Extra Super P Force (sildenafil + dapoxetine) – Patient Information
Extra Super P Force is a combination medicine containing sildenafil and
This page provides clear, patient-friendly information about how Extra Super P Force works, how it’s typically used, what to expect, and important safety considerations—especially regarding alcohol and other medicines. Always read the product label and follow the advice of a qualified healthcare professional where applicable.
Basic product information
- Active ingredients: Sildenafil + Dapoxetine
- What it’s used for: Erectile dysfunction (ED) and premature ejaculation (PE), including when both are present together
- Common presentation: Oral tablets
- How it works: Sildenafil supports erections; dapoxetine helps reduce the speed of ejaculation
Note: Brand formulations can vary by country and by specific tablet strength. Check your pack for the exact strengths of sildenafil and dapoxetine in each tablet.
How it works (mechanism of action)
Sildenafil (for erections)
Sildenafil belongs to a class of medicines called PDE5 inhibitors (phosphodiesterase type 5 inhibitors). During sexual stimulation, nitric oxide is released in the penis. This increases cyclic GMP, which helps blood vessels relax and allows increased blood flow to help form and maintain an erection.
Sildenafil helps by blocking PDE5, an enzyme that breaks down cyclic GMP. By maintaining higher cyclic GMP levels, sildenafil can improve erectile function when you are sexually aroused.
Dapoxetine (for early ejaculation)
Dapoxetine is an SSRI-like medicine (a selective serotonin reuptake inhibitor, or SSRI). It increases serotonin activity in the nervous system, which can help delay ejaculation in people with premature ejaculation.
Dapoxetine is often chosen because it is designed for on-demand (“as-needed”) use around sexual activity (subject to the product’s approved instructions and your clinician’s guidance).
Pharmacokinetics (how the body handles the medicines)
Pharmacokinetics describes absorption, distribution, metabolism, and elimination. Exact values can vary between individuals and between specific tablet strengths.
Sildenafil (overview)
- Absorption: Sildenafil is absorbed after oral use. Peak levels typically occur within about 30–120 minutes.
- Metabolism: Mostly metabolised in the liver by the enzyme system CYP3A4 (and related pathways).
- Elimination: Excretion occurs primarily through faeces (biliary routes) and to a lesser extent via urine.
- Duration: Effects can last for several hours, though the strength and reliability of erection support can decrease over time.
Dapoxetine (overview)
- Absorption: Dapoxetine is absorbed orally and is designed for relatively rapid onset.
- Peak levels: Typically occur within about 1–2 hours (varies).
- Metabolism: Processed by liver enzymes and further metabolism steps; drug interactions can be significant with certain medicines.
- Elimination: Metabolites are cleared primarily by the kidneys and liver.
- Duration: The “on-demand” approach means you generally use it shortly before sex rather than daily (as directed by the product instructions and local guidance).
Because both ingredients can be affected by liver enzymes and circulation, interactions and absorption issues (for example, from food) can influence how well the medicine works.
What it’s typically used for (indications)
Extra Super P Force is intended for adults who have:
- Erectile dysfunction (ED): Difficulty achieving and/or maintaining an erection adequate for satisfactory sexual performance.
- Premature ejaculation (PE): Ejaculation that occurs sooner than desired and causes distress or interpersonal difficulty.
- Both conditions together: When erection difficulties and premature ejaculation are present at the same time.
Important: If your main issue is low libido, pain, erectile problems only when anxious, or relationship factors, you may need a different approach.
Typical dosing and timing
Always follow the dosing instructions on your specific product label. Dosing recommendations can vary by the strengths included in each tablet.
General “on-demand” timing
- Sildenafil component: Often taken about 30–60 minutes before sex, though some people may notice effects sooner or later.
- Dapoxetine component: Usually taken 1–3 hours before sex (follow the label). Dapoxetine is designed to help with ejaculation timing around sexual activity.
How many times per day?
- Use is typically as needed rather than continuous daily use.
- Do not exceed the maximum frequency stated on the package.
Missed dose
Because Extra Super P Force is used in an on-demand way, a “missed dose” usually means you simply take it later the next time you plan sexual activity—again, within the allowed dosing instructions.
If you don’t get the expected effect
- Wait for the medicine to reach full effect before judging results.
- Consider that heavy meals (especially fatty foods) and alcohol may reduce or delay effects.
- Make sure you are sexually stimulated—sildenafil generally works best with arousal.
- Discuss persistent problems with a healthcare professional, especially if you have cardiovascular risk factors.
Food interactions (what you eat matters)
Food can change how quickly and reliably sildenafil and dapoxetine work.
- Fatty meals: Can delay absorption and reduce peak levels of sildenafil, potentially making the medicine take longer to work.
- Timing with meals: Many people find it helps to take the tablet on an emptier stomach or at least avoid a very heavy, greasy meal beforehand.
- Water intake: Taking with water is generally recommended; avoid large volumes that make you feel unwell.
Practical tip: If you’re planning sex, consider having a lighter meal earlier, then take the dose as directed on the label.
