Buy Extra Super P Force
Extra Super P Force

2.61
A combination medication used to treat both erectile dysfunction and premature ejaculation in men.


Availability
In Stock
Delivery
Airmail (14-21 days) | EMS trackable (5-9 days)
Product is shipped in a fully discreet envelope with no content disclosure, including all required documentation inside

Product Sheet

Active Ingredient(s)
Sildenafil, Dapoxetine
Primary Category
Sexual Health
Therapeutic Class
Urologicals, Drugs used in erectile dysfunction
Pharmacological Class
PDE5 Inhibitor, Selective Serotonin Reuptake Inhibitor (SSRI)
Indications
Erectile dysfunction, Premature ejaculation
Contraindications
Heart disease, Recent stroke, Liver impairment, Hypotension, Use of nitrates
Minor Side Effects
Nausea, Flushing, Dizziness
Moderate Side Effects
Headache, Indigestion, Blocked nose
Serious Side Effects
Sudden vision loss, Chest pain, Priapism (prolonged erection), Seizures
Dosage Forms
Tablet
Administration Route
Oral
Mechanism of Action
Sildenafil increases blood flow to the penis to help maintain an erection, while Dapoxetine increases the time it takes to ejaculate by modulating serotonin levels in the nervous system.
Prescription Status
Rx
Manufacturer
Sunrise Remedies
Patient Summary
A combination medication used to treat both erectile dysfunction and premature ejaculation in men.
Onset Time
30-60 minutes
Duration
4-6 hours
Storage Instructions
Store in a cool, dry place away from direct sunlight.
Drug Interactions
Nitrates, Ritonavir, Ketoconazole, MAOIs
Age Restrictions
18 to 64 years
Pregnancy Use
Not for use by women.
Alternative Drugs
Viagra, Priligy

What is Extra Super P Force?

Extra Super P Force is a prescription pill that combines two active ingredients: sildenafil and dapoxetine. The medication is available in a fixed-dose tablet of 100 mg sildenafil / 100 mg dapoxetine. It belongs to the therapeutic classes of erectile dysfunction (ED) and premature ejaculation (PE). In Hong Kong, prescription medicines are regulated by the Department of Health and must be dispensed under the supervision of a qualified healthcare professional. Specific brand-related information such as the manufacturer or marketing dates is not published in publicly accessible sources; therefore, this article focuses on the known properties of the two active components.

How Extra Super P Force Works in the Body

Sildenafil - a phosphodiesterase-5 (PDE5) inhibitor

  • Sildenafil blocks the enzyme PDE5, which normally breaks down cyclic guanosine monophosphate (cGMP) in the smooth muscle of the penis.
  • By preserving cGMP, sildenafil promotes relaxation of penile smooth muscle, allowing increased blood flow during sexual stimulation.
  • The drug’s onset is typically 30-60 minutes, with a peak effect around 1 hour and a duration of 4-6 hours.

Dapoxetine - a short-acting selective serotonin reuptake inhibitor (SSRI)

  • Dapoxetine selectively inhibits the re-uptake of serotonin in the central nervous system, enhancing serotonergic neurotransmission.
  • Higher serotonin activity lengthens the time between sexual stimulation and ejaculation, thereby increasing intravaginal ejaculatory latency time (IELT).
  • Dapoxetine has a rapid absorption profile, reaching peak plasma concentrations within 1-2 hours, and a short half-life of about 1.5 hours, making it suitable for on-demand use.

The combination aims to address both the inability to achieve an erection (ED) and the difficulty of delaying ejaculation (PE) in a single pill, although each component retains its distinct pharmacologic actions.

Treating Erectile Dysfunction and Premature Ejaculation with Extra Super P Force

Approved Indications (based on the individual ingredients)

  • Sildenafil is approved by regulatory authorities worldwide, including the U.S. FDA and the European Medicines Agency (EMA), for the treatment of erectile dysfunction.
  • Dapoxetine holds approval in several European countries and Canada for the management of premature ejaculation in adult men.

When used together, the two agents may provide complementary benefits for men who experience both conditions, but the combined product’s approval status in Hong Kong is not publicly documented. Health professionals must verify local regulatory clearance before prescribing.

Typical patient profile

  • Adult men diagnosed with erectile dysfunction who also report rapid ejaculation despite adequate erection quality.
  • Patients who have tried monotherapy with either sildenafil or dapoxetine and seek a single-tablet solution after medical evaluation.

Evidence-Based Off-Label Uses

Current peer-reviewed literature does not establish a formal indication for a combined sildenafil/dapoxetine formulation beyond the separate approved uses of each component. Any off-label application of Extra Super P Force for other sexual health conditions would require:

  • Regulatory disclaimer: The use is not approved by the Hong Kong Department of Health.
  • Medical supervision: Off-label prescribing should be individualized, weighing potential benefits against risks.

