Introductory a bird's eye view of the number one spotic

Extra Super Viagra is sold in some markets as a single oral tablet that combines two pharmacologic agents: sildenafil, a phosphodiesterase type 5 (PDE5) inhibitor used to treat erectile dysfunction, and dapoxetine, a short-acting selective serotonin reuptake inhibitor (SSRI) that in some countries is prescribed for premature ejaculation. The fixed-dose pairing is encountered mainly outside the United States.

Primary data at a glance:

• The tablet typically pairs sildenafil and dapoxetine; see List of active ingredients for mechanism details.
• Primary intended use is to address erectile dysfunction; any effect on premature ejaculation is attributable to dapoxetine and is treated differently under US regulations.
• Reported strengths vary internationally but many listings identify combinations such as 100 mg sildenafil plus 100 mg dapoxetine; these combinations are generally not marketed through US pharmacist shops.
• Administration is oral and event-driven: sexual stimulation is required for sildenafil to produce an erection.

Confer with a professional the pricing plan table to assess price differences Price Quotation Estimates. For legal context see Status Under the Law & Buying Rules.

Return to the context the page top

Primary User Group

These combination tablets are promoted for adult men experiencing erectile dysfunction. When premature ejaculation is also present, a clinician should evaluate both conditions because dapoxetine is not approved by the US Food and Drug Administration (FDA). In US practice, ED and PE are often handled with separate, approved therapies and behavioral strategies.

Go to the very top

Safe Methods for Taking

Follow directions provided by a prescriber or pharmacist. The guidance below is general and must be adapted on medical advice:

• Timing: normally taken about one hour before sexual activity. Start of the action can vary from 30 minutes to several hours in some people.
• Food: a heavy, fatty meal may delay absorption and slow the start of effect.
• Frequency: do not use more than once every 24 hours unless your clinician tells you otherwise.
• Missed or unused doses: because doses are event-driven, only take a tablet when you plan to be sexually active; do not double up to catch up.
• Mode of functioning: sildenafil enhances the physiologic response to sexual stimulation and will not produce an erection without arousal.

Discuss timing adjustments or special circumstances as advised by your prescriber. Refer to the documentation Dose Recommendation Guidance and Safety guardrails for safety first.

Go to the crown of the page

Dosing Chart Guidance

Dosing must be individualized by a qualified clinician. The following points summarize prudent approaches:

• Use the dose prescribed by a healthcare professional. Do not increase dose strength or frequency without consulting your clinician.
• Do not integrate this product with other PDE5 inhibitors or with any other agent that already contains sildenafil.
• If efficacy is insufficient or residual effects are troubling, return to your clinician for reassessment rather than altering the regimen yourself.

Patients with reduced renal or hepatic function, the elderly, or those on interacting drugs may need dose adjustments. Contact for guidance your prescriber for personalized expert counsel.

Move back to the first place

Advice for Storing Items

Store medications to preserve strength and safety. Recommended practices include:

• Keep at typical room temperature, approximately 25 C (77 F). Short temperature deviations are usually tolerated unless packaging states otherwise.
• Protect from moisture, bright sunlight, and high heat.
• Keep this out of the reach of kids and pets. and avoid leaving tablets in bathrooms or other damp places.

Return to the context the zenith

Active constituents

This fixed-dose tablet combines two active agents that act by different the means by which it workss:

• Sildenafil: a PDE5 inhibitor that increases blood flow to the penis in response to sexual stimulation, supporting erection.
• Dapoxetine: a short-acting SSRI developed for premature ejaculation in some markets; it is not approved by the FDA for use in the United States.

See Interpersonal engagements and Safety care steps for comprehensive safety information related to these agents.

Scroll to top

Preventive safeguards and Not indicated conditions

Use only if none of the following are true.

• You are taking nitrates or substances that release nitrates (including recreational inhalants such as amyl nitrite), because severe blood pressure drops can occur.
• You have been told by a clinician to avoid sexual activity due to unstable cardiovascular disease.
• You have a known allergy to sildenafil, dapoxetine, or any tablet excipient.
• You are already on another PDE5 inhibitor such as tadalafil or vardenafil, or on any product that contains sildenafil.

Consult with your advisor your clinician before use if you have

• Penile conditions that increase risk of prolonged erection, for example Peyronie disease or blood disorders like sickle cell disease.
• A history of priapism, leukemia, multiple myeloma, severe liver or kidney impairment, uncontrolled hypertension, recent stroke, or recent heart attack.
• Recent unexplained changes in vision or hearing.
• A current regimen of herbal products, supplements, or prescription medicines that might interact with sildenafil or dapoxetine.

If any of the items above describe your situation, speak with a qualified healthcare professional before taking this product. Review Pharmacologic Social exchanges should you require further navigational guidance.

