Executive view
Extra Super Viagra is marketed as a single oral tablet that merges two pharmacologic agents: sildenafil, a phosphodiesterase type 5 inhibitor commonly used for erectile dysfunction (ED), and dapoxetine, a short-acting selective serotonin reuptake inhibitor developed in some countries to treat premature ejaculation (PE). This page summarizes practical points relevant to the United States context.
- Key components: sildenafil plus dapoxetine. Details under Active Components.
- Intended indication: management of erectile dysfunction in adult males; any PE benefit is related to dapoxetine and is discussed separately below.
- Reported typical strengths: many sources list 100 mg sildenafil with 100 mg dapoxetine, though formulations vary and are commonly encountered outside the United States.
- Formulation: oral tablet taken prior to sexual activity, with sexual stimulation still required for efficacy.
Examine value for money price comparison Estimated Prices (USD). For regulatory clarification see Status Within the Legal Framework in US.
Which audience is this for
The combination is promoted for men facing erectile dysfunction. If premature ejaculation is also an issue, discuss options with your clinician because dapoxetine is not approved by the US Food and Drug Administration, abbreviated FDA. Providers in the US typically treat ED and PE as separate problems using approved therapies or evidence-based strategies.
A Guide to Using
Follow the instructions supplied by a prescriber. The recommendations below are general and may be adapted to your situation by a healthcare professional.
- Timing: take the tablet approximately 1 hour before anticipated sexual activity. Onset may range from about 30 minutes to several hours in some people.
- Meals: a heavy, high-fat meal can delay absorption and slow onset of action.
- Frequency: do not use more than once within a 24 hour period unless directed by a clinician.
- Missed use: because dosing is event-driven, only take the tablet when you intend to be sexually active; avoid doubling doses.
- Mechanism: sildenafil requires sexual stimulation to produce an erection; the tablet will not automatically cause one.
Questions about switching timing or dose should be discussed with your prescriber; see Dosage and Administration Guidelines and Precautions for reference, context is provided.
Recommended Dosage
Doses should be individualized by a clinician based on health status, other medications, and prior response. Patients should never increase strength or take multiple doses without medical advice.
- Follow the prescribed dose and schedule. Self-adjustment increases risk of harmful effects.
- Do not combine the items. this product with other PDE5 inhibitors or any medication that already contains sildenafil.
- If you have inadequate effect or bothersome accompanying effects, seek reassessment rather than self-modifying your regimen.
Secure data data storage solutions include cloud storage, hard drives, and optical media. best practices
Proper storage capacity determines how much you can keep. preserves potency and safety. Recommended practices:
- Keep at typical room temperature, around 25 C (77 F). Short excursions from this temperature are usually tolerated unless the manufacturer specifies otherwise.
- Avoid moisture, direct sunlight, and excessive heat.
- Store medicines out of reach of children and pets; do not leave tablets in bathrooms or other humid areas.
Active Components
The tablet contains two distinct active agents acting via different the device that makes it runs:
- Sildenafil: a PDE5 inhibitor that supports erection by increasing penile blood flow when sexual arousal is present.
- Dapoxetine: a rapidly absorbed SSRI developed to treat premature ejaculation in some countries; it is not FDA approved in the United States.
Review Drug Interaction Safety and Risk prevention steps for information relating to these ingredients.
Protective actions and Reasons to avoid use Guide
Do not use this product if any of the following apply to you:
- Are taking nitrate medications or inhaled recreational nitrates such as amyl nitrite. Combination with nitrates can cause severe drops in blood pressure.
- Have been advised to avoid sexual activity due to significant cardiovascular disease.
- Have a known allergy to sildenafil, dapoxetine, or any tablet ingredient.
- Are already using another PDE5 inhibitor (for example tadalafil or vardenafil) or any other sildenafil-containing product.
Please check with your doctor before use if you have:
- Penile abnormalities or conditions that raise the risk of prolonged erection, such as Peyronie disease or sickle cell disease.
- A history of priapism, leukemia, or multiple myeloma.
- Hepatic or nephritic impairment, uncontrolled hypertension, recent stroke or myocardial infarction, or unstable heart disease.
- Recent or unexplained vision or hearing changes.
- Use of herbal products, over-the-counter supplements, or other prescription drugs.
If any of the items above apply to you, seek medical advice before taking the medicine. See Interactions among users Among Drugs to find out more.
Drug Interaction Risk Alerts
Disclose all prescription, over-the-counter, and herbal therapies to your prescriber. Memorable exchanges include:
- Nitrates or nitroprusside: may produce marked hypotension when combined with sildenafil.
- Alpha-blockers and many blood pressure medicines: concurrent use can increase chance of symptomatic low blood pressure.
- Strong CYP3A4 inhibitors (for example ketoconazole, itraconazole, ritonavir): can raise sildenafil concentrations and accompanying effects.
