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

Extra Super P Force is a combination medicine containing: sildenafil and dapoxetine. It is used to help men who experience both: erectile dysfunction (difficulty getting or keeping an erection) and premature ejaculation (ejaculating sooner than desired).

This page explains how the medicine works, how it is typically taken, important interactions and safety information, and practical tips for use in the United Kingdom.

Quick product overview

What sildenafil and dapoxetine do (mechanism of action)

Extra Super P Force combines two different medicines with different roles in sexual function:

• Sildenafil helps treat erectile dysfunction. It belongs to the group of medicines called phosphodiesterase type 5 (PDE5) inhibitors. It works by increasing blood flow to the penis during sexual stimulation.
• Dapoxetine helps treat premature ejaculation. It is a selective serotonin reuptake inhibitor (SSRI) used on an on-demand basis for ejaculation delay. It works by increasing serotonin activity in the nervous system, which can help extend the time to ejaculation.

Together, the combination is intended for men who need support with both erection quality and ejaculatory control.

Pharmacokinetics (how the body processes it)

“Pharmacokinetics” describes how the body absorbs, distributes, breaks down, and eliminates medicine. Individual results can vary depending on age, liver/kidney function, other medicines, and whether you’ve eaten.

Sildenafil – key points

• Absorption: Usually absorbed after taking a dose by mouth.
• Time to effect: Often begins working within about 30–60 minutes, but the peak effect can occur later.
• Food effects: A heavy or high-fat meal can delay absorption and reduce effectiveness.
• Metabolism: Mainly metabolised in the liver (enzymes such as CYP3A4).
• Elimination: Metabolites are removed largely through the body’s normal clearance routes.

Dapoxetine – key points

• Absorption: Absorbed after oral dosing.
• On-demand dosing: Designed to be taken shortly before sex, with effects developing over the dosing window.
• Metabolism: Processed mainly in the liver through metabolic pathways that can be influenced by interacting medicines.
• Elimination: Exits the body via normal clearance after metabolism.

Because the product contains both medicines, overall onset and duration can be influenced by both components and by your personal response.

Typical indications (who it is used for)

Extra Super P Force is used to address:

• Erectile dysfunction (the inability to achieve and/or maintain an erection sufficient for satisfactory sexual performance), and
• Premature ejaculation (ejaculating sooner than desired, often with reduced control).

It is intended for men who experience both conditions and want a single combination option.

Who should be cautious or avoid this medicine

Certain medical conditions and medicines can make combination therapy unsafe. You should not use Extra Super P Force and should seek appropriate medical advice if any apply:

• Nitrates (e.g., glyceryl trinitrate/nitroglycerin) or nitric oxide donors for chest pain (angina)
• Riociguat (used for certain types of pulmonary hypertension)
• Severe heart or blood pressure conditions where sexual activity is not advised (for example, unstable heart disease)
• Recent stroke or heart attack (timing depends on individual clinical situation)
• Significant liver impairment (dapoxetine can be unsuitable in severe impairment)
• Use of medicines that increase serotonin (some antidepressants or specific other drugs) without proper review, due to risk of serotonin-related side effects
• A history of serotonin syndrome or certain psychiatric conditions that require specialist guidance

If you are unsure, ask a healthcare professional or pharmacist before taking the product.

How to take Extra Super P Force (dosing and timing)

Always follow the dosing instructions provided by the product label and any guidance supplied at the point of purchase. Dosing depends on the strength of the tablet and your individual tolerability.

Typical dosing principles

• On-demand use: It is usually taken only when you plan to have sex.
• Start low: Many men begin with the lowest effective dose to reduce side effects.
• Do not exceed the maximum frequency shown on the packaging.
• Give it time: Sexual stimulation is typically required for sildenafil to work effectively.

Timing before sex

A common approach is to take the dose about 1–3 hours before sexual activity. Some people may notice earlier or later effects. If you are adjusting to a new dose, consider the next opportunity carefully and avoid taking extra doses “just to be safe”.

If you are taking it with food, aim to avoid heavy, high-fat meals, because this can delay sildenafil absorption.

Food interactions (what to eat and what to avoid)

Fatty or heavy meals can reduce and delay the effect of sildenafil. For better results:

• Try taking your dose with a light meal or on a relatively empty stomach.
• Avoid very large, greasy meals close to dosing.
• If you notice that the effect is less reliable when eating, adjust your meal timing next time.

