Extra Super Vidalista Tablet
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What is Extra Super Vidalista Used For?
- Extra Super Vidalista is a dual-action combination tablet by Centurion Laboratories containing Tadalafil 40mg and Dapoxetine 60mg, prescribed for:
- Concurrent ED and Premature Ejaculation with Extended Coverage – Combines tadalafil's 36-hour window with dapoxetine's ejaculatory delay in a single above-standard-dose tablet.
- Refractory ED Cases – Tadalafil 40mg (double standard dose) provides stronger erection support for men not adequately served by 20mg tadalafil.
- Maximum PE Control – Dapoxetine 60mg delivers full standard maximum-dose SSRI ejaculatory delay alongside the high-potency tadalafil component.
How Does Extra Super Vidalista Work?
- Extra Super Vidalista combines two mechanisms:
- Tadalafil 40mg inhibits PDE-5 at elevated plasma concentrations, producing stronger cGMP-driven vasodilation and firmer erection response than standard 20mg, with the characteristic 36-hour activity window.
- Dapoxetine 60mg inhibits serotonin reuptake in the ejaculatory neural pathway, significantly raising the ejaculatory threshold and prolonging intravaginal ejaculatory latency time.
- Together they address both male sexual dysfunction components with heightened pharmacological intensity.
How to Use Extra Super Vidalista
Dosage: One tablet taken 30–60 minutes before sexual activity.
Timing: Tadalafil onset in 30–60 minutes with 36-hour coverage; Dapoxetine active within 1–3 hours.
Precaution: One tablet per 24 hours. Nitrates and MAOIs absolutely contraindicated. Risk of syncope — remain seated if dizziness occurs.
Side Effects of Extra Super Vidalista
Common Side Effects: Back pain, myalgia, headache, nausea, dizziness, flushing, nasal congestion, diarrhea.
Serious Side Effects (seek immediate medical help): Syncope, severe hypotension, serotonin syndrome, priapism, 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 | Current |
| 100 mg / 100 mg | Popular strength option | 30–120 min | Up to 36 hrs | View → |
| 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 — prolonged risk due to 36-hr tadalafil half-life | 🔴 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; physician monitoring required |
| Alpha-blockers (tamsulosin, doxazosin) | Additive hypotension | 🟠 Serious | Start at lowest dose; physician supervision |
| Ritonavir / CYP3A4 inhibitors | Increases tadalafil and dapoxetine exposure | 🟠 Serious | Maximum 10 mg tadalafil per 72 hrs; dose reduction required |
| 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 Vidalista used for?
Extra Super Vidalista contains Tadalafil 40mg and Dapoxetine 60mg and treats both erectile dysfunction and premature ejaculation simultaneously. It combines above-guideline tadalafil for stronger ED control with full-dose dapoxetine for maximum ejaculatory delay.
Q2: How does Extra Super Vidalista differ from Super Vidalista?
Standard Super Vidalista contains Tadalafil 20mg + Dapoxetine 60mg. Extra Super Vidalista doubles the tadalafil to 40mg, providing stronger erection response for men with more severe ED while maintaining the same full-dose dapoxetine component.
Q3: Why does Extra Super Vidalista contain 40mg of tadalafil?
Tadalafil 40mg is an above-guideline dose prescribed when standard 20mg proves insufficient for erectile response. In Extra Super Vidalista, it provides maximum tadalafil-based erection support for men with both severe ED and premature ejaculation.
Q4: How long does Extra Super Vidalista last?
The tadalafil component provides the characteristic 36-hour activity window for erection response. Dapoxetine reaches peak effect within 1 to 3 hours of ingestion. Together, the product supports a full sexual encounter with control over both erection and ejaculation.
Q5: What is the syncope risk with Extra Super Vidalista?
Dapoxetine 60mg carries a vasovagal syncope risk, particularly around orgasm or when standing rapidly. When combined with tadalafil 40mg's hypotensive effect, this risk is significant. Men should remain seated for at least 3 hours and avoid driving after taking this product.
Q6: Can Extra Super Vidalista be taken with other serotonergic drugs?
No. Dapoxetine 60mg must not be combined with other serotonergic drugs including SSRIs, SNRIs, triptans, tramadol, linezolid, or St. John's Wort. This combination can cause life-threatening serotonin syndrome.
Q7: Who should not take Extra Super Vidalista?
Men taking nitrates, MAOIs, other serotonergic drugs, alpha-blockers, strong CYP3A4 inhibitors, or those with significant cardiovascular disease, severe hepatic impairment, recent MI or stroke, or bipolar disorder must not use Extra Super Vidalista.
Q8: What side effects are unique to Extra Super Vidalista vs standard ED tablets?
The dapoxetine component adds nausea, dizziness, diarrhea, and syncope risk beyond typical tadalafil side effects. The elevated tadalafil dose further intensifies back pain and myalgia. Together, the adverse event profile is more pronounced than either drug alone.
Q9: Can alcohol be taken with Extra Super Vidalista?
No. Alcohol must be strictly avoided. It amplifies tadalafil's hypotensive effects and dramatically increases dapoxetine's syncope risk, creating a potentially dangerous cardiovascular combination particularly after physical exertion.
Q10: How often can Extra Super Vidalista be taken?
No more than once per 24 hours. The dapoxetine component specifically requires this minimum washout interval to prevent serotonergic accumulation and cardiovascular risk.
Q11: Is Extra Super Vidalista better than taking tadalafil and dapoxetine separately?
The combination product offers convenience in a single tablet. The pharmacological effect is equivalent to taking the two drugs separately at the same doses. For those needing dose adjustments, separate formulations allow more flexibility.
Q12: Is a prescription required for Extra Super Vidalista?
Yes. Both active ingredients require physician oversight, and the above-standard tadalafil 40mg dose and dual-agent interaction profile make specialist supervision particularly important for safety.
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“Already on my third order. Consistent quality every time, discreet shipping, and helpful email support team.”
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Clinical References
This product information is supported by peer-reviewed clinical evidence:
- Brock GB, et al. (2002). Efficacy and safety of tadalafil for the treatment of erectile dysfunction: results of integrated analyses. Journal of Urology, 168(4), 1332–1336. [PubMed: 12352386]
- 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.