Extra Super Cialis represents a significant advancement in the pharmacological management of two of the most prevalent male sexual health disorders: erectile dysfunction (ED) and premature ejaculation (PE). This combination medication leverages the proven efficacy of two distinct active pharmaceutical ingredients—tadalafil and dapoxetine—to address both the physiological and psychological components of sexual performance. Tadalafil, a long-acting phosphodiesterase type 5 (PDE5) inhibitor, facilitates robust and sustained erectile function by enhancing blood flow to the corpus cavernosum. Dapoxetine, a short-acting selective serotonin reuptake inhibitor (SSRI), is specifically indicated for the treatment of premature ejaculation, increasing intravaginal ejaculatory latency time (IELT) and improving control over ejaculation. The synergistic action of these compounds provides a comprehensive therapeutic approach, offering patients a dual benefit from a single tablet. This product is formulated for adult males experiencing both conditions concurrently, providing a streamlined treatment option that can significantly enhance sexual satisfaction and quality of life.

Features

• Active Ingredients: Each film-coated tablet contains Tadalafil 20 mg and Dapoxetine 60 mg.
• Mechanism of Action: Dual mechanism; Tadalafil inhibits PDE5 to promote vasodilation and erection, while Dapoxetine modulates serotonin neurotransmission to delay ejaculation.
• Onset of Action: Tadalafil effects typically begin within 30-60 minutes; Dapoxetine is administered 1-3 hours prior to anticipated sexual activity.
• Duration of Effect: Tadalafil provides a therapeutic window of up to 36 hours; Dapoxetine effects are acute and limited to the dosing occasion.
• Formulation: Oral tablet designed for rapid disintegration and absorption.
• Packaging: Available in blister packs of 10 tablets, with clear dosing instructions and safety information.

Benefits

• Dual Symptom Management: Effectively treats both erectile dysfunction and premature ejaculation simultaneously, addressing two common concerns with one medication.
• Extended Responsiveness: The prolonged half-life of tadalafil allows for spontaneous sexual activity over a 36-hour period, reducing timing-related anxiety.
• Improved Ejaculatory Control: Clinically proven to significantly increase intravaginal ejaculatory latency time, enhancing sexual confidence and partner satisfaction.
• Convenient Administration: Single-tablet regimen simplifies treatment compared to managing multiple prescriptions.
• Enhanced Sexual Experience: By addressing both erection quality and timing of ejaculation, patients report improved overall sexual performance and relationship satisfaction.
• Psychological Well-being: Successful treatment often leads to reduced performance anxiety and improved self-esteem regarding sexual function.

Common use

Extra Super Cialis is prescribed for the treatment of adult men who experience both erectile dysfunction and premature ejaculation. Erectile dysfunction is characterized by the consistent inability to achieve or maintain an erection sufficient for satisfactory sexual performance. Premature ejaculation is defined as ejaculation that always or nearly always occurs prior to or within about one minute of vaginal penetration, and the inability to delay ejaculation on all or nearly all vaginal penetrations. The medication is intended for use by sexually active men and requires sexual stimulation to be effective for the erectile component. It is not indicated for use by women, adolescents, or men who do not have both conditions. The product should be used as part of a overall approach to sexual health that may include psychological counseling or lifestyle modifications.

Dosage and direction

The recommended dosage is one tablet taken orally with a full glass of water. Dapoxetine requires administration 1-3 hours prior to anticipated sexual activity to achieve optimal plasma concentrations for ejaculatory control. Tadalafil may be taken without regard to meals, though high-fat meals may delay absorption slightly. The medication should not be taken more than once in a 24-hour period. The extended duration of tadalafil’s effect means that sexual activity may be attempted at any time within approximately 36 hours after dosing. Patients should not exceed the prescribed dosage without consulting their healthcare provider. For elderly patients or those with mild to moderate renal or hepatic impairment, the same dosage is typically appropriate, but caution is advised and medical consultation is recommended before use.

Precautions

Prior to using Extra Super Cialis, patients should undergo a thorough medical evaluation to assess cardiovascular status, as sexual activity carries potential cardiac risk. This medication is contraindicated with nitrates and certain other medications. Patients should disclose all current medications to their healthcare provider. Those with cardiovascular conditions such as unstable angina, recent myocardial infarction, or uncontrolled hypertension should use extreme caution. Anatomical deformities of the penis (such as Peyronie’s disease) or conditions predisposing to priapism (sickle cell anemia, multiple myeloma, leukemia) require special consideration. The medication may cause dizziness or syncope, particularly when standing up quickly from a lying or sitting position. Patients should avoid alcohol consumption while taking this medication, as it may increase the risk of adverse effects including orthostatic hypotension.

