Outline and quick links
Extra Super P-Force is sold as a combined tablet intended to address both erectile dysfunction and premature ejaculation in men. It contains a phosphodiesterase type 5 inhibitor together with a fast-acting selective serotonin reuptake inhibitor. Because of the high doses often included in a single pill, this is not a routine first choice in UK practice and should only be used after a clinician has evaluated suitability and safety.
Handy links: How to cope with what happened | Exchanges and social interactions among teammates fuel progress. | Alternative options | The British legal position
Active substances and concentration measurements
Typical formulation per tablet that is commonly cited online:
- Sildenafil citrate 100 mg - a PDE5 inhibitor that supports increased blood flow to the penis
- Dapoxetine 100 mg - a short acting SSRI intended to delay ejaculation
The combined 100 mg plus 100 mg dose exceeds the usual starting strengths used separately in UK clinical practice. Discuss lower dose or single agent approaches with your prescriber if you have concerns. See Other options and similar medications for options.
Who is this for, exactly?
This product targets adult men experiencing one or both of the following conditions:
- Erectile dysfunction, meaning difficulty getting or keeping an erection adequate for sexual activity
- Premature ejaculation, where ejaculation happens earlier than desired and causes distress
It is not appropriate for non-medical uses such as athletic performance enhancement.
How to take responsibly it
Use only according to the instructions from the clinician who prescribes it. Do not self-prescribe or change the dose without professional advice.
- Swallow the tablet whole with water; do not chew or crush the tablet.
- It may be taken with or without food; heavy fatty meals can delay onset.
- Timing commonly advised is between one and three hours before sexual activity, but always follow your prescriber's recommendation.
- Take at most one tablet in a 24 hour period.
- Limit alcohol around dosing as it may worsen chronic side effects and reduce effectiveness.
If you do not achieve the expected benefit, do not increase the dose on your own. Contact a healthcare professional to review other options.
Warnings and safety guidelines
Tell your clinician before using this product if any of the following apply to you:
- Existing eye conditions such as glaucoma
- Hepatic or renal disease
- Cardiac problems, including recent heart attack, unstable angina, or any condition where sexual activity is inadvisable
- Current treatment with certain antifungal or antiviral drugs
- Past or current psychiatric disorders including depression, bipolar disorder or mania
- Advanced age, for example over 65, where tolerability may be altered
While taking the medicine, do not drive or operate machinery if you experience dizziness, light headedness or visual disturbances.
Circumstances under which not to use
Do not use this medicine if any of the following apply:
- Known allergy to sildenafil, dapoxetine or any ingredient in the product
- Concurrent use of nitrates or nitric oxide donors of any kind
- Unstable or severe heart disease, uncontrolled blood pressure problems
- Advanced liver impairment
- Retinal disorders that are genetically inherited, including retinitis pigmentosa
- Recent stroke or myocardial infarction
If you fall into any of these categories, a clinician can suggest safer plan B routes. See Different medicines and related formulations.
Possible lasting deleterious effects
Unintended effects typical of the individual components may occur. Common, generally less serious effects include:
- Routine flushing and a sensation of warmth on the face
- Headache symptoms, tiredness and light headedness
- Visual disturbances such as blurring or altered color perception
- The mouth is dry and increased sweating
- Stomach discomfort
Seek urgent medical assistance for severe signs, including:
- Chest pain, collapse, or symptoms of a severe fall in blood pressure
- Acute sudden loss of vision or hearing.
- An erection lasting longer than four hours or painful erections (priapism)
Drug and substance the act of connecting with others effects
The medicines in this tablet interact with a number of other drugs and recreational substances. Substantial personal the mutual influence during contacts build trust and rapport. to stay mindful of include:
- Nitrates and amyl nitrite class agents: combined use can cause a dangerous drop in blood pressure and is prohibited
- Strong CYP3A4 inhibitors such as ketoconazole, itraconazole, some macrolide antibiotics and protease inhibitors: these can increase blood levels and harmful impacts
- Alpha blockers and many antihypertensive medicines: additive blood pressure lowering effects
- Anticoagulants and antiplatelet drugs: discuss bleeding risk with your prescriber
- Certain anticonvulsants and other antidepressants: potential changes in effect or side effect profile
- Ethanol and recreational substances, particularly alkyl nitrites or poppers: can increase risk of severe adverse reactions
Always provide your prescriber with a full list of medications, supplements and recreational substances you use. See Electrical alerts for safety and cautions for additional safety topics to cover.
