Extra Super P Force (Sildenafil / Dapoxetine) — Patient Guide (Australia)

Extra Super P Force is a combination medicine containing sildenafil and . It is designed to help with two common sexual health concerns: difficulty achieving or maintaining an erection, and premature ejaculation (finishing too quickly during sex).

This page is written to be patient-friendly and practical. It explains what the medicine does, how it works in the body, how it is typically taken, important interactions (including with alcohol), and key safety information for use in Australia.

Quick facts

• Active ingredients: Sildenafil + Dapoxetine
• What it may help with: Erectile dysfunction (ED) and premature ejaculation (PE)
• How it works: Sildenafil improves blood flow to help erections; dapoxetine helps delay ejaculation
• Typical start-to-effect: Many people notice benefit within about 1–2 hours
• How often: Usually “as needed” before sexual activity (dose depends on your product strength and personal factors)
• Key cautions: Do not use with nitrates, riociguat, or certain blood pressure/heart medicines

Basic product information

Extra Super P Force is a “combination tablet/capsule” style product (brand and presentation may vary by supplier). In most cases, the combination is intended to support:

• Erection quality: helping achieve and maintain a firm erection
• Timing control: helping increase the time before ejaculation

Important: Exact strengths (for example, how many milligrams of sildenafil and dapoxetine are in each tablet) can vary between versions. Always check the label on your specific pack and follow the dosing directions provided by your pharmacy.

How it works (mechanism of action)

Sildenafil (for erection support)

Sildenafil belongs to a group of medicines known as PDE5 inhibitors (phosphodiesterase type 5 inhibitors). During sexual arousal, the body releases chemicals that relax blood vessels in the penis, allowing more blood to flow in and support an erection.

PDE5 is an enzyme that breaks down a natural messenger (cGMP) that helps blood vessels relax. Sildenafil blocks PDE5, which helps maintain higher cGMP levels and supports improved blood flow when you are sexually stimulated.

Dapoxetine (for premature ejaculation)

Dapoxetine is an SSRI (selective serotonin reuptake inhibitor). It increases serotonin activity in the brain. Serotonin influences the nerves and reflexes involved in ejaculation timing.

By changing serotonin signalling, dapoxetine can help you delay ejaculation and improve control.

Pharmacokinetics (how the body handles the medicine)

Pharmacokinetics describes absorption, distribution, metabolism, and elimination. Exact numbers may vary by individual and by product formulation, but the general patterns are:

• Absorption:
  • Sildenafil is absorbed into the bloodstream after oral dosing; effects typically begin within around 30–60 minutes, often closer to 1–2 hours.
  • Dapoxetine is also absorbed after oral dosing, with peak effects commonly occurring within about 1–2 hours.
• Peak levels: Both components generally reach peak concentration in the body within a few hours after taking the dose.
• Metabolism:
  • Sildenafil is primarily metabolised in the liver (mainly by CYP3A4).
  • Dapoxetine is metabolised in the liver and broken down into inactive metabolites.
• Elimination: Both drugs are cleared from the body via metabolism and excretion (with kidney and liver involvement, depending on the substance).
• Duration: Sildenafil may last long enough for several hours. Dapoxetine’s effect on ejaculation timing is often more “time-limited” compared with some other SSRIs, but individual response varies.

Practical takeaway: Many people plan use around a specific time before sex because both components are typically taken “as needed” and tend to work best when timed correctly.

What Extra Super P Force is used for (indications)

Extra Super P Force is commonly used for:

• Erectile dysfunction (ED): difficulty achieving or maintaining an erection sufficient for satisfactory sexual activity.
• Premature ejaculation (PE): ejaculation that occurs too quickly, often with limited control and significant distress.
• Combination of both conditions: When a person experiences both ED and PE, a combination tablet may be preferred for convenience.

It does not treat the underlying medical causes of ED or PE on its own. If symptoms are new, worsening, or associated with other health problems (such as diabetes, heart symptoms, or depression), seeking medical advice is recommended.

Typical timing and when to take it

General timing guidance (commonly used for sildenafil + dapoxetine combinations):

• Consider taking it about 1 to 2 hours before sexual activity.
• Some people may need a little longer to feel the effect; avoid rushing—give the body time to absorb the medicine.
• Do not take more frequently than recommended on the product label.

Sexual stimulation is required for sildenafil to work. The medicine helps your body respond better to arousal; it is not an instant “switch” without stimulation.

Food interactions

How food may affect sildenafil

Sildenafil absorption may be reduced if taken with a heavy or very fatty meal. This can delay the onset of action.

• If you plan to take the medicine, consider choosing a lighter meal beforehand.
• If you ate a large, high-fat meal, the effect may take longer to start.

How food may affect dapoxetine

Dapoxetine can also be affected by meal timing and individual tolerance. Many people find it easier to manage side effects when taking it consistently with/without food as directed by their pharmacy.