Alcohol and interaction considerations

Alcohol can affect sexual performance and may increase side effects such as dizziness, flushing, headache, and low blood pressure. It can also reduce erection quality even when sildenafil is working.

• Limit alcohol before planned sex.
• Avoid binge drinking.
• If you feel light-headed, stop sexual activity and seek advice if symptoms persist.

In addition, dapoxetine may contribute to side effects that alcohol can worsen (such as dizziness). If you have a history of fainting or significant dizziness, be especially cautious.

Medicine interactions (important)

Interactions can be serious. Always consider your current medicines, supplements, and occasional treatments. Below are key interaction themes for sildenafil and dapoxetine.

Do not combine (major interactions)

• Nitrates (for angina) or nitric oxide donors: the combination can cause a dangerous drop in blood pressure.
• Riociguat: can also lead to marked blood pressure changes.

Heart and blood pressure medicines

• Alpha-blockers used for prostate symptoms or high blood pressure can increase the risk of dizziness or low blood pressure when combined with sildenafil. If you use an alpha-blocker, talk to a clinician about safe timing and dose adjustments.
• Some other cardiovascular medicines may affect blood pressure responses. A professional review is safest.

Serotonin-related medicines (dapoxetine)

Dapoxetine is related to other antidepressants (SSRI class). Combining with certain medicines can raise the risk of serotonin-related side effects.

• Be cautious with other SSRIs/SNRIs and MAO inhibitors.
• Some drugs that affect serotonin can increase risk of serotonin syndrome.
• Supplements marketed for mood/serotonin effects or certain migraine and pain medicines can also interact. If you are taking anything for depression, anxiety, migraine, or mood, check with a pharmacist.

Medicines that affect liver enzymes

Sildenafil and dapoxetine are processed in the liver. Drugs that strongly influence these enzyme pathways can change blood levels. Examples of interacting categories include some antifungals, antibiotics, and HIV medicines.

• If you take medicines for fungal infections (some azoles) or HIV, or certain macrolide antibiotics, ask a pharmacist before use.
• In general, if a medicine is described as a strong “enzyme inhibitor,” interaction risk is higher.

Safety profile: common and serious side effects

Like all medicines, Extra Super P Force may cause side effects. Many are mild and temporary, but some require urgent medical attention.

Common side effects

• Headache
• Flushing or warmth in the face
• Dizziness
• Nausea
• Stuffy nose
• Indigestion

Possible effects specific to dapoxetine

• Light-headedness
• Fatigue
• Sleepiness or unusual tiredness
• Vasovagal symptoms (in some people, especially if they are prone to fainting)

Seek urgent help if you experience

• Chest pain or severe shortness of breath
• Fainting or severe dizziness that does not settle
• Allergic reaction (swelling of face/lips, rash, breathing difficulty)
• Prolonged erection lasting more than recommended (a medical emergency), especially if painful
• Symptoms suggestive of serotonin syndrome such as agitation, confusion, fever, sweating, tremor, or diarrhoea
• Sudden vision changes or severe eye pain

Practical use tips for better results

• Ensure sexual stimulation: Sildenafil typically works best when you are sexually stimulated.
• Plan your timing: Take the dose at the time that matches your routine—avoid last-minute dosing changes.
• Keep a note: Record time taken, food/drink, and effect the first few times to learn your personal pattern.
• Stay hydrated: Dehydration can worsen headache and dizziness.
• Manage stress: Anxiety can affect both erection quality and ejaculatory control.
• Consider lifestyle factors: Regular exercise, reduced smoking, and limiting excess alcohol can improve baseline sexual function.
• Don’t combine with other ED products without advice: Avoid doubling therapies unless you’ve been told it’s safe.

Alternative options for erectile dysfunction and premature ejaculation (UK)

If you do not find Extra Super P Force suitable, there may be other options. Alternatives depend on which condition is most problematic:

For erectile dysfunction

• Other PDE5 inhibitors (for example, sildenafil alone or similar medicines)
• Lifestyle measures and addressing contributing factors (blood pressure, diabetes, smoking)
• Psychosexual therapy for performance anxiety
• For some people: specialist options such as vacuum erection devices or other medical approaches

For premature ejaculation

• On-demand dapoxetine (single-ingredient options where available)
• Behavioural techniques (start-stop methods, squeeze technique)
• SSRI-based strategies under professional guidance

Choosing between options often depends on side effects, your health profile, and how consistently you plan sexual activity.

