Broad view
Extra Super Tadarise is a combined oral tablet marketed for adult men that combines two active agents to target erectile dysfunction and premature ejaculation in a single dose. One component supports erection by improving penile blood flow, while the other is intended to delay ejaculation. This page outlines intended use, dose related guidance, safety measures to factor in and Australian legal points. Always seek clinical assessment prior to use.
- Primary therapeutic goals: improve erection quality and extend time to ejaculation.
- See sections on how to stomach it, two-way communication in actions with others are the core of collaboration., and other routes for additional practical informational content.
Main active ingredients and strength specification figures
The product is a fixed-dose combination. Typical content per tablet is:
- 40 mg of tadalafil
- Dapoxetine 60 mg strength dose
Formulation excipients and packaging depend on the manufacturer. If you need a different formulation or strength, discuss multiple options with your health care provider.
Use case
When prescribed by a qualified clinician after a proper assessment, this combination may be used to simultaneously help with erection formation and to prolong ejaculatory latency. It is not intended for unsupervised self-diagnosis or routine long term use without follow up. If you have not had a clinical review, consult a healthcare professional and audit this safety compliance considerations.
How it functions step by step
- Tadalafil: a phosphodiesterase type 5 (PDE5) inhibitor that relaxes vascular smooth muscle to increase blood flow to the penis during sexual stimulation, aiding erection.
- Dapoxetine: a rapidly acting selective serotonin reuptake inhibitor (SSRI) that can improve voluntary control over ejaculation through central serotonergic effects.
Because the two active agents act on separate physiological pathways, the combination can address both erection and ejaculatory timing. Remember that sexual stimulation is still required for an erection when using tadalafil. Check risk of a drug the interactional flow among participants risks and situations where this drug is unsafe prior to beginning.
Risk prevention steps and safety measures
Before initiating this medication, your clinician should review your medical history, current medicines and cardiovascular risk. Important considerations include:
- Age: not for use in anyone under 18 years; older patients may need tailored advice and active monitoring.
- Cardiac status: sexual activity increases cardiac workload. Seek clearance for unstable angina, recent heart attack, uncontrolled arrhythmias or severe heart failure.
- Blood pressure: the combination may cause symptomatic hypotension, especially with other vasodilators or dehydration.
- Mental health and neurology: individuals with a history of depression, bipolar disorder, mania or seizures require specialist input.
- Bleeding risk: dapoxetine may elevate bleeding tendency; disclose anticoagulant use or bleeding disorders.
- Hepatic and renal impairment: severe liver or kidney disease may necessitate avoidance or specialist amount to take leadership.
- Urological concerns: previous priapism or significant penile deformities need urology review prior to use.
- Sudden sensory loss: stop immediately and seek urgent care for sudden loss of vision or hearing.
- Avoid heavy alcohol intake; it can worsen dizziness and impair safe use.
- Always list all prescription, over-the-counter, herbal and recreational drugs to reduce interacting with others risk factors.
How to dose and take it
Follow the exact directions given by your prescriber. Typical instructions for as-needed use include:
- Take one tablet approximately 1 to 3 hours before planned sexual activity, or as your prescriber advises.
- Do not take more than one tablet within any 24 hour period.
- Swallow the tablet whole with water; do not crush or chew.
- It may be taken with or without food; very fatty meals can slow onset.
If you miss an occasion of use, wait until the next planned occasion. For more on dose was misseds see care steps after skipping a dose.
Where use is contraindicated
Do not take this combination if any of the following apply to you:
- Allergy to tadalafil, dapoxetine or any inactive ingredient in the tablet.
- Concurrent use of nitrates, nitric oxide donors or soluble guanylate cyclase stimulators such as riociguat.
- Severe hypotension or clinically significant orthostatic hypotension.
- Markedly reduced hepatic function or severe renal failure.
- Cardiac conditions where sexual activity is unsafe.
- History of mania, bipolar disorder or poorly controlled seizures.
