Overview

Extra Super P-Force is described as a dual-action tablet intended for adult men addressing two concerns at once: erectile dysfunction (ED) and premature ejaculation (PE). Each tablet reportedly combines Sildenafil Citrate 100 mg and Dapoxetine 100 mg.

Conditions commonly associated: erectile dysfunction, premature ejaculation, men's sexual health. The nominal listed strength is 100 mg + 100 mg. Note that such dosing may not be appropriate for everyone; clinical guidance typically begins with lower effective doses, especially for dapoxetine in countries where it is approved.

Active ingredients: Sildenafil Citrate, Dapoxetine.

Related topics: interactions, alternatives, legal notes for the USA.

How it works

The product pairs two mechanisms:

  • Dapoxetine: a short-acting serotonin reuptake inhibitor designed to delay ejaculation and improve control.
  • Sildenafil: a PDE5 inhibitor that promotes penile blood flow by enhancing nitric oxide signaling, supporting erection when sexually stimulated.

The combination aims to improve erection quality and extend time to ejaculation during sexual activity. See also: side effects and precautions.

Directions and timing

Use exactly as directed by a licensed healthcare provider. Do not change your dose without medical advice.

  • Swallow whole with water; do not crush or chew.
  • On-demand use: typically taken 30 to 60 minutes before planned sexual activity.
  • With or without food is acceptable; a high-fat meal can delay onset.
  • Do not take more than once in 24 hours.
  • Avoid alcohol excess, which can increase dizziness, reduce erectile response, and worsen side effects.
  • Avoid grapefruit or grapefruit juice due to interaction potential with sildenafil metabolism.

For many patients, lower dapoxetine doses (for example, 30 mg to 60 mg in countries where approved) are considered first. The composition listed here (100 mg + 100 mg) may not align with typical practice. Discuss an individualized plan with a U.S. prescriber. For information on legal availability, see legal status.

Precautions

Before use, tell your clinician about all medical conditions and medicines. Extra caution is warranted in the following situations:

  • Cardiovascular disease or limited exercise tolerance; ED therapy requires sexual activity, which increases cardiac demand.
  • Kidney or liver impairment, which can alter drug levels.
  • History of orthostatic hypotension, fainting, or dehydration.
  • Angle-closure glaucoma or retinal disorders; vision changes require urgent evaluation.
  • Mood disorders including depression, mania, bipolar disorder; dapoxetine and other serotonergic drugs may affect mood.
  • Use of HIV antivirals or strong CYP3A4 inhibitors (for example, ritonavir, ketoconazole) due to elevated sildenafil exposure.
  • Concomitant SSRI, SNRI, MAOI, linezolid, or serotonergic pain medicines such as tramadol can raise serotonin syndrome risk.
  • Age over 65, due to increased sensitivity and interaction risk.
  • Sports and activity note: sildenafil is not prohibited by WADA as of this writing, but professional or collegiate athletes should still confirm organization rules.

Alcohol may intensify side effects such as dizziness and drowsiness and can diminish erectile response. See interactions.

Contraindications

Do not use if any of the following apply:

  • Use of nitrates or nitric oxide donors (for example, nitroglycerin, isosorbide) due to severe blood pressure drop risk.
  • Concomitant riociguat (a soluble guanylate cyclase stimulator).
  • Known allergy or hypersensitivity to sildenafil, dapoxetine, or excipients.
  • Recent heart attack or stroke, unstable angina, severe heart failure, or serious arrhythmias.
  • Severe liver disease.
  • Severe hypotension or uncontrolled hypertension.
  • History of mania or significant psychiatric instability, or current suicidal ideation.
  • Retinitis pigmentosa or other significant retinal degenerations.

If unsure, consult a clinician. For U.S. regulatory details, see legal status.

Possible side effects

Not everyone experiences side effects, but some may occur. Stop use and seek care for severe reactions. Examples include:

  • Flushing or warmth in the face or neck
  • Dizziness or lightheadedness; fainting can occur, especially upon standing
  • Headache
  • Nausea, dry mouth, or stomach upset
  • Blurred vision or color tinge; sudden vision change needs urgent attention
  • Excessive sweating
  • Fatigue or insomnia
  • Prolonged erection over 4 hours (priapism) or painful erection, which is an emergency
  • Palpitations, chest pain, or shortness of breath
  • Serotonin syndrome symptoms when combined with other serotonergic drugs: agitation, fever, tremor, diarrhea, confusion

Report severe or persistent effects to a healthcare professional immediately.

