Extra Super P Force

Extra Super P Force is an imported generic that puts two medicines in one tablet, 100 mg of sildenafil and 100 mg of dapoxetine. Sildenafil blocks the enzyme PDE5, which lets blood flow into the penis when a man is aroused; it does nothing in the absence of stimulation. Dapoxetine is a short-acting SSRI-type medicine whose job is to hold back ejaculation. The product is made for markets outside Britain and is meant for men who are struggling with erections and also finish too soon.

Extra Super P Force is available as a single 100/100 mg tablet, and a pack may hold 12, 20, 32 or 60 of them. Cartons made for other countries often carry text in other languages, so check the foil for both active ingredients, the strength and the expiry date. Keep the blisters in the original strip, somewhere cool and dry, and out of the sight of children.

UK sildenafil tablets come as 25, 50 and 100 mg, and the SmPC advises 50 mg roughly an hour before sex, within a range of 25 to 100 mg and never more than 100 mg in 24 hours. Where kidney function is severely reduced, liver function mildly or moderately reduced, or a CYP3A4 inhibitor is in use, the SmPC points to 25 mg as the first dose, and severe liver impairment excludes sildenafil altogether. Dapoxetine on its own is a prescription-only medicine for men aged 18 to 64, in 30 mg and 60 mg doses, with 60 mg the most that may be taken, no more than once in 24 hours. Extra Super P Force is not a UK-authorised medicine. One tablet therefore sits at the top of the sildenafil range and well beyond the dapoxetine limit of 60 mg.

Nitrates in any form, nitric oxide donors such as amyl nitrite, and riociguat are all forbidden alongside sildenafil. The SmPC also excludes men whose hearts are not fit for sexual activity, anyone with a recent stroke or heart attack, blood pressure below 90/50 mmHg, severe liver disease, retinitis pigmentosa, or sight lost in one eye to NAION. Dapoxetine adds more: significant heart disease, a history of fainting, conduction problems such as sick sinus syndrome or AV block, mania or severe depression, a monoamine oxidase inhibitor within 14 days, other SSRIs and strong CYP3A4 inhibitors.

With Extra Super P Force in mind, note that UK product information advises against dapoxetine together with PDE5 inhibitors like sildenafil, because blood pressure can fall on standing. There is no UK-authorised dose for this combination: one tablet already exceeds the 60 mg licensed dapoxetine maximum, dapoxetine is advised against with sildenafil, and no second sildenafil or dapoxetine medicine should ever be added. Alcohol makes dizziness and fainting more likely, and a heavy meal can slow the effect. If you feel faint, lie down at once. Wait until you know how you respond before driving or operating machinery.

Sildenafil often brings headache, flushing, indigestion, a blocked nose, dizziness and visual changes, while dapoxetine adds nausea and light-headedness. An erection lasting more than four hours, chest pain, or a sudden loss of vision or hearing means 999 or A&E straight away. The MHRA runs a Yellow Card website where suspected side effects can be reported. Ask a prescriber whether licensed treatments for each problem, taken separately, would be safer than a fixed mixture such as Extra Super P Force. The decision on suitability rests with your doctor or prescriber.