Extra Super P Force
✅ Enhances erections
✅ Delays ejaculation
✅ Improves sexual satisfaction
✅ Treats erectile dysfunction
✅ Boosts sexual performance
Extra Super P Force contains Sildenafil and Dapoxetine.
✓ Medically reviewed by Morgan Ellis — Pharmacy Researcher · 8 years experience · Last reviewed: May 2026
⚡ Quick Answer — What is Extra Super P Force?
Extra Super P Force contains sildenafil 100 mg + dapoxetine 100 mg and is used for erectile dysfunction with premature ejaculation. Available in 100+100 mg (packs of 4 / 20 / 40 / 60 / 120 tablets). Clinical effect lasts around 4–6 hours for ED; 3–5 hours for PE. Manufactured by Sunrise Remedies.
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Extra Super P Force is a dual-action tablet combining sildenafil 100 mg (the classic fast-onset PDE5 inhibitor for erectile dysfunction) and dapoxetine 100 mg (a short-acting SSRI for premature ejaculation). It is designed for men who have both ED and PE — offering one tablet, on-demand, instead of taking two separate medications.
Manufactured by Sunrise Remedies, Extra Super P Force is the sildenafil-based alternative to tadalafil+dapoxetine or vardenafil+dapoxetine combinations — suited to men who already respond well to sildenafil for ED and want to add PE cover in a single pill.
What Is Extra Super P Force?
Extra Super P Force contains two active ingredients with complementary roles:
- Sildenafil 100 mg — the most widely studied PDE5 inhibitor, with 30–60 minute onset and a 4–6 hour window
- Dapoxetine 100 mg — a short-acting SSRI that extends intravaginal ejaculatory latency time (IELT) by 2–3× in men with PE
The combination is used on-demand and gives a tighter, more predictable session window than tadalafil-based ED+PE combinations.
How Does Extra Super P Force Work?
The two drugs act on separate components of the male sexual response:
- Sildenafil inhibits phosphodiesterase type 5 (PDE5) in penile smooth muscle, prolonging cyclic GMP activity. This allows increased arterial inflow and a sustained erection in response to sexual stimulation
- Dapoxetine inhibits the serotonin transporter centrally, raising synaptic serotonin and delaying the ejaculatory reflex. It is specifically engineered for on-demand use (unlike long-acting SSRIs such as fluoxetine)
Onset of action is typically 30–60 minutes for the sildenafil component and ~60 minutes for dapoxetine. Take 1–3 hours before intended activity for best alignment between the two components.
Uses and Indications
- Combined erectile dysfunction and premature ejaculation — the primary indication
- Men who already respond well to sildenafil for ED and want to add PE cover without switching PDE5 inhibitors
- Men who prefer a shorter, more predictable window than 36-hour tadalafil-based combinations offer
Extra Super P Force Dosage and Administration
| Scenario | Recommended Dose | Frequency / Timing |
|---|---|---|
| ED + PE — standard | 1 tablet (sildenafil 100 mg + dapoxetine 100 mg) | 1–3 hours before intercourse; max 1 tablet / 24 h |
| Dose-sensitive / elderly | Separate lower-strength components | Titrate under medical guidance |
| Mild hepatic impairment | Reduced dose, with caution | Both components cleared hepatically |
| Moderate–severe hepatic impairment | Contraindicated | Dapoxetine component unsafe |
| Severe renal impairment | Not recommended | Insufficient data |
| Age >64 | Not recommended | Dapoxetine safety unproven in elderly |
| Maximum daily dose | 1 tablet per 24 hours | Do not stack with other PDE5 inhibitors or SSRIs |
How to Take Extra Super P Force Properly
- Swallow the tablet whole with a full glass of water — reduces the risk of dapoxetine-related syncope
- Take 1–3 hours before intended activity — most men notice effects within 30–60 minutes
- Avoid heavy, fat-rich meals around dosing — they can slow sildenafil absorption and delay onset
- Do not take more than one tablet per 24 hours
- Avoid alcohol — amplifies dapoxetine-related dizziness and fainting
- Do not combine with additional PDE5 inhibitors or SSRIs
- Rise slowly from sitting or lying positions during the first few doses — orthostatic hypotension can occur
Side Effects of Extra Super P Force
| Component / Severity | Side Effect |
|---|---|
| Sildenafil — common | Headache, facial flushing, nasal congestion, dyspepsia, visual disturbance (bluish tint), back pain |
| Dapoxetine — common | Nausea, dizziness, headache, dry mouth, fatigue, insomnia, diarrhoea |
| Combined — uncommon | Syncope, orthostatic hypotension, palpitations, blurred vision, tachycardia |
| Rare but serious | Priapism (>4 h erection), NAION (sudden vision loss), sudden hearing loss, serotonin syndrome (with other serotonergic drugs) |
Syncope caution: dapoxetine can cause orthostatic hypotension and fainting, especially in the first hours after dosing and with alcohol. Take plenty of water, avoid alcohol, and rise slowly from sitting or lying for the first few uses.
