Extra Super Viagra represents a significant advancement in the pharmacological management of erectile dysfunction (ED), combining two well-established active compounds into a single, potent formulation. This medication is specifically engineered for men who require a more robust therapeutic approach, offering a dual-mechanism action that not only facilitates the achievement of an erection but also supports its maintenance for satisfactory sexual performance. It is a prescription-only treatment, developed for individuals who have not achieved desired results with monotherapies. Consulting a healthcare professional is essential to determine if this advanced therapy is appropriate for your specific medical condition and overall health profile.

Features

• Dual active ingredients: Sildenafil Citrate (100mg) and Dapoxetine (60mg).
• Mechanism of Action: Sildenafil is a PDE5 inhibitor that increases blood flow to the penile tissues; Dapoxetine is a selective serotonin reuptake inhibitor (SSRI) that helps delay ejaculation.
• Formulation: Oral tablet, film-coated for easier swallowing.
• Onset of Action: Typically begins to work within 30-60 minutes after ingestion.
• Duration of Effect: The effects of Sildenafil can last for up to 4-6 hours; the effects of Dapoxetine are shorter-acting, focused on the sexual event.
• Prescription Requirement: Available only with a valid prescription from a licensed medical practitioner.

Benefits

• Achieves a firm and reliable erection sufficient for sexual intercourse when sexually stimulated.
• Effectively addresses both erectile dysfunction and premature ejaculation concurrently in a single dose.
• Enhances sexual confidence and reduces performance-related anxiety by providing predictable results.
• Improves overall sexual satisfaction for both the individual and their partner.
• Offers a convenient treatment option, eliminating the need to manage multiple medications for related conditions.

Common use

Extra Super Viagra is primarily prescribed for the treatment of male erectile dysfunction (ED) comorbid with premature ejaculation (PE). It is intended for use by adult men who experience an inability to achieve or maintain an erection firm enough for satisfactory sexual activity, coupled with a persistent or recurrent pattern of ejaculation occurring within approximately one minute of vaginal penetration and before the individual wishes. It is not indicated for use by women, children, or adolescents.

Dosage and direction

The recommended dose is one tablet taken orally approximately 1-3 hours before anticipated sexual activity. The tablet should be swallowed whole with a full glass of water. It can be taken with or without food; however, consuming a high-fat meal may delay the onset of action. This medication is designed for use on an as-needed basis and should not be taken more than once in a 24-hour period. The dosage is fixed; do not split the tablet. Always follow the specific dosage instructions provided by your prescribing physician.

Precautions

• Prior to taking this medication, disclose your full medical history to your doctor, including any history of heart disease, stroke, hypotension, hypertension, liver or kidney problems, blood cell conditions, stomach ulcers, bleeding disorders, or physical deformities of the penis.
• This medication can cause a sudden drop in blood pressure. Avoid sudden posture changes to prevent dizziness.
• Sexual activity poses a potential cardiac risk. Individuals with pre-existing cardiovascular disease should be evaluated by a physician before initiating any treatment for ED.
• Notify your doctor of any vision changes or instances of priapism (a painful erection lasting more than 4 hours).
• Alcohol consumption can increase the risk of side effects like dizziness, lowering of blood pressure, and increased heart rate and should be limited or avoided.

Contraindications

Extra Super Viagra is strictly contraindicated in:

• Patients using any form of organic nitrates (e.g., nitroglycerin, isosorbide mononitrate or dinitrate) or nitric oxide donors, either regularly or intermittently. Concomitant use can lead to a severe, life-threatening drop in blood pressure.
• Patients with a known hypersensitivity to Sildenafil Citrate, Dapoxetine, or any other components of the tablet.
• Patients with severe hepatic impairment.
• Patients with significant heart problems such as severe heart failure, unstable angina, or those who have had a recent heart attack or stroke.
• Patients with a history of certain rare inherited eye diseases.

Possible side effect

Like all medicines, this medicine can cause side effects, although not everybody gets them. Common side effects may include:

• Headache
• Flushing
• Dizziness
• Nasal congestion
• Indigestion or upset stomach
• Nausea
• Insomnia Less common but more serious side effects require immediate medical attention:
• Priapism (prolonged and painful erection lasting more than 4 hours)
• Sudden decrease or loss of vision in one or both eyes
• Sudden decrease or loss of hearing
• Signs of a serious allergic reaction (e.g., rash, itching/swelling, severe dizziness, trouble breathing)
• Seizures

Drug interaction

This medicine can interact with many other medicines, potentially causing serious side effects or reducing efficacy. Key interactions include:

• Nitrates: Absolute contraindication. Concomitant use can cause a dangerous drop in blood pressure.
• Alpha-blockers (e.g., doxazosin, tamsulosin): May enhance blood-pressure-lowering effects.
• Other PDE5 inhibitors (e.g., vardenafil, tadalafil): Do not use concurrently.
• Potent CYP3A4 inhibitors (e.g., ketoconazole, ritonavir, erythromycin): May increase plasma concentrations of the active ingredients.
• Other medicines for erectile dysfunction or pulmonary hypertension.
• Other SSRIs or psychiatric medications. Provide your doctor with a complete list of all prescription, non-prescription, and herbal products you are taking.

Missed dose

This medication is not for regular daily use. It is taken only when needed. Therefore, the concept of a “missed dose” does not apply. Do not take an extra dose to make up for a missed one.

Overdose

In case of suspected overdose, seek immediate medical attention or contact a Poison Control Center. Overdose symptoms may include severe manifestations of the drug’s known side effects, such as severe headache, profound dizziness, fainting, prolonged erection, and severe nausea. Emergency medical treatment is supportive and may include measures to stabilize blood pressure.

Storage

Store at room temperature (15-30°C or 59-86°F) in the original container, away from light, excess heat, and moisture. Keep the container tightly closed. Do not store in the bathroom. Keep all medicines out of the reach of children and pets. Do not flush medications down the toilet or pour them into a drain unless instructed to do so.

Disclaimer

This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition or before starting any new treatment. Never disregard professional medical advice or delay in seeking it because of something you have read here.

Reviews

• “After struggling with both ED and PE for years, my urologist suggested this. The difference has been remarkable. It’s like getting my confidence back in one pill.” – M.C., 52
• “The convenience of addressing two issues at once is its biggest advantage. The effects are consistent and have significantly improved our intimate life.” – A.L., 48
• “I experienced some initial flushing and a mild headache, but these subsided after the first couple of uses. The benefits far outweigh these minor side effects for me.” – R.S., 55
• “It’s potent, so following the doctor’s instructions on timing is crucial. When done correctly, it works exactly as intended.” – D.K., 61