Drug and food interactions

Important interactions may increase side effects or reduce effectiveness:

  • Nitrates or riociguat: contraindicated due to dangerous hypotension.
  • Strong CYP3A4 inhibitors: ketoconazole, itraconazole, clarithromycin, erythromycin, ritonavir, cobicistat, and similar agents raise sildenafil levels.
  • Alpha-blockers and antihypertensives: additive blood pressure lowering and dizziness.
  • Other serotonergic drugs: SSRIs, SNRIs, MAOIs, triptans, linezolid, tramadol, St. John's wort increase serotonin syndrome risk with dapoxetine.
  • Seizure medicines and some antibiotics may alter levels; always review your full medication list with a clinician.
  • Grapefruit or grapefruit juice can significantly increase sildenafil exposure; avoid during treatment days.
  • Alcohol can worsen hypotension and reduce sexual performance.

Missed dose

This product is typically taken on demand before sexual activity, so a missed dose schedule does not apply. Do not double up later.

Overdose

Signs can include severe dizziness, fainting, chest pain, very low blood pressure, prolonged painful erection, flushing, rapid heartbeat, agitation, or stomach upset.

  • Call emergency services or go to the nearest emergency department.
  • Do not attempt to self-treat or induce vomiting unless instructed by a professional.
  • Provide clinicians with the exact product and strength if known.

Storage

  • Store at controlled room temperature, ideally 20 to 25 C (68 to 77 F).
  • Protect from moisture and excessive heat; keep in original packaging until use.
  • Keep out of reach of children and pets.

Alternatives and similar medications

Depending on the primary concern (ED, PE, or both), U.S.-available options may include the following. Discuss suitability and dosing with a licensed prescriber.

For erectile dysfunction (ED)

  • Avanafil (Stendra) - rapid onset PDE5 inhibitor; sometimes fewer food interactions.
  • Tadalafil (Cialis) - daily low dose or on-demand; longer half-life; also for BPH symptoms.
  • Vardenafil (Levitra, Staxyn) - PDE5 inhibitor similar to sildenafil; orally disintegrating form available.
  • Sildenafil (Viagra, generic) - on-demand use 25 mg, 50 mg, or 100 mg as prescribed.

For premature ejaculation (PE)

  • Off-label daily SSRIs such as paroxetine, sertraline, or fluoxetine; titrated by a clinician.
  • On-demand topical anesthetics such as lidocaine-prilocaine sprays or creams, applied with condom use as directed to avoid partner numbness.
  • Behavioral techniques (stop-start, squeeze methods) often combined with counseling.
  • Note: Dapoxetine is not approved by the FDA in the USA, though it is used in some other countries.

Combination products like Extra Super P-Force are not FDA-approved in the United States. If you require treatment for both ED and PE, a U.S. clinician may prescribe separate, approved medicines and tailor doses. For U.S. legal context, see legal status.

Approximate prices in the USA (USD)

Prices vary widely by pharmacy, insurance, dose, and discount programs. The figures below are rough cash estimates as of recent market observations and may change.

  • Sildenafil 100 mg (generic): about $0.50 to $4.00 per tablet with coupons; $5 to $15 retail list price without discounts is common.
  • Tadalafil 5 mg daily (generic): roughly $0.60 to $3.00 per tablet with discounts; higher at some locations.
  • Avanafil (brand): about $20 to $60 per tablet; fewer discounts available.
  • Sertraline or paroxetine (generic SSRIs for PE, off-label): often $4 to $15 for a 30-day supply through retail generics programs.
  • Lidocaine-prilocaine topical products: typically $20 to $45 per tube or spray, depending on brand and size.

Dapoxetine is not marketed in the USA, so U.S. retail pricing is not available. Import offers found online can be illegal and may involve counterfeit or substandard products.