Alcohol interactions and safety
Alcohol can affect sexual performance in multiple ways, including reduced arousal, dizziness, and cardiovascular effects. It can also increase side effects when combined with sildenafil and dapoxetine.
- Increased risk of dizziness or low blood pressure: Combining alcohol with sildenafil may increase the chance of feeling light-headed.
- Increased nausea and drowsiness: Dapoxetine can cause side effects like nausea; alcohol may worsen tolerability.
- Reduced effectiveness: Heavy drinking can impair erections and ejaculation control.
Patient-friendly guidance: If you choose to drink alcohol, keep it modest and allow time for it to clear your system before sex. Avoid binge drinking.
Medicine interactions (important)
Extra Super P Force can interact with other medicines due to enzyme pathways (especially involving CYP3A4) and effects on serotonin pathways.
Seek urgent medical advice if you experience chest pain, fainting, severe dizziness, or an allergic reaction.
Absolute or high-risk interactions
- Nitrates (for angina/chest pain): Do not combine sildenafil with nitrates (for example, glyceryl trinitrate) due to potentially dangerous low blood pressure.
- “Poppers”: Avoid recreational nitrite inhalants; they can dangerously interact with sildenafil.
- Strong CYP3A4 inhibitors: Some antifungals (like ketoconazole/itraconazole), certain antivirals (like some HIV medicines), and some antibiotics can raise sildenafil levels.
- Strong serotonin-modulating medicines: Dapoxetine can interact with certain antidepressants and other serotonergic medicines. Combining can increase the risk of serotonin syndrome.
Examples of medicines that may need caution
The following are examples only. Your exact situation depends on your medication list:
- Alpha-blockers for prostate symptoms or blood pressure (e.g., tamsulosin, doxazosin): may increase dizziness/low blood pressure.
- Other ED medicines (including other PDE5 inhibitors): generally do not combine.
- Medicines that affect serotonin (for example, MAO inhibitors, other SSRIs/SNRIs, some migraine treatments): may require special management.
- Certain antibiotics/antifungals and cimetidine: may alter sildenafil levels.
- Alcohol-heavy or sedating combinations: may increase dizziness and impairment.
What to do
- Before using Extra Super P Force, review all medicines (including over-the-counter, vitamins, and herbal products).
- If you are unsure, ask a pharmacist or clinician about interaction risks.
- Tell the pharmacy or clinician if you have cardiovascular disease, fainting episodes, or a history of mood disorders.
Safety profile and possible side effects
Like all medicines, Extra Super P Force can cause side effects. Many are mild and temporary, but some require prompt attention.
Common side effects (often mild to moderate)
- Headache
- Flushing or feeling warm
- Stuffy or runny nose
- Dizziness
- Nausea
- Indigestion
- Temporary visual changes (sildenafil-related)
Less common but serious risks
- Low blood pressure (especially with alcohol, nitrates, or some blood pressure medicines) leading to fainting.
- Priapism (an erection lasting too long, typically >4 hours) which requires urgent medical care.
- Serotonin syndrome (rare but serious) with symptoms such as agitation, confusion, fast heartbeat, fever, sweating, tremor, or diarrhoea—particularly when combined with other serotonergic medicines.
- Severe allergic reaction (swelling, rash, difficulty breathing).
- Heart-related symptoms such as chest pain or severe shortness of breath.
When to get urgent help
Get urgent medical assistance if you have:
- Fainting or severe dizziness
- Chest pain, severe shortness of breath, or symptoms suggestive of a heart problem
- An erection that lasts beyond the safe time window
- Signs of serotonin syndrome or a serious allergic reaction
Practical use tips (how to get the best result safely)
- Plan ahead: Take the tablet at the correct time before sex as stated on your product label.
- Start with a clear baseline: If you’ve never used PDE5 inhibitors before, allow enough time to see how you respond.
- Sexual stimulation matters: Sildenafil improves the response to arousal; it is not a direct “instant erection” trigger.
- Reduce distractions: Anxiety and performance pressure can worsen both ED and PE.
- Stay hydrated: Dehydration can worsen headache or dizziness.
- Move slowly: If you feel light-headed, sit or lie down and avoid sudden standing.
- Avoid grapefruit products: Grapefruit may affect sildenafil metabolism in some people; check guidance on your specific product.
- Do not “stack” doses: Taking more frequently than directed increases side-effect risk without improving safety.
Alternative options
If Extra Super P Force isn’t suitable (for example, due to interactions, side effects, or your specific condition), there are alternatives for ED and PE.
For erectile dysfunction (ED) alternatives
- Other PDE5 inhibitors (different sildenafil/tadalafil/other options): may be chosen based on duration and side-effect profile.
- Non-medicine options: Address lifestyle factors (sleep, exercise), and consider pelvic floor exercises (particularly helpful for some patients).
- Medical review: If ED is new, consider evaluating cardiovascular risk factors and blood glucose.
