no standard missed a dose action.

If you forget to take it before planned activity, only take it if there is sufficient time for it to work and never take a double dose to make up for a missed one. See recommended dose and method of taking providing timing guidance

In case of suspected drug overdose, watch for prolonged painful erection, severe dizziness, fainting, very fast heartbeat, persistent vomiting or a marked fall in blood pressure. Seek emergency medical attention immediately and, if possible, bring the medicine container. In the UK call NHS 111 or proceed to the location of the nearest emergency department if urgent help is required. Go back top.

Encrypted cold storage is used for long term preservation of rare items. and treatment

  • Keep in the original packaging at room temperature in a dry place.
  • Protect from heat, strong sunlight and moisture.
  • Ensure that children and pets cannot reach this.
  • Do not use after the expiry date on the label.

Look at the documentation the leaflet supplied with the specific product for manufacturer proper data storage solutions include cloud storage, hard drives, and optical media. guidance offered. Return top.

Different choices and price the crownic in perspective (GBP)

Prices vary by community pharmacies, private clinics and legitimate online dispensing chemists. The figures below are approximate retail or private prescription costs in Great Britain to help with comparison. Licensed products from regulated UK pharmacies are the safest option.

  • Single agent erectile dysfunction medicines:
    • Sildenafil (generic): around 0.50 to 1.50 GBP per 50 mg tablet on private prescription. Branded Viagra can cost approximately 5 to 10 GBP per tablet depending on pack size.
    • Tadalafil (generic): roughly 0.60 to 1.50 GBP per 10 mg tablet. Branded Cialis varies by strength and pack size.
    • Vardenafil (Levitra): typically 3 to 8 GBP per tablet.
    • Avanafil (Spedra): around 6 to 10 GBP per tablet.
  • Licensed treatment for premature ejaculation:
    • Dapoxetine (Priligy 30 mg or 60 mg): commonly about 3 to 10 GBP per tablet on private prescription.
  • Unlicensed combination tablets:
    • Blended products sold under names such as Extra Super Tadarise, Tadapox or Super P-Force are often offered by overseas sellers at approximately 1.50 to 4.50 GBP per tablet. These are frequently not MHRA licensed in the UK and their quality and content cannot be guaranteed.

Many UK prescribers prefer to prescribe two licensed medicines separately (for example tadalafil plus dapoxetine) under supervision rather than an unlicensed fixed dose product. For safe purchasing and advice for legal decisions see UK regulation and buying advice. Return to the previous page top.

Questions that are asked most frequently

How long until the effects subside?

Tadalafil can remain effective for up to 36 hours in some men. Dapoxetine acts for a much shorter window around the time of dosing. Individual responses vary, so your clinician will advise based on your situation.

Is it acceptable to drink alcohol during treatment with this drug?

Small amounts of alcohol are usually acceptable, but drinking heavily increases the risk of fainting, dizziness and reduced erectile response. Avoid binge drinking around the time you take the tablet.

Is this product appropriate for women to use?

No. This combination is formulated and intended for adult men and is not licensed for use by women.

Is it safe to buy Extra Super Tadarise online from overseas sellers?

Purchasing from unregulated overseas websites can be risky. Such products are often unlicensed, may contain incorrect ingredients or doses, and could be counterfeit. In the UK use a GPhC registered pharmacy or obtain a prescription through NHS or a registered private prescriber. See UK regulation and buying advice.

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