Brief Product Summary
Extra Super Viagra is a combined oral tablet that commonly pairs sildenafil with dapoxetine. One frequently seen formulation contains 100 mg of sildenafil together with 100 mg of dapoxetine in a single pill. Sildenafil is a phosphodiesterase type 5 inhibitor that aids erectile response in the presence of sexual stimulation. Dapoxetine is a short acting selective serotonin reuptake inhibitor intended to help control premature ejaculation.
For practical navigation, see administration advice at Techniques for Taking Itappraisal essential precautions at Fundamental safety measuresor recheck local supply and costs at Prices across Australia and Rules on Legality and Import Procedures.
- Target group: adult men with erectile dysfunction and/or premature ejaculation issues
- Main actives: sildenafil plus dapoxetine
- Common single-tablet strength: 100 mg sildenafil and 100 mg dapoxetine
Portents for Patient Management and Recommended Uses
The combined product is intended for adult men who experience difficulty obtaining or maintaining an erection sufficient for sexual activity and who may also require treatment for early ejaculation. Note that sildenafil will not produce an erection in the absence of sexual arousal. A medical assessment will determine whether a combined tablet is suitable, or whether separate prescriptions for sildenafil and dapoxetine are preferable.
Techniques for Taking It Extra Super Viagra
Adhere to the clinician's directions. General suggestions include:
- Swallow one tablet with water. It is usually acceptable with or without food, although a high fat meal can delay sildenafil onset.
- Many people plan dosing about one hour before sexual activity; effects can begin as early as 30 minutes but may take longer for some individuals.
- Do not use more than the prescribed dose. The typical limit is one tablet every 24 hours unless your doctor specifies otherwise.
- If you miss a planned dose, you may take it later if sexual activity is still intended and you stay within dosing restrictions.
For specific strength or frequency questions, consult Instructions for dosing or your clinician.
Recommended dosing guidance
The fixed dual formulation most commonly discussed contains 100 mg of sildenafil and 100 mg of dapoxetine per tablet. Usual advice is one tablet in any 24 hour period. If peripheral effects are problematic, clinicians may prescribe the components separately at lower doses to individualise therapy.
Special populations such as older adults, or patients with liver or kidney impairment, may require dose adjustments or complementary therapies. Discuss any dose changes with your prescriber before altering therapy.
Secure Storage facility and Handling
- Keep tablets in their original labelled packaging away from direct heat, strong light and moisture.
- Store at room temperature; about 25 C is appropriate and short excursions between 15 C and 30 C are usually acceptable.
- Do not store in bathrooms. Do not leave medicine where children and pets can reach it.
Safety instructions
Do not use this combined tablet if any of the following apply:
- Allergy to sildenafil, dapoxetine, or any excipient in the formulation
- Current use of nitrates or nitric oxide donors including recreational amyl nitrite
- Concomitant use of another PDE5 inhibitor (for example sildenafil, tadalafil, vardenafil or avanafil)
- Your doctor has told you to avoid sexual activity because of serious heart problems
Tell your healthcare professional before starting this medicine if you have:
- Illnesses of the cardiovascular system, recent heart attack or stroke, uncontrolled blood pressure, or significant arrhythmia
- Liver or renal impairment
- A history of prolonged or painful erections or conditions that increase priapism risk
- A history of sudden vision or hearing loss or other serious sensory problems
- Other medicines including over the counter, herbal, or recreational substances
For medicines that may interact, see Interpersonal engagements Between Medications. If you are unsure about any condition, seek medical advice before using this medication.
Adverse Drug Interplay between individuals
Both sildenafil and dapoxetine can be affected by or affect other medicines. Important the process of people engaging categories include:
- Nitrates and nitric oxide donors: combining with sildenafil can cause severe low blood pressure
- Alpha blockers and some antihypertensives: added blood pressure lowering effect may produce symptomatic hypotension
- Strong CYP3A4 inhibitors such as ketoconazole, itraconazole, ritonavir and some macrolides: may increase blood levels and ill effects of sildenafil and dapoxetine
- CYP3A4 inducers like rifampin or certain anticonvulsants: may reduce effectiveness of either drug
- Other serotonergic medicines including MAO inhibitors, other SSRIs, certain opioids: combining with dapoxetine can raise the risk of serotonin syndrome
This is only a subset of the list. Always consult your prescriber or pharmacist before starting or stopping any medicines, including supplements and recreational drugs.
