Extra Super P-Force Tablet
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What is Extra Super P-Force Used For?
- Extra Super P-Force is a high-strength dual-action tablet by Sunrise Remedies Pvt. Ltd. containing Sildenafil Citrate 100mg + Dapoxetine 100mg, prescribed for men with co-existing:
- Erectile Dysfunction – Sildenafil 100mg (the standard maximum on-demand dose) delivers reliable erection for 4–6 hours.
- Premature Ejaculation at Above-Standard Dapoxetine Dose – Dapoxetine 100mg is above the maximum approved dose (60mg), providing more prolonged serotonin reuptake inhibition for severe PE under physician direction.
- Above-Guideline Dapoxetine Therapy – Used when standard Dapoxetine 60mg alone has not provided sufficient ejaculatory control in men with severe PE.
How Does Extra Super P-Force Work?
- Extra Super P-Force delivers two high-dose active ingredients:
- Sildenafil 100mg inhibits PDE-5 to sustain cGMP-mediated penile vasodilation during sexual arousal, supporting erection for 4–6 hours.
- Dapoxetine 100mg provides intensified serotonin reuptake inhibition in the ejaculatory reflex pathway compared to the standard 60mg dose, further extending ejaculatory latency.
- Both mechanisms act simultaneously for combined ED + severe PE treatment.
How to Use Extra Super P-Force
Dosage: One tablet 30–60 minutes before sexual activity, with or without food.
Timing: Sildenafil onset 30–60 minutes; activity 4–6 hours. Dapoxetine peaks 1–2 hours.
Precaution: One tablet per 24 hours. Contraindicated with nitrates, MAOIs, and all serotonergic drugs.
Side Effects of Extra Super P-Force
Common: Headache, nausea, flushing, dizziness, visual changes, dry mouth.
Serious (seek medical help): Severe hypotension, serotonin syndrome, priapism, syncope, sudden vision or hearing loss.
Extra Dosage Comparison Guide
| Strength | Best For | Onset | Duration | Link |
|---|---|---|---|---|
| 40 mg + 60 mg | Lower strength option | 30–120 min | Up to 36 hrs | View → |
| 100 mg / 100 mg | Popular strength option | 30–120 min | Up to 36 hrs | Current |
| 200 mg / 60 mg | Maximum strength variant | 30–120 min | Up to 36 hrs | View → |
* Always consult your doctor before changing your dosage. This information is for educational reference only.
Drug Interactions — Important Information
| Drug / Substance | Interaction Type | Risk Level | Action Required |
|---|---|---|---|
| Nitrates (any form) | Severe hypotension (sildenafil component) | 🔴 Absolute Contraindication | Do NOT combine — risk of fatal BP drop |
| MAOIs (phenelzine, tranylcypromine, selegiline) | Serotonin syndrome (dapoxetine component) | 🔴 Absolute Contraindication | Do NOT combine; 14-day washout required after stopping MAOIs |
| Thioridazine / Linezolid | Serotonin syndrome (dapoxetine component) | 🔴 Contraindicated | Do NOT combine |
| Other PDE-5 inhibitors | Additive PDE-5 vasodilation | 🔴 Contraindicated | Never combine two PDE-5 inhibitors |
| SSRIs / SNRIs (fluoxetine, paroxetine) | Serotonin syndrome + elevated dapoxetine via CYP2D6 inhibition | 🟠 Serious | Avoid co-use; close physician monitoring required |
| Alpha-blockers | Additive hypotension | 🟠 Serious | Physician supervision required; use lowest dose |
| Ritonavir / CYP3A4 inhibitors | Increases both sildenafil and dapoxetine plasma levels | 🟠 Serious | Dose reduction required for both components |
| Alcohol (heavy use) | Additive vasodilation + CNS depression | 🟡 Moderate | Avoid alcohol with this combination |
Always inform your doctor about all medications, supplements, and recreational substances you are taking before starting this medication. This list is not exhaustive.
Frequently Asked Questions
Q1: What is Extra Super P-Force?
Extra Super P-Force is a combination tablet by Sunrise Remedies Pvt. Ltd. containing Sildenafil Citrate 100mg and Dapoxetine 100mg. The 100mg dapoxetine dose is above the maximum approved dose (60mg) and is prescribed for men with severe PE who have not achieved adequate control at 60mg, combined with standard sildenafil 100mg for ED.
Q2: How does Extra Super P-Force differ from Super P-Force?
Super P-Force contains Sildenafil 100mg + Dapoxetine 60mg (both standard doses). Extra Super P-Force uses Dapoxetine 100mg — above the approved maximum — while maintaining sildenafil 100mg. The extra dapoxetine dose is for men with severe PE who need intensified ejaculatory control beyond what 60mg provides.
Q3: Is Dapoxetine 100mg a standard approved dose?
No. Dapoxetine is approved at 30mg and 60mg on-demand. Dapoxetine 100mg in Extra Super P-Force is an above-guideline dose used under physician supervision for severe refractory PE where 60mg has been inadequate.