No robust clinical trials specifically evaluating the fixed-dose combination have been identified; therefore, this section is omitted.

Who Should (and Should Not) Use Extra Super P Force?

Absolute contraindications

  • Concurrent use of nitrates (e.g., nitroglycerin, isosorbide dinitrate) - can cause severe hypotension.
  • Known hypersensitivity to sildenafil, dapoxetine, or any tablet excipients.
  • Severe cardiovascular disease where sexual activity is contraindicated (e.g., uncontrolled angina, recent myocardial infarction).
  • Use of monoamine oxidase inhibitors (MAOIs) within the past 14 days - risk of serotonergic toxicity with dapoxetine.

Relative contraindications and special considerations

  • History of non-arteritic anterior ischemic optic neuropathy (NAION) - caution with sildenafil.
  • Severe hepatic impairment (Child-Pugh C) - both drugs may require dose adjustment.
  • Renal impairment (creatinine clearance < 30 mL/min) - consider monitoring but no specific dose reduction is listed for the 100 mg strengths.
  • Pregnancy and lactation - the medication is intended for male patients; women should not handle the tablets without protective measures.
  • Elderly patients - may be more sensitive to blood pressure changes; initiate therapy at the lowest effective dose and monitor closely.

Special populations

  • Patients on antidepressants or other serotonergic agents - evaluate for potential serotonin syndrome.
  • Men with a history of priapism - avoid sildenafil unless a specialist determines benefit outweighs risk.

When in doubt, clinicians should assess the full medical history before initiating therapy.

Safety Profile: Side Effects and Interactions

Common side effects

  • Sildenafil: headache, facial flushing, nasal congestion, dyspepsia, visual disturbances (e.g., bluish tint).
  • Dapoxetine: nausea, dizziness, headache, insomnia, diarrhea.

These effects are usually mild, transient, and resolve without medical intervention.

Serious adverse events

  • Sildenafil: sudden loss of vision (ischemic optic neuropathy), prolonged erection lasting > 4 hours (priapism), severe hypotension, myocardial infarction in high-risk patients.
  • Dapoxetine: rare cases of serotonin syndrome (fever, agitation, tremor), severe depression or suicidal thoughts, significant cardiac arrhythmias.

Seek immediate medical care if any of the following occur: chest pain, visual loss, prolonged erection, severe dizziness, or signs of an allergic reaction (rash, swelling, difficulty breathing).

Drug interactions

  • Major contraindication: any nitrate medication (e.g., nitroglycerin) - can precipitate profound hypotension.
  • CYP3A4 inhibitors (e.g., ketoconazole, erythromycin) may increase sildenafil plasma levels; dose reduction may be necessary.
  • CYP2D6 inhibitors (e.g., fluoxetine, paroxetine) can raise dapoxetine concentrations, heightening the risk of serotonin syndrome.
  • Other serotonergic drugs (e.g., other SSRIs, tramadol, triptans) may interact with dapoxetine; concurrent use should be avoided or closely monitored.

Food and lifestyle considerations

  • Alcohol: excessive consumption may intensify hypotensive effects of sildenafil and increase dizziness from dapoxetine. Limit intake.
  • Heavy meals: high-fat meals can delay sildenafil absorption, potentially postponing onset.
  • Driving or operating machinery: advise caution if dizziness or visual changes occur after dosing.

Patients should provide a complete medication list, including over-the-counter products and herbal supplements, to their prescriber.

How to Take Extra Super P Force

Standard dosing (physician-guided)

  • Sildenafil component: 50 - 100 mg taken as needed, approximately 30-60 minutes before sexual activity. Do not exceed one tablet per day.
  • Dapoxetine component: 30 mg (or 60 mg) taken 1-3 hours before anticipated sexual activity, also limited to once daily.

Because the fixed-dose tablet contains 100 mg of each ingredient, the prescriber may adjust the regimen based on individual tolerance, comorbidities, and response. The tablet is intended for on-demand use rather than continuous daily dosing.

Administration instructions

  • Swallow the pill whole with a glass of water.
  • It may be taken with or without food; however, a high-fat meal can delay sildenafil’s onset.
  • Do not split, crush, or chew the tablet.

Missed dose

The medication is taken only when sexual activity is anticipated. If a dose is missed, simply skip it; do not take an extra tablet later to “make up” for the missed one.

Overdose and emergency measures

  • Symptoms: pronounced flushing, severe headache, dizziness, low blood pressure, rapid heart rate, prolonged erection, nausea, or vomiting.
  • Action: Seek emergency medical care. Activated charcoal may be considered if presentation is within one hour of ingestion. No specific antidote exists; treatment is supportive and may include intravenous fluids and vasopressors for hypotension.