Warnings and Precautions
- Cardiovascular fitness for sex — sexual activity places cardiac demand on the heart. Men with active angina, recent MI (within 90 days), uncontrolled arrhythmia, or severe heart failure should have a cardiac assessment before starting a PDE5 inhibitor
- Blood pressure — PDE5 inhibitors cause mild, transient reductions in BP; use with caution if taking multiple antihypertensives
- Priapism — higher risk in men with sickle-cell disease, multiple myeloma, or leukaemia; seek urgent care if an erection lasts more than 4 hours
- Vision — discontinue and seek review if sudden visual changes occur; rare cases of non-arteritic anterior ischaemic optic neuropathy (NAION) have been reported
- Hearing — rare reports of sudden sensorineural hearing loss — stop and consult a doctor if affected
- Alcohol — significant alcohol intake combined with any PDE5 inhibitor can compound dizziness, headache, and low blood pressure
- Grapefruit juice — inhibits CYP3A4 and can raise blood levels
Contraindications — Who Should NOT Take This Medication
- Concurrent use of any nitrate — GTN, isosorbide mono/dinitrate, nicorandil, amyl nitrite (“poppers”)
- Concurrent use of guanylate cyclase stimulators such as riociguat
- Recent heart attack (within 90 days), unstable angina, or angina during intercourse
- NYHA Class II or greater heart failure within the last 6 months
- Uncontrolled arrhythmia, hypotension (BP <90/50) or uncontrolled hypertension (BP >170/100)
- Stroke within the last 6 months
- Known non-arteritic anterior ischaemic optic neuropathy (NAION) in one or both eyes
- Severe hepatic impairment (Child-Pugh C)
- Hypersensitivity to the active ingredient or any excipient
Drug Interactions
| Drug / Class | Interaction |
|---|---|
| Nitrates (GTN, ISMN, ISDN, amyl nitrite/”poppers”) | Absolute contraindication — severe, potentially fatal hypotension |
| Alpha-blockers (doxazosin, tamsulosin, alfuzosin) | Additive blood-pressure lowering — stabilise alpha-blocker dose first, start at lowest PDE5 dose |
| CYP3A4 inhibitors (ketoconazole, itraconazole, ritonavir, clarithromycin) | Raise PDE5 plasma levels — reduce dose or avoid combination |
| CYP3A4 inducers (rifampicin, phenytoin, carbamazepine, St John’s wort) | Lower PDE5 plasma levels — efficacy may be reduced |
| Riociguat and other sGC stimulators | Contraindicated — severe hypotension risk |
| Other PDE5 inhibitors | Do not combine — additive side effects without extra efficacy |
| Antihypertensives | Small additive BP reduction — usually clinically insignificant |
| Grapefruit juice | Inhibits CYP3A4 — avoid large or regular intake |
Always share a full list of your current medications, including over-the-counter products, recreational drugs, and herbal supplements, with your prescriber before starting this medication.
What to Do in Case of Overdose
Symptoms of a PDE5 overdose include severe headache, marked hypotension, dizziness, back or muscle pain, and prolonged erection. Management is supportive, with fluid resuscitation and cardiac monitoring. Contact your local poisons service or emergency department immediately if an overdose is suspected.
Storage Instructions
- Store below 30 °C in a dry place, away from direct sunlight
- Keep in the original blister packaging until use
- Keep out of reach of children and pets
- Do not use after the expiry date printed on the pack
- Dispose of unused tablets via a pharmacy take-back scheme where available
Related Alternatives on MedsBase
Looking for related ED or sexual-health treatment options?
