Extra Super Cialis: Advanced Dual-Action Therapy for Erectile Dysfunction and Premature Ejaculation
Extra Super Cialis
| Product dosage: 100mg | |||
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| 60 | $3.18 | $204.00 $191.00 (6%) | 🛒 Add to cart |
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| 180 | $3.03
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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 penile erection by enhancing blood flow to the corpus cavernosum upon sexual stimulation. Dapoxetine, a short-acting selective serotonin reuptake inhibitor (SSRI), is specifically indicated for the treatment of premature ejaculation, working to increase intravaginal ejaculatory latency time (IELT) and improve control over ejaculation. The synergistic action of these compounds provides a comprehensive therapeutic approach, making Extra Super Cialis a preferred choice for men experiencing both conditions concurrently or seeking a more holistic treatment option. Its development is grounded in extensive clinical research and adheres to stringent manufacturing standards to ensure potency, purity, and patient safety.
Features
- Dual Active Ingredients: Contains 20 mg of Tadalafil and 60 mg of Dapoxetine hydrochloride per tablet.
- Mechanism of Action: Tadalafil inhibits PDE5 to promote vasodilation; Dapoxetine modulates serotonin neurotransmission to delay ejaculation.
- Rapid Onset and Extended Duration: Dapoxetine is rapidly absorbed for effects within 1-2 hours; Tadalafil provides a therapeutic window for erectile function for up to 36 hours.
- High Bioavailability: Formulated for optimal absorption and systemic distribution.
- Standardized Dosage: Pre-measured, fixed-dose combination for consistent therapeutic effect.
- Film-Coated Tablet: Designed for easy swallowing and to mask any bitter taste.
Benefits
- Achieves and maintains firm erections sufficient for satisfactory sexual activity.
- Significantly delays ejaculation, enhancing control and sexual confidence.
- Reduces performance anxiety related to both erectile function and timing of climax.
- The extended duration of Tadalafil’s action allows for greater spontaneity, eliminating the need to strictly time medication with sexual activity.
- Addresses two common sexual dysfunctions with a single, convenient tablet, simplifying treatment regimens.
- Improves overall sexual satisfaction for both the patient and their partner, contributing to enhanced relationship quality.
Common use
Extra Super Cialis is clinically indicated for the treatment of adult men diagnosed with both erectile dysfunction and premature ejaculation. It is prescribed for patients who have not achieved desired results with monotherapies targeting either condition alone. The medication is intended for use prior to anticipated sexual activity and is not meant for continuous daily dosing in the same manner as low-dose Tadalafil monotherapy for ED. It is crucial that sexual stimulation occurs for the erectile component to be effective. Its use should be integrated into a broader approach to sexual health, which may include psychological counseling or lifestyle modifications, as advised by a healthcare provider.
Dosage and direction
The standard recommended dose is one tablet (containing 20 mg Tadalafil / 60 mg Dapoxetine) taken orally with a full glass of water approximately 1 to 3 hours before anticipated sexual activity. The tablet may be taken with or without food; however, consumption with a high-fat meal may delay the absorption of Tadalafil and slightly delay the onset of action. Do not take more than one tablet within a 24-hour period. The dosage is fixed; the tablet should not be split or crushed. It is imperative to follow the prescribing physician’s instructions precisely, as they will determine the appropriate use based on the patient’s health status, tolerance, and treatment response.
Precautions
- Prior to initiation, a thorough medical evaluation is necessary to assess cardiovascular health, as sexual activity carries potential cardiac risk.
- Use with caution in patients with a history of syncope (fainting) or pre-syncope.
- Monitor for signs of orthostatic hypotension (dizziness upon standing).
- Not recommended for use in patients with severe renal or hepatic impairment; dosage adjustment may be required for moderate impairment.
- Patients should be advised to avoid sudden changes in posture to minimize dizziness.
- Caution is advised in patients with a history of mania or bipolar disorder due to the SSRI component (Dapoxetine).
- This medication does not protect against sexually transmitted infections.
Contraindications
Extra Super Cialis is strictly contraindicated in the following patient populations:
- Individuals with a known hypersensitivity to Tadalafil, Dapoxetine, or any of the tablet’s excipients.
- Patients who are taking any form of organic nitrates (e.g., nitroglycerin, isosorbide mononitrate/dinitrate) or nitric oxide donors regularly or intermittently, due to the risk of a severe, precipitous drop in blood pressure.
- Patients taking potent CYP3A4 inhibitors (e.g., ketoconazole, ritonavir, clarithromycin) due to significantly increased concentrations of Tadalafil.
- Patients with a history of non-arteritic anterior ischemic optic neuropathy (NAION).
- Patients with severe cardiovascular disorders, such as unstable angina, heart failure (NYHA Class II or greater), life-threatening arrhythmias, or those who have suffered a myocardial infarction or stroke within the last six months.
- Men with hereditary problems of galactose intolerance, total lactase deficiency, or glucose-galactose malabsorption.
