Features of Extra Super P Force
Extra Super P Force is a medication designed to improve symptoms of Erectile Dysfunction (ED) and Premature Ejaculation (PE).

It is the world's first combination drug, featuring pale blue diamond-shaped tablets, that contains Sildenafil—the active ingredient in Viagra, the first ED treatment drug—and Dapoxetine—the active ingredient in Priligy, used to prevent premature ejaculation.

■Comparison with Related Products
Extra Super P Force is a combination drug of Viagra for treating erectile dysfunction and Priligy for preventing premature ejaculation.
It not only provides the effects of both medications simultaneously but is also a generic version made from their active ingredients.

Extra Super P Force is more affordable than purchasing Viagra and Priligy separately.

※This table can be scrolled horizontally.

Take one tablet per sexual intercourse to treat erectile dysfunction (ED) and prevent premature ejaculation.

If you suffer from complications of erectile dysfunction (ED) or premature ejaculation, we recommend taking Extra Super P Force.

Effects of Extra Super P Force
The main ingredients of Extra Super P Force are Sildenafil and Dapoxetine, expected to treat ED (Erectile Dysfunction) and premature ejaculation, which are common concerns for men.

The PDE-5 enzyme breaks down cyclic guanosine monophosphate (cGMP), which is essential for erection.

When cGMP is broken down, erection becomes impossible, a condition known as ED (Erectile Dysfunction).

Sildenafil inhibits the PDE-5 enzyme, dilates blood vessels around the penis, and relaxes the muscles in the internal penile tissue (called the corpus cavernosum).

This action dilates blood vessels and relaxes muscles, making it easier for more blood to flow into the internal penile tissue (corpus cavernosum), thereby facilitating erection.

It is suggested that one cause of premature ejaculation is a deficiency in serotonin. Serotonin can lead to excessive secretion of adrenaline; when the sympathetic nervous system is under excessive stress or in a state of excitement or tension, ejaculation occurs at unintended times.

Serotonin is a neurotransmitter in the brain that balances emotions like excitement and anxiety by inhibiting the activity of dopamine (which enhances pleasure) and norepinephrine (which responds to tension and stress).

Dapoxetine is expected to increase serotonin concentration in the brain by blocking its reuptake at nerve endings, suppressing over-excitement, and prolonging the time to ejaculation.

It is known that 25% of men with ED also suffer from premature ejaculation, but since ED and premature ejaculation affect different mechanisms, they can be treated simultaneously.

Duration of Extra Super P Force
The effects are said to last for 4 to 6 hours, but taking this medication does not force an erection; erection occurs only with sexual stimulation or arousal.

Dosage of Extra Super P Force
Currently, this drug has not been approved and is not available as a prescription medication.

You can purchase Sildenafil 100mg/Dapoxetine 100mg on this website, which handles personal imports.

If taking it for the first time, use a pill cutter or similar tool to split the tablet and start with half a tablet.

Other Information
Extra Super P Force is highly popular because it simultaneously improves erectile dysfunction and premature ejaculation.

Related Pages for Extra Super P Force
・Viagra Generics
・Premature Ejaculation Prevention Drugs
・Poesit

Reference Sites
In addition to the product manuals from the selling countries, we refer to the following websites to explain our products.
・Sildenafil - Wikipedia
・Dapoxetine - Wikipedia

Timing of Administration
The correct way to take Powerful Super P Force is to take it on an empty stomach, one hour before sexual activity.

After the first dose, wait at least 24 hours before taking the next dose.

Recommended Dosage
The Powerful Super P Force sold on this website is only available in the specification of Sildenafil 100mg / Dapoxetine 100mg. However, by using a pill cutter to split the tablet in half, it can be taken as Sildenafil 50mg / Dapoxetine 50mg.

Some users may take double or triple doses to seek stronger effects, but this does not enhance efficacy.

The maximum single-dose intake for Sildenafil during sexual activity is 100mg, and for Dapoxetine is 100mg.

Recommended Starting Dose
For first-time users of products containing Sildenafil, it is recommended to start with 25mg.

For first-time users of products containing Dapoxetine, it is recommended to start with 30mg.

Dietary Effects
It is recommended to maintain an empty stomach for 2 hours before taking Powerful Super P Force.

This is closely related to the absorption process of Sildenafil: the component needs to be absorbed through the intestines into the bloodstream.

When food is present in the stomach, the tablet may be absorbed by the stomach before reaching the intestines.

If a high-fat meal is consumed before taking the medication, fats adhering to the intestinal wall will cause a decrease in component absorption rate.

Poor absorption may lead to lack of efficacy or insufficient effects, so be sure to take it on an empty stomach.