Untoward effects and Emergency alert signals
Most people tolerate therapy well, yet harmful effects can occur. Reactions that are common and usually mild include:
- Throbbing head pain with facial flushing and lightheadedness new.
- Indigestion or abdominal pressure
- Nasal airway obstruction
- Diarrhea symptoms include watery stools
Seek immediate medical attention if you experience:
- Signs of allergic reaction such as swelling of the face, lips, tongue or throat, or trouble breathing
- Chest pain, fainting, or irregular and rapid heartbeat
- Sudden loss or appreciable decrease of vision, sudden hearing loss or new ringing in the ears
- Seizure clusters or sudden weakness on one side of the body
- An erection lasting longer than 4 hours (priapism) which requires urgent treatment
If symptoms persist or you remain concerned, contact your healthcare provider. Go back to the top or survey Safety rules and precautions to take.
Other Options and Their Comparisons
Clinicians sometimes prefer prescribing the active ingredients separately so doses can be tailored. Commonly available options include:
- Sildenafil alone (generic or Viagra) in 25 mg, 50 mg or 100 mg tablets; onset 30 to 60 minutes, effect often lasts 4 to 6 hours
- Tadalafil (Cialis) with as needed doses from 5 mg to 20 mg or daily low dose regimens; longer duration up to about 36 hours
- Vardenafil and avanafil as other PDE5 inhibitor options with differing onset and duration
- Dapoxetine alone for premature ejaculation, typically 30 mg or 60 mg, sometimes used together with a PDE5 inhibitor under supervision
- Non pharmacological options such as behavioural therapy, topical anesthetics, vacuum erection devices, or surgical implants in selected cases
When comparing cost and availability, combined tablets can be scarce in the Commonwealth of Australia. Prescribers often use separate products to reduce collateral effects and allow finer dose adjustment. For price framework guidance, see the linked page. Prices observed in Australia.
Price and availability information for Australia
In Australia, sildenafil, dapoxetine and other erectile dysfunction medicines are generally prescription only and often not subsidised by the Pharmaceutical Benefits Scheme for these hints. Private prices vary by brand, pack size and supplier. Indicative private-market price category ranges in Australian dollars (AUD):
- Generic sildenafil 50 mg-100 mg: around AUD 1 to 5 per tablet depending on bulk purchase and source
- Brand Viagra 50 mg-100 mg: frequently AUD 15 to 30 or more per tablet
- Generic tadalafil 10 mg-20 mg: about AUD 2 to 8 per tablet; brand Cialis usually commands a higher price
- Vardenafil generics 10 mg-20 mg: roughly AUD 3 to 10 per tablet when available
- Dapoxetine 30 mg-60 mg: approximately AUD 8 to 20 per tablet in private market samples
- Fixed combination tablets: limited stock in Australian pharmacies; online listings may show AUD 5 to 15 per tablet plus postage, but ensure legal supply and authenticity
Actual costs will depend on the pharmacy, prescription requirements, pack sizes, and whether you use a private importation option. Always confirm price and legitimacy with an Australian-registered pharmacy or your prescriber before purchase.
Australia's import and legal regulations
- Prescription requirement: Sildenafil, dapoxetine and medications similar to each other are Schedule 4 (prescription-only) based in Australia. A prescription from an Australian-registered prescriber is required for lawful supply.
- Australian pharmacies: Buying from an Australian-registered pharmacy that dispenses on prescription is the lawful route and provides labelled packaging and pharmacist advice.
- Personal importation: The Therapeutic Goods Administration Personal Import Program may allow import of a limited supply for personal use with a valid prescription. Check TGA guidance for current limits and conditions.
- Border risk: Products imported without meeting regulatory or prescription requirements risk seizure by customs. Unregulated supplies may be counterfeit, contaminated or substandard.
- Safety instructions: Dapoxetine may cause dizziness or affect alertness. Avoid driving or operating heavy machinery until you know how the medicine affects you.
For definitive legal or regulatory advice consult the TGA website, your pharmacist, or your prescribing clinician.
Additional Resources
Active constituents of the product: sildenafil (PDE5 inhibitor) and dapoxetine (short acting SSRI). Traces of activity commonly addressed include erectile dysfunction and premature ejaculation. For guidance about physical storage keeps goods safe and organized., please see the guidelines. Storage area and Handling. For safety and human two-way communication in actions create opportunities for collaboration. revisit Basic safety precautions and Contacts and a reciprocal exchanges create opportunities for collaboration. Between Medications.
If you have more questions, speak with your doctor or pharmacist. Come back toward the crest of this page at site top.
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