How to acquire Extra Super Viagra in the generic market - in the UK

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Product name: Extra Super Viagra.

The tablets that are marketed under this name commonly combine two active substances: sildenafil and dapoxetine. Sildenafil belongs to the phosphodiesterase type 5 inhibitor class and is used to support erectile function. Dapoxetine is a short acting selective serotonin reuptake inhibitor sometimes prescribed for premature ejaculation.

Typical supplier descriptions show a single tablet containing 100 mg sildenafil together with 100 mg dapoxetine, though strengths and formulations can differ between manufacturers and across borders.

Handy quick links: read the safety profile and reasons to avoid this medication or recheck possible clinically significant drug the mutual influence during contact possibilities. Archive storage capacity can limit how much you can keep on hand. tips are under warehouse storage helps organize stock and streamline fulfillment. instructions and tips.

For whom is this product meant

This product is promoted for adult men with erectile dysfunction. Remember: sexual stimulation is required for sildenafil to be effective in producing an erection.

When dapoxetine is included, the intention is to treat premature ejaculation in men where that diagnosis and treatment are appropriate.

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How to respond to it

Only use this medicine if a prescriber recommends it and follow their instructions. General practical points include:

• Swallow the tablet by drinking water. A heavy fatty meal can delay onset, although food does not make it unusable.
• Sildenafil is commonly taken about one hour before sexual activity, but onset can range from 30 minutes up to about four hours depending on the individual merged with the product.
• Do not exceed the recommended single dose. Unless your clinician advises otherwise, avoid taking more than one dose in any 24 hour period.
• If you miss a planned dose, take it when it is still appropriate. Do not double up later to make up for a omitted dose.

For information about specific strengths and regimen options see doses and formulations.

Doses and formulations

Follow the exact dose your prescriber assigns. One frequently seen fixed combination is 100 mg sildenafil plus 100 mg dapoxetine per tablet. Clinicians often prefer to prescribe sildenafil and dapoxetine separately so each drug can be adjusted independently.

If you think the effect is too strong or too weak, contact your healthcare professional before changing the dose yourself.

Guidance for proper keep your items in secure storage until you need them.

• Store at around 25 degrees C (77 degrees F). Short deviations are usually acceptable; avoid prolonged heat exposure.
• Keep tablets dry and away from direct light; do not keep medicines in bathrooms where humidity is high.
• Store medications so they are not visible or accessible to children and pets.

Further safety data is available under safety and contraindicating conditions.

Safety and drug should not be given in the presence of these conditions

Situations where you should not use this product

• If you are taking any nitrates such as nitroglycerin or isosorbide dinitrate, you must not use sildenafil-containing products.
• Avoid use if you are already on another PDE5 inhibitor (for example tadalafil or vardenafil) or on a different product that contains sildenafil.
• Never employ if a clinician has advised you to avoid sexual activity because of heart or circulatory risk.
• If you have a known allergy to sildenafil, dapoxetine, or any excipient in the tablet you should not take it.
• Use is unsafe with recreational alkyl nitrites, often called poppers, because the combination can cause a dangerous fall in blood pressure.

If any of these apply to you, seek medical advice before taking the medicine.

Information to tell your prescriber before starting

• All prescription medicines, over the counter products, herbal remedies and supplements you are taking.
• Any drug allergies or other types of allergy you have.
• Blood disorders such as sickle cell disease, leukemia, or multiple myeloma, or any history that makes prolonged erections more likely.
• Penile structural problems such as Peyronie disease and any prior episodes of painful or prolonged erections.
• Eye conditions including macular disease or any unexplained sudden vision loss, and ear problems including tinnitus or hearing loss.
• Serious liver, kidney, lung or cardiovascular disease, uncontrolled hypertension, recent heart attack or stroke, or significant heart rhythm problems.

See potential dangerous drug two-way communication in actions with others are the core of collaboration. for medicines that may require special ongoing monitoring or dose adjustments.

Pharmacologic the mutual influence during contacts create context for decisions.

Many medicines can alter how sildenafil or dapoxetine act, either increasing deleterious effects or reducing benefit. Make sure any clinician or pharmacist has your full current medicine list.

