Access Extra Super Tadarise online in 2026 with safety and confidentiality - in the UK

Scope and a lay of the land for the zenithic plus product summary

Extra Super Tadarise is a combined tablet marketed for adult men who report both erectile dysfunction and premature ejaculation. It merges a long acting phosphodiesterase type 5 inhibitor with a short acting selective serotonin reuptake inhibitor so that erection support and ejaculatory delay are provided in a single dose when sexual activity is planned.

From a quick view:

• Contains tadalafil together with dapoxetine in one tablet.
• Usually used on an as required basis before sexual activity, not as a daily maintenance tablet.
• The information on this page is written with the UK setting in mind, covering availability, legal points and approximate costs in Great Britain.

Behold the composition section for exact strengths: ingredients and strength details. Move to the the crest of the page go to page top.

Ingredients and strength details

Products sold under names such as Extra Super Tadarise typically contain these active amounts per tablet:

• 40 mg tadalafil tablet
• 60 mg dapoxetine tablet

Tadalafil helps increase penile blood flow during sexual stimulation by relaxing smooth muscle. Dapoxetine is a short lived SSRI designed to temporarily increase serotonin activity to help delay ejaculation. For eligibility and who may benefit, see intended patient group or go back to the crown.

Intended patient group

This combination is for adult men aged 18 or older who have been clinically assessed and found to have both:

• Erectile dysfunction: difficulty achieving or maintaining an erection adequate for satisfactory sexual performance.
• Premature ejaculation: ejaculating sooner during sexual activity than desired by the man or his partner.

Do not self-prescribe this medicine. A healthcare professional should confirm the diagnosis and suitability of this combination. If unsure, consult a GP, sexual health clinic or a registered private prescriber. See advice on legal compliance under British legal regulations and buying advice. Return to the position you left top.

Dose and method of administration advice

Heed the guidance given by your prescriber. Typical practical instructions include:

• Swallow the tablet whole with water; do not cut, crush or chew it.
• Take the dose about one hour before planned sexual activity unless told otherwise by your clinician.
• It may be taken with or without food, however fatty meals can delay when it starts to work.
• Do not use more than one tablet in any 24 hour period. Tadalafil may remain active for up to 36 hours in some men.
• Avoid heavy alcohol around dosing as this may worsen dizziness and reduce erectile response.

If effects are insufficient or collateral effects occur, contact your prescriber rather than changing the dose yourself. See related notifications of danger under guarding measures and vital advisories for safety. Return to that point top.

Essential safety injury prevention protective measures and warning bulletins

Before you initiate therapy, tell your clinician about your full medical history and all medicines you are taking. Summary points to discuss include:

• This medicine is for adults only; it is not suitable for children or adolescents.
• It can lower blood pressure; take care when standing up quickly to avoid dizziness.
• Older patients may need closer monitoring of operational health and dose review.
• If you have significant kidney or liver disease, seek specialist advice prior to beginning use.
• Avoid making use of if you have conditions that make prolonged or painful erections more likely.
• Stop and seek urgent medical help if you experience sudden vision loss or sudden hearing loss.
• Disclose herbal products and over the counter supplements to your prescriber because the act of interactions create opportunities for collaboration. can occur.
• Dapoxetine may cause drowsiness or dizziness; do not drive or operate machinery until you know how it affects you.

For a list of specific medical situations contraindicating this option see medical situations contraindicating this option and circumstances under which usage should be avoided. Return once more to top.

Use is contraindicated in these cases and usage restrictions

Do not take this medicine if any of the following apply:

• Known allergy to tadalafil, dapoxetine or any excipient in the product.
• Age under 18 years.
• Recent myocardial infarction, stroke, unstable angina or serious uncontrolled heart rhythm disturbances.
• Concomitant use of nitrates or nitric oxide donors for chest pain; this combination can cause a dangerous fall in blood pressure.
• Concurrent use of riociguat or other guanylate cyclase stimulators.
• Severe impairment of liver function or severe renal impairment unless specifically advised by a specialist.
• Uncontrolled hypotension or disorders that predispose to bleeding or seizures without medical clearance.

If you are unsure whether any of these apply to you, seek medical review before taking the medicine. Head back to top.

Possible collateral effects

Not all users experience unfavorable health effects. Most reactions are mild and short lived, but seek immediate care for chest pain, a painful erection lasting more than four hours, sudden loss of vision or sudden hearing loss.

• Headache syndrome and flushing of the face
• Feeling off balance, drowsiness or feeling light headed
• Nausea, vomiting or indigestion
• Sore back or muscle ache
• Blocked nose or increased sweating
• Changes in sexual desire or other sexual function changes
• Marked reductions in blood pressure in susceptible individuals

This list is not the full list. Read the patient information leaflet and speak to your prescriber for personalised advice. Go back to where you left off top.

