Extra Super P Force (sildenafil / dapoxetine) — Patient Information (Australia)
Extra Super P Force is a combination medicine containing sildenafil and
If you have questions about whether this product is suitable for you (including interactions with other medicines), speak with a qualified healthcare professional or pharmacist.
Basic product information
- Brand name: Extra Super P Force
- Active ingredients: sildenafil + dapoxetine
- What it is used for: erection problems and premature ejaculation
- Form: oral tablet (strength may vary by product version)
- Country availability: marketed for sale in Australia through online pharmacies
Important: Strengths vary by product presentation (for example, combinations such as sildenafil 50 mg with dapoxetine 30 mg may be offered depending on the specific listing). Always check the exact strength on the package before taking.
How Extra Super P Force works (mechanism of action)
Sildenafil
Sildenafil belongs to the class of medicines called PDE5 inhibitors (phosphodiesterase type 5 inhibitors). It helps improve erectile function by increasing blood flow to the penis during sexual stimulation.
- It works by blocking PDE5, an enzyme that limits blood vessel widening.
- This leads to higher levels of cGMP, promoting relaxation of smooth muscle and increased blood flow.
- It does not automatically cause an erection—sexual stimulation is still required.
Dapoxetine
Dapoxetine is a medicine known as an SSRI (selective serotonin reuptake inhibitor) used for premature ejaculation. It helps increase the time to ejaculation by affecting serotonin pathways involved in sexual reflexes.
Because Extra Super P Force combines both agents, it may help simultaneously with: erection quality and control of ejaculation timing.
Pharmacokinetics (how your body handles the medicines)
Pharmacokinetics describe how a drug is absorbed, distributed, metabolised, and eliminated. Individual results can vary.
Sildenafil
- Onset: typically within about 30–60 minutes after taking.
- Peak effect: often occurs around 1 hour (timing varies).
- Duration: effects may last several hours; many people experience benefit within a 4-hour window.
- Metabolism: mainly in the liver (primarily via CYP3A4).
- Elimination: largely by metabolism products (mainly via faeces and urine).
Dapoxetine
- Onset: commonly within about 1–2 hours.
- Peak levels: often around 1–2 hours.
- Duration: effects are targeted around sexual activity; total duration varies by individual.
- Metabolism: primarily in the liver via metabolic pathways including CYP2D6.
- Elimination: predominantly through metabolism and clearance from the body.
Practical implication: you may find that a consistent pre-planned timing (as described below) improves reliability.
Typical use and timing
Extra Super P Force is intended for on-demand use before sexual activity. It is not generally used as a daily regimen for most people. The exact schedule may depend on the product strength and your situation, so follow the dosing instructions provided with your specific pack.
When to take it
- Consider taking the tablet about 1 hour before sex.
- Some people may need closer to 30 minutes, others closer to 1–2 hours. Start with a conservative approach and adjust cautiously only if advised.
- Try to keep timing consistent for better predictability.
How often
- Do not exceed the maximum frequency stated on your package or by your pharmacist.
- Many sildenafil-containing regimens recommend not more than once per day, but your product’s directions should be followed precisely.
- Dapoxetine has specific safety considerations; adherence to the labelled dose and maximum per day is important.
Missed dose: since this is used before planned sex, you typically only take it when needed. Do not take extra doses to “catch up.”
Indications (what it is used to treat)
Extra Super P Force is used in men who have both of the following:
- Erectile dysfunction (trouble achieving or maintaining an erection sufficient for sex)
- Premature ejaculation (persistent or recurrent ejaculation with minimal delay, causing distress)
Not all men with erectile issues have premature ejaculation, and vice versa. If you have only one of these concerns, other treatment options may be more appropriate.
Dosing (general guidance)
Always follow the exact dosing instructions on the product packaging. Strengths of sildenafil and dapoxetine may differ between versions sold online.
Common dosing pattern (on-demand)
- Adult men: take one tablet prior to sexual activity, typically 1 hour before.
- Maximum frequency: follow the maximum stated on the label.
- Adjusting dose: dose adjustments may be needed for older adults, those with liver impairment, kidney impairment, or those taking interacting medicines.
Who may need extra caution
- Age over 65 (may be more sensitive to side effects)
- Known liver problems
- Known kidney impairment
- History of fainting or low blood pressure
- People taking medicines that affect sildenafil or dapoxetine metabolism
If you are unsure about your suitable starting dose, ask a pharmacist for advice based on your specific pack strength and your medical history.
Food interactions
Food can affect how quickly sildenafil is absorbed. In general:
- High-fat meals may delay absorption of sildenafil and could make onset slower.
- If you plan to eat a large, heavy meal, consider taking the tablet a bit earlier (for example, closer to 1–2 hours before sex) based on your response.
Tip: moderate meals may be better tolerated than very heavy or greasy foods.
