Extra Super P Force (Sildenafil / Dapoxetine) – Patient Information (UK)

Extra Super P Force is a combination medicine used to treat both erectile dysfunction (difficulty getting and maintaining an erection) and premature ejaculation (ejaculating sooner than desired). It contains two active ingredients:

• Sildenafil – helps improve blood flow to the penis, supporting erections.
• Dapoxetine – helps delay ejaculation by acting on serotonin pathways in the brain.

This guide explains how the medicine works, how it is used, what to expect, and important safety and interaction information relevant to customers in the United Kingdom.

Basic product information

Note: Strengths (e.g., mg of sildenafil and mg of dapoxetine) and the exact number of tablets per pack can vary by product batch and brand presentation. Always check the pack for the precise strength and follow the instructions provided by your pharmacy and the product leaflet.

How Extra Super P Force works (mechanism of action)

Sildenafil (for erections)

Sildenafil belongs to a group of medicines called PDE5 inhibitors (phosphodiesterase type 5 inhibitors). During sexual stimulation, nitric oxide is released in the penis, which increases levels of cyclic GMP (cGMP). This helps relax the blood vessels and improve blood flow.

Sildenafil blocks PDE5, an enzyme that normally breaks down cGMP. By inhibiting PDE5, sildenafil helps maintain the cGMP effect longer, which supports an erection in response to sexual arousal.

Dapoxetine (for premature ejaculation)

Dapoxetine is a selective serotonin reuptake inhibitor (SSRI) designed for use in premature ejaculation. Serotonin signalling can influence ejaculation timing. Dapoxetine increases serotonin levels in the brain by reducing its reuptake.

By modulating serotonin pathways, dapoxetine helps delay ejaculation and may improve ejaculatory control.

Pharmacokinetics (how the body handles the medicines)

Pharmacokinetics describes absorption, distribution, metabolism, and elimination. While individual response varies, the following general patterns are helpful to understand timing and duration.

Sildenafil

• Absorption: Absorbs after taking by mouth; onset often occurs within about 30–60 minutes.
• Peak effect: Peak blood levels typically occur within a few hours.
• Duration: Often provides an ability to achieve erections for up to several hours, though exact duration varies with the person and sexual stimulation.
• Metabolism & elimination: Mainly metabolised in the liver (CYP pathways), with clearance via metabolism and excretion.

Dapoxetine

• Absorption: Taken by mouth; effects are expected relatively quickly.
• Peak blood levels: Typically reached within a few hours.
• Duration: The “on-demand” use is designed for sexual activity, with effects centred around the time taken before sex.
• Metabolism & elimination: Metabolised in the liver; elimination occurs via clearance from the body.

Important: Alcohol, heavy meals, and certain medicines can change absorption and intensify side effects, affecting how soon and how strongly the medicine works.

Typical uses and who it may be suitable for

Extra Super P Force is indicated for men who experience:

• Erectile dysfunction (difficulty achieving or maintaining an erection sufficient for satisfactory sexual performance), and
• Premature ejaculation (ejaculation that happens too quickly, causing distress or difficulty controlling ejaculation).

It is generally used as an on-demand treatment. Many people find it most helpful when sexual activity is planned.

Not for everyone: If you have certain heart conditions, low blood pressure, or take medicines that interact with sildenafil (such as nitrates), this combination may not be appropriate.

When to take it (timing)

Because it contains both sildenafil and dapoxetine, timing can affect effectiveness and tolerability.

• Take before sexual activity as directed on the product label or leaflet.
• Allow time for it to start working. Many users notice effect within about 30–60 minutes for sildenafil, while dapoxetine is designed for quicker on-demand use.
• Plan for the first trial: consider trying on a day when you are not rushing and when you can see how you respond (including effects such as dizziness).
• Follow daily limits (particularly for dapoxetine-containing products). Do not take more than recommended.

Tip: If you have not used a PDE5 inhibitor before, start carefully and avoid risky activities such as driving if you feel dizzy or lightheaded.

Food interactions (can you take it with meals?)

Food—especially heavy or fatty meals—can slow absorption, potentially delaying onset for sildenafil. This may make the medicine feel less effective if taken too close to sex after a large meal.

• If you eat a large, high-fat meal, consider taking the medicine with a longer lead time or choosing a lighter meal.
• If you have an empty or lighter stomach, you may find it begins to work sooner.

Always follow the specific instructions on your packaging because formulations and strengths can differ.

