A quick look at the product
Extra Super P-Force is a single oral tablet formulation that combines sildenafil 100 mg with dapoxetine 100 mg. It is promoted for adult men who experience both erectile dysfunction and premature ejaculation. This product is not for use by women or anyone under 18 years of age.
The tablet brings together a phosphodiesterase type 5 inhibitor and a short-acting selective serotonin reuptake inhibitor to address two separate aspects of sexual performance. Below you will find information on how it functions, recommended administrationpotential strength reactions, and applicable Australian regulatory considerations.
Fast track links: read about the the device in How it tends to actcan you check this? administration advice under Guidelines for use and dosing, or inspect import along with the law related notes at the bottom Australia's legal standing.
Mode of action and effect
Sildenafil facilitates erection by blocking the enzyme phosphodiesterase type 5 (PDE5), which increases blood flow to the penis when sexual stimulation occurs. The effect is on vascular smooth muscle relaxation in the corpus cavernosum.
Dapoxetine works in the central nervous system as a short-acting SSRI. By increasing serotonin activity in pathways that regulate ejaculation, dapoxetine can extend the intravaginal ejaculatory latency time and delay climax.
The combination is intended to address vascular and neural components of erectile dysfunction and premature ejaculation simultaneously. For specific safety cautions tied to each active ingredient, see Safety notes and Pharmacokinetic and pharmacodynamic online mutual interactions connect users across distances..
How to utilize and dosage directions
Follow the directions from your prescriber exactly. Typically, one tablet is taken on an as-needed basis prior to sexual activity. Do not take more than one tablet in any 24 hour period unless directed by a clinician.
Administration pointers:
- Swallow the tablet whole with water; avoid crushing or chewing it.
- It may be taken with or without food; a large, fatty meal can delay the onset of sildenafil.
- Many men find taking the tablet 1 to 3 hours before planned activity gives time for both components to become effective.
If you have questions about timing, contact and response with other medicines, or special circumstances, consult your prescriber or see the section on Drug contact and response potential.
Safety notes
Before using this combination product, discuss your full medical history with a healthcare professional. The following conditions or situations raise the level of risk and need careful review:
- Significant cardiac disease, recent heart attack, or unstable angina.
- Blood pressure abnormalities, including low baseline blood pressure.
- Moderate to severe liver disease or advanced kidney impairment, where elimination may be reduced.
- Certain eye disorders such as non-arteritic anterior ischemic optic neuropathy or inherited retinal conditions.
- Concurrent treatment with potent CYP3A4 inhibitors or other interacting medicines.
- A history of major mood disorders, bipolar disorder, or other uncontrolled psychiatric illness.
Avoid excessive alcohol when using this tablet, as alcohol can increase dizziness and impair performance. Older people may be more sensitive to adverse symptoms and should be monitored carefully.
Not recommended in these scenarios and Alerts
Do not take this medicine if any of the following apply:
- Known allergy to sildenafil, dapoxetine, or any inactive ingredient in the product.
- Concomitant nitrate therapy or use of nitric oxide donors, due to risk of severe hypotension.
- Severe or unstable cardiovascular disease, recent stroke, or recent myocardial infarction.
- Severe liver dysfunction present.
- Certain retinal disorders such as retinitis pigmentosa.
- Severe uncontrolled blood pressure, either low or high.
- Active psychiatric conditions where serotonergic drugs are contraindicated.
If any of these apply to you, do not use this product until you have discussed it with a medical professional. Similar topics Unwanted effects for further risks.
Latent effects
Not every user will experience adverse reactions. Commonly reported potential side effects include:
- Head pressure, dizziness, or lightheadedness.
- Facial color change or a sensation of warmth.
- Digestive discomfort, nausea, or dry mouth.
- Visual changes such as blurring or altered color perception.
- Amplified perspiration and general fatigue.
- Prolonged or painful erection (priapism). Seek urgent medical help if an erection lasts longer than 4 hours.
Stop the medicine and seek immediate medical attention for chest pain, sudden vision loss, sudden hearing loss, fainting, or signs of severe serotonin toxicity such as high fever, agitation, tremor, or changes in consciousness.
Pharmacotherapy collaborative interactions span conversations, gestures, and feedback.
Both sildenafil and dapoxetine can interact with other treatments. Important intercommunication related hazards include:
- Nitrates and nitric oxide donors: co-use is contraindicated due to severe blood pressure drop risk.
- Strong CYP3A4 inhibitors such as ritonavir, cobicistat, ketoconazole, and itraconazole: these can raise plasma levels of one or both actives and increase detrimental outcomes.
- Alpha-blockers and other blood pressure lowering agents: combined use can cause symptomatic hypotension and requires careful management.
- Anticoagulant and antiplatelet medicines: SSRIs may increase bleeding risk; monitor closely if dapoxetine is combined with these drugs.
