Extra Super Cialis is a clinically-formulated combination medication designed to address two of the most prevalent male sexual health concerns simultaneously: erectile dysfunction and premature ejaculation. By integrating the prolonged vasodilatory effects of Tadalafil with the selective serotonin reuptake inhibition properties of Dapoxetine, this advanced pharmaceutical solution offers a comprehensive approach to restoring sexual confidence and performance. Its unique dual-mechanism action ensures both sufficient erectile rigidity and enhanced ejaculatory control, facilitating satisfactory sexual experiences. Recommended for adult men diagnosed with these comorbid conditions, it represents a significant advancement in targeted urological pharmacotherapy.

Features

• Active ingredients: Tadalafil (20mg) and Dapoxetine (60mg)
• Formulation: Film-coated tablet for oral administration
• Onset of action: Tadalafil effects typically begin within 30–60 minutes; Dapoxetine requires dosing 1–3 hours prior to anticipated sexual activity
• Duration: Tadalafil provides up to 36 hours of erectile responsiveness; Dapoxetine effects are limited to the dosing occasion
• Manufacturer: Certified pharmaceutical laboratories adhering to Good Manufacturing Practice (GMP) standards
• Packaging: Blister packs in quantities of 10, 20, or 30 tablets

Benefits

• Achieves and maintains firm erections sufficient for sexual intercourse through PDE5 inhibition
• Significantly delays ejaculatory latency, improving control over ejaculation
• Enables spontaneous sexual activity due to Tadalafil’s extended window of efficacy
• Reduces performance-related anxiety by addressing both erectile and ejaculatory dysfunction concurrently
• Enhances overall sexual satisfaction for both the individual and their partner
• Supports long-term sexual health when used as part of a comprehensive treatment plan under medical supervision

Common use

Extra Super Cialis is prescribed for the treatment of erectile dysfunction (ED) and premature ejaculation (PE) in adult men. It is particularly suitable for individuals experiencing both conditions simultaneously, which commonly co-occur due to shared psychological and physiological pathways. The medication is intended for use prior to anticipated sexual activity and is not recommended for daily administration unless specifically advised by a urologist. Patients typically use Extra Super Cialis on an as-needed basis, integrating it into their sexual routine while addressing underlying health factors through lifestyle modifications and psychological support when indicated.

Dosage and direction

The standard recommended dose is one tablet taken orally with a full glass of water approximately 1–3 hours before anticipated sexual activity. The tablet may be taken with or without food, though high-fat meals may delay the absorption of Tadalafil slightly. Do not exceed one tablet within a 24-hour period. The extended duration of Tadalafil’s effect (up to 36 hours) means subsequent doses should not be taken within this timeframe. For optimal results, sexual stimulation is required to initiate the erectile response. Patients with renal or hepatic impairment may require dosage adjustments as determined by their prescribing physician.

Precautions

Prior to using Extra Super Cialis, disclose any history of cardiovascular disease, including angina, heart failure, or arrhythmias. Use with caution in patients with anatomical penile deformities, bleeding disorders, or active peptic ulcer disease. Avoid concomitant consumption of grapefruit or grapefruit juice, as it may increase serum concentrations of Tadalafil. This medication may cause dizziness or syncope; refrain from operating heavy machinery or driving until familiar with its effects. Regular ophthalmological monitoring is advised for patients with risk factors for NAION (non-arteritic anterior ischemic optic neuropathy).

Contraindications

Extra Super Cialis is contraindicated in patients using organic nitrates or nitric oxide donors in any form, due to the risk of profound hypotension. It must not be used by individuals with a known hypersensitivity to Tadalafil, Dapoxetine, or any excipients in the formulation. Contraindications also include severe hepatic impairment, unstable angina, recent stroke or myocardial infarction (within the last 6 months), and hereditary degenerative retinal disorders. Concomitant use with strong CYP3A4 inhibitors or monoamine oxidase inhibitors (MAOIs) is prohibited.

Possible side effect

Common side effects may include headache, flushing, dyspepsia, nasal congestion, back pain, myalgia, dizziness, nausea, and insomnia. These are generally mild to moderate in severity and transient. Less frequently reported adverse reactions include visual disturbances, tinnitus, palpitations, orthostatic hypotension, and delayed ejaculation. Serious but rare side effects include priapism (prolonged erection beyond 4 hours), sudden hearing loss, and severe cardiovascular events. Patients should seek immediate medical attention if they experience chest pain, erection lasting more than 4 hours, or significant changes in vision or hearing.

Drug interaction

Extra Super Cialis interacts significantly with nitrates, alpha-blockers, antihypertensives, and strong CYP3A4 inhibitors (e.g., ketoconazole, ritonavir). Concurrent use with other PDE5 inhibitors is strictly prohibited. Dapoxetine may interact with serotonergic agents (e.g., SSRIs, SNRIs, tricyclic antidepressants), potentially increasing the risk of serotonin syndrome. Use with alcohol may exacerbate dizziness and orthostatic hypotension. Always inform your healthcare provider of all prescription, over-the-counter, and herbal products you are using.

Missed dose

As Extra Super Cialis is taken on an as-needed basis rather than on a fixed schedule, the concept of a “missed dose” does not apply in the traditional sense. If you forget to take a tablet before sexual activity, simply take it when remembered, provided sexual activity is still anticipated and sufficient time remains for the medication to take effect (至少1 hour). Do not take an additional tablet to make up for a forgotten dose, and never exceed one tablet within a 24-hour period.

Overdose

In cases of suspected overdose, seek immediate medical attention or contact a poison control center. Symptoms of overdose may include severe headache, profound hypotension, syncope, tachycardia, and prolonged erection. Treatment is supportive and may include intravenous fluids and vasopressors for hypotension. Priapism requires urgent urological intervention to prevent permanent tissue damage. Hemodialysis is not expected to significantly enhance elimination of either Tadalafil or Dapoxetine due to high protein binding.

Storage

Store Extra Super Cialis at room temperature (15–30°C or 59–86°F) in its original blister packaging to protect from light and moisture. Keep out of reach of children and pets. Do not use beyond the expiration date printed on the packaging. Properly discard any unused or expired medication through a medicine take-back program or according to local guidelines—do not flush down the toilet or drain.

Disclaimer

This information is provided for educational purposes only and does not constitute medical advice. Extra Super Cialis is a prescription medication and should only be used under the supervision of a qualified healthcare professional. Individual results may vary, and not all users will experience the described benefits. Always follow your physician’s instructions regarding dosage, administration, and monitoring. This product is not intended to diagnose, treat, cure, or prevent any disease.

Reviews

“After struggling with both ED and PE for years, my urologist recommended Extra Super Cialis. The combination has been life-changing—I finally feel in control and confident during intimacy. The 36-hour window means I don’t have to plan meticulously.” — Mark T., 52

“I was skeptical about a combination medication, but the science made sense. The effect is noticeable: stronger erections and significantly improved staying power. Side effects were minimal—some mild flushing initially that subsided.” — David L., 47

“As a healthcare provider, I appreciate the pharmacological rationale behind this combination. For appropriate patients, it reduces pill burden and addresses two issues with one evidence-based treatment. Monitoring and patient education remain essential.” — Dr. Evans, Urologist

“It took the pressure off our relationship. My partner doesn’t feel rushed, and I can maintain an erection long enough for both of us to enjoy the experience. We wish we had tried this sooner.” — James R., 44