Alcohol and medicine interactions

Alcohol

Alcohol can increase side effects such as:

• dizziness and lightheadedness
• headache
• heartburn and nausea
• reduced erection quality in some men

Dapoxetine may also be associated with dizziness, especially around the time you take it. To reduce risk, consider:

• Keeping alcohol moderate or avoiding it on the day you test the medicine
• Standing up slowly if you feel lightheaded

Medicines that must be avoided or used with extreme caution

Sildenafil interaction warnings are critical:

• Nitrates (for chest pain/angina), or medicines known as nitrovasodilators should not be taken with sildenafil because the combination can cause a dangerous drop in blood pressure.
• Riociguat (for certain pulmonary hypertension conditions) must not be used with PDE5 inhibitors.
• Alpha-blockers used for prostate symptoms or blood pressure may interact; your clinician may need to stabilise dosing first.

Dapoxetine interaction warnings include:

• Other SSRIs/SNRIs (some antidepressants), MAO inhibitors, and certain migraine medicines can increase the risk of serotonin syndrome.
• Some antipsychotics or other agents that affect serotonin pathways may require caution.
• Medicines that affect liver enzymes (CYP pathways) can increase dapoxetine levels, raising side-effect risk.

Always tell your pharmacy about all medicines and supplements you use, including:

• Prescription medicines
• Over-the-counter products
• Herbal supplements (e.g., St John’s wort)
• Recreational drugs

If you are unsure whether a product might interact, seek guidance before taking Extra Super P Force.

Safety profile and potential side effects

Most men tolerate sildenafil/dapoxetine well, but side effects can occur. Some effects are related to how the medicines work on blood vessels and serotonin pathways.

Common side effects

• Headache
• Flushing (warmth/redness)
• Dizziness or lightheadedness
• Nausea
• Indigestion or stomach discomfort
• Sleepiness or unusual tiredness (varies by person)

Less common but important side effects

• Low blood pressure symptoms (e.g., faintness)
• Changes in heart rate (palpitations)
• Visual changes (rare)
• Allergic reactions (rash, swelling, breathing difficulty)
• Sexual health emergencies such as persistent painful erections (priapism) – seek urgent help

Serious warning signs – get urgent medical help

Stop taking the medicine and seek urgent help if you experience:

• Chest pain or symptoms of severe circulatory problems
• Fainting, severe dizziness, or collapse
• Prolonged erection lasting more than a few hours (priapism)
• Severe rash, facial swelling, or breathing difficulty
• Symptoms suggesting serotonin syndrome such as high fever, confusion, severe agitation, muscle stiffness, or uncontrollable shaking

Special populations

• Older men: may be more sensitive to dizziness and blood pressure changes.
• Men with liver impairment: dapoxetine exposure may increase; dosing may need adjustment or the medicine may be unsuitable.
• Men with kidney impairment: individual risk varies; careful assessment is needed.
• History of depression or certain mental health conditions: discuss risks with your pharmacist or clinician.

Practical use tips (to improve success and reduce discomfort)

• Start low and go slow: if it’s your first time with these medicines, follow the lowest recommended strength and dosing schedule.
• Choose a comfortable setting: because dizziness can occur, avoid trying it for the first time when you’re in a risky environment.
• Use sexual stimulation: sildenafil supports erections in response to arousal; it doesn’t create automatic erections.
• Allow time before sex: if you ate a heavy meal, consider adjusting timing to allow absorption.
• Manage expectations: results may vary during the first trials. If you don’t notice benefit, don’t increase dose beyond instructions.
• Stay hydrated and avoid excessive alcohol to reduce dizziness and headache.
• Monitor response: if you experience unpleasant side effects, discuss with your pharmacy for alternative options.

Dosing guidance (general information)

Dosing can vary depending on the specific strength in your product, your health status, and the other medicines you take. Always follow:

• The dosing instructions on the pack
• The patient leaflet supplied with your medicine
• Advice from your UK pharmacy

General principles for on-demand sildenafil/dapoxetine products:

• Take the medicine as needed before sexual activity, within the recommended maximum frequency.
• Do not exceed the daily limits for dapoxetine-containing medicines.
• If you miss a dose: these medicines are generally taken “before sex,” so there is usually no concept of a missed dose for later in the day. Follow the product instructions.

Do not double up to make up for a missed dose.

Alternative options in the UK

If Extra Super P Force isn’t suitable for you (for example, due to side effects or interactions), there are other approaches:

For erectile dysfunction

• Sildenafil alone (or other PDE5 inhibitors such as tadalafil or vardenafil—availability varies)
• Other non-medicine options such as lifestyle support and counselling for sexual wellbeing

For premature ejaculation

• Dapoxetine alone (where appropriate)
• Behavioural techniques (e.g., “start-stop” training) and sex therapy

For combined concerns

• Some men may prefer separate treatments tailored to each condition rather than a single combination—this can reduce drug exposure when one component is not needed.
• Your pharmacy can help you choose a safer fit based on your medicines and health history.

