Tadalista Super Active 20 Mg-Long Lasting Erection through the Weekend

Sildenafil is a phosphodiesterase type 5 (PDE5) inhibitor that increases blood flow to the penis during sexual arousal. Dapoxetine is a short-acting selective serotonin reuptake inhibitor (SSRI) that delays ejaculation by modulating serotonin levels.

Mechanism of Action

Sexual arousal is necessary for the medication to work because it triggers the release of nitric oxide (NO) in the penile tissue. Nitric oxide activates Guanylate Cyclase enzymes and increases cyclic guanosine monophosphate (cGMP) levels in the penile tissues.

CGMP relaxes the smooth muscles of the blood vessels in the penis, allowing them to dilate and fill with blood, resulting in an erection.

How do PDE5 enzymes hinder erection?

The enzyme PDE5 breaks down cGMP, reducing blood flow and causing the erection to subside.

How does Sildenafil help?

Sildenafil increases blood flow to the penis, enabling an erection during sexual stimulation. Sildenafil inhibits PDE5, preventing the breakdown of cGMP. It allows cGMP levels to remain elevated, ensuring prolonged relaxation of blood vessels and sustained blood flow to the penis during sexual arousal. During sexual stimulation, Sildenafil ensures a firm erection by maintaining high cGMP levels. Sildenafil works within 30–60 minutes of ingestion. It remains effective for 4–6 hours, enabling consistent erectile function during this window.

How does Dapoxetine work for Premature Ejaculation (PE)?

Dapoxetine is a short-acting selective serotonin reuptake inhibitor (SSRI) that delays ejaculation by modulating serotonin levels in the brain.

Mechanism of Action

Our central nervous system (CNS) and brain serotonin levels control ejaculation. Lower serotonin activity in brain pathways can lead to premature ejaculation. Dapoxetine modulates serotonin levels, delaying the ejaculatory response. Dapoxetine provides greater control over ejaculation, extending the duration of sexual activity.

Role of Dapoxetine

Dapoxetine increases serotonin levels in the synaptic cleft, enhancing communication between nerve cells. It strengthens the signals in the spinal ejaculatory reflex pathway, delaying the ejaculatory response. Our body absorbs Dapoxetine rapidly, taking effect within 1–2 hours after ingestion. It remains effective for the duration of sexual activity, providing greater control over ejaculation.

Combined Mechanism of Extra Super P Force

Sildenafil + Dapoxetine work synergistically to address both ED and PE simultaneously. Sildenafil increases blood flow to the penis, enabling a firm and lasting erection during sexual arousal. Dapoxetine delays ejaculation, allowing for prolonged sexual activity and enhanced satisfaction.

Dual Benefit

It addresses both the inability to maintain an erection (ED) and the inability to control ejaculation (PE) in a single tablet. Improves sexual performance and confidence by ensuring better control and reliability.

Standard Dosage

Sildenafil requires sexual arousal to work. It will not cause an automatic erection. Take one tablet (100 mg of Sildenafil + 100 mg of Dapoxetine) as needed.

Maximum Frequency: Take only one tablet per 24 hours to avoid overdosing and severe side effects.

How to Take Extra Super P Force?

Take the tablet approximately 30-60 minutes before sexual activity.

You can take it with or without food. Avoid heavy, fatty meals as they may delay the absorption and onset of Sildenafil.

Swallow Whole: Take the tablet with a full glass of water. Do not crush, chew, or split the tablet.

New Users or Those Sensitive to Medication

If you are new to Sildenafil or Dapoxetine, start with lower-dose alternatives (e.g., 50 mg Sildenafil + 30 mg Dapoxetine). If well-tolerated, your doctor may recommend escalating to Extra Super P Force.

For Severe ED or PE

The 100 mg Sildenafil + 100 mg Dapoxetine dose is appropriate for men who need powerful effects to manage their symptoms.

Older Adults (65+ Years)

Doctors may suggest dose adjustments because of slower metabolism. Always consult your doctor.

Pre-Existing Health Conditions

Men with liver, kidney, or heart conditions may need a reduced dose or alternative medication.

Missed Dose

Take Extra Super P Force as needed, so there is no risk of missing a scheduled dose. Take it before planned sexual activity.

Overdose

Do not take more than one tablet per day. Overdosing increases the risk of severe side effects like priapism (prolonged erection), dizziness, and nausea. If you suspect an overdose, seek medical attention immediately.

Heart and Cardiovascular Issues

History of heart attack, stroke, or irregular heartbeat. Chest pain (angina): Avoid if advised against sexual activity because of cardiovascular risk.

Blood Pressure Problems

If you have low blood pressure (hypotension) or uncontrolled high blood pressure (hypertension), avoid using medications for high blood pressure unless approved by a doctor.

Liver or Kidney Impairment

Doctors may suggest dose adjustments for individuals with moderate liver or kidney problems. Severe liver or kidney issues may contraindicate use.

Mental Health Conditions

Patients with depression, anxiety, or other mood disorders must avoid the medication because Dapoxetine can interact with other drugs or exacerbate symptoms.

Eye Disorders

Patients with a history of non-arteritic anterior ischemic optic neuropathy (NAION) or other severe vision impairments must avoid the medication.

Priapism Risk

Men with a history of prolonged or painful erections (priapism) or blood disorders like sickle cell anemia or leukemia should avoid this medication.

Medication Interactions

Extra Super P Force may interact with other medications, leading to severe side effects. Inform your doctor if you are taking:

Nitrates

Medications for chest pain (e.g., nitroglycerin) can cause a dangerous drop in blood pressure. Avoid using Extra Super P Force if you take nitrates.

