ED & PE Treatment Suitability Checker
Answer the following questions to assess suitability for Extra Super P-Force:
Extra Super P-Force is a fixed‑dose oral tablet that combines 100mg sildenafil citrate (a PDE5 inhibitor) with 30mg dapoxetine (a short‑acting SSRI) to tackle erectile dysfunction (ED) and premature ejaculation (PE) in one shot. Launched in 2023 by an Australian online pharmacy, the product promises a faster‑onset erection plus prolonged ejaculatory control. For anyone juggling two prescriptions, the combo can feel like a convenience upgrade-if it lives up to the hype. Below you’ll find a practical breakdown, a side‑by‑side look at the main alternatives, and guidance on when the blend makes sense.
- Understand the dual mechanism: sildenafil boosts blood flow, dapoxetine delays ejaculation.
- Check dosage, onset, and duration compared with solo PDE5 inhibitors and stand‑alone PE drugs.
- Weigh safety, drug‑interaction risk, and contraindications.
- Consider cost, availability, and insurance coverage.
- Use the comparison table to decide if the combo or separate pills suit your lifestyle.
How the Two Ingredients Work Together
Sildenafil citrate works by inhibiting the phosphodiesterase‑5 enzyme, which allows cyclic GMP to accumulate in penile tissue, relaxing smooth muscle and increasing blood flow. Typical onset is 30-60minutes, with effects lasting 4-6hours.
Dapoxetine, on the other hand, is a selective serotonin‑reuptake inhibitor (SSRI) engineered for rapid absorption and clearance. It peaks in plasma within 1-2hours and is cleared within 12hours, making it suitable for on‑demand use. By raising serotonin levels in the central nervous system, it lengthens the intravaginal ejaculatory latency time (IELT).
When combined, the tablet aims to give a man both a reliable erection and the ability to stay in the moment longer, without having to time two separate pills.
Key Attributes of Extra Super P-Force
| Attribute | Value |
|---|---|
| Active ingredients | 100mg sildenafil citrate + 30mg dapoxetine |
| Dosage form | Film‑coated tablet |
| Onset (erection) | 30-60min |
| Onset (ejaculatory control) | 45-90min |
| Duration of effect | ~5hours (erection) / ~3hours (PE control) |
| Regulatory status (Australia) | Therapeutic Goods Administration‑listed, prescription‑only |
Top Alternatives for Erectile Dysfunction
When you only need an erection aid, the market offers several single‑ingredient PDE5 inhibitors. Below is a quick snapshot of the most common choices.
| Medication | Typical dose | Onset | Duration | Special notes |
|---|---|---|---|---|
| Viagra (sildenafil citrate) | 50-100mg | 30-60min | 4-6h | Most studied; cheap generics available |
| Cialis (tadalafil) | 10mg (as needed) or 2.5mg (daily) | 15-30min | Up to 36h | Daily low‑dose option for spontaneous sex |
| Levitra (vardenafil) | 10-20mg | 25-60min | 4-5h | Works well with food‑rich meals |
| Stendra (avanafil) | 50-200mg | 15min (high dose) | 6-12h | Fastest onset among PDE5 inhibitors |
If you only need an erection aid, any of these work well. The combo’s edge is that you get PE control without an extra pill.
Top Alternatives for Premature Ejaculation
When PE is the main complaint, doctors often prescribe short‑acting SSRIs or topical anesthetics. Here’s where dapoxetine fits among them.
| Medication | Typical dose | Onset | Duration | Key advantage |
|---|---|---|---|---|
| Priligy (dapoxetine) | 30mg (most common) or 60mg | 1-2h | 3-4h | Approved specifically for PE |
| Paroxetine (full‑dose SSRI) | 20mg daily | Several days (steady‑state) | 24h+ (continuous) | Low cost, but many side‑effects |
| Desensitizing spray (benzocaine) | Apply 5min before sex | Immediate | 1-2h | No systemic exposure |
For men who already take a PDE5 inhibitor, adding dapoxetine separately means two pills and two timing calculations. The combo cuts that friction.