- Other serotonergic medicines (SSRIs, SNRIs, MAO inhibitors, St. Johns wort, certain migraine agents): combined use increases the risk of serotonin syndrome.
- Grapefruit juice: may raise sildenafil levels and is best avoided.
Always advise your prescriber or pharmacist of all prescription and non-prescription medicines, supplements, and herbal products you take. Specialist advice may be required for psychiatric drugs or HIV therapies.
Instructions for i skipped a dose todays
This medicine is generally used when needed for sexual activity rather than on a fixed daily schedule. If you planed to take a dose and did not, do not double the next dose. Take the tablet only when you next require it and keep to the limit of one tablet per 24 hours unless otherwise instructed by a clinician.
Advice related to she overdoseds
Symptoms of overdose may include severe hypotension, marked dizziness, fainting, chest pain, excessive flushing, persistent nausea and vomiting, or priapism. If an overdose is suspected, seek emergency medical care or contact emergency services immediately. Do not drive or operate machinery until you have been assessed by a clinician.
Recommended the storage of files is essential for data management. practices
- Keep at normal room temperature away from direct heat and humidity.
- Ensure the contents stay in their original container and out of reach of children and pets.
- Do not use after the expiry date printed on the product pack.
Similar medications and a contingency option choices
If a combined sildenafil-dapoxetine tablet is not suitable or available, healthcare professionals may recommend treating each condition separately or selecting other agents. Options include:
- For erectile dysfunction:
- Sildenafil alone, available as generic formulations or the brand Viagra.
- Tadalafil, which can be prescribed as once-daily low dose or as-needed (brand Cialis and generics).
- The two drugs are vardenafil (Levitra) or avanafil (Spedra), where available.
- For premature ejaculation:
- Dapoxetine (sold as Priligy in some countries) though it is not ARTG-listed situated in Australia.
- Topical local anaesthetic creams or condoms with numbing agents.
- Off-label use of longer-acting SSRIs such as sertraline or paroxetine under close supervision.
- Behavioural interventions like stop-start, squeeze techniques, and referral to sex therapy.
- Combination approaches:
- Separate prescriptions for an ED medicine plus a clinician-supervised treatment for PE can be used instead of a single fixed-dose product.
Choice should reflect individual health, co-medications, and tolerability. Discuss other options with your prescriber or pharmacist. See The prices in the Australian market for the AUD market and Australia's legal standing for practical considerations.
Prices shown in AUD in Australia
Prices vary by brand, pack size, pharmacy and whether a product is supplied through local channels or imported. The ranges below are approximate and for comparison only:
- Extra Super P-Force (often obtained from overseas sellers and not TGA-approved): approximately AUD 4 to AUD 10 per tablet depending on source and quantity. Quality and legality can vary significantly.
- Generic sildenafil 100 mg (if dispensed through an Australian pharmacy and TGA-registered): roughly AUD 1.50 to AUD 10 per tablet depending on packaging and pharmacy dispensing fees.
- Brand Viagra 100 mg: retail pricing model commonly falls between AUD 20 and AUD 40 per tablet.
- Tadalafil 10-20 mg (generic): around AUD 2 to AUD 12 per tablet; branded Cialis will typically cost more.
- Dapoxetine obtained from overseas suppliers: frequently AUD 3 to AUD 8 per tablet. Note that dapoxetine is not ARTG-listed, so import rules apply.
- Topical lidocaine-prilocaine creams for premature ejaculation: typically AUD 15 to AUD 35 per tube depending on brand and size.
These figures are estimates and not endorsements. Prices change over time; check with reputable Australian pharmacies for current costs. Most prescription medicines supplied locally require a valid Australian prescription.
Legal recognition in Australia
The Therapeutic Goods Administration (TGA) regulates medicines across Australia. Major points to be aware of:
- Sildenafil for erectile dysfunction is a prescription-only medicine (Schedule 4) based in Australia. A prescription from an Australian-registered prescriber is normally required to obtain TGA-registered sildenafil via Australian medicine shops.
- Dapoxetine is not listed on the Australian Register of Therapeutic Goods (ARTG). Fixed combination products that include dapoxetine are generally not TGA-approved.
- Personal importation: under the TGA personal importation provisions, Australians may legally import a limited supply of unapproved medicines for personal use provided certain conditions are met, such as having a prescription from an Australian prescriber and restricting the quantity to a specified period (commonly three months). Border Force paired with the TGA may detain or destroy shipments that do not comply with regulations.
- Advertising restrictions: promotion of prescription medicines to the general public is limited by Australian law.
- Safety note: purchasing from unverified online sources increases the risk of counterfeit, substandard, or incorrectly labelled products. Prefer TGA-registered medicines from accredited Australian pharmacies whenever possible.
If you are unsure about the legality or safety of importing or using a medicine, consult your doctor or pharmacist and appraise current TGA steady direction.
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