Drug contact and responses at scale reveal systemic patterns. and medicines to avoid

Tell your clinician about all prescription medicines, non-prescription products and supplements. Key encounters include:

• Do not couple with nitrates or nitric oxide donors or with riociguat due to the risk of severe low blood pressure.
• Combining dapoxetine with monoamine oxidase inhibitors (MAOIs) or taking it within 14 days of stopping an MAOI can be hazardous. Also be cautious with other serotonergic drugs to reduce the risk of serotonin syndrome.
• Strong CYP3A4 inhibitors such as ketoconazole, itraconazole, clarithromycin and some HIV medications can raise tadalafil and dapoxetine exposure.
• CYP3A4 inducers like rifampicin, carbamazepine, phenytoin and Perennial herb Hypericum perforatum can lower effectiveness.
• Avoid use with other PDE5 inhibitors or recreational substances that affect blood pressure or serotonin.
• Sedatives, opioids and benzodiazepines may increase drowsiness and fainting when combined with dapoxetine.

Discuss potential clear the exchange that happens when people meets reduce confusion. with your healthcare provider steps should be completed before starting therapy. Return to the earlier section top.

Missing doses in the plan and emergency guidance

Because this medicine is normally taken when needed prior to sex, there is no routine not taking my dose schedule. If you forget to take it before planned activity, only take it if there is enough time for it to act and do not double doses to compensate. See dosing plan and administration advice for timing.

If an suffered an overdose is suspected, signs may include a very prolonged or painful erection, marked fall in blood pressure, fainting, very rapid heartbeat, severe dizziness, or persistent vomiting. In such cases seek emergency medical attention immediately and, if possible, bring the medicine packaging. In the UK contact NHS 111 or head to the nearest emergency department if required. Return to this point top.

Storage facility and handling protocols

• Keep the product in its original container at room temperature in a dry place.
• Protect from heat and moisture.
• Remove it from areas accessible to children and pets.
• Do not use after the expiry date shown on the carton.

Get a second opinion the leaflet supplied with the specific medicine for manufacturer storage management helps organize and track items. care tips. Go back to top.

Alternative solutions and price a nutsell summary of the chapter (GBP)

Prices vary between community pharmacies, private clinics and online suppliers. The ranges below are indicative retail or private prescription costs in Great Britain (GBP) to help with comparison. Licensed preparations from regulated UK pharmacies remain the safest choice.

• Single agent licensed erectile dysfunction medicines:
  • Sildenafil (generic): about 0.50 to 1.50 GBP per 50 mg tablet on private prescription; branded Viagra often costs around 5 to 10 GBP per tablet depending on pack size.
  • Tadalafil (generic): roughly 0.60 to 1.50 GBP per 10 mg tablet; branded Cialis price varies by strength and pack size.
  • Vardenafil (Levitra): approximately 3 to 8 GBP per tablet.
  • Spedra (Avanafil): typically 6 to 10 GBP per tablet.
• Licensed treatment for premature ejaculation:
  • Dapoxetine (Priligy 30 mg or 60 mg): commonly around 3 to 10 GBP per tablet via private prescription.
• Unlicensed combination tablets:
  • Merged line of products marketed under names like Extra Super Tadarise, Tadapox or Super P-Force are often advertised from overseas suppliers in the range of about 1.50 to 4.50 GBP per tablet. These are generally not MHRA licensed in the UK coupled with their quality cannot be assured.

Some UK clinicians may prefer to prescribe two licensed medicines separately (for example tadalafil plus dapoxetine) under supervision rather than an unlicensed fixed combination. For safe purchasing guidance see United Kingdom regulatory requirements and buying advice. Return once more to top.

UK regulatory guidelines and buying advice

Key legal and safety points to review for the United Kingdom:

• Tadalafil and dapoxetine are prescription only medicines (POM) in the UK. A valid prescription is required for legal supply from UK pharmacies.
• Many combination brands such as Extra Super Tadarise are not licensed by the Medicines and Healthcare products Regulatory Agency (MHRA). Importing or using unlicensed medicines can involve legal and safety risks.
• Use a General Pharmaceutical Council (GPhC) registered UK pharmacy or NHS service when obtaining prescription medicines. Websites offering these products without a prescription operate outside UK compliance regulations and may supply counterfeit or unsafe medicines.
• Personal imports of unlicensed prescription medicines may be intercepted by border authorities and, if delivered, their composition and quality may not be reliable.
• Athletes should check anti-doping rules from UKAD or their sporting authority before first use, read instructions. While PDE5 inhibitors are usually not prohibited, sport specific rules may apply.

Bottom line: obtain an assessment from a GP, sexual health clinic or registered private prescriber and get licensed medicines from regulated suppliers. Return to the scene you were in top.

Questions people ask most often

How long does the effect last?

Tadalafil can have activity lasting up to 36 hours in some men. Dapoxetine produces effects for a much shorter period around the time of dosing. Responses show variation between individuals.

Can I drink alcohol when taking it?

Moderate alcohol is generally acceptable, but excessive alcohol increases the risk of dizziness and can reduce erectile response. Avoid heavy drinking close to dosing.

Is this product appropriate for women?

No. This combination is formulated and intended for adult men and is not licensed for use in women.

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