Extra Super Viagra in India: Best Way to Buy from Suppliers - in the UK

In a quick view summary

Product name: Extra Super Viagra is the trade name used by some suppliers for a combined tablet that contains both sildenafil and dapoxetine. Manufacturers vary alongside the combination is not a standard UK licensed product.

Operational units: the tablet typically contains a phosphodiesterase-5 inhibitor (sildenafil) and a short-acting selective serotonin reuptake inhibitor (dapoxetine).

Purpose of this item: sildenafil helps with erectile dysfunction by improving penile blood flow during sexual arousal. Dapoxetine is used in some countries to try to delay ejaculation when taken on demand. The combined tablet is intended to tackle both issues at once.

Commonly advertised strength: many sellers promote a 100 mg sildenafil plus 100 mg dapoxetine formulation, but strength and quality can vary between suppliers and are not assured for unlicensed products.

Swift links: navigate to Safety guidelines, see Interplay between individualswould you mind checking this? Alternative choices and costsor become familiar with the UK law position.

The way this medicine works

Sildenafil acts by inhibiting the enzyme phosphodiesterase type 5 (PDE5). In the presence of sexual stimulation it facilitates the relaxation of smooth muscle in penile blood vessels, which helps produce and sustain an erection.

Dapoxetine increases serotonin activity briefly and can delay ejaculation in some men when taken before sex. It is distinct from typical daily SSRIs because it has a relatively short half-life and is prescribed for on-demand use in some countries.

Combining the two affects separate physiological systems. That can be useful for some patients but may also increase the chance of postmarketing effects and drug the exchange between people check effects, so checking factors that make therapy unsuitable is important pre-use only. Refer to a specialist the the current section. Do not use – conclusive reasons to avoid this medication.

Who is permitted to be offered it?

Promotional material is aimed at adult men with erectile dysfunction, particularly those who also report premature ejaculation. Note that sexual stimulation remains necessary for sildenafil to work.

In the UK, fixed-dose combination tablets of sildenafil and dapoxetine are not licensed. Clinicians in the UK generally prescribe licensed single-ingredient medicines separately when there is a clinical need.

If you are considering treatment, discuss your symptoms and medical history with a UK-registered prescriber. Retrace your steps to the the topic in perspective whenever necessary.

How to tolerate it — practical points

Follow the dose selection guidance as prescribed by your prescriber. General advice often includes the points below.

• Timing: most people take the sildenafil component about 30 to 60 minutes before sexual activity; some clinicians advise a window from 30 minutes up to 4 hours in advance depending on the individual conjoined with the PDE5 inhibitor used.
• Food: taking the tablet with a large, fatty meal can delay how quickly sildenafil works. You may choose to take it on a less full stomach for a faster onset.
• An ethanol-based beverage: limit alcohol intake because it can reduce erectile response and, together with dapoxetine, increase the risk of dizziness or fainting.
• Frequency: do not take more than one full dose in any 24-hour period unless a prescriber instructs otherwise.
• Dose not taken: if you forget to take the tablet at the intended time, take it when you remember but do not take extra to make up for a missed earlier dose.

For component-specific dose optimization guidance see Dose spectrum and strengths.

Range of dose values and strengths

Only take medicines at doses recommended by a prescriber. The combination commonly promoted online is 100 mg sildenafil plus 100 mg dapoxetine per tablet; that dapoxetine amount exceeds the usual licensed single-dose range available in the UK.

• Dapoxetine (typical licensed UK guidance for single-ingredient products): start with 30 mg taken 1 to 3 hours before sexual activity; the dose may be increased to 60 mg if needed and tolerated.
• Sildenafil (licensed options in the UK): usual on-demand dose is 50 mg, adjustable between 25 mg and 100 mg depending on effectiveness and chronic side effects; take approximately 1 hour before sex.

Do not split or combine tablets from different products to try to match the advertised combination dose without medical advice. If your response is too weak or collateral effects are troublesome, speak with a clinician about a secondary option regimens or licensed products.

Safety notices and advisories

Do not use this product if any of the following are applicable.

