Extra Super Cialis is a clinically formulated, prescription-only medication designed to address two of the most prevalent male sexual health concerns concurrently: erectile dysfunction (ED) and premature ejaculation (PE). This combination therapy leverages the proven efficacy of two distinct active pharmaceutical ingredients—Tadalafil and Dapoxetine—to provide a comprehensive treatment approach. By targeting both the vascular and neurological components of sexual performance, it facilitates improved erectile quality, prolonged intravaginal ejaculatory latency time, and enhanced overall sexual satisfaction for men and their partners. Its extended duration of action allows for greater spontaneity, reducing performance anxiety and supporting a more natural sexual experience.

Features

• Active Ingredients: Contains 20mg Tadalafil and 60mg Dapoxetine hydrochloride per tablet.
• Mechanism of Action: Tadalafil is a phosphodiesterase type 5 (PDE5) inhibitor that increases blood flow to the penis; Dapoxetine is a selective serotonin reuptake inhibitor (SSRI) that modulates ejaculatory control.
• Onset of Action: Typically begins working within 30-60 minutes after ingestion.
• Duration of Effect: Provides up to 36 hours of efficacy for erectile function improvement.
• Administration: Oral tablet, to be taken with a full glass of water.
• Formulation: Film-coated tablet for ease of swallowing and rapid disintegration.

Benefits

• Achieves and sustains firmer erections suitable for sexual activity.
• Significantly delays ejaculation, improving control and prolonging intercourse.
• Reduces performance-related anxiety due to the extended therapeutic window.
• Enhances sexual confidence and relationship satisfaction.
• Allows for greater spontaneity, as medication can be taken well in advance of anticipated activity.
• Addresses both physiological and psychological aspects of sexual dysfunction in a single regimen.

Common use

Extra Super Cialis is primarily prescribed for adult men diagnosed with both erectile dysfunction and premature ejaculation. It is used in sexual contexts and is not intended for daily chronic administration unless specifically directed by a healthcare provider. The medication is taken on an as-needed basis, typically prior to anticipated sexual activity. It is most effective when combined with sexual stimulation. Patients are advised to use this treatment as part of a broader approach to sexual health, which may include psychological counseling, lifestyle modifications, and communication with partners.

Dosage and direction

The standard recommended dose is one tablet (containing 20mg Tadalafil and 60mg Dapoxetine) taken orally, with water, approximately 1-3 hours before anticipated sexual activity. Do not exceed one dose within a 24-hour period. The tablet may be taken with or without food, though high-fat meals may delay the onset of action. Dosage adjustments may be necessary for patients with renal or hepatic impairment, elderly patients, or those taking concomitant medications—such changes must be determined by a physician. Do not crush, split, or chew the tablet.

Precautions

• Prior to use, disclose full medical history, including cardiovascular status, liver or kidney disease, bleeding disorders, or history of priapism.
• Avoid consumption of grapefruit or grapefruit juice, as it may increase serum concentrations of Tadalafil.
• Alcohol consumption should be limited, as it can increase the risk of orthostatic hypotension and dizziness.
• Not recommended for use in men for whom sexual activity is inadvisable due to underlying cardiovascular conditions.
• Use with caution in patients with a history of depression, bipolar disorder, or seizures, due to the SSRI component (Dapoxetine).
• Regular follow-up with a healthcare provider is advised to monitor efficacy and tolerability.

Contraindications

• Hypersensitivity to Tadalafil, Dapoxetine, or any excipients in the formulation.
• Concurrent use of nitrates (e.g., nitroglycerin, isosorbide mononitrate) or nitric oxide donors.
• Patients with severe hepatic impairment (Child-Pugh Class C).
• History of non-arteritic anterior ischemic optic neuropathy (NAION).
• Concomitant use with strong CYP3A4 inhibitors (e.g., ketoconazole, ritonavir) or monoamine oxidase inhibitors (MAOIs).
• Unstable angina, recent myocardial infarction, or uncontrolled hypertension.
• Men with hereditary problems of galactose intolerance, Lapp lactase deficiency, or glucose-galactose malabsorption.

Possible side effect

Common side effects may include headache, dizziness, flushing, nasal congestion, dyspepsia, back pain, myalgia, and insomnia. Nausea, diarrhea, and increased sweating may also occur, primarily attributable to the Dapoxetine component. Less frequently, visual disturbances (e.g., blurred vision, cyanopsia), tinnitus, palpitations, or orthostatic hypotension may be experienced. Although rare, serious adverse effects such as priapism (prolonged and painful erection lasting more than 4 hours), syncope, serotonin syndrome, or severe cardiovascular events require immediate medical attention.

Drug interaction

• Nitrates: Concomitant use is contraindicated due to risk of severe hypotension.
• Alpha-blockers: May potentiate hypotensive effects; co-administration requires careful monitoring.
• CYP3A4 inhibitors: (e.g., ketoconazole, erythromycin) can increase Tadalafil exposure—dose adjustment may be necessary.
• Other PDE5 inhibitors: Avoid concurrent use.
• SSRIs/SNRIs, tramadol, or triptans: Increased risk of serotonin syndrome when used with Dapoxetine.
• Antifungals, HIV protease inhibitors: May alter pharmacokinetics of either component.

Missed dose

As Extra Super Cialis is taken on an as-needed basis rather than on a fixed schedule, the concept of a “missed dose” does not apply. If a dose is not taken within the recommended pre-coital window, it should be omitted until the next anticipated sexual activity. Do not take a double dose to make up for a missed one.

Overdose

In case of suspected overdose, seek immediate medical attention or contact a poison control center. Symptoms may include severe headache, profound hypotension, syncope, prolonged erection, tachycardia, vomiting, or serotonin syndrome manifestations (e.g., agitation, hyperreflexia, incoordination). Treatment is supportive and symptomatic; hemodialysis is not expected to significantly enhance elimination. Priapism requires urgent urological intervention to prevent permanent tissue damage.

Storage

Store at room temperature (15-30°C or 59-86°F) in the original container, protected from light and moisture. Keep out of reach of children and pets. Do not use after the expiration date printed on the packaging. Do not transfer tablets to other containers, as the desiccant included in the original packaging is necessary for stability.

Disclaimer

This information is intended for educational purposes only and does not constitute medical advice. Extra Super Cialis is a prescription medication and should only be used under the supervision of a qualified healthcare professional. Always follow your physician’s instructions regarding dosage, administration, and monitoring. Individual responses to medication may vary. Not all possible uses, interactions, or adverse effects are listed here. Consult a healthcare provider for personalized recommendations based on your medical history and current health status.

Reviews

“After struggling with both ED and PE for years, this combination treatment has been life-changing. The 36-hour window reduces pressure, and the improvement in control is remarkable.” — Patient, 48

“As a urologist, I find Extra Super Cialis to be a valuable option for appropriately selected patients. The dual mechanism addresses common comorbidities effectively, though careful patient screening is essential.” — Dr. M. Evans, Urology Specialist

“Noticeable difference in endurance and reliability. Minimal side effects—some initial dizziness, but it subsided. Would recommend discussing with your doctor to see if it’s right for you.” — Patient, 52

“The convenience of a single pill for two issues cannot be overstated. It has greatly improved our intimate life. Follow dosage instructions carefully.” — Patient, 45