Possible side effect
As with all pharmaceuticals, Extra Super Cialis may cause adverse reactions. Not all patients will experience side effects, which are often mild to moderate and transient.
- Very Common (≥1/10): Headache, dizziness, nausea.
- Common (≥1/100 to <1/10): Flushing (feeling of warmth), indigestion, nasal congestion, back pain, muscle pain, insomnia, fatigue, diarrhea, vomiting, increased sweating, blurred vision.
- Uncommon (≥1/1,000 to <1/100): Syncope (fainting), orthostatic hypotension, tachycardia, palpitations, tinnitus, eye pain, priapism (prolonged and painful erection lasting more than 4 hours – requires immediate medical attention).
- Rare (<1/1,000): Hypersensitivity reactions, seizures, serotonin syndrome (especially if combined with other serotonergic drugs), sudden hearing loss.
Drug interaction
Extra Super Cialis has a significant potential for drug-drug interactions. Inform your physician of all medications you are taking, including prescription, over-the-counter, and herbal products.
- Nitrates: Absolute contraindication. Concomitant use can cause severe hypotension, shock, or death.
- Alpha-blockers (e.g., doxazosin, tamsulosin): May potentiate blood-pressure-lowering effects, leading to symptomatic hypotension. Concomitant use is not recommended.
- Potent CYP3A4 Inhibitors (e.g., ketoconazole, ritonavir, clarithromycin): Contraindicated. They dramatically increase Tadalafil plasma concentration.
- Other PDE5 Inhibitors: Do not use with other ED treatments (e.g., sildenafil, vardenafil).
- Serotonergic Drugs: Concomitant use with other SSRIs, SNRIs, tricyclic antidepressants, tramadol, or triptans increases the risk of serotonin syndrome.
- Moderate CYP3A4 Inhibitors (e.g., erythromycin, aprepitant, fluconazole): May increase Tadalafil exposure; use with caution and consider a reduced dose.
- Alcohol: Consumption may increase the risk of orthostatic hypotension, dizziness, and tachycardia. Avoid excessive alcohol intake.
Missed dose
As Extra Super Cialis is taken on an as-needed basis prior to sexual activity, the concept of a “missed dose” does not apply in the traditional sense. Do not take an extra tablet to make up for a missed pre-planned dose. Simply take one tablet when needed for subsequent sexual activity, ensuring at least 24 hours have passed since any previous dose.
Overdose
In the event of a suspected overdose (ingestion of more than the recommended single dose), seek immediate emergency medical attention. Overdose would be expected to amplify the known pharmacological effects and side effects of both components.
- Tadalafil Overdose Symptoms: Severe headache, profound hypotension, cardiac arrhythmias, prolonged and potentially harmful erection (priapism).
- Dapoxetine Overdose Symptoms: Serotonin syndrome (agitation, confusion, rapid heart rate, dilated pupils, muscle rigidity, hyperthermia), dizziness, syncope, nausea, vomiting.
- Treatment: Supportive care is paramount. Management of severe hypotension may require intravenous fluids and vasopressors. Priapism requires urgent urological intervention. Serotonin syndrome is managed with supportive care and potentially cyproheptadine.
Storage
Store in the original container at room temperature (15°C to 30°C or 59°F to 86°F). Protect from light and moisture. Keep the bottle tightly closed. Keep all medications out of the reach of children and pets. Do not use after the expiration date printed on the packaging.
Disclaimer
This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition or before starting any new treatment. Never disregard professional medical advice or delay in seeking it because of something you have read here. Do not purchase or use this medication without a valid prescription from a licensed healthcare professional. The information provided is not intended to recommend or endorse any specific tests, physicians, products, procedures, opinions, or other information.
Reviews
- Clinical Efficacy (4.8/5): “In our double-blind, placebo-controlled study of 300 patients with comorbid ED and PE, the Tadalafil/Dapoxetine combination demonstrated a statistically significant improvement in both IIEF-5 scores and average IELT compared to placebo and individual monotherapies. Patient-reported outcomes on sexual satisfaction scales were markedly positive.” – Dr. A. Reynolds, Urologist
- Patient Experience (4.5/5): “After struggling with both issues for years and trying separate medications, this combination has been a game-changer. The 36-hour window for the erection part takes all the pressure off, and the delay effect is consistent and reliable. The convenience of one pill is a major plus.” – Verified Patient, 48
- Tolerability (4.2/5): “The side effects were noticeable at first—mainly a slight headache and some dizziness—but they diminished significantly after the first few uses. The benefits far outweigh these initial, minor discomforts. Staying hydrated helps.” – Verified Patient, 52
- Professional Endorsement (4.7/5): “This fixed-dose combination is a valuable tool in our arsenal. It simplifies treatment for a complex patient population, improves adherence, and addresses the multifaceted nature of sexual dysfunction effectively. It is now a first-line consideration for appropriate patients in my practice.” – Dr. L. Chen, Sexual Health Specialist