Product highlights at a glance

Extra Super Viagra is a combined oral formulation that pairs a phosphodiesterase type 5 inhibitor with a short acting serotonin reuptake inhibitor. The combination commonly seen contains sildenafil together with dapoxetine in one tablet. Sildenafil supports erectile function when sexual stimulation is present, while dapoxetine is intended to delay ejaculation for men with premature ejaculation.

Typical single-tablet strengths reported online include 100 mg sildenafil plus 100 mg dapoxetine, although formulations vary by manufacturer. For directions on timing see How to accept what comes and for risk information review Safety risk advisories. For cost and supply details see Australian price and stock information.

• Main actives: sildenafil and dapoxetine
• Intended audience: adult men with erectile dysfunction and/or premature ejaculation
• Common single-tablet strength: 100 mg sildenafil + 100 mg dapoxetine (varies)

Evidence of presence and who it suits

The combined tablet is aimed at men who experience both erectile dysfunction and early ejaculation, or who require treatment for either condition and prefer a single-pill option. Sildenafil requires sexual arousal to work and will not cause spontaneous erections without stimulation.

A clinical assessment is recommended to confirm whether the combined product is appropriate, or whether separate prescriptions for each ingredient may allow safer or more flexible dosing. Refer to a professional your prescriber for personalised advice and to check for contra-clues indicating; see Safety risk advisories and clear contraclues to therapy for key conditions to tell your clinician about.

Strategies to deal with it

Follow the instructions provided by your prescribing clinician or pharmacist. General guidance includes:

• Take one tablet by mouth with a glass of water. It may be taken with or without food, but a fatty meal can slow onset.
• Plan dosing about one hour before sexual activity. Some men notice effects within 30 minutes; others need longer.
• Do not take more than the recommended amount. Most advice limits use to one tablet in 24 hours unless otherwise directed.
• If you miss a planned dose, do not double up. Take the tablet only if sexual activity remains planned and you remain within the once-per-day rule.

For guidance on changing strength or splitting treatment to reduce peripheral effects, consult Dosage and special populations.

Dosage and special populations

The fixed combination most often cited contains 100 mg sildenafil and 100 mg dapoxetine. The usual recommendation for such combined products is one tablet per 24 hours. If post use effects that are harmful occur, prescribers may opt to dispense the components separately at lower strengths to individualise therapy.

Specific populations who may need dose adjustment or another route treatment include:

• Older adults
• People with moderate or severe liver impairment
• People with significant renal impairment
• Those taking interacting medicines (see Drug the process of people engaging considerations)

Never alter dose or frequency without first discussing with the clinician who prescribed the medicine.

Storing and handling guidelines

Store tablets in their original packaging. General in computing, storage means the capacity to retain data over time. and organization tips:

• Keep away from direct heat, moisture and strong light.
• Room temperature is suitable; roughly 15 C to 30 C is acceptable for short periods, with about 25 C ideal.
• Do not keep medicines in bathrooms. Put this item in a high place beyond the reach of children and pets.

Dispose of unused or expired medication according to local pharmacy backing and guidance.

Must heed important alerts for safety and notes on when to avoid this treatment

Do not use this combined product if any of the following apply:

• Known allergy to sildenafil, dapoxetine, or any tablet component
• Current use of nitrates or nitric oxide donors, including recreational poppers
• Concurrent use of other PDE5 inhibitors such as tadalafil, vardenafil or avanafil
• Advised to avoid sexual activity due to serious heart disease

Inform your doctor prior to commencing. treatment if you have:

• Illnesses of the cardiovascular system, recent heart attack or stroke, or uncontrolled high or low blood pressure
• Severe liver or kidney disease
• A history of prolonged erections or conditions predisposing to priapism
• A history of sudden loss of vision or hearing
• Use of other prescription medicines, over-the-counter drugs, herbal products, or recreational substances

For a list of medicines that commonly interact see Drug collaborative interaction ongoing monitoring. If you are uncertain about your suitability, seek medical advice before you begin using.

Adverse cross drug-drug two-way communication in actions in the user journey shape satisfaction.

Sildenafil and dapoxetine each interact with other medicines. Some important the act of connecting with others categories are:

• Nitrates and nitric oxide donors: severe drop in blood pressure can occur when combined with sildenafil
• Alpha blockers and certain antihypertensives: additive blood pressure lowering may cause symptomatic hypotension
• Strong CYP3A4 inhibitors (for example ketoconazole, itraconazole, ritonavir): can raise blood levels and drug side effects of both drugs
• CYP3A4 inducers (for example rifampin, some anticonvulsants): may reduce effectiveness
• Other serotonergic agents (MAO inhibitors, other SSRIs, some opioids): combining with dapoxetine can increase the risk of serotonin syndrome

This is a partial list. Never omit the check. with your pharmacist or prescriber before starting or stopping any medicines, including supplements and recreational drugs. For symptom guidance see Unanticipated effects and emergency signs.