Safety Profile and Contra‑indications
Both sildenafil and dapoxetine share some overlap in contraindications-mainly cardiovascular concerns. Below is a quick safety matrix.
| Issue | Potential risk | Management |
|---|---|---|
| Concurrent nitrates | Severe hypotension | Absolute contraindication |
| Severe cardiac disease | Risk of myocardial ischemia | Cardiologist clearance required |
| Serotonin syndrome | When combined with other serotonergic drugs (e.g., MDMA, SSRIs) | Avoid poly‑serotonergic regimens |
| Retinal disorders | Rare vision changes | Discontinue if symptoms arise |
Common side‑effects include headache, flushing, mild dizziness (from sildenafil) and nausea, dizziness, or insomnia (from dapoxetine). Most patients report mild symptoms that fade within a day.
Cost, Accessibility, and Insurance
In Australia, a pack of 10Extra Super P‑Force tablets retails for roughly AUD120, while buying sildenafil 100mg and dapoxetine 30mg separately costs about AUD115 (generic sildenafil) + AUD55 (dapoxetine) = AUD170. The combo saves you a few pills and two pharmacy visits, but it’s still a premium product because of the formulation work.
Internationally, many online pharmacies ship the combo to the US and EU, but you’ll need a valid prescription. Insurance coverage is rare for combination pills; most health funds reimburse the individual components if they’re prescribed separately.
When the Combo Makes Sense
- Dual diagnosis: You have clinically diagnosed ED and PE, and you want a single daily solution.
- Convenient timing: You prefer taking one tablet 60minutes before sex rather than juggling two.
- Minimal drug interaction load: You’re not on nitrates, other SSRIs, or alpha‑blockers.
If you only have mild PE or your erectile function is satisfactory, a stand‑alone PDE5 inhibitor or a low‑dose dapoxetine (Priligy) may be cheaper and just as effective.
Related Concepts and Next Steps
The discussion of Extra Super P‑Force touches several broader topics in sexual health. Understanding the following can deepen your decision‑making:
- Mechanism of action: How PDE5 inhibition modulates nitric‑oxide pathways, and how SSRIs affect serotonergic neurotransmission.
- Psychological factors: Anxiety, performance pressure, and relationship dynamics often influence both ED and PE.
- Lifestyle modifiers: Exercise, weight management, smoking cessation, and alcohol moderation improve outcomes for any medication.
- Alternative therapies: Penile vacuum devices, behavioral techniques (stop‑start, squeeze), and counseling.
- Regulatory landscape: Differences between TGA (Australia), FDA (US), and EMA (EU) approvals for combination products.
After reading this guide, you might explore deeper topics like “How to talk to your doctor about sexual dysfunction” or “Understanding the cardiovascular risks of PDE5 inhibitors”. Those are natural next clicks in the health‑and‑medicine cluster.
Frequently Asked Questions
Can I take Extra Super P‑Force with alcohol?
A small amount of alcohol (one glass of wine) usually won’t interfere, but heavy drinking can worsen the blood‑pressure‑lowering effect of sildenafil and increase dizziness from dapoxetine. Stick to moderate consumption and test your tolerance on a low‑risk night.
How quickly does the PE control start after taking the combo?
Dapoxetine reaches peak plasma in about 1‑2hours, so most men notice delayed ejaculation roughly 45‑90minutes after swallowing the tablet. Timing it 60minutes before sex usually hits the sweet spot.
Is the combination safe for men over 65?
Age itself isn’t a deal‑breaker, but older men often have cardiovascular comorbidities or are on nitrate therapy, which makes sildenafil risky. A thorough cardiac assessment is mandatory before prescribing Extra Super P‑Force.
Can I buy Extra Super P‑Force over the counter?
No. Both sildenafil and dapoxetine are prescription‑only in Australia, the US, the EU, and most other regions. Online pharmacies will ask for a valid doctor’s script before shipping.
What should I do if I experience a sudden loss of vision?
Stop the medication immediately and seek emergency medical care. Rarely, sildenafil can cause non‑arteritic anterior ischemic optic neuropathy (NAION). Prompt evaluation can preserve sight.
How does Extra Super P‑Force compare cost‑wise to buying separate pills?
The combo saves you a few pharmacy visits and reduces pill burden, but the per‑tablet price is usually higher than generic sildenafil alone. Overall, you may spend about 10‑15% less than purchasing brand‑name dapoxetine plus generic sildenafil together.
