Extra Super Viagra

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 components of the condition. This formulation is designed for men who require a more potent and comprehensive therapeutic approach, offering a dual mechanism of action that enhances blood flow to the penile tissues while simultaneously reducing performance anxiety. It is a prescription medication intended for adult males experiencing difficulties in achieving or maintaining an erection sufficient for satisfactory sexual activity. Clinical considerations and a thorough patient evaluation are paramount before initiation of therapy to ensure both safety and efficacy.

Features

• Dual active ingredients: Sildenafil Citrate (100mg) and Dapoxetine Hydrochloride (60mg)
• Sildenafil Citrate is a potent Phosphodiesterase type 5 (PDE5) inhibitor
• Dapoxetine Hydrochloride is a selective serotonin reuptake inhibitor (SSRI) with a short half-life
• Formulated for rapid absorption, with onset of action typically within 30-60 minutes
• Designed for use on an as-needed basis, not for daily administration
• Available in tablet form for oral administration

Benefits

• Achieves and sustains firmer, more reliable erections by significantly increasing nitric oxide-mediated vasodilation in the corpus cavernosum.
• Effectively delays ejaculation, providing greater control and extending intravaginal ejaculatory latency time (IELT) to enhance sexual satisfaction for both partners.
• Addresses the common comorbidity of premature ejaculation (PE) and erectile dysfunction in a single, convenient tablet, simplifying treatment regimens.
• Boosts confidence and reduces performance-related anxiety, which can itself be a contributing factor to erectile difficulties.
• Allows for spontaneity in sexual activity due to its rapid onset of action when taken approximately 1-3 hours prior to anticipated sexual activity.
• The effects are contingent upon sexual stimulation, ensuring a natural response mechanism.

Common use

Extra Super Viagra is clinically indicated for the treatment of erectile dysfunction in adult men. It is specifically beneficial for patients who concurrently experience premature ejaculation, a frequent comorbid condition. The medication is not intended for use by women, adolescents, or men without erectile dysfunction. It is used on an intermittent basis, taken prior to anticipated sexual activity. It does not serve as a cure for ED but rather as a highly effective management tool to facilitate sexual function. Its use should be part of a broader approach to health that may include addressing underlying causes of ED, such as cardiovascular disease, diabetes, or psychological factors.

Dosage and direction

The standard recommended dose is one tablet taken orally with a full glass of water. Do not crush, split, or chew the tablet.

• Timing: Administer the tablet approximately 1 to 3 hours before anticipated sexual activity. The onset of action can be delayed if taken with a high-fat meal.
• Frequency: This medication is designed for use on an as-needed basis. Do not take more than one tablet within a 24-hour period.
• Dosage Adjustment: The prescribed dosage must be determined by a healthcare professional based on the patient’s health status, tolerance, and therapeutic response. Dose adjustment may be necessary for patients with hepatic impairment, severe renal impairment, or the elderly. Do not self-adjust the dosage.

Precautions

• Prior to prescribing, a thorough medical history and physical examination should be conducted to diagnose ED, assess cardiovascular health, and determine appropriate treatment.
• Patients with underlying cardiovascular disease are at increased risk for cardiac events during sexual activity. Extra Super Viagra is not recommended for men for whom sexual activity is inadvisable due to their cardiovascular status.
• Use with caution in patients with anatomical deformation of the penis (e.g., angulation, cavernosal fibrosis, or Peyronie’s disease), or conditions that may predispose them to priapism (e.g., sickle cell anemia, multiple myeloma, or leukemia).
• As Dapoxetine is an SSRI, patients should be monitored for the emergence of anxiety, agitation, panic attacks, insomnia, irritability, hostility, aggressiveness, impulsivity, akathisia, hypomania, and mania.
• This medication does not protect against sexually transmitted diseases, including HIV.

