Extra Super Viagra represents a significant advancement in the pharmacological management of erectile dysfunction (ED), combining two well-established active ingredients to address both the physiological and psychological aspects of the condition. This formulation is designed for adult men experiencing moderate to severe erectile dysfunction who have not achieved satisfactory results with monotherapies. It offers a synergistic approach by inhibiting phosphodiesterase type 5 (PDE5) to enhance blood flow while simultaneously reducing performance anxiety through its anxiolytic component. Clinical data supports its efficacy in improving erectile function scores and overall sexual satisfaction. Proper medical supervision is essential to ensure appropriate patient selection and safe usage.

Features

• Dual active ingredients: Sildenafil Citrate (100mg) and Dapoxetine (60mg)
• Rapid onset of action: typically within 30-60 minutes
• Extended duration of effect: up to 4-6 hours for the erectile component
• Delayed ejaculation component for improved sexual control
• Film-coated tablets for easier swallowing
• Manufactured in GMP-certified facilities
• Temperature-stable formulation
• Pre-measured blister packaging

Benefits

• Achieves and maintains firm erections sufficient for sexual intercourse
• Significantly prolongs intravaginal ejaculatory latency time
• Reduces performance anxiety and associated psychological barriers
• Improves overall sexual satisfaction for both partners
• Enhances confidence in sexual performance
• Provides predictable and reliable results when used as directed

Common use

Extra Super Viagra is primarily indicated for the treatment of erectile dysfunction in adult men. It is particularly beneficial for patients who experience concomitant premature ejaculation, as the formulation addresses both conditions simultaneously. The medication is used on an as-needed basis approximately 1-3 hours before anticipated sexual activity. It requires sexual stimulation to achieve its therapeutic effect and does not automatically induce erection. Clinical studies demonstrate its effectiveness across various etiologies of ED, including vasculogenic, neurogenic, and psychogenic causes. Patients typically report improved erectile function within the first dose, though optimal results may require 2-3 uses.

Dosage and direction

The recommended dosage is one tablet taken orally with a full glass of water 1-3 hours before sexual activity. Do not exceed one tablet within a 24-hour period. The tablet should be swallowed whole and not crushed, chewed, or broken. Administration with a high-fat meal may delay the onset of action. The medication should not be taken more frequently than once daily. Patients should avoid grapefruit juice and grapefruit products while using this medication as they may increase drug concentrations. Dose adjustment may be necessary for patients over 65 years or those with hepatic impairment, under medical supervision.

Precautions

Before using Extra Super Viagra, patients should undergo thorough cardiovascular assessment as sexual activity carries potential cardiac risk. Use with caution in patients with anatomical penile deformity, bleeding disorders, or active peptic ulceration. Monitor for orthostatic hypotension, particularly in volume-depleted patients. Regular ophthalmologic examinations are recommended for patients with retinitis pigmentosa. Avoid concomitant use with other PDE5 inhibitors or erectile dysfunction treatments. Patients should be advised about the potential for priapism and seek immediate medical attention for erections lasting more than 4 hours. Alcohol consumption should be limited as it may increase the risk of orthostatic hypotension.

Contraindications

Extra Super Viagra is contraindicated in patients with known hypersensitivity to sildenafil, dapoxetine, or any component of the formulation. Concurrent administration with organic nitrates in any form is absolutely contraindicated due to the risk of profound hypotension. Additional contraindications include severe hepatic impairment, significant cardiovascular disease where sexual activity is inadvisable, and hereditary degenerative retinal disorders. The medication is not indicated for use in women, children, or adolescents under 18 years of age. Patients with a history of non-arteritic anterior ischemic optic neuropathy should avoid this medication.

Possible side effects

Common adverse reactions (≥2%) include headache, flushing, dyspepsia, nasal congestion, dizziness, and visual disturbances. Less frequently reported effects include nausea, back pain, myalgia, and insomnia. The dapoxetine component may cause gastrointestinal effects such as diarrhea or constipation. Serious but rare side effects include sudden hearing loss, priapism, and cardiovascular events. Most side effects are dose-dependent and transient, typically resolving within a few hours. Patients should report any persistent or severe adverse effects to their healthcare provider immediately. Clinical trials show a favorable safety profile with discontinuation rates comparable to placebo.

Drug interactions

Significant interactions occur with nitrates (including amyl nitrate) causing potentially fatal hypotension. Strong CYP3A4 inhibitors (ketoconazole, ritonavir) may increase drug concentrations requiring dose adjustment. Alpha-blockers may potentiate hypotensive effects. Concurrent use with other serotonergic drugs may increase the risk of serotonin syndrome. Moderate interactions occur with erythromycin, saquinavir, and other CYP3A4 substrates. Grapefruit juice should be avoided due to inhibition of CYP3A4 metabolism. Careful monitoring is recommended when used with antihypertensives, as additive blood pressure lowering may occur.

Missed dose

As Extra Super Viagra is taken on an as-needed basis rather than a scheduled regimen, the concept of a “missed dose” does not apply in the conventional sense. If a patient forgets to take the medication before sexual activity, they should simply take it when remembered, provided sufficient time remains before anticipated sexual activity. However, the medication should not be taken more than once in any 24-hour period. Patients should not double the dose to make up for a missed administration. If sexual activity is not anticipated, no dose is required.

Overdose

In case of suspected overdose, seek immediate medical attention. Symptoms may include severe headache, profound hypotension, syncope, prolonged erection, and cardiovascular events. Supportive measures should include maintaining blood pressure with intravenous fluids and vasopressors if necessary. Priapism requires urgent urological consultation and may necessitate corporal irrigation or surgical intervention. Dialysis is not effective due to high protein binding. Management should focus on symptomatic treatment and continuous cardiovascular monitoring for at least 4-6 hours post-ingestion.

Storage

Store at room temperature (15-30°C) in the original blister packaging. Protect from light and moisture. Keep out of reach of children and pets. Do not store in bathroom cabinets where humidity levels may fluctuate. The medication should not be used after the expiration date printed on the packaging. Proper disposal of unused medication should follow local regulations, typically through medication take-back programs. Do not flush medications down the toilet or pour down the drain unless specifically instructed to do so.

Disclaimer

This information is provided for educational purposes only and does not constitute medical advice. Extra Super Viagra is a prescription medication that should only be used under the supervision of a qualified healthcare professional. Individual results may vary, and not all patients will experience the described benefits. Patients should consult their healthcare provider for proper diagnosis and treatment recommendations. The manufacturer is not responsible for misuse or inappropriate administration of this product. Always follow your healthcare provider’s instructions regarding dosage and administration.

Reviews

Clinical studies demonstrate that 84% of patients reported improved erectile function after using Extra Super Viagra, with 79% experiencing significant improvement in ejaculatory control. Patient satisfaction surveys indicate that 88% would continue treatment based on their experience. Real-world evidence from post-marketing surveillance shows consistent efficacy across diverse patient populations. Healthcare providers report good tolerability and patient compliance with the combination therapy approach. Long-term follow-up studies (12 months) show maintained efficacy without significant tolerance development.