Contraindications

Extra Super Cialis is strictly contraindicated in several patient populations and circumstances. Absolute contraindications include: concomitant administration with any form of organic nitrates (e.g., nitroglycerin, isosorbide mononitrate or dinitrate) or nitric oxide donors, which can cause profound hypotension; patients with known hypersensitivity to tadalafil, dapoxetine, or any excipients in the formulation; those with severe hepatic impairment (Child-Pugh Class C); patients with significant underlying cardiovascular disease for whom sexual activity is not advised; and those with hereditary problems of galactose intolerance, Lapp lactase deficiency, or glucose-galactose malabsorption. The medication is also contraindicated in men who have been advised against sexual activity due to cardiovascular risk factors.

Possible side effect

Like all medications, Extra Super Cialis may cause adverse effects, though not everyone experiences them. Common side effects (≥1/100 to <1/10) include headache, dizziness, nausea, flushing, nasal congestion, and indigestion. Less frequently (≥1/1,000 to <1/100), patients may experience blurred vision, eye pain, palpitations, increased blood pressure, insomnia, fatigue, diarrhea, or dry mouth. Rare but serious side effects (<1/1,000) include priapism (prolonged and painful erection lasting more than 4 hours), sudden hearing loss, tinnitus, severe dizziness or fainting, and allergic reactions including skin rash, itching, or swelling. Any persistent or bothersome side effects should be reported to a healthcare provider immediately. Most side effects are mild to moderate and transient in nature.

Drug interaction

Extra Super Cialis has several clinically significant drug interactions that require careful management. The most dangerous interaction is with nitrates (commonly used for angina), which can cause severe hypotension. Concurrent use with alpha-blockers (for hypertension or BPH) may potentiate hypotensive effects. Other PDE5 inhibitors should not be used concomitantly. Dapoxetine may interact with other serotonergic drugs (including SSRIs, SNRIs, tricyclic antidepressants, tramadol, and triptans), potentially increasing the risk of serotonin syndrome. Strong CYP3A4 inhibitors (such as ketoconazole, ritonavir, clarithromycin) may increase tadalafil exposure. Moderate interactions may occur with alcohol, antihypertensives, and other medications affecting blood pressure. Patients must provide their physician with a complete list of all prescription, over-the-counter, and herbal products they are taking.

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 in the traditional sense. The medication should be taken approximately 1-3 hours before anticipated sexual activity to achieve optimal effect for both components. If a patient forgets to take the medication before sexual activity, they should not take a double dose to make up for the missed tablet. Instead, they should take a single dose when remembered, provided that sufficient time remains before sexual activity and that no more than one tablet is taken within any 24-hour period. The medication should not be used more frequently than once daily.

Overdose

In cases of suspected overdose, immediate medical attention should be sought. Symptoms of overdose may include severe headache, dizziness, fainting, nausea, vomiting, erection lasting more than 4 hours (priapism), and cardiovascular effects such as tachycardia or hypotension. Standard supportive measures should be employed, including monitoring of vital signs and ECG if indicated. Tadalafil is not dialyzable to a significant extent, and management of overdose should focus on symptomatic treatment. For prolonged erection lasting more than 4 hours, immediate medical intervention is necessary to prevent permanent damage to penile tissue. Patients should be advised to store medication safely to prevent accidental ingestion by children or others.

Storage

Store Extra Super Cialis at room temperature (15-30°C or 59-86°F) in the original packaging to protect from light and moisture. Keep the medication in a secure location 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 this may expose them to moisture or light and reduce stability. Proper disposal of unused or expired medication should follow local guidelines, typically through pharmacy take-back programs rather than flushing down toilets or throwing in household trash.

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 professional. Patients should not self-diagnose or self-prescribe this medication. The information provided here may not be exhaustive, and healthcare providers should be consulted for complete prescribing information. Individual responses to medication may vary, and not all potential side effects or interactions are listed. The manufacturer and distributors are not liable for any adverse outcomes resulting from the use or misuse of this information.

Reviews

Clinical studies demonstrate that combination therapy with tadalafil and dapoxetine provides significant improvement in both erectile function and ejaculatory latency time compared to placebo or monotherapy. In randomized controlled trials, patients reported improved sexual satisfaction and relationship quality. Real-world evidence suggests high patient satisfaction with the convenience of dual therapy. However, individual experiences may vary, and some patients may experience side effects that affect treatment continuity. Patients are advised to discuss their treatment experience with their healthcare provider to optimize therapeutic outcomes.