The components are absorbed approximately 30 minutes after taking the medication, after which normal eating can resume.

Alcohol Effects
Dapoxetine can intensify the side effects of alcohol, and concurrent use with alcohol is prohibited.

If you wish to consume alcohol, do so 1-4 hours after taking the medication.

Although the exact mechanism is not fully understood, both alcohol and Dapoxetine act on the brain's serotonin and norepinephrine systems, and their combined effects may cause nausea, palpitations, headaches, excessive sweating, increased intoxication, or even fainting.

Contraindicated Individuals
・Individuals with cardiovascular diseases (heart/vascular disorders) who are not suitable for sexual activity

・Patients with severe liver impairment

・Individuals with hypotension or uncontrolled hypertension

・Those who have experienced a stroke/cerebral hemorrhage within the past 6 months

・Patients with severe angina or myocardial infarction

・Individuals with severe heart valve disease

・Patients with sick sinus syndrome

・Individuals with a history of orthostatic hypotension or fainting

・Patients with depression or bipolar disorder

・Individuals with epilepsy

・Those with a history of allergy to Sildenafil

※Please take this product strictly as directed by your doctor.

Main Side Effects
The main side effects include decreased blood pressure due to vasodilation, eye congestion, facial flushing, palpitations, nasal congestion, headache, dry mouth, dizziness, and nausea.

These are believed to be caused by vasodilation, and the side effects may diminish when sexual desire enhances blood flow to the penis.

Specific Symptoms
Specific symptoms include visual abnormalities, such as feeling like wearing blue-tinted glasses or being unable to distinguish between blue and green.

In most cases, this is temporary and not problematic, but if vision deteriorates significantly, there is a risk of developing non-arteritic anterior ischemic optic neuropathy (NAION).

If you experience sudden vision loss or impairment, consult an ophthalmologist or other specialist.

Additionally, if you experience a painful erection lasting more than four hours, you may have priapism.

If your erection persists for more than four hours, seek medical attention immediately.

※What is non-arteritic anterior ischemic optic neuropathy (NAION)?
When the blood supply to the optic nerve is cut off, optic nerve cells begin to experience dysfunction or death.
This condition is called ischemic optic neuropathy.
The causal relationship between them is unclear, but there is said to be a slight association in people taking erectile dysfunction medications.

※What is priapism?
Persistent erection, also known as priapism, refers to a condition where the penis remains erect and cannot return to normal or is difficult to return to normal.
It is also called penile rigidity.
Its main cause is believed to be rupture of the cavernous artery system of the penis.
If your erection does not return to normal and persists continuously for 4 hours, seek medical attention immediately.

Contraindicated Combinations
Drugs that must not be taken together are those incompatible with Extra Super P Force and should not be used simultaneously.

・Nitrates and nitric oxide donors
(Nitroglycerin, Amyl Nitrite, Isosorbide Mononitrate)
Concomitant use may enhance the blood pressure-lowering effect.

・Amiodarone Hydrochloride
(Ancaron Tablets)
Concurrent use may potentiate the QTc prolongation effect of amiodarone hydrochloride.

・CYP3A4 inhibitors
(Antifungal agents, anti-HIV drugs, telithromycin, nelfinavir, ketoconazole, itraconazole, ritonavir, saquinavir, nelfinavir, atazanavir, etc.)
Plasma concentration of this medication may increase, prolonging its half-life in the bloodstream.

・Serotonergic drugs
(Selective serotonin reuptake inhibitors (SSRIs), serotonin-norepinephrine reuptake inhibitors (SNRIs), tricyclic antidepressants, L-tryptophan, triptans, tramadol, linezolid, lithium, St. John's wort)

・Monoamine oxidase (MAO) inhibitors (antidepressants)
When used with dapoxetine, may cause autonomic instability such as abnormally high fever, rigidity, mental instability, and confusion.

・Psychotropic drugs
(Thioridazine)

Precautions for Combination Use
These are medications requiring caution when used concurrently with Extra Super P Force.

・Grapefruit (including grapefruit juice)
Furanocoumarin components inhibit metabolic enzymes in the body, slowing drug breakdown.
This may lead to unintended absorption of drug components, potentially causing enhanced efficacy and side effects.

・Antihypertensive drugs
Extra Super P Force has blood pressure-lowering effects. Concurrent use with antihypertensives may cause temporary dizziness or lightheadedness, symptoms of hypotension.

・Store in a cool, dry place away from direct sunlight.

・Keep out of reach of children.

・Do not transfer to another container to avoid accidental ingestion or product deterioration.

・If divided into multiple doses from a single package, store the remaining portion with minimal air exposure and consume within 2 days.

・Do not consume or use products past the labeled expiration date.

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