• You are taking nitrates in any form, for example nitroglycerin or isosorbide preparations, or you use recreational alkyl nitrites (poppers).
• You are allergic to sildenafil, dapoxetine, or any ingredient listed on the packaging from the supplier.
• You are already taking another PDE5 inhibitor such as tadalafil or vardenafil, or any product that contains sildenafil.
• A clinician has advised you against sexual activity because of a cardiac condition.

If any item applies to you, seek advice from a healthcare professional before using the medicine.

Tell your doctor before taking it if you have

• Heart and vascular disorders, recent heart attack, stroke, uncontrolled blood pressure, or significant arrhythmias.
• Severe hepatic or renal compromise, lung disease, or other major systemic illness.
• Blood disorders that increase risk of prolonged erections, or penile anatomical abnormalities such as Peyronie disease.
• A history of syncope, seizures, severe depression, bipolar disorder, or other psychiatric conditions (dapoxetine can interact with psychiatric medications).
• Any vision or hearing problems; discuss sudden changes in vision or auditory symptoms immediately.
• Regular use of prescription, over-the-counter, herbal or dietary supplements.

After reviewing these points, consult the Interactions with others section for medicines and foods to avoid.

Potential food-drug-drug intercommunication hazards

Many drugs and some foods alter the safety or effectiveness of sildenafil or dapoxetine. Inform your prescriber or pharmacist about everything you take.

• Strong CYP3A4 inhibitors such as ketoconazole, itraconazole, some macrolide antibiotics and certain HIV protease inhibitors can raise sildenafil and dapoxetine levels and increase treatment side effects.
• Enzyme inducers like rifampicin, carbamazepine and phenytoin may lower concentrations and reduce efficacy.
• Combining dapoxetine with other serotonergic drugs (for example SSRIs, SNRIs, MAOIs, lithium, tramadol, triptans) increases the risk of serotonin syndrome; specific combinations require washout periods.
• Alpha-blockers or many antihypertensives together with PDE5 inhibitors can cause significant blood pressure drops; timing and dose optimization need careful review.
• Grapefruit juice can interfere with metabolism of both components and should generally be avoided around dosing.

The list is not comprehensive. Never skip a check. with a healthcare professional when starting, stopping or changing any medication, supplement, or significant dietary habit.

What to know about undesired effects and also the right time to seek help

Most users tolerate treatment reasonably well but adverse sequelae can occur. Monitor for symptoms and seek urgent care for serious signs.

Common, often mild

• Nasal blockage and congestion, mild head pain, and flushing
• The sensation of dizziness or lightheadedness
• Gastrointestinal upset, such as nausea or diarrhoea
• Dryness of the mouth

Seek immediate medical help if you experience

• Allergic reactions such as swelling of the face, lips, tongue, difficulty breathing, or widespread rash
• A long-lasting, painful erection lasting over four hours (priapism)
• Chest pain, syncope, and an irregular or fast heart rhythm.
• Sudden loss or significant changes in vision or sudden hearing loss
• Severe dizziness, collapse, seizures, or sudden neurological symptoms such as weakness on one side

If you are unsure about any symptom, contact your healthcare provider. More on engagement and communications create opportunities for collaboration. is at Cooperative exchanges.

Long term data at rest resides in storage until it is accessed. efficiency tips

• Ensure all medications are kept out of sight and out of reach for children and pets.
• Store in the original packaging to protect from moisture and light; avoid keeping tablets in bathrooms.
• Room temperature data at rest resides in storage until it is accessed. is usually recommended; aim for around 25 C. Avoid prolonged exposure to high heat.

Inspect the logs packaging supplied by the manufacturer for any specific cloud storage offers scalable capacity for growing data needs. instructions.

Options with price cues in the UK (GBP)

Clinicians in the UK most commonly use single-ingredient licensed products. Prices vary significantly by supplier, brand, pack size and whether supplied privately or via the NHS.