Practical note: Choosing separate medicines may also allow more flexible dosing if you find one component causes side effects.

Market and legal context for the United Kingdom

In the UK, medicines are regulated to ensure quality, safety, and effectiveness. When buying online, it’s important to choose a legitimate supplier that complies with UK pharmacy and medicines regulations.

• Medicines should be genuine and supplied through reputable routes.
• Appropriate screening for interactions and suitability should be part of the process.
• Product labelling matters: always check the pack strength and dosing instructions.

Advice: If you have any doubts about the supplier, authenticity, or labelling, avoid taking the product and contact the pharmacy or relevant regulatory guidance in the UK for consumer protection.

Recent guidance and considerations (UK-focused)

General UK clinical and public health messaging for erectile dysfunction and premature ejaculation treatments typically emphasises:

• Safety screening (heart health, blood pressure, liver function, and interacting medicines)
• Avoiding unsafe combinations such as nitrates with PDE5 inhibitors
• Recognising side effects early (e.g., dizziness and fainting risk with dapoxetine)
• Recognising when to seek urgent care (priapism, severe allergic reaction, chest pain)

Because guidance and regulations can update over time, it’s always wise to follow the latest advice provided by your healthcare professional or pharmacy and to read the leaflet supplied with your specific product.

Delivery and availability (UK)

Delivery services and availability can differ by supplier and stock. When ordering online in the UK, you should expect:

• Clear product information including pack size and active ingredient strengths
• Secure checkout and discreet packaging options
• Tracking or delivery updates, depending on the courier and service level
• Timelines that vary by location, warehouse status, and any regulatory checks

Before you order: verify that the product you receive matches the description on the website (strength, dosage form, and expiry date). If anything differs, contact the supplier promptly.

FAQ – Extra Super P Force (sildenafil / dapoxetine)

1. How quickly does Extra Super P Force work?

Sildenafil often begins to work within around 30–60 minutes after taking. Dapoxetine is designed for on-demand use and may act sooner. Your exact timing can vary with food intake, especially heavy meals.

2. How long does it last?

For sildenafil, effects can last for several hours for some men. Dapoxetine is aimed at the time around sexual activity. Actual duration varies by person and by how much you ate, your alcohol intake, and other medicines.

3. Can I take it with food?

It can be taken with or without food, but a large, heavy meal may delay sildenafil absorption. If you want the best onset, consider a lighter meal or follow the guidance on your product leaflet.

4. Is it safe to drink alcohol?

Alcohol can increase dizziness, headache, and may reduce erection quality. If you choose to drink, keep it moderate. Many people find it safer to avoid alcohol when trying the medicine for the first time.

5. What medicines should I avoid?

Do not use nitrates or riociguat with sildenafil-containing medicines. Also inform your pharmacy about antidepressants and other serotonin-related medicines, as interactions may be serious with dapoxetine.

6. Will it work if I’m not sexually stimulated?

Sildenafil supports erectile response to arousal. If there is no sexual stimulation, the medicine typically won’t produce an erection on its own.

7. Can women or children take Extra Super P Force?

This medicine is intended for adult men. It should not be used by women or children.

8. What should I do if I miss a dose?

Because it’s taken on-demand before sex, there usually isn’t a “missed dose” the way there is with daily medicines. Follow the product instructions for timing and frequency.

9. What if I get dizziness?

Dizziness can occur, especially early on or if you’ve had alcohol. Sit or lie down until you feel better, avoid driving if you feel unsteady, and consider speaking to your pharmacy if dizziness is troublesome.

10. When should I seek urgent help?

Seek urgent medical help for fainting, chest pain, signs of a severe allergic reaction, prolonged painful erection, or symptoms of serotonin syndrome (e.g., severe agitation, confusion, high fever, muscle stiffness).

Summary

Extra Super P Force (sildenafil / dapoxetine) combines two proven approaches to help men with erectile dysfunction and premature ejaculation. Sildenafil improves erection quality by supporting blood flow, while dapoxetine helps delay ejaculation by affecting serotonin signalling. For best results, take it at the right time before sex, consider how food and alcohol may influence side effects, and ensure your medicines are compatible to stay safe.

Always read the leaflet supplied with your medicine and follow the dosing instructions on the pack. If you have any health conditions or take other medicines, discuss suitability with a UK pharmacy before use.