A quick look at the product

Product commonly sold as Extra Super Viagra is typically a fixed-dose tablet containing two active ingredients: sildenafil and dapoxetine. Sildenafil is a phosphodiesterase type 5 (PDE5) inhibitor used to support erection in men with erectile dysfunction. Dapoxetine is a short-acting selective serotonin reuptake inhibitor prescribed for premature ejaculation.

Some suppliers advertise a single pill with 100 mg sildenafil plus 100 mg dapoxetine, but composition, strength and quality vary by manufacturer and country. Because formulations differ, always check the label along with the patient leaflet for the exact contents and strength.

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Audience for whom this product is intended

This combination is marketed for adult men experiencing erectile dysfunction and, when dapoxetine is present, premature ejaculation. Sexual stimulation is required for sildenafil to work; it does not cause an erection without arousal.

If you have either condition, speak to a qualified prescriber who can confirm whether either or both agents are appropriate for your situation.

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How should this medication be taken?

Only use Extra Super Viagra or any product like it on the advice of a prescriber. Follow their directions and also the included leaflet. General practical points are listed below:

  • Swallow the tablets and wash them down with water. A heavy fatty meal can slow the onset of sildenafil, though it does not make the tablet ineffective.
  • Sildenafil is often taken about one hour before sexual activity; individual onset can be from around 30 minutes up to several hours depending on product and person.
  • Do not exceed the single dose recommended by a clinician. Unless told otherwise, do not take more than one dose in a 24 hour period.
  • If you miss a planned dose, take it when it still makes sense for your timing. Do not take two tablets at once to compensate for a dose was missed.

For regimen details refer to strengths plus dosage.

Dosing and administration guidelines for the available concentrations

One commonly reported fixed formulation is 100 mg sildenafil plus 100 mg dapoxetine per tablet. Many clinicians prefer prescribing each medicine separately so doses can be adjusted independently to optimise effect and reduce knock-on effects.

If you find effects are too weak or too strong, discuss dose adjustment with your prescriber rather than altering the dose yourself.

Storage area and handling

  • Store medicines at about 25 degrees C (77 degrees F) where practical. Brief variations in temperature are generally acceptable.
  • Keep tablets dry and protected from direct sunlight. Do not store in bathrooms where humidity is high.
  • Store all medications in a place inaccessible to children and pets. and in their original packaging when possible.

Please refer to the safety information and guidelines. safety for use and reasons to avoid this medication.

Safety advisories for clear contrasignals to therapy

Limits on when to use this product

  • Do not take sildenafil-containing products if you are using nitrates (for example nitroglycerin or isosorbide dinitrate) - the combination can cause a dangerous drop in blood pressure.
  • Avoid use if you are already on another PDE5 inhibitor such as tadalafil, vardenafil, or a separate sildenafil product.
  • If a clinician has advised you to avoid sexual activity for cardiac reasons, you should not use this medicine.
  • Please avoid using if you have a known allergy to sildenafil, dapoxetine, or any excipient in the tablet.
  • Please do not combine these two components.. sildenafil with recreational alkyl nitrites (poppers) because this may cause severe hypotension.

If any of the above apply to you, seek medical advice before taking the tablet.

Details you should provide to your clinician

  • All prescription medicines, over the counter products, herbal remedies and supplements you take.
  • Any known drug allergies or other allergic conditions.
  • Blood disorders (for example sickle cell disease, leukemia, multiple myeloma) or any history that predisposes to prolonged erections.
  • Penile abnormalities such as Peyronie disease or previous painful/prolonged erections.
  • Eye disease including macular problems or recent unexplained vision changes, and ear problems such as tinnitus or hearing loss.
  • Significant liver, kidney, lung or heart disease, uncontrolled blood pressure, recent myocardial infarction or stroke, or serious arrhythmia.

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Many medicines affect how sildenafil or dapoxetine are metabolised or increase their chronic side effects. Ensure any healthcare professional or pharmacist has a full and current list of every medicine you use.

  • Certain antifungals (for example ketoconazole, itraconazole), some macrolide antibiotics, and HIV protease inhibitors can raise sildenafil levels and boost the chance of harmful bodily effects.
  • Alpha blockers and many antihypertensive drugs, as well as nitrates, can interact to cause symptomatic low blood pressure.
  • Enzyme inducers such as rifampicin or bosentan may reduce sildenafil concentrations and blunt its effect.
  • Dapoxetine interacts with other serotonergic medicines and with strong CYP3A4 inhibitors; combining serotonergic agents increases the risk of serotonin-related adverse reactions.

This set is not exhaustive. Seek clarification from a professional a pharmacist or prescriber before starting or stopping any medicines.

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Side effects and time sensitive danger alerts

Both sildenafil and dapoxetine are tolerated by many people, but unwanted acute side effects can occur. Below are commonly reported reactions and serious warning signs requiring urgent care.

Commonly occurring mild effects

  • Headache disorder with facial redness and lightheadedness.
  • Stomach discomfort or indigestion
  • Nasal stuffiness and runny nose
  • Semiliquid stools

Seek immediate medical help if you experience

  • Signs of severe allergic reaction - widespread rash, swelling of face or throat, breathing difficulty
  • Chest pain, fainting, or a very rapid or irregular heartbeat
  • Sudden loss or marked deterioration of vision in one or both eyes
  • Acute hearing loss or persistent severe tinnitus
  • Seizure, severe or persistent dizziness
  • A painful erection lasting longer than four hours (priapism)
  • Sudden weakness, numbness, or slurred speech suggestive of stroke

If you notice any worrying symptoms contact emergency services or your healthcare provider without delay.

Alternatives and tentative the cost projections in the UK (GBP)

There are licensed treatments available separately for erectile dysfunction and for premature ejaculation. Prices below are approximate private retail ranges and may vary by supplier, pack size, brand and whether supplied via the NHS.

  • Generic sildenafil or branded Viagra: Generic tablets are usually the most economical private option. Typical private prices for generic 50-100 mg tablets can range from about 0.20 to 1.50 GBP per tablet. Viagra Connect 50 mg (pharmacy supply) commonly costs about 15 to 25 GBP for a pack of four.
  • Tadalafil (Cialis or generic): Frequently used for ED; private cost per 10-20 mg tablet often lies between 0.60 and 2.00 GBP. Tadalafil is prescription-only in the UK.
  • Vardenafil (Levitra or generic): Often more expensive than generic sildenafil, representative rate card around 1.50 to 4.00 GBP per 10-20 mg tablet.
  • Spedra - the Avanafil brand: Mainly available as a branded product; private prices can be near 4 to 10 GBP per tablet depending on dose.
  • Dapoxetine (Priligy or generic): Used to treat premature ejaculation; private cost commonly in the range of 10 to 25 GBP per 30-60 mg tablet.
  • Fixed-dose sildenafil plus dapoxetine tablets: These combinations are generally not licensed in the UK. Some online sellers may offer low private prices (for example 2 to 8 GBP per tablet) but imports or unlicensed supplies carry legal and safety risks.

Under certain clinical circumstances, some ED treatments are available on the NHS. Always speak to a UK-registered prescriber or pharmacist for current lawful supply routes and up-to-date wholesale pricing.

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Further notes

This page summarises typical active ingredients associated with the Extra Super Viagra name: sildenafil and dapoxetine. It provides general information for readers in the UK and does not replace a face-to-face consultation with a healthcare professional.

If you see any of the urgent warning signs listed under possible side effects and urgent heads up notices seek immediate medical help.

For safe medication use always follow the instructions from your prescriber besides the patient information leaflet supplied with your medicine.

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