Move to top

Drug Interaction Risk Notifications

Tell your prescriber and pharmacist about all medications, over-the-counter products, and supplements you use. Notable the networked exchange of ideas categories include:

• Nitrates (including nitroprusside): combining with sildenafil can cause potentially life-threatening hypotension.
• Alpha-blockers and antihypertensives: concurrent use may increase the risk of symptomatic low blood pressure.
• Strong CYP3A4 inhibitors (for example ritonavir, ketoconazole, itraconazole): these can raise sildenafil levels and increase harmful health effects.
• Strong CYP3A4 inducers (for example rifampin): these may reduce sildenafil concentrations and blunt efficacy.
• Grapefruit and grapefruit juice: can increase sildenafil exposure and risk of secondary consequences.
• Other serotonergic agents: combining dapoxetine with SSRIs, SNRIs, MAO inhibitors, or certain migraine drugs can raise the risk of serotonin-related effects and should be managed by a clinician.

This list is only partial. Always consult a healthcare professional before starting or stopping any medicine. See also documents Cautions to observe.

Return to where you were the page's top

Possible adverse reactions

Both sildenafil and short-acting dapoxetine are generally well tolerated, but detrimental outcomes can occur. Typical, usually mild effects include:

• Dull head pain
• Blushing of the face
• Dyspepsia symptoms including heartburn
• Blocked nasal cavity
• Dizziness spells
• Nausea or loose stools

Considerable effects that require immediate medical attention

• Allergic reactions with swelling of the face, lips, tongue, or throat, or hives
• Chest pain, fainting, or an abnormal/rapid heartbeat
• Sudden loss or reduction of vision, or sudden hearing loss or ringing
• Neurologic events such as sudden weakness, numbness, or seizure
• An erection lasting more than four hours (priapism) - seek emergency care

If you notice severe or unexpected symptoms, seek emergency medical care or contact your healthcare provider immediately.

Return to the original page the top tier

A comparison of a different solution medical therapies

Because a fixed combination of sildenafil and dapoxetine is not FDA approved, consider these favored other selections and approaches used in the United States:

• Generic sildenafil (generic Viagra): widely available for ED; onset commonly 30 to 60 minutes with effect lasting around 4 hours for most people.
• Tadalafil (generic Cialis): longer duration in many users, sometimes up to 36 hours; available as daily low-dose or as-needed dosing.
• Vardenafil: comparable to sildenafil for many patients and may be better tolerated by some.
• Avanafil (brand Stendra): often noted for a faster onset in some people, as early as 15 to 30 minutes.
• For premature ejaculation: behavioral therapy, topical anesthetics (for example lidocaine-prilocaine creams or sprays), or certain antidepressants used under clinician supervision; recall that dapoxetine is not FDA approved in the US.

Clinicians typically treat ED and PE separately using approved products, counseling, or combination strategies tailored to the patient. If you are exploring combined treatment approaches, talk with a clinician to plan a safe regimen using approved agents where possible.

View cost comparisons in Pricing Estimates.

Return to the apex of something

Estimated Prices (United States, USD)

The figures below are approximate retail costs without insurance and will vary by pharmacy, state, discounts, and quantity purchased:

• Generic sildenafil (50 to 100 mg): often available for roughly 1 to 10 USD per tablet at discount pharmacies, through coupons, or mail-order generics; brand Viagra may cost about 70 to 100 USD per tablet without savings.
• Generic tadalafil: depending on dose, prices commonly range from about 1 to 12 USD per tablet for typical retail quantities; brand Cialis frequently retails at 50 to 70 USD or more per tablet.
• Vardenafil generics: commonly seen in the 5 to 15 USD per tablet range where available.
• Avanafil (Stendra): retail prices often fall between 30 and 80 USD per tablet depending on strength and vendor.

Fixed-dose sildenafil plus dapoxetine tablets are not FDA approved and are not regularly stocked by US pharmacies, so consistent domestic cost and pricing model is not established. International online vendors may list such combinations at varying prices, but importing unapproved medicines presents legal and safety risks. Many patients reduce cost using manufacturer coupons, discount cards, generic options, mail-order pharmacies, or telehealth services tied to licensed drugstore providers.

Go to at the top of the page

Status of Legality and Rules for Buying in the United States

• Prescription requirement: Approved PDE5 inhibitors (sildenafil, tadalafil, vardenafil, avanafil) require a prescription from a licensed US prescriber.
• Approval status: Fixed-combination tablets that include both sildenafil and dapoxetine are not approved by the US Food and Drug Administration and are therefore not authorized for routine sale or distribution in the United States.
• Importation rules: Importing unapproved prescription drugs is generally prohibited. The FDA may exercise enforcement discretion in narrow personal use scenarios, but importation of unapproved combination products is routinely restricted and such shipments may be detained or seized.
• Telehealth: Many licensed US clinicians provide remote evaluations and can issue valid prescriptions for approved ED medicines. Use reputable, state-licensed telehealth platforms and pharmacies accredited by recognized bodies.
• Age and safety: Products are intended for adults. Follow guidelines for safety and avoid activities that require alertness if you experience dizziness or visual disturbances.

If you are unsure about a seller or the legality of a medicine, contact your prescriber, local pharmacist, or your state board of pharmacy for verification. Confirm online pharmacy credentials through established accreditation services before purchasing.

Jump ahead to the uppermost part of the page

Important Information for You

This page provides general informational content only and does not substitute for individualized medical advice from a licensed healthcare professional. It is not intended to diagnose, treat, cure, or prevent any disease. Before initiating, discontinuing, or altering any medication, consult a qualified clinician or pharmacist.

Scroll to top