- Strong CYP3A4 inducers (for example rifampin): can lower drug levels and blunt effect.
- Grapefruit and grapefruit juice: may increase sildenafil exposure and adverse event risk.
- Other serotonergic medicines: adding dapoxetine to SSRIs, SNRIs, MAO inhibitors, or triptans can raise the risk of serotonin-related effects; combination should be supervised clinically.
This listing does not claim to be exhaustive. Refer to a specialist your prescriber or pharmacist before starting, stopping, or combining any drugs. See Risk reduction measures for related issues.
Drug treatment side effects
Many people tolerate sildenafil and short-acting dapoxetine well, but after effects can occur. Reactions that occur commonly and are mild include:
- Dull head pain
- Facial redness and warmth
- Gastrointestinal distress or reflux symptoms
- Sinus congestion
- Giddiness
- Nausea or watery stools
Serious adverse events that require urgent care
- Allergic reactions with swelling of the face, lips, tongue, or throat, or hives
- Chest pain, fainting, or an irregular or fast heartbeat
- Sudden loss or decrease of vision or sudden hearing loss or ringing in the ears
- Neurologic signs such as sudden weakness, numbness, or seizure
- An erection lasting more than four hours (priapism) - seek emergency treatment
If you experience severe or unexpected symptoms, contact emergency services or your healthcare provider without delay.
Similar or alternate medicines
Because the product combines a PDE5 inhibitor with a drug aimed at PE, consider these approved options in the United States:
- Generic sildenafil (generic Viagra): commonly used for ED; typical onset 30 to 60 minutes and duration about 4 hours.
- Tadalafil (generic Cialis): longer duration, sometimes up to 36 hours; available as daily low-dose or as-needed dosing.
- Vardenafil: similar to sildenafil for many patients and may be preferred by some because of tolerability.
- Avanafil (brand Stendra): may have a faster onset for some individuals, reported 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; dapoxetine is not FDA approved in the US.
Fixed-dose combinations of sildenafil plus dapoxetine are not approved in the United States. When both ED and PE are present, clinicians usually treat each condition with approved, separate therapies or evidence-based behavioral approaches.
Shop around to compare prices side by side Estimated Prices (USD).
US dollars forecasted wholesale pricing
The prices below are approximate retail figures in the United States without insurance. Actual out-of-pocket cost depends on pharmacy, discounts, insurance coverage, product strength, and quantity purchased.
- Generic sildenafil (50 to 100 mg): commonly ranges from about 1 to 10 USD per tablet at discount pharmacies or via coupons; brand Viagra may cost roughly 70 to 90 USD or more per tablet without savings programs.
- Generic tadalafil: often 1 to 8 USD per 5 mg tablet for daily doses; around 2 to 12 USD per 10 or 20 mg tablet for as-needed dosing; brand Cialis commonly costs 60 USD plus per tablet at retail prices.
- Vardenafil generics: typically seen in the 5 to 15 USD per tablet range where available.
- Avanafil (Stendra): frequently priced between 30 and 75 USD per tablet, depending on strength and vendor.
Because fixed-dose sildenafil plus dapoxetine products are not FDA approved and are generally not stocked by US pharmacies, consistent domestic transparent pricing is not established. International online sellers may offer such combinations at varying price points, but importing unapproved medicines can carry legal and safety risks. Many patients reduce costs through manufacturer coupons, discount cards, mail-order pharmacies, generic substitution, or telehealth services that link to licensed medicine dispensaries.
Regulatory Status and Buying Rules in the United States
- Prescription only: Approved PDE5 inhibitors (sildenafil, tadalafil, vardenafil, avanafil) require a prescription in the United States.
- Approval: Fixed-combination tablets containing sildenafil plus dapoxetine are not approved by the US Food and Drug Administration and are therefore not authorized for sale or distribution domestically.
- Import rules: Importing unapproved drugs into the United States is generally prohibited. The FDA may exercise discretion in rare personal import situations, but this is uncommon when endorsed choice options exist. Unapproved imports may be detained or seized.
- Telehealth: Many licensed US clinicians provide remote evaluation and e-prescribing for ED. Use reputable, state-licensed telehealth companies and pharmacies accredited by recognized bodies.
- Age and safety compliance considerations: Products are intended for adults. Follow safety protocol about activities such as driving if you experience dizziness, visual disturbances, or other impairing effects.
If you are uncertain about the legality or safety of a sourcetake a quick look and verify. with your prescriber, local pharmacist, or your state board of pharmacy. Verify online pharmacies through established accreditation services before making purchases.
Important Notice for Your Reference
This page offers general information only and does not replace the personalized guidance of a licensed healthcare professional. It is not intended to diagnose, treat, cure, or prevent any disease. Pre-start, stopping, or changing any medicine, consult a qualified clinician or pharmacist.
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