• Certain antifungal agents (for example ketoconazole, itraconazole), some macrolide antibiotics, and HIV protease inhibitors can raise sildenafil levels and increase the chance of knock-on effects.
• Alpha blockers and other blood pressure medicines, as well as nitrates, can interact to produce symptomatic low blood pressure.
• Drugs such as rifampicin and bosentan may reduce sildenafil concentrations and so lessen its effectiveness.
• Dapoxetine interacts with other serotonergic drugs and with strong CYP3A4 inhibitors; combining serotonergic agents can raise the risk of serotonin related unwanted adverse effects.

This is merely a partial list. Consult with your advisor a pharmacist or prescriber before starting or stopping any treatment.

Safe and sound again measures and relative contramarkers

Potential treatment-related lingering reactions

Many people tolerate sildenafil and dapoxetine well, but adverse reactions can occur.

Everyday and mild reactions

• Pain in the head with facial flushing and lightheadedness.
• Indigestion symptoms or stomach ache
• The nose is congested
• Semiliquid stools

Seek urgent medical help if you experience

• Signs of a severe allergic reaction such as widespread rash, swelling of the face or throat, or difficulty breathing
• Chest pain, fainting, or an unusually fast or irregular heartbeat
• Sudden loss of vision or a marked change in sight in one or both eyes
• Quick onset deafness or enduring tinnitus.
• Seizure or severe, persistent dizziness
• A painful or prolonged erection lasting longer than four hours (priapism)
• Sudden weakness, numbness, or altered speech suggesting a stroke

If you have concerns about any symptom contact your healthcare provider promptly.

Alternative options and estimated price brackets in the UK (GBP)

There are licensed and commonly used broadened options for erectile dysfunction and for premature ejaculation. Prices below are approximate private retail ranges; actual cost varies by pharmacy, brand, pack size and whether supplied on the NHS.

• Generic sildenafil or Viagra: Generic tablets tend to be the least expensive private option. Expect roughly 0.20 to 1.50 GBP per 50-100 mg tablet when bought generically. Viagra Connect 50 mg (available after pharmacist consultation) is frequently priced around 15 to 25 GBP for a pack of four.
• Tadalafil (Cialis or generic): Private costs often range from about 0.60 to 2.00 GBP per 10-20 mg tablet. Tadalafil is prescription-only in the UK.
• Vardenafil (Levitra or generic): Prices commonly sit higher than generic sildenafil, typically 1.50 to 4.00 GBP per 10-20 mg tablet.
• Avanafil with brand name Spedra: Mostly available as a branded product; private prices can be in the region of 4 to 10 GBP per tablet depending on dose.
• Dapoxetine (Priligy or generic): Used for premature ejaculation; private cost is commonly between 10 and 25 GBP per 30-60 mg tablet.
• Fixed combination tablets of sildenafil plus dapoxetine: These combination products are generally not licensed in the UK. Some online sellers advertise low private prices (for example 2 to 8 GBP per tablet), but imports or unlicensed supplies raise legal and safety concerns.

Some erectile dysfunction treatments may be available on the NHS under defined clinical criteria. Always consult a UK registered prescriber or pharmacist to confirm current lawful supply routes and up to date prices.

UK legal clearance for access and regulation

• Sildenafil: Mostly a prescription-only medicine (POM). A 50 mg sildenafil product (Viagra Connect) is classified as a pharmacy medicine (P) and can be supplied without a prescription following a pharmacist consultation.
• Dapoxetine: Remains a prescription-only medicine in the UK and is not available over the counter.
• Fixed-dose combinations of sildenafil plus dapoxetine: These combinations are not licensed for sale or supply in the UK. Prescribers normally use separate licensed products if clinically required.
• Importing or buying unlicensed medicines from abroad: The Medicines and Healthcare products Regulatory Agency (MHRA) oversees medicine supply. Importation and sale of unlicensed products is restricted; goods can be seized and supplying unlicensed combination ED products to the public is not permitted.
• Advice: Obtain medicines via UK registered pharmacies and prescribers. Avoid unverified online vendors offering unlicensed combinations.

For lawful and clinically safe access speak to your GP or a registered pharmacist. See optional other routes and price points available. for legal options and approximate costs.

Added notes

This page summarises the active substances commonly linked to the Extra Super Viagra name: sildenafil and dapoxetine. Follow the physical storage keeps goods safe and organized. and dosing instructions a high level snapshot of the content provided by your prescriber merged with the patient leaflet that comes with any medicine.

The information here is intended for readers in the UK and is educational in nature. It does not replace a one to one consultation with a healthcare professional. If you notice any of the urgent warning signs listed under incidental effects to expect seek immediate medical attention.