Q4: What serotonergic drugs are contraindicated with Extra Super P-Force?
All serotonergic drugs are contraindicated with the dapoxetine component: MAOIs (must be stopped 14 days prior), SSRIs, SNRIs, tricyclic antidepressants, triptans, tramadol, linezolid, and St John's wort. Serotonin syndrome from combination is potentially life-threatening.
Q5: What are the side effects of Extra Super P-Force?
The side effect profile combines both components. Sildenafil 100mg contributes headache, flushing, nasal congestion, and transient visual changes. Dapoxetine 100mg contributes nausea, dizziness, dry mouth, and mood changes. At above-standard dapoxetine dose, central nervous system effects may be more pronounced.
Q6: How quickly does Extra Super P-Force work?
Sildenafil 100mg onset is 30–60 minutes; food delays absorption. Dapoxetine peaks at 1–2 hours. Sexual activity should be timed to begin approximately 30–60 minutes after dosing to maximise both components' effectiveness.
Q7: Can Extra Super P-Force be taken with alcohol?
Alcohol is strongly contraindicated. Dapoxetine 100mg significantly amplifies alcohol's CNS depressant effects, substantially increasing syncope and orthostatic hypotension risk. Even small amounts of alcohol should be avoided.
Q8: What cardiovascular risk is associated with Extra Super P-Force?
Sildenafil 100mg significantly lowers blood pressure, particularly in men on antihypertensives. Dapoxetine also has haemodynamic effects. Combined at these doses, cardiovascular assessment — including blood pressure, cardiac status, and current medications — is mandatory before prescribing.
Q9: Who should not take Extra Super P-Force?
Men taking nitrates, riociguat, MAOIs, serotonergic drugs, strong CYP3A4 inhibitors, or those with cardiovascular disease, recent MI/stroke, severe hepatic impairment, uncontrolled hypertension, retinitis pigmentosa, or sickle cell disease must not use Extra Super P-Force.
Q10: How does Extra Super P-Force compare to Extra Super Tadarise?
Extra Super P-Force uses Sildenafil 100mg (4–6 hr) + Dapoxetine 100mg. Extra Super Tadarise uses Tadalafil 40mg (36 hr) + Dapoxetine 60mg. Extra Super P-Force has above-guideline dapoxetine; Extra Super Tadarise has above-guideline tadalafil. The choice depends on whether extended PDE-5 coverage or stronger PE control is the priority.
Q11: Can Extra Super P-Force cause serotonin syndrome?
Yes. At 100mg dapoxetine combined with any other serotonergic drug, serotonin syndrome risk is clinically significant. Symptoms include agitation, hyperthermia, tremor, and autonomic instability. Any concurrent serotonergic medication must be disclosed and stopped before initiating Extra Super P-Force.
Q12: Is a prescription required for Extra Super P-Force?
Yes, and specialist supervision is recommended. Both sildenafil 100mg and dapoxetine 100mg are prescription medicines. The above-guideline dapoxetine dose specifically requires physician documentation of inadequate response to 60mg before prescribing Extra Super P-Force.
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Customer Reviews
Nathan G.
Spain · 4 months ago
“Reasonable delivery to Spain — about 14 days. Product is exactly as described, tablets look and work authentic.”
Daniel F.
Australia · 3 weeks ago
“Good delivery time — 11 days to Sydney. Packaging was plain and discreet. Product quality matches the description exactly.”
Andrew P.
Netherlands · 6 weeks ago
“Delivery took about 13 days to the Netherlands. Tablets were in original sealed blisters. No issues with customs at all.”
Brian K.
Australia · 3 months ago
“Packaging was incredibly discreet. Tablets are sealed with lot number and manufacturing date visible. Genuine product.”
Luke H.
UK · 4 months ago
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Clinical References
This product information is supported by peer-reviewed clinical evidence:
- Goldstein I, et al. (1998). Oral sildenafil in the treatment of erectile dysfunction. New England Journal of Medicine, 338(20), 1397–1404. [PubMed: 9580646]
- Pryor JL, et al. (2006). Efficacy and tolerability of dapoxetine in treatment of premature ejaculation: an integrated analysis of two double-blind, randomised controlled trials. Lancet, 368(9539), 929–937. [PubMed: 16962882]
- Burnett AL, et al. (2018). Erectile Dysfunction: AUA Guideline. Journal of Urology, 200(3), 633–641. [PubMed: 29746858]
- Hatzimouratidis K, et al. (2010). EAU Guidelines on Male Sexual Dysfunction. European Urology, 57(5), 804–814. [PubMed: 20189712]
Disclaimer
The information provided on Medionix Pharma is intended for general informational purposes only. It should not be considered as medical advice, diagnosis, or treatment. Always consult a qualified healthcare professional before using any medication or starting any treatment.
Medionix Pharma does not encourage self-medication. Customers are responsible for ensuring that purchases comply with local laws and prescription requirements in their country. If you have any questions or concerns regarding the content on our website, please contact us at sales@medionixpharma.com.