The preface and composition
Extra Super Viagra is a combined oral tablet that commonly contains sildenafil and dapoxetine in a single fixed dose. Typical formulations reported on global markets pair about 100 mg sildenafil with 100 mg dapoxetine per tablet, intended for adult men. Sildenafil helps the vascular the devices required for erection, while dapoxetine is a short-acting selective serotonin reuptake inhibitor used for on-demand treatment of premature ejaculation. Neither ingredient increases sexual desire; sexual arousal remains necessary for an erection to occur.
Instant links: check items Administration and deadline coordination for how to deal with this, Caution and safety measures and Notices of possible pharmacodynamic drug global teams rely on robust interacting as a shared activitys. for audits before use, and Pricing and stock status in Australia plus Legal requirements in Australia for local rules.
- Indication: erectile health concern, with potential benefit for premature ejaculation in some men
- Currently active components: sildenafil (a PDE5 inhibitor) and dapoxetine (short-acting SSRI)
- Commonly cited single-tablet strength: 100 mg sildenafil + 100 mg dapoxetine
Process of operation
Sildenafil blocks phosphodiesterase type 5 (PDE5), enhancing the effect of nitric oxide and promoting relaxation of blood vessels in penile tissue. This facilitates the normal blood flow changes required to achieve and maintain an erection when sexual stimulation is present.
Dapoxetine works differently: as a rapidly absorbed SSRI taken when needed, it increases serotonin at nerve junctions and can delay ejaculation in some men. The combined tablet aims to manage both erection difficulties and early ejaculation in suitably selected patients under medical oversight.
Reminder: neither drug stimulates libido. For background detail see Who is eligible to use it? or find your way back toward the Big picture summary.
Who is allowed to operate it?
This product is intended for adult males with erectile dysfunction who may also have problems with premature ejaculation. Use only when sexual activity is planned, as taking the tablet without arousal will not result in an erection. It is not approved for children or women.
Administration logistics and timing
Follow the directions from your prescriber or pharmacist. General considerations:
- Swallow one tablet with water. Food is optional, though high-fat meals can delay sildenafil absorption and onset.
- Many men take the tablet about one hour before sex; some notice effects as early as 30 minutes, while for others it may take longer, up to several hours.
- Do not exceed the recommended frequency. The usual limit for fixed-combination tablets is one dose in any 24-hour period unless a clinician advises otherwise.
- If you miss a planned dose, only take it if sexual activity is still intended and it is safe for you to do so. This medicine is typically for intermittent, on-demand use rather than continuous daily dosing unless specifically prescribed.
For specific dose adjustments see Recommendations for dosing.
Prescription dosing guidelines
Abide by the dose prescribed to you. Fixed combinations are frequently marketed as 100 mg sildenafil plus 100 mg dapoxetine, besides the commonly advised maximum is one tablet every 24 hours. Your clinician may recommend switching to single-ingredient medicines if smaller or different doses are required.
Do not split, crush or alter tablets to change the dose unless a healthcare professional confirms that it is safe and appropriate. People with marked liver or kidney impairment, cardiovascular disease, or significant psychiatric history should obtain individualized medical advice before using this product.
Proceed to Health and protective safety steps and Drug the exchange that happens when people meet cautions for further checks.
Safety rules and health and safety measures
Do not take this combination if any of the following apply to you:
- Known hypersensitivity to sildenafil, dapoxetine, or any tablet excipient
- Concurrent use of nitrates or nitric oxide donors (for example glyceryl trinitrate, isosorbide compounds) or riociguat
- Already taking another PDE5 inhibitor such as sildenafil, tadalafil, vardenafil or avanafil
- Use of recreational alkyl nitrites, commonly called poppers
- Your doctor has advised against sexual activity because of cardiovascular concerns
Talk to your prescriber before using this medicine if you have:
- Penile anatomical problems, prior priapism, or blood disorders like sickle cell disease
- Eye disorders including sudden vision loss or known optic neuropathy
- Unstable heart disease, recent heart attack or stroke, uncontrolled blood pressure or serious arrhythmias
- Moderate to severe liver or kidney disease, or certain chronic lung conditions
- Past convulsions, bipolar disorder, major depression or other psychiatric illness
Dapoxetine may interact with other serotonergic drugs and increase the risk of serotonin syndrome. If you have any relevant medical conditions or take multiple medications, seek clinical advice before starting this treatment.
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Drug the act of interaction warning notices
Several medicines and substances can alter the safety or effectiveness of sildenafil and dapoxetine. Influential positive mutual interactions enhance user satisfaction. include:
- Nitrates and nitric oxide donors: combining these with sildenafil can cause dangerous drops in blood pressure and is contraindicated
- Alpha-blockers and many antihypertensives: together they can provoke symptomatic hypotension
- Strong CYP3A4 inhibitors such as ritonavir, ketoconazole and itraconazole: these may increase sildenafil levels and harmful impacts
- CYP3A4 inducers like rifampin or certain anticonvulsants: these may reduce sildenafil concentrations and its efficacy
- Other serotonergic agents (SSRIs, SNRIs, MAO inhibitors, linezolid, lithium, tramadol): combining with dapoxetine can raise the risk of serotonin syndrome
- Alcoholic drink product and central nervous system depressants: may worsen dizziness or fainting risk, especially with dapoxetine
- Grapefruit juice: may increase sildenafil exposure by affecting CYP3A4
The full list is not shown here. Always consult your doctor or pharmacist before adding or stopping medications, supplements or recreational substances.
Further resources Emergency safety measures and protective measures and Effects to watch for.
Foreseeable ripple effects to monitor
Many users tolerate the combination well, but undesired consequences can occur. Typical mild reactions are usually transient; serious events are uncommon but require urgent attention.