For premature ejaculation (PE) alternatives
- On-demand or daily serotonin-modulating treatments depending on the diagnosis and tolerance.
- Behavioural strategies (for example, stop-start techniques) and counselling.
- Pelvic floor training can improve control for some people.
When to seek professional advice
- Symptoms began suddenly or are worsening quickly
- You have diabetes, heart disease, or take multiple cardiovascular medicines
- You experience significant anxiety, low mood, or relationship stress impacting sexual function
Extra Super P Force in the Australian market: legal and practical context
In Australia, medicines are regulated by the Therapeutic Goods Administration (TGA). Availability online may depend on whether a product is registered, listed, or supplied through permitted channels.
What this means for you:
- Ensure the product you purchase is sourced through a legitimate pharmacy or permitted supplier.
- Check packaging details, active ingredients, and strength on the outer carton and blister strip.
- Be cautious with products that do not clearly state the ingredients and dosage information.
Important note: Some combination products may not be available under the same branding or may differ in formulation by region. Always rely on the actual strengths printed on the pack you receive.
Recent guidance (what clinicians commonly emphasise)
In recent years, general clinical messaging for ED and PE medicines has focused on:
- Safety screening: Careful consideration of cardiovascular health and medication interactions (especially with nitrates and alpha-blockers).
- Interaction awareness: Sildenafil and dapoxetine can interact with certain prescription and non-prescription products.
- On-demand use discipline: Avoid exceeding recommended frequency and use timing that supports effectiveness.
- Monitoring for neuropsychiatric effects: Because dapoxetine affects serotonin pathways, people with certain mental health histories require careful assessment.
If you’re unsure whether a combination is appropriate for you, speak with a pharmacist or clinician to review your medicines and medical history.
Delivery and availability (Australia)
Many Australian pharmacies and online suppliers offer discreet delivery options for sexual health medicines. Availability may vary depending on stock and packaging.
- Discreet packaging: Typically offered to maintain privacy.
- Delivery timeframes: Depend on your location and the supplier’s dispatch schedule.
- Tracking: Some orders include tracking for added confidence.
- Cold-chain: Usually not required for tablets.
Before ordering: Confirm the product strength, check expiry dates on the received packaging, and ensure you can verify the active ingredients and directions for use.
FAQ
1) How soon will Extra Super P Force work?
Many people notice effects within 30–120 minutes for the sildenafil component. The dapoxetine component is typically designed for dosing in the hours before sex. If you take it with a heavy, fatty meal or after heavy alcohol, onset may be slower or effects may be less reliable.
2) Can I take it with food?
You can usually take it by mouth regardless of meals, but heavy or fatty meals may delay or reduce effectiveness. For best results, consider taking it with a lighter meal and follow the timing guidance on the label.
3) Can I drink alcohol?
Alcohol can worsen side effects such as dizziness and may reduce sexual performance. If you drink, keep it modest and allow time for alcohol to clear. Avoid binge drinking.
4) What should I avoid in terms of other medicines?
Avoid combinations that include nitrates (for chest pain) and be cautious with medicines that affect serotonin. Also review blood pressure medicines, alpha-blockers, and strong CYP3A4 inhibitors with a pharmacist or clinician.
5) Is it safe for everyone?
Not everyone is suitable for sildenafil and dapoxetine. People with certain heart conditions, low blood pressure, serious liver disease, medication interactions, or specific medication histories may need extra caution. If you have any concerns, discuss with a healthcare professional.
6) What if I get side effects?
Mild headache, flushing, or nausea may settle with time. If you experience severe dizziness, fainting, chest pain, signs of serotonin syndrome, or an erection lasting too long, seek urgent medical care.
7) How do I improve the chances it works well?
Use the correct timing, avoid heavy meals and excessive alcohol, ensure sexual stimulation, and manage anxiety. Some people need more than one attempt to judge effectiveness and tolerability (within recommended dosing limits).
8) Can it treat both ED and premature ejaculation at the same time?
Yes. Extra Super P Force contains sildenafil (ED) and dapoxetine (PE), so it may address both problems together when prescribed/used appropriately for the individual.
9) What if it doesn’t work for me?
Don’t increase frequency beyond the label. Consider whether interactions, timing, alcohol, or food contributed. If it consistently fails, seek medical advice to evaluate cardiovascular health and to consider alternative treatments.
10) How should I store it?
Keep tablets in their original packaging, stored at room temperature away from moisture and heat, and out of reach of children. Check the expiry date on the pack.
Summary
Extra Super P Force (sildenafil + dapoxetine) is a combination medicine intended to help with erectile dysfunction and premature ejaculation. Sildenafil improves erectile function during sexual stimulation, while dapoxetine helps delay ejaculation. For best results, take it at the right time before sex, consider avoiding heavy meals and excessive alcohol, and be mindful of medication interactions—especially nitrates and certain serotonin-related medicines.
If you have cardiovascular concerns, take multiple medicines, or have experienced troublesome side effects previously, it’s wise to discuss your situation with a pharmacist or clinician before using this medicine.