Market and legal context in the United Kingdom (overview)

In the UK, medicines are regulated under frameworks that include classification, safety standards, and supply requirements. The availability of specific products and strengths can vary, and legitimacy depends on correct sourcing and compliance with UK pharmaceutical regulations.

• Ensure any online pharmacy or supplier provides clear product information and reliable dispatch.
• Medicines should be supplied with proper packaging details and patient information.
• If you are uncertain about whether a particular product is suitable for you, speak to a qualified healthcare professional.

For the latest advice in the UK, including updates on safe use of ED medicines and SSRIs, you can also consult guidance from health authorities and professional bodies.

Recent guidance and safety awareness

Health guidance for ED medicines and SSRIs continues to emphasise:

• Screening for cardiovascular risk prior to use (because sexual activity itself carries risk in some heart conditions)
• Avoidance of dangerous drug combinations (especially nitrates and certain heart medicines)
• Caution with serotonin-related medicines and monitoring for side effects
• If you experience significant dizziness, fainting, or signs of allergy, stop and seek medical advice promptly

Because combination products may interact differently than single-ingredient medicines, it is especially important to check all medicines you take.

Delivery and availability (UK)

Availability can vary depending on stock levels and the supplier’s fulfilment routes. Many online pharmacies dispatch orders from the UK or from compliant distribution centres, offering tracked delivery.

• Check delivery times at checkout.
• Track your parcel where available.
• Ensure you are at the delivery address to prevent delays.
• Store the product according to packaging instructions and keep out of reach of children.

If a product is not in stock, some suppliers offer notification options for restocking. Always check that the product you receive matches the listed active ingredients and strength.

FAQ

1) How quickly does Extra Super P Force work?

Many people begin to notice effects within about an hour, but the ideal timing can differ. A common approach is taking it 1–3 hours before sex. Avoid heavy, high-fat meals close to dosing, as this may delay sildenafil absorption.

2) Can I take it every day?

Extra Super P Force is typically intended for on-demand use rather than daily continuous dosing. Follow the maximum frequency instructions on the label and do not exceed them.

3) What if I drink alcohol?

Small amounts may be tolerated by some people, but alcohol can worsen erection quality and increase side effects like dizziness and headache. For best safety and results, limit alcohol and avoid binge drinking.

4) Can I take it with my antidepressant?

Dapoxetine can interact with medicines that affect serotonin. Do not assume it is safe to combine with antidepressants without checking with a pharmacist or healthcare professional. In particular, avoid combinations that increase serotonin unless reviewed as safe for you.

5) Will it protect against sexually transmitted infections?

No. This medicine does not protect against infections. Use condoms or other barrier methods to reduce the risk of sexually transmitted infections.

6) What should I do if I get side effects?

For mild side effects, such as headache or flushing, symptoms often ease. If you get severe dizziness, fainting, allergic symptoms, chest pain, or any signs of serotonin syndrome, seek urgent medical advice and stop taking the product.

7) What if it doesn’t work?

Consider common factors first: timing, meal size, alcohol, and whether sexual stimulation is present. If it repeatedly fails to produce the desired effect, reassess dose and suitability with appropriate advice.

8) Are there alternatives if I only need help with erections or only premature ejaculation?

Yes. Depending on what you’re targeting, single-ingredient options may be more appropriate. Erectile dysfunction may be treated with PDE5 inhibitors alone, while premature ejaculation may be treated with on-demand dapoxetine or behavioural strategies.

9) Is Extra Super P Force suitable for everyone?

No. It is not suitable for people with certain medical conditions or who take certain medicines (especially nitrates). If you have heart disease, low blood pressure, significant liver impairment, or you take interacting medications, get personalised advice.

10) How should it be stored?

Store tablets according to the packaging instructions. Keep in a safe place away from children and in appropriate room-temperature conditions unless stated otherwise.

Important reminder

Extra Super P Force combines two active medicines, so it may not be suitable for everyone. If you have any concerns about interactions, heart health, liver health, or other medicines you take, seek advice from a qualified professional before using it.