Discontinuation

If treatment is stopped, there is no requirement for tapering. However, patients experiencing lingering side effects should discuss them with a healthcare provider before switching to another therapy.

Monitoring and Follow-Up

  • Blood pressure: check baseline and periodic measurements, especially in patients with cardiovascular risk factors.
  • Cardiac status: assess for chest pain or arrhythmias when initiating therapy in men with known heart disease.
  • Psychological assessment: monitor mood changes, anxiety, or signs of depression during dapoxetine use.
  • Efficacy review: evaluate erectile function and ejaculation control after a few treatment cycles to determine whether the medication meets the patient’s goals.

Routine laboratory testing is not mandatory for most patients but may be warranted in those with hepatic or renal impairment.

Storage and Handling

  • Store the tablets at room temperature (15-30 °C), away from excess moisture and direct sunlight.
  • Keep the container tightly closed and out of reach of children.
  • Do not use the medication after the expiry date printed on the package.
  • Dispose of unused tablets according to local pharmacy-take-back programs or the instructions on the product label.

Medication-Specific Glossary

Phosphodiesterase-5 (PDE5) inhibitor
A class of drugs that block the PDE5 enzyme, enhancing cGMP-mediated smooth-muscle relaxation in the penis, facilitating erection.
Selective serotonin reuptake inhibitor (SSRI)
A medication that increases serotonin levels in the brain by inhibiting its reabsorption, commonly used for mood disorders and, in the case of dapoxetine, to delay ejaculation.
Intravaginal ejaculatory latency time (IELT)
The measured interval from vaginal penetration to ejaculation; a primary endpoint in premature ejaculation studies.
Priapism
A prolonged, often painful erection lasting more than four hours, requiring urgent medical evaluation.
Serotonin syndrome
A potentially life-threatening condition resulting from excessive serotonergic activity, characterized by agitation, confusion, rapid heart rate, and high blood pressure.

Medical Disclaimer

This article provides educational information about Extra Super P Force and is not a substitute for professional medical advice. Treatment decisions, including use for unapproved indications, must be made under the guidance of a qualified healthcare provider. The content is intended for informational purposes and does not constitute medical recommendations. Always consult a physician before starting, stopping, or changing any medication regimen.

Extra Super P Force FAQ

Can I take Extra Super P Force with alcohol?

Moderate alcohol consumption may increase the risk of dizziness, low blood pressure, and reduced sexual performance. It is advisable to limit alcohol intake when using this medication to avoid compounded side effects.

What does the imprint on the tablet look like?

The specific imprint for Extra Super P Force tablets is not publicly disclosed. Users should verify the pill’s appearance against the dispensing pharmacy’s label to ensure authenticity.

Is this medication detectable in drug testing for work or sport?

Sildenafil and dapoxetine are not classified as controlled substances and are typically not screened for in standard workplace or sports drug tests. However, organizations with strict anti-doping policies should be consulted for any specific restrictions.

Can I travel internationally with this prescription pill?

Yes, provided you carry a valid prescription from a licensed practitioner and, if required, a doctor’s letter. Some countries may have additional import restrictions for sildenafil-containing products, so checking local regulations before travel is recommended.

How does Extra Super P Force differ from taking sildenafil and dapoxetine separately?

The combination tablet delivers both agents in a single dose, simplifying administration for men who need treatment for both ED and PE. Pharmacologically, the two drugs act on different pathways, and the combined effect is equivalent to taking each component individually at the same dosages, assuming proper medical supervision.

Are there any dietary restrictions while taking this medication?

A high-fat meal can delay the onset of sildenafil’s action, potentially reducing its effectiveness when sexual activity is anticipated shortly after eating. It is best to take the tablet with a light meal or on an empty stomach for quicker onset.

What is the typical cost range for this medication in Hong Kong?

Exact pricing varies among pharmacies and depends on whether the product is brand-name or a generic equivalent. In Hong Kong, prescription medications for erectile dysfunction generally range from HK$500 to HK$1500 per pack, but specific cost information should be obtained from a licensed dispenser.

Is the 100/100 mg dosage appropriate for all patients?

The 100 mg dose of each component may be too high for men who are sensitive to side effects or who have certain cardiovascular conditions. Healthcare providers often start with lower doses (e.g., 50 mg sildenafil) and adjust based on tolerance and therapeutic response.

Can this medication be used by men with diabetes?

Men with diabetes often experience both ED and PE. While the medication can be prescribed, clinicians must evaluate cardiovascular health, renal function, and glycaemic control before initiating therapy, as diabetes may increase the risk of adverse events.

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