Unadministered dose protocol
This product is normally taken as needed prior to sexual activity rather than on a regular schedule. If you intended to take a tablet but did not, only take it if there is still time before the planned activity and doing so does not exceed the dosing schedule recommendations from your prescriber. Do not take two tablets within 24 hours.
OD information guide
Taking more than the recommended amount can cause marked low blood pressure, fainting, palpitations, severe nausea, dizziness and prolonged or painful erections. If you suspect an intentional overdose, contact emergency services or go immediately to your nearest emergency department.
Advice for the storage of files is essential for data management. organization
- Keep at normal room temperature and protect from direct heat and moisture.
- Retain tablets in their original packaging until use to maintain stability.
- Keep away from children and pets; store out of view and reach.
Other medicines as well as their equivalents
In the UK, clinicians generally treat erectile dysfunction and premature ejaculation with licensed single agents or with tailored combinations under supervision. Ordinary substitutes include:
- Sildenafil (generic or Viagra): available in 25 mg, 50 mg and 100 mg. Viagra Connect 50 mg is available from a pharmacist after a suitability check.
- Tadalafil (Cialis and generics): 10 mg and 20 mg for as needed use; 2.5 mg and 5 mg daily regimens are also used for continuous control and offer longer duration of action.
- Vardenafil and avanafil: other PDE5 inhibitors with differing onset and side effect characteristics.
- Dapoxetine (Priligy): indicated for premature ejaculation in 30 mg and 60 mg doses taken 1 to 3 hours before intercourse.
- Topical local anesthetics such as lidocaine or prilocaine creams and sprays: reduce penile sensitivity without systemic exposure.
- Off label approaches sometimes used include daily SSRIs or tricyclic antidepressants for PE, which require careful continuous monitoring by a clinician.
- Non-pharmacological measures: psychological therapies, behavioral techniques, pelvic floor training and condom use are effective options alone or combined with medicines.
A high strength combined pill like Extra Super P-Force is not a standard first line choice in the UK. Many men achieve good results using a single licensed medication for ED plus targeted PE strategies arranged with a health professional.
Prevailing dynamic pricing in Britain (approx)
Costs vary by pharmacy, pack size and whether you use NHS, high street or private online services. The estimates below are private-pay ranges in British pounds sterling (GBP) for comparison only.
- Viagra Connect 50 mg (over the counter via pharmacy): about 18 to 26 GBP for a pack of four tablets.
- Generic sildenafil (private prescription): roughly 0.80 to 4.00 GBP per 100 mg tablet depending on supplier and quantity, plus any consultation fees.
- Generic tadalafil (private): approximately 1.50 to 7.00 GBP per 10 to 20 mg tablet; daily 5 mg options may be cheaper per tablet when bought in larger packs.
- Avanafil (Spedra, private): around 6.00 to 13.00 GBP per tablet based on strength.
- Dapoxetine (Priligy, private): about 15.00 to 40.00 GBP for a small pack of 30 mg tablets; 60 mg packs are generally priced higher per pack.
- Extra Super P-Force (unlicensed in the UK): some overseas sellers advertise roughly 2.50 to 7.00 GBP per tablet; quality, legality and authenticity cannot be assured.
Include consultation, prescription and delivery fees when ordering online. NHS prescribing practices for ED and PE vary and many treatments require a prescription.
Lawful status and safe access in the United Kingdom
- Prescription-only medicines: most sildenafil products (except Viagra Connect 50 mg), dapoxetine and similar treatments require a valid prescription from a qualified prescriber in the UK.
- Pharmacy supply: Viagra Connect 50 mg may be supplied without a prescription following a pharmacist consultation.
- Unlicensed combination products: Extra Super P-Force as a combined sildenafil plus dapoxetine product does not hold MHRA marketing authorisation in the UK and is not legally supplied through UK dispensing chemists.
- Online buying: use only services registered with the General Pharmaceutical Council (GPhC) and ensure prescriptions come from UK-registered prescribers. Please check the settings GPhC public register if in doubt.
- Import and customs: ordering prescription or unlicensed medicines from abroad without proper authorisation or a prescription risks seizure by Border Force and may be illegal.
- Counterfeit and safety risk: unverified websites may sell falsified or contaminated products with incorrect ingredients or strengths. This carries potential harm.
For safe access consult your NHS GP, a private clinician, or a GPhC-registered online clinic. They can recommend licensed more options and arrange any necessary checks or observation and tracking.
Note: important and medical advice
The information on this page is general in nature and should not replace an individual assessment by a healthcare professional. Always talk to a qualified clinician before starting, stopping or changing any medication.
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