- Modula — tadalafil 5 mg, ideal for once-daily low-dose therapy
- Vidalista — Centurion Labs tadalafil, 2.5 to 80 mg
- Tadacip — Cipla tadalafil 20 mg
- Megalis — Macleods tadalafil 10 mg / 20 mg
- Suhagra — Cipla sildenafil 25/50/100 mg
- Browse all Erectile Dysfunction treatments →
Frequently Asked Questions
Who should take Extra Super P Force?
Men with both erectile dysfunction and premature ejaculation who want on-demand treatment for both conditions in a single tablet. Particularly suited to men who already respond well to sildenafil for ED and want to add PE cover without switching PDE5 inhibitors.
How fast does Extra Super P Force work?
Plan 1–3 hours before intended activity. Sildenafil typically acts within 30–60 minutes, while dapoxetine peaks around 60 minutes. Taking the tablet 1–3 hours beforehand aligns the two windows.
How long does Extra Super P Force last?
The ED window (sildenafil) is 4–6 hours; the PE-delay window (dapoxetine) is 3–5 hours. These overlap well for a single sexual encounter. This is not a daily or “weekend” combination — use only before anticipated activity.
Extra Super P Force vs Super Tadalis Sx — which is better?
Both combine an ED drug with dapoxetine. Extra Super P Force (sildenafil-based) offers a tighter 4–6 hour window — ideal for single encounters with a predictable timeframe. Super Tadalis Sx (tadalafil-based) offers extended ED cover up to 36 hours. Choice comes down to whether you want on/off control or a longer spontaneity window.
Can I drink alcohol with Extra Super P Force?
Avoid alcohol. The dapoxetine component causes dizziness and fainting which alcohol amplifies significantly. Sildenafil also lowers blood pressure, and stacking that with alcohol’s vasodilation raises syncope risk.
Is Extra Super P Force safe if I have heart disease?
Contraindicated with nitrates, within 90 days of MI, or in unstable angina/heart failure. The sildenafil component causes a mild blood-pressure drop. Cardiac assessment is recommended before starting any PDE5 inhibitor.
What if I only have PE (not ED)?
Use pure dapoxetine — Poxet or Vriligy. You don’t need the PDE5 component, and avoiding sildenafil means one less side-effect load.
What if I only have ED (not PE)?
Use a pure PDE5 inhibitor — sildenafil (Cenforce, Sildigra), tadalafil, or vardenafil. Adding dapoxetine unnecessarily adds SSRI side effects.
Can I take Extra Super P Force every day?
No — on-demand only. Maximum 1 tablet per 24 hours. Dapoxetine is specifically designed for on-demand use (unlike daily-SSRI alternatives such as fluoxetine).
Are there age limits?
Not recommended above age 64 due to limitations in dapoxetine safety data. Men over 64 should use separate low-dose sildenafil under medical supervision without the SSRI component.
Is Extra Super P Force better than sildenafil alone if I only have mild PE?
For mild PE, behavioural techniques (start-stop, squeeze, pelvic floor training) or topical anaesthetics are often tried first. Adding a daily SSRI burden for mild symptoms is usually overkill. Discuss with a clinician before routinely using Extra Super P Force.
Extra Super P Force delivers sildenafil 200 mg plus dapoxetine 100 mg for hard-to-treat ED and PE in one tablet; topical anaesthesia layered over chemical PE delay is sometimes added using Lox 2% Jelly (lidocaine 2% topical/urethral) applied pre-coitus and removed before partner contact.
Extra Super P Force uses dapoxetine 100 mg as its short-acting on-demand PE molecule with sildenafil 200 mg; clinicians moving patients to a daily steady-state SSRI rather than per-coitus dapoxetine often switch to Malegra FXT (sildenafil 100 mg + fluoxetine 40 mg) for chronic PE control.
Patients stepping down from Extra Super P-Force (sildenafil 100 mg + dapoxetine 100 mg) because the higher dapoxetine dose causes nausea or dizziness often shift to Super P-Force Oral Jelly (sildenafil 100 mg + dapoxetine 60 mg), which keeps the sildenafil unchanged and trims dapoxetine back to its better-tolerated 60 mg level.
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