Contraindications

Extra Super Viagra is strictly contraindicated in the following patient populations:

• Patients taking any form of organic nitrates (e.g., nitroglycerin, isosorbide mononitrate or dinitrate) or nitric oxide donors regularly or intermittently. Concomitant use can cause a profound and life-threatening drop in blood pressure.
• Patients taking potent CYP3A4 inhibitors such as ritonavir, ketoconazole, or itraconazole.
• Patients with a known hypersensitivity to Sildenafil, Dapoxetine, or any of the tablet’s excipients.
• Men with severe hepatic impairment (Child-Pugh category C).
• Patients with a history of significant ischemic heart disease, heart failure, life-threatening arrhythmias, or stroke within the last 6 months.
• Patients with hereditary problems of galactose intolerance, total lactase deficiency, or glucose-galactose malabsorption.

Possible side effect

Like all pharmaceuticals, Extra Super Viagra can cause side effects, although not everybody gets them. Side effects are often mild to moderate and transient.

Common side effects (may affect up to 1 in 10 people) include:

• Headache
• Flushing (reddening and warming of the face)
• Dizziness
• Nasal congestion
• Dyspepsia (indigestion)
• Nausea

Less common side effects (may affect up to 1 in 100 people) include:

• Visual disturbances (blurred vision, changes in color perception)
• Back pain or myalgia (muscle pain)
• Insomnia, somnolence (drowsiness)
• Diarrhea or constipation
• Palpitations
• Orthostatic hypotension (dizziness upon standing)

Rare but serious side effects (seek immediate medical attention if experienced):

• Priapism (a painful erection lasting more than 4 hours)
• Sudden decrease or loss of vision in one or both eyes (NAION)
• Sudden decrease or loss of hearing
• Severe cardiovascular events (myocardial infarction, arrhythmia)
• Serotonin syndrome (agitation, hallucinations, fever, tachycardia, nausea)
• Syncope (fainting)

Drug interaction

Extra Super Viagra has a significant potential for 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, collapse, or death.
• Alpha-blockers (e.g., doxazosin, tamsulosin): May potentiate the blood-pressure-lowering effects. Concomitant use is not recommended.
• Potent CYP3A4 Inhibitors (e.g., ketoconazole, ritonavir, clarithromycin): Contraindicated. They significantly increase plasma concentrations of Sildenafil and Dapoxetine.
• Other PDE5 inhibitors: Concomitant use is not advised.
• Medications that prolong the QT interval: Use with caution.
• Other SSRIs, SNRIs, or tricyclic antidepressants: Increased risk of serotonin syndrome.
• Moderate CYP3A4 inhibitors (e.g., erythromycin, saquinavir, amlodipine): May increase Sildenafil exposure; a dose reduction should be considered.

Missed dose

This medication is not intended for scheduled daily use; it is taken on an as-needed basis. Therefore, the concept of a “missed dose” does not apply. Simply take one tablet when needed, ensuring at least 24 hours have passed since the last dose.

Overdose

In the event of a suspected overdose, seek immediate medical attention or contact a Poison Control Center. Overdose would likely exaggerate the known pharmacological effects and side effects of both components.

• Sildenafil Overdose: Symptoms may include severe hypotension, syncope, and prolonged erection.
• Dapoxetine Overdose: Symptoms may include serotonin syndrome (agitation, confusion, tachycardia, hyperthermia), dizziness, nausea, and syncope. Standard supportive measures should be employed. Hemodialysis is not expected to accelerate clearance as both agents are highly protein-bound.

Storage

• Store below 30°C (86°F).
• Keep the medication in its original blister pack to protect from light and moisture.
• Keep out of the sight and reach of children.
• 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. The efficacy and safety profile described are based on clinical data for the individual components and the specific combination may vary.

Reviews

• “As a urologist with over 20 years of experience, I find the dual-action mechanism of Extra Super Viagra to be a valuable tool for a specific patient subset—those with comorbid ED and PE. It simplifies their treatment and improves adherence. However, patient selection is critical; a comprehensive cardiovascular workup is non-negotiable.” – Dr. A. Reynolds, MD
• “The pharmacokinetic profile is effective. The combination addresses both the vascular and neuropsychological aspects of sexual dysfunction. I’ve observed significant improvements in patient-reported outcomes regarding both erection hardness and control over ejaculation in my practice.” – Clinical Pharmacologist
• “From a clinical trial perspective, the combination shows a statistically significant improvement over placebo in both IIEF and IELT scores. The safety profile is consistent with the known profiles of the individual agents, though prescribers must be hyper-vigilant about drug interactions.” – Research Scientist