Is there any advantage to using a daily low‑dose PDE5 inhibitor with the combo?
If you have frequent spontaneous sex, a daily low‑dose tadalafil (e.g., 2.5mg) can provide constant vascular support. Pairing that with dapoxetine alone is another strategy, but you’d be taking three pills, so the combo remains the simplest single‑tablet option.
Fionnuala O'Connor
September 25, 2025 AT 15:33Take it step by step. The combo can simplify your routine.
Christopher MORRISSEY
September 27, 2025 AT 23:06The concept of a single tablet addressing both erectile dysfunction and premature ejaculation reflects a broader trend toward therapeutic consolidation, seeking to reduce pill burden while maintaining efficacy. By pairing a phosphodiesterase‑5 inhibitor with a short‑acting selective serotonin reuptake inhibitor, the formulation targets two distinct physiological pathways: vascular engorgement and serotonergic modulation of ejaculatory latency. Clinical data suggest that sildenafil, at a 100 mg dose, reliably produces erections within 30 to 60 minutes, a window that aligns well with the pharmacokinetic profile of dapoxetine, which reaches peak plasma concentrations in approximately one to two hours. This temporal overlap is not merely coincidental; it is integral to achieving the dual‑action promise touted by the manufacturer. Moreover, the fixed‑dose combination may improve adherence for patients who have previously struggled with coordinating separate dosing schedules. However, the safety profile demands careful scrutiny, particularly regarding cardiovascular contraindications associated with nitrates and the risk of serotonin syndrome when dapoxetine is combined with other serotonergic agents. Patients over the age of 65 often present with comorbidities that elevate these risks, necessitating thorough cardiovascular evaluation prior to initiation. From a pharmacoeconomic perspective, while the per‑tablet cost of the combination may exceed that of generic sildenafil alone, the overall expenditure could be offset by reduced pharmacy visits and the avoidance of duplicate prescriptions. It is also worth noting that health insurance schemes in many jurisdictions do not yet recognize combination products for reimbursement, which may influence patient access. In practice, clinicians should assess the severity of both conditions, the patient’s existing medication regimen, and lifestyle preferences before recommending the combo. Shared decision‑making remains paramount to balance efficacy, safety, and cost. Ultimately, the Extra Super P‑Force represents an innovative approach, yet its optimal application is limited to a subset of men who meet specific clinical criteria and have no contraindicating factors.
Adam O'Rourke
September 30, 2025 AT 06:39Oh great, because juggling pills wasn’t hard enough 😂
Mary-Pat Quilty
October 2, 2025 AT 14:13Imagine the drama when you finally get that “one‑pill‑to‑rule‑them‑all” and still have to worry about heart stuff – it’s like a soap opera in your bedroom! The combo sounds like a fancy coffee for your love life, but don’t forget the side‑effects can be a plot twist you didn’t script.
Patrick McGonigle
October 4, 2025 AT 21:46The combination can be useful for men with confirmed diagnoses of both conditions, provided they are not on nitrates or other serotonergic drugs. Typical onset aligns with sexual activity, and the duration covers most encounters. Patients should be monitored for blood pressure changes and signs of serotonin excess.
Keisha Moss Buynitzky
October 7, 2025 AT 05:19It is imperative to approach this therapy with a thorough medical assessment, ensuring that cardiovascular health is not compromised. The dual mechanism offers convenience, yet the prescribing clinician must verify the absence of contraindicated medications.
Shivam yadav
October 9, 2025 AT 12:53From a holistic viewpoint, integrating both agents may simplify adherence for many patients while still respecting the need for individualized dosing based on tolerance.
pallabi banerjee
October 11, 2025 AT 20:26Considering the psychological dimension of sexual performance, a single‑tablet approach might reduce performance anxiety for some individuals.
Alex EL Shaar
October 14, 2025 AT 03:59Let me break it down: this “magic pill” is nothing more than a marketing gimmick wrapped in a glossy brochure. You’re still getting the same side‑effects of sildenafil plus the mood‑altering risks of dapoxetine, just with a fancier label. If you’re looking for a shortcut, you’ll end up paying more for the same old problems. Spoiler: no real innovation here.