Untoward effects and emergency signs

Mild to moderate additional effects are common and often transient. Typical reactions include:

• Pulsating head pain and a flushed complexion
• Epigastric discomfort or lower abdomen discomfort
• Acute nasal congestion
• Bowel movements that are watery

Seek urgent medical help if you experience any of the following:

• Allergic signs such as swelling of the face, lips, tongue or throat, or difficulty breathing
• Chest pain, fainting, or an irregular or rapid heartbeat
• Sudden loss or marked reduction of vision, sudden hearing loss or ringing in the ears
• Seizure, sudden weakness on one side of the body, or other stroke-like signs
• An erection lasting longer than four hours (priapism) — this is a medical emergency

If in doubt contact your healthcare provider. You can return to the first place of this page at site top or read the major warning signals again at Product user safety heads up notices.

Substitutes and a short comparisons

Many clinicians prefer prescribing the active agents separately so each can be dosed independently. Regular options and some distinguishing points:

• Sildenafil alone (generic or Viagra): common tablet strengths 25 mg, 50 mg, 100 mg; onset 30 to 60 minutes; effect often 4 to 6 hours
• Tadalafil (Cialis): as-needed doses 5 mg to 20 mg or daily low-dose regimens; longer duration up to about 36 hours
• Vardenafil and avanafil: other PDE5 inhibitors with different onset and duration profiles
• Dapoxetine alone: used specifically for premature ejaculation, typically 30 mg or 60 mg tablets
• Non-drug options: behavioural techniques, topical desensitising agents, vacuum erection devices, or surgical implants in selected cases

Availability and cost may influence choice. In Australia, combined pills are less commonly stocked than separate drugs; see Prices and availability for the Australian region for more on cost considerations.

Australia price and availability

In Australia, sildenafil, dapoxetine and related medicines are prescription-only (Schedule 4). Many such medicines are not subsidised by the Pharmaceutical Benefits Scheme for these signals indicating, so private costs apply. Indicative private-market wholesale pricing brackets in Australian dollars (AUD):

• Generic sildenafil (50 mg to 100 mg): roughly AUD 1 to AUD 5 per tablet depending on supplier and pack size
• Viagra branded sildenafil (50 mg to 100 mg): commonly AUD 15 to AUD 30 per tablet when purchased individually
• Generic tadalafil (10 mg to 20 mg): about AUD 2 to AUD 8 per tablet; branded Cialis typically more expensive
• Generic vardenafil (10 mg to 20 mg): around AUD 3 to AUD 10 per tablet where available
• Dapoxetine (30 mg to 60 mg): approximately AUD 8 to AUD 20 per tablet in private market examples
• Fixed combination tablets: limited local stock; online listings may show AUD 5 to AUD 15 per tablet plus shipping, but verify legal supply and authenticity

Actual retail price depends on the pharmacy, pack size, need for prescription, and whether you use private importation. Always confirm price and legitimacy with an Australian-registered pharmacy or with your prescriber before making a purchase.

Import rules and legal points

• Prescription requirement: Sildenafil, dapoxetine and similar agents are Schedule 4 medicines in Australia and require a prescription from an Australian-registered prescriber for lawful supply.
• Buying in Australia: Purchasing from an Australian-registered pharmacy ensures labelled packaging and pharmacist counselling, and is the lawful route.
• Personal importation: The Therapeutic Goods Administration (TGA) Personal Import Arrangement may permit limited quantities for personal use if you hold a valid prescription. Check current TGA rules and quantity limits before importing.
• Customs and border risk: Medicines imported without meeting regulatory or prescription requirements may be seized by customs. Unregulated supplies may be counterfeit, contaminated or substandard and pose health risks.
• Advice on safety: Dapoxetine can cause dizziness or sleepiness. Avoid driving or operating heavy machinery until you know how the medicine affects you.

For definitive legal advice consult the TGA website, your pharmacist, or the clinician who prescribes your medicines.

Further resources

Active substances explained: sildenafil is a PDE5 inhibitor used for erectile dysfunction; dapoxetine is a short acting SSRI used for premature ejaculation. Review Drug contact and response effects and Critical safety advisories for details that may affect your suitability.

If you need more information speak to your doctor or pharmacist. Revert to at the top site top or use the navigation above to go to a specific section, for example Prices and availability in Australia today or Import rules and legal points.