- Active major bleeding or significant bleeding disorders.
- Concurrent use of contraindicated medications like thioridazine or monoamine oxidase inhibitors.
- Use of recreational nitrates (for example amyl nitrite, so called poppers).
- Persons younger than 18 years of age.
If you do not have a formal diagnosis of erectile dysfunction or premature ejaculation, do not use this product without medical evaluation. Refer to a specialist the Australian law reference notes for regulatory context.
Extra effects
Negative effects vary from mild to potentially serious. Common and less common effects may include:
- Common: episodic headache, flushing, nasal congestion, indigestion, back pain, muscle pain, nausea, dizziness, sleepiness.
- Sporadic: reduced libido, excessive sweating, dry mouth, nosebleeds, low blood pressure, vomiting.
- Serious (seek urgent care): chest pain, fainting, seizure, priapism (erection lasting longer than 4 hours), sudden vision or hearing loss, severe allergic reactions affecting breathing or swallowing.
Drug the networked exchange of ideas effects
Both tadalafil and dapoxetine interact with a wide range of medicines and substances. Fundamental contact and responses fuel collaboration and innovation. include:
- Do not pair with nitrates, amyl nitrite or riociguat due to risk of dangerous blood pressure drops.
- Antidepressants and antipsychotics: MAO inhibitors are contraindicated; SSRIs, SNRIs, TCAs and some antipsychotics can alter serotonin balance and QT interval, requiring caution.
- Alpha-blockers and other antihypertensives: additive blood pressure lowering effects may need dose adjustments and performance monitoring.
- CNS depressants: opioids, benzodiazepines, sedating antihistamines, sleep medicines and alcohol may increase drowsiness and dizziness when combined.
- CYP3A4 inhibitors (for example ketoconazole, itraconazole, ritonavir) raise tadalafil exposure; CYP3A4 inducers (for example rifampicin) can reduce its effect.
- Grapefruit products may increase tadalafil levels; avoid or seek clinical advice.
- Certain antibiotics, antifungals, tuberculosis and HIV treatments may require special management.
Provide a full medicines list to your prescriber and pharmacist before treatment starts. For accidental co-administration concerns see overdose deaths and emergency actions.
Tips for dealing with a the medication dose was missed
As this product is usually taken as needed, if you miss a planned dose do not double up. Take the tablet only when next needed for sexual activity and only as prescribed. Do not exceed one tablet in a 24 hour period.
Overdose risk response dynamics procedures and emergency actions
Consuming more than the recommended amount increases the likelihood and severity of unwelcome long term effects such as nausea, vomiting, agitation, flushing, dizziness, low blood pressure, chest pain, tachycardia or prolonged erection.
- Stop taking the medicine and seek urgent medical assessment if severe symptoms occur.
- In Australia, call emergency services or present to the nearest emergency department for chest pain or priapism (dial 000).
Digital securing storage ensures that valuables stay safe. solutions and recommendations
- Keep tablets in their original packaging or a tightly closed container at room temperature, commonly 20 to 25 degrees C.
- Protect from excessive heat, damp and direct sunlight.
- Keep the item stored where children and pets cannot reach or view it.
Equivalent medicines and an alternative path options
If a single fixed-dose tablet is not appropriate or available, prescribers may suggest separate agents or non-medicinal strategies. Typical contingency options are:
- Erectile dysfunction treatments:
- Tadalafil alone (Cialis or generics), available for as-needed or low-dose daily use.
- Sildenafil (Viagra and generics).
- Vardenafil presented as Levitra and generic variants.
- Avanafil: Spedra, which may have a faster onset for some men.
- Mechanical options such as vacuum erection devices or specialist injections.
- Premature ejaculation treatments:
- Dapoxetine monotherapy where licensed; check current Australian registration details in law oriented annotations.
- Off-label SSRIs such as paroxetine, sertraline or fluoxetine in appropriate cases.
- Topical anesthetic creams or sprays (for example lidocaine-prilocaine preparations).