Alcohol interactions
Alcohol can worsen sexual performance and increase side effects such as:
- Dizziness or light-headedness
- Lower blood pressure (especially with sildenafil)
- Sleepiness or delayed reaction (possible with dapoxetine)
- Reduced confidence and erectile reliability
For safest use:
- Avoid drinking large amounts of alcohol before taking Extra Super P Force.
- Stay hydrated.
- If you feel dizzy or unwell, do not attempt sexual activity—seek medical advice if symptoms persist.
Medicine interactions (important)
Extra Super P Force can interact with other medicines due to its metabolism and effects on blood flow and serotonin pathways. Always review your current medications and supplements.
1) Nitrates and “poppers” (absolute contraindication)
Do not take sildenafil if you use nitrates (e.g., glyceryl trinitrate) or medications that act like nitrates, or recreational products such as amyl nitrite (“poppers”). This combination can cause a dangerous drop in blood pressure.
2) Alpha-blockers (caution)
Sildenafil may add to blood-pressure-lowering effects of alpha-blockers (often used for prostate enlargement or blood pressure). Your prescriber/pharmacist may recommend starting at lower doses and monitoring for dizziness.
3) Strong CYP3A4 inhibitors (sildenafil levels may rise)
Medicines that strongly affect CYP3A4 can increase sildenafil levels, raising the risk of side effects. Examples include certain:
- Antifungals
- HIV antivirals
- Some antibiotics (depending on the agent)
If you take these, medical guidance is important before use.
4) Medicines that affect serotonin (dapoxetine safety)
Dapoxetine has potential interaction risks with other serotonin-affecting medicines. Tell a clinician if you take:
- Other SSRIs or SNRIs
- Monoamine oxidase inhibitors (MAOIs)
- Triptans (for migraine)
- Tramadol or linezolid (depending on your medicines)
- St John’s wort (herbal supplement)
Combining serotonin-active medicines can increase the risk of serotonin-related side effects.
5) Antipsychotics and heart rhythm medicines (caution)
Some medicines that influence heart rhythm and nerve signals may require caution when using dapoxetine in particular. If you take medicines for arrhythmias (irregular heartbeat) or significant psychiatric treatment, seek pharmacist advice.
6) Blood pressure medicines
Sildenafil can lower blood pressure. If you take antihypertensives, the combination may increase risk of light-headedness.
Safety profile: common side effects and when to seek help
Like all medicines, Extra Super P Force can cause side effects. Many are mild and temporary, but some are urgent. If you experience concerning symptoms, seek medical advice promptly.
Common side effects
- Headache
- Flushing or warmth
- Dizziness
- Indigestion or nausea
- Nasal congestion
- Fatigue
- Dry mouth
Side effects related to dapoxetine
- Nausea
- Diarrhoea
- Sleepiness or feeling light-headed
Serious warning symptoms (seek urgent medical help)
- Chest pain or symptoms suggesting a heart problem
- Fainting or severe dizziness
- Sudden vision changes or severe eye pain
- Sudden hearing loss (rare, but urgent)
- Prolonged erection lasting more than 4 hours (priapism)
- Allergic reaction (swelling, difficulty breathing, rash)
- Severe serotonin-related symptoms such as agitation, confusion, fever, sweating, tremor, or muscle stiffness
Do not take more tablets if you have serious side effects. Get medical assistance.
Practical use tips for best results
- Plan ahead: take the tablet at an appropriate time before sex (often ~1 hour before).
- Use with sexual stimulation: sildenafil improves erections in response to arousal; it does not replace foreplay.
- Start with a lighter approach: avoid large meals and excessive alcohol to improve predictability.
- Stay consistent: choose a consistent timing strategy and note how you respond for future sessions.
- Know your triggers: anxiety and stress can worsen premature ejaculation and erectile performance. Relaxation techniques can help alongside medication.
- Hydrate: dehydration can worsen dizziness and headaches.
- Do not combine with other PDE5 inhibitors: avoid taking sildenafil or tadalafil products at the same time.
Who should not use Extra Super P Force (key contraindications and cautions)
Use of sildenafil and dapoxetine requires caution. Avoid or seek professional advice if you:
- Use nitrates or “poppers” (dangerous blood pressure drop)
- Have been advised against sexual activity due to heart conditions
- Have a history of severe dizziness or fainting related to blood pressure
- Have certain heart rhythm conditions or use interacting medicines (discuss with a pharmacist)
- Have significant liver impairment (dose and suitability require careful consideration)
If you have any cardiovascular symptoms (such as chest pain with exertion), you should seek medical evaluation before using erectile medicines.