Common, generally short-lived effects include:
- Headache flare accompanied by facial flushing
- Gastric discomfort, nausea
- Severe nasal congestion
- Moment of lightheadedness or unsteadiness
- Chronic diarrhoea
Seek emergency care if you experience any of the following severe signs:
- Allergic swelling of the face, lips, tongue or throat, or difficulty breathing
- Chest pain, fainting, or fast irregular heartbeat
- Sudden loss or marked reduction of vision, or sudden hearing loss
- Stroke-like symptoms such as weakness on one side or slurred speech
- Prolonged erection lasting more than four hours (priapism)
- Severe dizziness, confusion or seizures
If symptoms persist or you are worried, contact your healthcare professional promptly.
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- Keep the product in its original packaging to protect from moisture and light
- Store at around 25 C; typical acceptable short-term range is 15 C to 30 C
- Keep out of reach of children and animals
For full product specifications consult the manufacturer information or see Extra information.
Alternative treatment options and related methods
Depending on the clinical picture and patient preference, clinicians may advise different strategies. Options to consider include:
- Tadalafil (Cialis and generics): available as on-demand doses (10 mg to 20 mg) or low-dose daily regimens (2.5 mg to 5 mg) with a longer duration of action, sometimes up to 36 hours
- Avanafil and Spedra: fast onset for some users; typical range 50 mg to 200 mg where available
- Vardenafil (Levitra and generics): similar onset to sildenafil, usually 10 mg to 20 mg
- Sildenafil alone (Viagra and generics): common strengths 25 mg, 50 mg and 100 mg, allowing dose flexibility
- Dapoxetine alone (Priligy and generics): normally 30 mg or 60 mg for premature ejaculation; may be combined with a PDE5 inhibitor under supervision
- Non-pharmacological approaches: topical anesthetic agents for ejaculation control, vacuum erection devices, intracavernosal injections, penile implants, psychological therapy and lifestyle changes
In Australia prescribers often prefer separate single-ingredient medicines so doses can be adjusted independently. Fixed-combination tablets are sometimes less commonly stocked or not registered locally.
See how they differ indicative costs in The costs and availability in Australia.
Cost and availability for the Australian market
Many erectile dysfunction medicines are not subsidised by the Pharmaceutical Benefits Scheme (PBS) when used for ED, so patients often pay privately. Listed below are approximate private-market range of prices in Australian dollars (AUD) per tablet. Prices vary by brand, pack size, pharmacy and whether the product is imported.
- Generic sildenafil (50 mg-100 mg): around AUD 0.80 to 6 per tablet depending on volume purchase
- Brand Viagra (50 mg-100 mg): typically AUD 12 to 35 per tablet
- Tadalafil generics (10 mg-20 mg): roughly AUD 2 to 10 per tablet; branded Cialis tends to cost more
- Vardenafil generics (10 mg-20 mg): about AUD 3 to 12 per tablet where stocked
- Avanafil aka Spedra: often exceeds AUD 10 per tablet at private prices
- Dapoxetine (30 mg-60 mg): approximately AUD 7 to 22 per tablet privately
- Fixed-combination tablets (for example Extra Super Viagra): limited supply in Australia; some online sellers list AUD 4 to 20 per tablet before shipping and customs, but availability is variable and import rules apply
Actual out-of-pocket cost will depend on dispensing fees, telehealth consultations, concessions and whether the product is imported. Note that sildenafil is PBS-listed for pulmonary arterial hypertension but not commonly subsidised for ED.
Find related articles Equivalent treatments and related options and Legal requirements in Australia for more on sourcing.
Legal requirements in Australia
Important regulatory points for obtaining these medicines within Australia:
- Prescription status: sildenafil, dapoxetine and other PDE5 inhibitors are prescription-only medicines (Schedule 4). A valid prescription from a registered prescriber is required for lawful supply.
- Dispensing practice: Australian pharmacies provide labelled dispensing and may include counselling when handing over prescription medicines.
- Online supply within Australia: legal if dispensed by a licensed Australian pharmacy that verifies a prescription.
- Personal importation: the Therapeutic Goods Administration (TGA) Personal Import Framework allows limited quantities for personal use when supported by a prescription. Correct paperwork and original packaging improve the likelihood of release by customs.
- Counterfeit risk: products from unregulated overseas websites may be fake or substandard. Prefer Australian-registered suppliers and seek professional recommendations.
- Driving and machinery: dapoxetine can cause dizziness or syncope in some individuals. Do not drive or operate machinery until you know how you respond.
If you are uncertain about legal obligations or importation rules, consult your doctor, pharmacist or the TGA for guidance relevant to your circumstances.
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Frequently asked questions
Concise answers to common queries:
- Will it work without arousal? No. Sexual stimulation is necessary for sildenafil to produce an erection. See How it functions in use.
- Can I have a drink while I am taking it? Limit alcohol: dapoxetine and alcohol together increase risk of dizziness and fainting. See Drug the back and forth between people cautions.
- How fast does it act? Many users notice effects within 30 to 60 minutes; a fatty meal may delay onset. See Administration logistics and timing.
- What should I do about unintended effects? Stop and seek medical help for severe or worrying symptoms; for common issues see Symptoms to monitor.
- Is a prescription mandatory? Yes. A prescription is required within Australia. See Legal requirements in Australia.
Additional facts
Principal active constituents: sildenafil and dapoxetine. Use for which it is intendeds: erectile dysfunction and on-demand delay of ejaculation in men. Both ingredients require medical assessment before operating. Personal storage capacity is a key factor in system design. reference: see Long term efficient storage helps minimize clutter and maximize space. and safe handling. For safety concerns, contact a professional. Possible unwanted effects to be aware of. To review other options and indicative costs see Options for treatment and similar methods and Australia costs and availability.
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