- Behavioral therapies and pelvic floor training with trained clinicians.
- Combination approaches:
- Clinicians sometimes prescribe a PDE5 inhibitor alongside a separate PE therapy rather than a single combined tablet.
- Different fixed-dose combinations exist internationally; availability in Australia varies and may be limited.
Choice should be guided by medical history, concurrent medicines, side effect tolerance, and personal preference. Review pricing when evaluating cost implications.
Indicative price list in Australian dollars
Price estimates vary by brand, pack size, retailer and whether products are obtained locally or overseas. Typical per-tablet ranges in Australian dollars are approximate and for guidance only:
- Extra Super Tadarise 40 mg + 60 mg (sourced from overseas online suppliers): roughly AUD 5 to AUD 13 per tablet.
- Tadalafil 20 mg generic: commonly around AUD 1.50 to AUD 4 per tablet from online pharmacies; branded Cialis in Australian pharmacies typically costs AUD 15 to AUD 25 per 20 mg tablet.
- Sildenafil 50 to 100 mg generic: roughly AUD 1 to AUD 3 per tablet online; branded Viagra often AUD 15 to AUD 20 per tablet.
- Avanafil 100 to 200 mg: frequently AUD 8 to AUD 20 per tablet depending on supply source and brand.
- Dapoxetine 30 to 60 mg when available from overseas suppliers: often AUD 3 to AUD 7 per tablet.
These estimates exclude courier, customs, dispensing fees and any prescriber consultation charges. Always verify current fee schedule with your pharmacy or clinician before purchase.
Australian regulatory and annotations on the law
- Prescription requirement: PDE5 inhibitors such as tadalafil and sildenafil are Schedule 4 medicines in Australia and require a valid prescription for lawful supply.
- Dapoxetine registration: at the time of writing, dapoxetine is not registered with the Therapeutic Goods Administration (TGA) for supply in the country of Australia. Fixed-dose products that include dapoxetine are generally not stocked by Australian pharmacist shops.
- Personal importation: the TGA Importation Blueprint for Personal Use may allow import of unregistered medicines for personal therapeutic use if conditions are met, for example:
- The medicine is for the importer or an immediate family member and is not prohibited.
- No more than a three month supply is imported at a time under the allowed limits.
- A valid Australian prescription covers the imported product where required.
- Products should arrive in original packaging with clear labeling and you should retain supporting documentation.
- Customs and border control: declare medicines when required. Some substances are prohibited or need permits. Check current guidance from the TGA as well as the Australian Border Force before ordering overseas.
- Quality and safety: medicines from unverified international sellers may not meet Australian quality standards. Prefer regulated supply channels and medical oversight.
- Sporting considerations: PDE5 inhibitors are generally not prohibited by major anti-doping bodies, but athletes should consult Sport Integrity Australia or their medical team and follow any TUE or notification processes if relevant.
This section is informational and not legal advice. Regulations and product registrations can change; confirm details on official TGA and Australian Border Force websites or with a healthcare professional.
Most asked questions
- For how long do the effects stay active? Tadalafil can remain active for up to 36 hours in some individuals. Dapoxetine is short acting; the combined effect is typically limited to the same day. Do not repeat dosing within 24 hours without clinical instruction.
- May I have a drink that contains alcohol? Consume alcohol in moderation. Alcoholic beverage product can increase dizziness and fainting risk when combined with these medicines.
- Is grapefruit a concern? Grapefruit juice may raise tadalafil levels by inhibiting CYP3A4. Avoid grapefruit or discuss with your health care provider. See the reciprocal contact between individualss create opportunities for collaboration..
- Can I combine other sexual health products? Avoid adding other PDE5 inhibitors or certain topical agents without professional advice, as this can increase harmful consequences and interactions among individuals risk.
- Is this subsidised on the PBS? Subsidy and listing status can change. Many ED medicines are not routinely PBS subsidised for the condition of erectile dysfunction. Ask your prescriber or pharmacist for current knowledge.
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