Alpha-Blockers

Drugs for high blood pressure or prostate conditions (e.g., tamsulosin) may amplify blood pressure-lowering effects.

Other PDE5 Inhibitors or SSRIs

Avoid combining with other ED medications (e.g., Sildenafil, Tadalafil) or SSRIs (e.g., fluoxetine) to prevent severe side effects like serotonin syndrome or priapism.

HIV Protease Inhibitors and Antifungals

Drugs like ritonavir, ketoconazole, or erythromycin may increase the levels of Sildenafil and Dapoxetine, leading to toxicity.

Blood Thinners

Medications like warfarin can increase the risk of bleeding.

Alcohol

Alcohol can increase the risk of side effects like dizziness, low blood pressure, and fainting. It may also reduce the effectiveness of the medication.

Grapefruit

Grapefruit or grapefruit juice can interfere with the metabolism of Sildenafil and Dapoxetine, increasing side effects.

Avoid Driving or Operating Machinery

Avoid these activities if you experience dizziness, drowsiness, or blurred vision.

Extra Super P Force is not for

Women or Children: This medication is not for women, children, and individuals under 18 or above 64.

Men Allergic to Sildenafil or Dapoxetine: Avoid if you have known allergies to these ingredients.

• Headache
• Flushing (Warmth or Redness)
• Warmth or redness, especially in the face, neck, or chest
• Dizziness or light-headedness
• Nasal Congestion or Runny Nose
• Indigestion (Dyspepsia)
• Nausea
• Fatigue or Drowsiness
• Sweating
• Dry Mouth
• Blurred Vision
• Mild Color Perception Changes

Priapism (Prolonged or Painful Erection)

An erection lasting longer than 4 hours can damage penile tissue and lead to permanent erectile dysfunction if untreated.

Symptoms:

• Persistent or painful erection, even without sexual stimulation.

Sudden Vision Loss

A rare condition called non-arteritic anterior ischemic optic neuropathy (NAION) may cause partial or complete vision loss in one or both eyes.

Symptoms:

• Blurred vision or sudden loss of sight.
• Difficulty distinguishing colors or seeing clearly.

Sudden Hearing Loss or Tinnitus

Partial or complete hearing loss, sometimes accompanied by ringing in the ears (tinnitus) or dizziness.

Symptoms:

• Difficulty hearing or a sensation of ear fullness.
• Persistent ringing or buzzing in the ears.

Severe Drop in Blood Pressure (Hypotension)

A dangerously low blood pressure level, especially if taken with nitrates or alcohol.

Symptoms:

• Severe dizziness, light-headedness, or fainting.
• Blurred vision or confusion.
• Loss of consciousness in extreme cases.

Serotonin Syndrome

It is a potentially life-threatening condition caused by high serotonin levels due to Dapoxetine.

Symptoms:

• Agitation or restlessness.
• Rapid heartbeat or high blood pressure.
• Sweating, shivering, or muscle rigidity.
• Confusion, seizures, or loss of consciousness.

Chest Pain or Heart Attack Symptoms

Cardiovascular stress, especially in men with underlying heart conditions.

Symptoms:

• Chest pain, pressure, or tightness.
• Pain radiating to the arms, shoulders, or jaw.
• Shortness of breath, nausea, or sweating.

Irregular Heartbeat (Arrhythmia)

Abnormal heart rhythm or palpitations can lead to fainting or chest discomfort.

Symptoms:

• Rapid or irregular heartbeat.
• Fluttering sensations in the chest.
• Dizziness or fainting.

Seizures

Uncontrolled shaking or convulsions triggered by the medication.

Symptoms:

• Loss of consciousness.
• Muscle rigidity or jerking movements.

Severe Allergic Reactions (Hypersensitivity)

A rare but serious allergic response to Sildenafil or Dapoxetine.

Symptoms:

• Swelling of the face, lips, tongue, or throat (angioedema).
• Difficulty breathing or swallowing.
• Severe rash, itching, or hives.

Severe Skin Reactions

It is a rare but serious condition like Stevens-Johnson Syndrome (SJS) or toxic epidermal necrolysis (TEN).

Symptoms:

• Widespread skin rash, blistering, or peeling.

Flu-like symptoms such as fever or sore throat.

Why Choose Extra Super P Force?

• High-Potency Solution: For severe cases of ED and PE.
• Convenience: Dual-action medication in a single tablet.
• Fast and Effective: Quick onset and long-lasting results.
• Cost-Effective: More affordable than using two separate treatments.

Who Benefits the Most from Extra Super P Force?

Men with Severe ED and PE: Ideal for those who experience both conditions and require a high-potency solution and those seeking a single medication to treat two sexual disorders (ED+PE) simultaneously.

What are the unique features of the Extra Super P Force, and how it works?

Dual Action: Treats both ED and PE simultaneously in one dose. It works within 30-60 minutes (Sildenafil) and 1-2 hours (Dapoxetine). Sildenafil lasts for up to 4-6 hours, enabling reliable erectile function. Dapoxetine works for the duration of sexual activity, delaying ejaculation.

What are the advantages of the Extra Super P Force?

Convenience: Combines two medications in a single tablet, simplifying treatment. Cost-Effective: Eliminates the need for separate treatments for ED and PE. Enhanced Satisfaction: Simultaneously improves erection quality and ejaculation control for better sexual performance.

Who Should Use Extra Super P Force?

Men with moderate to severe ED and PE requiring a high-potency treatment and those who have not achieved adequate results with lower doses or separate treatments for ED and PE can use Extra Super P Force.