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 not only the reliable vasodilation needed for achieving and maintaining an erection but also an added component to enhance sexual desire. It is a prescription medication intended for adult males diagnosed with ED and should be used under strict medical supervision following a comprehensive health evaluation. This product card provides a detailed, expert overview of its specifications, appropriate use, and essential safety information.

Features

• Active Ingredients: Sildenafil Citrate (100mg) and Dapoxetine Hydrochloride (60mg).
• Pharmacological Class: Phosphodiesterase type 5 (PDE5) inhibitor and selective serotonin reuptake inhibitor (SSRI).
• Dosage Form: Film-coated oral tablet.
• Onset of Action: Typically within 30-60 minutes post-administration.
• Duration of Effect: The erectile effects can last up to 4-6 hours; the premature ejaculation component is effective for the specific sexual encounter.
• Administration: Orally, with a full glass of water.

Benefits

• Dual-Action Efficacy: Addresses both the physiological aspects of erectile dysfunction and the psychological component of premature ejaculation simultaneously.
• Enhanced Confidence: By effectively managing two common sexual health concerns, it can significantly improve self-assurance and reduce performance-related anxiety.
• Predictable Results: Offers a reliable and consistent response when used as directed in appropriate candidates, facilitating spontaneous sexual activity.
• Improved Relationship Satisfaction: Successful treatment of these conditions can lead to greater intimacy and satisfaction for both partners.
• Single-Dose Convenience: Combines two treatments into one tablet, simplifying the treatment regimen.

Common use

Extra Super Viagra is primarily prescribed for the treatment of erectile dysfunction in adult men. Its unique formulation makes it particularly suitable for individuals who experience both ED and premature ejaculation (PE), a common comorbidity. It is not intended for use by women, children, or adolescents. Sexual stimulation is required for the erectile component to be effective. It is not an aphrodisiac and will not increase libido in individuals with normal sexual desire.

Dosage and direction

The standard recommended dose is one tablet taken orally approximately 30-60 minutes before anticipated sexual activity. It is crucial to adhere to a maximum of one dose within a 24-hour period. The tablet should be swallowed whole with a full glass of water; it should not be split, crushed, or chewed. Administration with a high-fat meal may delay the onset of action. The dosage is fixed; do not adjust it without consulting your healthcare provider. This medication is intended for use on an as-needed basis rather than a daily scheduled regimen.

Precautions

• Prior to initiation, a thorough medical evaluation must be conducted to assess cardiovascular health, as sexual activity carries potential cardiac risk.
• Use with caution in patients with anatomical deformation of the penis, history of priapism, bleeding disorders, or active peptic ulceration.
• This medication can cause dizziness and syncope; patients should be cautious about operating machinery or driving until they know how the drug affects them.
• It may cause a sudden drop in blood pressure. Caution is advised in patients taking antihypertensives or those with underlying hypotension.
• Inform your physician of all current medical conditions, especially liver or kidney impairment, as dosage adjustments may be necessary.

Contraindications

Extra Super Viagra is strictly contraindicated in the following scenarios:

• Concomitant administration with any form of organic nitrates (e.g., nitroglycerin, isosorbide mononitrate/dinitrate) or nitric oxide donors.
• Concomitant use with other PDE5 inhibitors.
• Patients with a known hypersensitivity to Sildenafil Citrate, Dapoxetine, or any other component of the formulation.
• Men with severe hepatic impairment.
• Patients with a history of significant ischemic heart disease, unstable angina, severe heart failure, or recent stroke or myocardial infarction.
• Patients with a history of manic episodes or diagnosed with bipolar disorder.

Possible side effect

Like all medicines, this drug can cause side effects, although not everybody gets them. Common side effects are often mild to moderate and transient. They may include:

• Very Common (≥1/10): Headache, flushing.
• Common (≥1/100 to <1/10): Dizziness, nausea, dyspepsia, nasal congestion, blurred vision, insomnia, dry mouth.
• Uncommon (≥1/1,000 to <1/100): Palpitations, tachycardia, vomiting, diarrhea, vertigo, increased sweating, blurred vision, altered color perception (cyanopsia).
• Rare (≥1/10,000 to <1/1,000): Hypotension, syncope, priapism (a prolonged and painful erection lasting more than 4 hours; this is a medical emergency requiring immediate treatment to avoid permanent damage), tinnitus, sudden hearing loss. Patients should report any persistent or severe side effects to their physician immediately.

Drug interaction

The potential for drug interactions is significant. Always provide your doctor with a complete list of all medications you are taking, including prescription, over-the-counter, and herbal products.

• Absolute Contraindication: Nitrates (e.g., nitroglycerin), other PDE5 inhibitors (e.g., tadalafil, vardenafil).
• Potent CYP3A4 Inhibitors: Avoid concomitant use with drugs like ketoconazole, itraconazole, ritonavir, or clarithromycin, as they can dramatically increase plasma concentrations of the active ingredients.
• Alpha-blockers: (e.g., doxazosin, tamsulosin) can potentiate the blood-pressure-lowering effects, leading to symptomatic hypotension.
• Other Antihypertensives: Additive hypotensive effects may occur.
• Other SSRIs or Psychiatric Medications: Concomitant use with other serotonergic drugs (e.g., MAOIs, triptans, tramadol) increases the risk of serotonin syndrome.

Missed dose

This medication is not intended for regular scheduled dosing. It is taken on an as-needed basis. Therefore, the concept of a “missed dose” does not apply. 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. Overdose would be expected to potentiate the known side effects, particularly severe hypotension, syncope, prolonged erection, and severe serotonin syndrome symptoms (agitation, confusion, rapid heart rate, dilated pupils, loss of coordination). Standard supportive measures should be employed. Management of priapism is a urological emergency. Sildenafil is not dialyzable.

Storage

• Store in the original blister pack or container at room temperature (15°-30°C or 59°-86°F).
• Protect 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 dispose of medication in wastewater or household trash. Ask your pharmacist how to dispose of medicines no longer required.

Disclaimer

This product information is for educational purposes only and does not constitute medical advice. It is not a substitute for a professional consultation with a qualified healthcare provider. A physician must diagnose your condition and determine the appropriateness of this therapy for you. Never initiate or discontinue any medication without the direct supervision of your doctor. The information provided here is based on the typical profile of the active ingredients and may not be exhaustive. Always refer to the official local prescribing information for the most accurate and current data.

Reviews

• “After struggling with both ED and PE for years, my urologist suggested this. The difference has been remarkable. It’s like a reset button for my confidence. The effects are consistent and have greatly improved my relationship.” – M.C., 52
• “The convenience of a single pill for both issues is its biggest advantage. I experienced some initial flushing and a stuffy nose, but these side effects diminished after the first few uses. It does exactly what it promises.” – D.K., 48
• “Important to follow the doctor’s instructions precisely. I made the mistake of taking it after a heavy meal once, and it took much longer to work. On an empty stomach, it’s effective within 45 minutes for me. A game-changer when used correctly.” – A.L., 55
• “Effective, but the side effects were too pronounced for me (significant dizziness). My doctor switched me to a different option. It highlights the necessity of professional guidance to find the right treatment for the individual.” – T.B., 61