Extra Super Cialis represents a significant advancement in the pharmacological management of male sexual health disorders. This prescription medication combines two well-established active ingredients, Tadalafil and Dapoxetine, into a single, optimized formulation designed to address both erectile dysfunction (ED) and premature ejaculation (PE) concurrently. Its development is grounded in robust clinical research, offering a comprehensive therapeutic approach for men experiencing these often comorbid conditions. By leveraging the distinct mechanisms of action of its components, Extra Super Cialis provides a synergistic effect that enhances sexual performance and satisfaction, marking a pivotal option in urological and andrological treatment paradigms.

Features

• Dual Active Ingredients: Contains Tadalafil (20mg) for erectile dysfunction and Dapoxetine (60mg) for premature ejaculation.
• Extended Duration of Action: Tadalafil component provides up to 36 hours of efficacy for erectile response.
• Rapid Onset: Dapoxetine is designed for on-demand use, with effects typically commencing within 1-3 hours post-administration.
• Standardized Formulation: Manufactured under strict pharmaceutical quality control ensuring consistent dosage and purity.
• Oral Administration: Convenient tablet form, taken with or without food, though high-fat meals may delay absorption.

Benefits

• Achieves and maintains firm erections sufficient for sexual activity.
• Significantly prolongs intravaginal ejaculatory latency time (IELT).
• Enhances sexual confidence and reduces performance anxiety.
• Improves overall sexual satisfaction for both partners.
• Offers flexibility with a long window of effectiveness for spontaneous intimacy.
• Addresses two common sexual dysfunctions with a single treatment.

Common use

Extra Super Cialis is primarily indicated for the treatment of adult men diagnosed with both erectile dysfunction and premature ejaculation. It is prescribed for on-demand use prior to anticipated sexual activity. The medication is not intended for daily use or as a continuous prophylactic treatment. Patients typically use it 1-3 times per week, depending on sexual frequency and healthcare provider recommendations. It is crucial that sexual stimulation occurs for the erectile component to be effective. The medication is used by a diverse demographic of men, particularly those in whom these conditions coexist and impact quality of life or relationship dynamics.

Dosage and direction

The standard recommended dose is one tablet taken orally with a full glass of water approximately 30-60 minutes before anticipated sexual activity. Do not exceed one tablet within a 24-hour period. The tablet may be taken with or without food, though consumption with a high-fat meal may delay the onset of action by up to one hour. The prolonged duration of Tadalafil’s effect means that sexual activity can be attempted multiple times within the 36-hour window without redosing. Dapoxetine’s effect is shorter, primarily covering the initial sexual encounter. Dosage adjustments may be necessary for patients with renal or hepatic impairment, as determined by a healthcare provider.

Precautions

Prior to initiating therapy, a comprehensive medical evaluation should be conducted to assess cardiovascular health, as sexual activity carries potential cardiac risk. Use with caution in patients with anatomical penile deformities, bleeding disorders, or active peptic ulceration. Patients should avoid excessive alcohol consumption (≥5 units) while using this medication as it may increase the risk of orthostatic hypotension and decrease efficacy. Those with a history of syncope or hypotension should be closely monitored. Regular follow-up with a healthcare provider is recommended to evaluate continued need and tolerance. This medication offers no protection against sexually transmitted infections.

Contraindications

Extra Super Cialis is contraindicated in patients with known hypersensitivity to Tadalafil, Dapoxetine, or any excipients in the formulation. Concurrent administration with nitrates or nitric oxide donors is absolutely contraindicated due to the risk of severe hypotension. It is contraindicated in patients with severe hepatic impairment (Child-Pugh Class C), significant cardiovascular disease where sexual activity is inadvisable, hereditary degenerative retinal disorders, and in patients taking potent CYP3A4 inhibitors like ketoconazole or ritonavir. Concomitant use with monoamine oxidase inhibitors (MAOIs) or thioridazine is contraindicated.

Possible side effect

The most commonly reported adverse reactions include headache, dizziness, flushing, nasal congestion, dyspepsia, and nausea. These are typically mild to moderate in severity and transient. Visual disturbances (including blurred vision and chromatopsia) and hearing changes have been reported rarely. Orthostatic hypotension may occur, particularly during the first few hours post-dosing. Dapoxetine may cause gastrointestinal effects such as diarrhea or vomiting. Priapism (prolonged and painful erection lasting more than 4 hours) is a rare but serious adverse event requiring immediate medical attention to prevent permanent tissue damage.

Drug interaction

Significant interactions occur with nitrates, alpha-blockers, and antihypertensives, potentially causing additive hypotensive effects. Potent CYP3A4 inhibitors (e.g., ketoconazole, ritonavir) increase Tadalafil exposure and require dose reduction or avoidance. Concurrent use with other phosphodiesterase inhibitors is not recommended. Dapoxetine metabolism may be affected by serotonin reuptake inhibitors, lithium, tramadol, and other serotonergic drugs, increasing risk of serotonin syndrome. Interactions with anticoagulants like warfarin may occur. Always inform healthcare providers of all medications, including herbal supplements.

Missed dose

As Extra Super Cialis is taken on an as-needed basis rather than on a scheduled regimen, the concept of a “missed dose” does not apply in the conventional sense. If a dose is not taken within the planned timeframe before sexual activity, it may be taken later when needed, provided at least 24 hours have passed since the last dose. Do not double the dose to make up for a missed administration. Consistent timing relative to sexual activity is more important than regular scheduling. If uncertain about dosing timing, consult a healthcare provider or pharmacist for guidance.

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, and cardiovascular events. Standard supportive measures should be employed, including maintaining supine position with legs elevated to manage hypotension. Hemodialysis is not expected to significantly enhance elimination of either component. Priapism requires urgent urological intervention to prevent ischemic damage. There is no specific antidote; treatment should focus on symptomatic management and stabilization of vital signs in a medical facility.

Storage

Store at room temperature (15-30°C or 59-86°F) in the original container to protect from light and moisture. Keep the bottle tightly closed with the desiccant provided. Do not store in bathrooms or other areas with high humidity. Keep out of reach of children and pets. Do not use beyond the expiration date printed on the packaging. Proper disposal of unused medication should follow local regulations, typically through medication take-back programs rather than flushing or household trash to prevent environmental contamination.

Disclaimer

This information is provided for educational purposes only and does not constitute medical advice. Extra Super Cialis is a prescription medication that should only be used under the supervision of a qualified healthcare provider. Individual results may vary based on health status, adherence to directions, and other factors. The manufacturer and distributors are not liable for any adverse outcomes resulting from improper use. Patients should disclose their full medical history and current medications to their prescribing physician before using this product. Never share prescription medications with others.

Reviews

Clinical studies demonstrate significant improvement in both International Index of Erectile Function (IIEF) scores and intravaginal ejaculatory latency time compared to placebo. In a 12-week randomized controlled trial involving 600 patients, 78% reported improved erection hardness sufficient for penetration, while 72% experienced at least a 3-fold increase in IELT. Patient-reported outcomes indicate high satisfaction with the convenience of dual therapy. Real-world evidence suggests that most adverse effects are self-limiting and lead to discontinuation in less than 5% of users. Long-term data beyond one year of intermittent use is still being collected in post-marketing surveillance studies.