Alternative options
Depending on whether you mainly struggle with erections, ejaculation control, or both, alternative approaches may be considered. Options can include:
- PDE5 inhibitor alone (for erectile dysfunction)
- Dapoxetine or other premature ejaculation treatments (for ejaculation control)
- Non-medicine strategies such as behavioural techniques (stop-start, squeeze techniques), pelvic floor exercises, and counselling
- Device-based approaches for erectile difficulties in select cases
If you have only one primary symptom (e.g., only premature ejaculation without erection issues), a single-ingredient option may reduce exposure to unnecessary active ingredient. A pharmacist can help you compare options and choose a safer fit.
Market and legal context for Australia (overview)
In Australia, medicines are regulated by the Australian Government’s health frameworks. Availability for online purchase can vary by product classification and sourcing. Patients should ensure any product purchased online is legitimate and suitable for personal use.
- Quality and compliance: look for reputable suppliers and clear product labelling.
- Safety: ensure the product’s active ingredients and strengths match the listing and packaging.
- Privacy and support: trusted online pharmacies provide guidance on safe use and interactions.
Because sildenafil and dapoxetine are active medicines with potential interactions, responsible suppliers typically encourage customers to review compatibility and seek advice if needed.
Recent guidance (patient-oriented)
While exact updates vary over time, Australia has continued emphasis on:
- Safe medicine use and awareness of interactions
- Checking cardiovascular suitability for erectile medicines
- Monitoring for side effects with serotonin-active medicines
- Consulting healthcare professionals for complex medication regimens
If you are taking multiple prescriptions, have underlying health conditions, or have previously experienced adverse reactions, seek professional advice before using combination products.
Delivery and availability (Australia)
Extra Super P Force is commonly offered via online pharmacies to customers across Australia (service areas may vary). Delivery times depend on the supplier, stock availability, and shipping provider.
What to expect
- Packaging: discreet and secure delivery where possible.
- Tracking: many online pharmacies provide tracking updates.
- Payment and order confirmation: clear checkout details and email confirmation.
- Stock status: availability can change; some listings may be limited.
Always check the listing for current estimated delivery timeframes and return/assistance policies.
Quick comparison table
| Feature | Extra Super P Force (sildenafil / dapoxetine) |
|---|---|
| Main purpose | Erection support + delayed ejaculation control |
| Type of use | On-demand before sexual activity |
| How it works | Sildenafil improves blood flow; dapoxetine helps ejaculation timing |
| Timing | Often ~1 hour before sex (may vary by food and individual response) |
| Food effect | High-fat meals may delay onset |
| Alcohol effect | May increase dizziness and reduce performance—avoid heavy drinking |
| Key safety notes | Avoid nitrates; watch interactions with serotonin and blood-pressure medicines |
FAQ
1) How long before sex should I take Extra Super P Force?
Many people take it about 1 hour before. If you have eaten a heavy meal or notice it takes longer for you, taking it closer to 1–2 hours beforehand may help. Follow your pack directions and start cautiously.
2) Can I take it with food?
Yes, but high-fat meals may delay absorption and make the timing less reliable. A lighter meal is often better.
3) Can I drink alcohol while using it?
It’s safest to avoid heavy drinking. Alcohol can worsen erections and increase side effects like dizziness. If you choose to drink, keep it moderate and watch for light-headedness.
4) What medicines should I avoid?
Do not use sildenafil with nitrates or “poppers.” Also be cautious with: alpha-blockers, strong CYP3A4 inhibitors, and medicines affecting serotonin (such as other antidepressants, MAOIs, tramadol, linezolid, and St John’s wort). If you’re unsure, ask a pharmacist.
5) Will it cause an erection automatically?
No. Sildenafil improves erectile response to sexual stimulation. You still need arousal.
6) What if I miss a dose?
Since it’s taken before planned sex, you typically only take it when needed. Don’t take extra doses to compensate.
7) How many times can I take it in a day?
Follow the maximum frequency stated on your specific pack. Combination products must be used carefully due to both sildenafil and dapoxetine components.
8) Are there side effects I should expect?
Common effects can include headache, flushing, dizziness, and indigestion. If you experience severe dizziness, fainting, chest pain, vision changes, or an erection lasting more than 4 hours, seek urgent medical help.
9) Can I use it if I have high blood pressure or heart disease?
Some people with controlled blood pressure may use erectile medicines under medical guidance, but heart disease requires careful assessment. If you have chest pain with exertion, recent heart-related events, or known rhythm problems, consult a healthcare professional before use.
10) What if I have both erection problems and premature ejaculation?
That is one of the main reasons this combination is used. However, if symptoms are mild or you primarily have one issue, other single-ingredient options or behavioural strategies may be more suitable.
Important note
This information is provided to help you make informed decisions about Extra Super P Force (sildenafil / dapoxetine). It is not a substitute for personalised medical advice. If you have health conditions, take other medicines, or have previously had side effects, speak with a pharmacist or clinician to ensure the safest approach for you.
