Extra Super P Force Tablets

Extra Super P Force is a prescription medicine that combines two active ingredients: Sildenafil (a PDE-5 inhibitor) and Dapoxetine (a short-acting SSRI). The combination is prescribed for adult men when a clinician decides it is appropriate to address erectile dysfunction (ED) and premature ejaculation (PE) together. Sildenafil supports erection with sexual stimulation by improving penile blood flow, and Dapoxetine helps delay ejaculation by enhancing serotonin activity involved in ejaculatory control. This medicine should be used only under a healthcare professional’s supervision and is not available over the counter.

Key Benefits (as directed by a clinician)

• Dual-symptom support: May help men who need treatment for both ED and PE.
• Better sexual control: Sildenafil supports a firmer erection with arousal; Dapoxetine may increase time to ejaculation.
• On-demand regimen: Used before planned sexual activity, not intended for daily unsupervised use.
• Quality of life: When clinically appropriate, may improve sexual confidence and satisfaction for the patient and partner.

(Benefits vary by individual. Medicine supports treatment; it does not replace evaluation of psychological, relationship, or medical contributors.)

How It Works

• Sildenafil (PDE-5 inhibitor): Sexual arousal releases nitric oxide, raising cGMP in penile tissue and relaxing smooth muscle so blood can enter. PDE-5 breaks down cGMP. Sildenafil blocks PDE-5, helping cGMP last longer and supporting an erection only with sexual stimulation.
• Dapoxetine (short-acting SSRI): Temporarily increases serotonergic signaling in brain pathways that control ejaculation, raising the threshold for climax and helping patients last longer.

Dosage and Administration

• Use only as prescribed. Your clinician will select the strength and timing.
• When to take: Typically 30–60 minutes before sexual activity (your doctor may adjust this).
• How to take: Swallow whole with water. Do not split, crush, or chew unless your clinician advises otherwise.
• Maximum frequency: Do not exceed one dose in 24 hours.
• Food & alcohol: You may take it with or without food; high-fat meals can delay onset. Limit alcohol, which can reduce response and increase dizziness.
• Grapefruit: Avoid grapefruit or its juice unless your prescriber confirms it is safe, as it can alter drug levels.

Safety and Precautions

Do not use if you:

• Take nitrates (for chest pain) or riociguat—risk of severe, dangerous blood-pressure drop.
• Have been advised to avoid sexual activity for medical reasons.

Tell your doctor before use if you have:

• Heart disease, recent heart attack or stroke, very low or uncontrolled high blood pressure
• Significant liver or kidney problems
• Eye disorders (e.g., NAION), bleeding problems, stomach ulcer
• Structural penile conditions or prior priapism (prolonged erections)
• Are taking alpha-blockers, certain antifungals/antibiotics, HIV medicines, mood medicines, migraine drugs, or other agents affecting CYP3A4 or QT interval

Side Effects

Common: Headache, flushing, nasal congestion, indigestion, dizziness, nausea; sometimes mild color vision changes or light sensitivity; possible insomnia or dry mouth.
Less common: Back pain, rash, tremor, reduced libido.
Serious—get urgent care: Chest pain, fainting, irregular heartbeat, sudden vision or hearing loss, allergic swelling or hives, or an erection lasting over 4 hours (priapism).

ED and PE: Why a Medical Review Matters

ED and PE can be linked to cardiovascular risk, diabetes, hormonal imbalance, stress, anxiety, or relationship factors. A clinician may check blood pressure, glucose, lipids, and mental health, and may suggest counseling or pelvic-floor training alongside medicine. Do not self-adjust dose or frequency; discuss any lack of effect or side effects with your prescriber.

Strengths and Substitutes (informational)

• Strengths: Check your carton/blister for the exact strengths of Sildenafil and Dapoxetine.
• Do not substitute with other brands or change strengths/routes without medical advice; different products may have different dosing guidance and interaction risks.

Storage

Store in the original blister, protected from moisture and heat, and out of children’s reach. Do not use after the expiry date.

Responsible Use & Practical Tips

• Plan dosing with enough lead time; lighter meals near dosing help many patients.
• Sexual stimulation is required for Sildenafil to work.
• Avoid heavy alcohol intake on treatment days.
• If dizzy, avoid driving or hazardous tasks.
• Keep an updated list of all medicines and supplements to share with your clinician.

Cleaned-Up “Key Benefits”

• Dual-indication support: Designed to treat ED and PE under a clinician’s guidance.
• Erection support with arousal: Sildenafil helps achieve and maintain an erection when sexually stimulated.
• Improved ejaculatory control: Dapoxetine may increase latency to ejaculation.
• On-demand use: Intended for use before planned sexual activity; max once daily.
• Form factor: Film-coated tablet, taken whole with water.
• Onset & duration: Many patients notice the effect within about 1 hour; the benefit may persist for several hours. Individual results vary.

Dosage, Timing, and Storage (streamlined)

• Take one tablet as prescribed, typically 30–60 minutes before sexual activity.
• Swallow whole with water; do not exceed one dose in 24 hours.
• Avoid grapefruit products and heavy, high-fat meals within 12 hours of dosing; limit alcohol.
• Store in a cool, dry place, in the original blister, away from children.

Side Effects (organized list)

• Common: Headache, flushing, nasal stuffiness, dyspepsia, dizziness, nausea, dry mouth, sleep disturbance, transient visual effects.
• Seek care now if: Chest pain, severe dizziness/fainting, sudden vision/hearing changes, allergic reaction, or priapism (>4 hours).

Safety, Interactions, and When to Avoid

• Absolutely avoid with: Nitrates or riociguat (severe hypotension risk).
• Use caution and inform your clinician if you take: alpha-blockers, certain antifungals/antibiotics, HIV medicines, mood medicines (including other SSRIs/SNRIs/MAOIs), migraine medicines, or drugs that prolong QT.
• Tell your doctor about heart, liver, kidney, or eye disease; bleeding disorders; ulcers; a history of seizures; or structural penile conditions.