• Sildenafil (generic and Viagra): generic sildenafil is usually the lowest cost option privately. Typical private prices for generics might be from about 0.20 to 1.50 per tablet for 50-100 mg strengths. Viagra Connect 50 mg (pharmacy medicine) often retails at about 15 to 25 for a pack of 4 tablets.
• Tadalafil (Cialis and generic): generics may cost around 0.60 to 2.00 per 10-20 mg tablet privately; the brand product is commonly more expensive.
• Vardenafil (Levitra and generics): often more expensive than generic sildenafil; private prices frequently in the 1.50 to 4.00 range per tablet depending on strength.
• Avanafil also marketed as Spedra: usually available as a branded product and may cost roughly 4 to 10 per tablet privately.
• Dapoxetine (Priligy and generics): used for premature ejaculation on private prescription; a single 30-60 mg tablet can range approximately 10 to 25 depending on brand and pack size.
• Fixed-dose combinations such as Extra Super Viagra: not licensed in the UK. Cross-border or online sellers sometimes quote 2 to 8 per tablet, but such supplies may be illegal, of uncertain quality and carry safety risks.

Other PDE5 inhibitors used outside the UK, such as udenafil or lodenafil, are not commonly prescribed in UK practice. If cost is a concern, discuss generic options and quantity with a UK prescriber or pharmacist. Figures above are approximate and may change.

For lawful access and clinical guidance see the The prevailing UK legal position subdivision.

UK legal standing

• Fixed-dose products combining sildenafil and dapoxetine are not licensed for sale or supply in the UK.
• Sildenafil: prescription-only medicine, except Viagra Connect 50 mg which is available via pharmacist supply after assessment.
• Dapoxetine: available in some countries as a prescription-only medicine; in the UK it is supplied only on prescription when clinically appropriate.
• Importing or purchasing unlicensed medicines from abroad carries legal and safety risks. The Medicines and Healthcare products Regulatory Agency (MHRA) controls import and supply. Personal imports can be intercepted and may be illegal or unsafe.
• UK sellers are prohibited from supplying unlicensed combination ED tablets to the public. Seek treatment via UK-registered prescribers and pharmacies for lawful access.

Always take time to check. with a UK-registered healthcare professional for lawful treatment routes. Go back to the section above Prices for different a backup options to choose options.

Online purchases done safely

If you choose to buy medicines online in the UK, take care to use legitimate services and to confirm the lawful standing of the product.

• Use UK-registered online pharmacies: confirm registration with the General Pharmaceutical Council (GPhC) and audit the records that the dispensing address is a UK premises.
• Prescription requirement: except for Viagra Connect 50 mg, ED medicines require a valid prescription. Sites offering prescription-only medicines without clinical assessment are unsafe and may be breaking the law.
• Be wary of unlicensed combination pills: these may contain unknown quantities of active ingredients, contaminants or counterfeit substances.
• Legitimate providers publish clear contact details, a complaints process, and information about product sourcing; they also participate in systems for reporting adverse events such as the MHRA Yellow Card Scheme.

Report suspect or unsafe medicines or websites to the MHRA and avoid suppliers who refuse to provide verifiable contact details or registration the available information. For more on legality see The UK judicial position.

Frequently asked questions list

• How quickly does it act? Many users notice sildenafil effects within 30 to 60 minutes; a heavy meal can delay onset.
• How long before the effects wear off? Sildenafil may help for up to about 4 hours in many men; dapoxetine's effect on ejaculation is shorter-lived.
• Is it possible to split the tablet? Splitting combined products is not recommended because dose distribution cannot be guaranteed plus the tablet may not be formulated for splitting.
• Can it be taken daily? Do not take more than one dose in 24 hours unless explicitly advised by a prescriber.
• Is it suitable for women? No. This product is intended for adult men and is not indicated for women or children.
• Is alcohol allowed within this area? Liquor and spirits should be minimised when taking these medicines as it can worsen undesired effects and reduce effectiveness.

For more detailed risk information, see Emergency safety notices and Meetings together with the process of people engagings fuel collaboration and innovation..

More resources

Bioactive ingredients on this page: sildenafil and dapoxetine. This information is intended to be educational and does not replace individual medical advice. Always read any patient information leaflet provided with medicines and follow the instructions given by your prescriber.

If you notice any of the urgent warning signs listed under Potential untoward effects and when to seek care, obtain immediate medical attention.

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