Practical tip: Follow the advice on your pack for whether to take it with or without food. If no advice is provided, many users prefer taking it with a light snack rather than a heavy meal to reduce stomach discomfort.

Alcohol: interactions and safety

Alcohol can worsen erectile function and can increase the likelihood of side effects such as dizziness, headache, low blood pressure, and sleepiness (particularly with dapoxetine).

• It is recommended to limit or avoid alcohol when using this medicine.
• Be especially cautious if you are prone to fainting or have low blood pressure.
• Do not drive or operate machinery if you feel dizzy, light-headed, or unusually sleepy.

When to be extra careful: If you plan to drink, keep alcohol minimal and monitor how you feel before sexual activity.

Medicine interactions (important)

Extra Super P Force contains medicines that affect blood flow and serotonin signalling. Because of this, interactions can be serious with some medicines.

Do not use with nitrates and certain heart/blood pressure medicines

Do not combine sildenafil with nitrates (e.g., glyceryl trinitrate and isosorbide preparations) or with riociguat. This combination can cause a dangerous drop in blood pressure.

Use caution with alpha-blockers and blood pressure medicines

Sildenafil can lower blood pressure. If you take medicines for prostate symptoms or blood pressure (especially alpha-blockers), the dose timing and safety need to be considered.

Serotonin-related interactions (with dapoxetine)

Dapoxetine affects serotonin levels. Taking it with certain other medicines can increase the risk of serotonin syndrome (a potentially serious condition) or other adverse effects.

Be cautious and check before combining with:

• Other SSRIs/SNRIs (antidepressants)
• MAO inhibitors or recent MAOI use
• Triptans (for migraine)
• Linezolid (an antibiotic with MAOI-like effects)
• St John’s wort (herbal supplement)
• Some strong CYP interactions (medicines that affect metabolism of dapoxetine or sildenafil)

Strong enzyme inhibitors may raise drug levels

Some medicines can slow metabolism of sildenafil and/or dapoxetine, increasing side effect risk.

Common examples include certain antifungal and antiviral medicines, and some antibiotics. Your pharmacy can help check your medication list.

Other ED medicines

• Do not combine with other ED products (especially other PDE5 inhibitors) unless your pharmacist advises it.
• Using multiple erectile medicines at once increases the chance of low blood pressure and other side effects.

Who should be extra cautious or avoid this medicine

You should discuss suitability with a healthcare professional or pharmacy if you have:

• Heart conditions where sex is risky, or recent severe cardiovascular events
• Low blood pressure or fainting history
• Severe liver impairment
• Severe kidney impairment
• A history of serious abnormal heart rhythms
• History of serotonin syndrome or significant mental health instability

Urgent medical advice: If you experience chest pain during sexual activity, shortness of breath, or severe dizziness/fainting, seek emergency help promptly.

Dosing: how to take Extra Super P Force

Because strengths vary by product version, always check your specific pack for the exact sildenafil and dapoxetine amounts and follow the label instructions.

General principles

• Typically taken as needed before sexual activity.
• Take it on a day when you plan to have sex (rather than daily), unless your local guidance and your product label indicate otherwise.
• Do not exceed the maximum frequency stated on the pack.
• If you are new to these medicines, start carefully (your pack may indicate a “starter” approach depending on strength).

Typical start time

• Take the dose about 1–2 hours before sexual activity.
• If the plan is uncertain, consider choosing a time that allows for possible delayed absorption (e.g., after a heavier meal).

Missed dose

Because the medicine is usually used before sex, there is usually no “missed dose.” If you intended to take it but the timing passes, follow your pack instructions and do not take extra doses to “catch up.”

Safety profile: side effects and what to do

Most people tolerate sildenafil and dapoxetine reasonably well, but side effects can occur. Common effects are often mild and improve with time and correct dosing.

Common side effects

• Headache
• Flushing or feeling warm
• Nasal congestion or blocked nose
• Dizziness or light-headedness
• Nausea
• Heartburn or stomach discomfort
• Sleepiness or fatigue
• Diarrhoea or stomach upset (dapoxetine-related)

Less common but important warnings

• Vision changes (including sudden decreased vision) — seek urgent medical attention.
• Hearing changes (rare) — seek urgent advice.
• Prolonged erection lasting more than 4 hours (priapism) — emergency care is needed.
• Fainting or severe dizziness — stop use and seek advice.
• Serotonin syndrome symptoms (possible with interacting medicines): agitation, confusion, fast heartbeat, fever, sweating, tremor, diarrhoea.

When to seek urgent help

Get emergency medical assistance if you have:

• Chest pain, severe shortness of breath, or symptoms suggesting a heart emergency
• Sudden severe dizziness or fainting
• Prolonged erection > 4 hours
• Severe allergic reaction (swelling of face/lips, trouble breathing)
• Severe serotonin syndrome symptoms

Practical use tips (to improve results and reduce discomfort)

• Start with a test dose when you can comfortably manage possible side effects (for example, on a day you do not have to drive afterward).
• Allow time to work: aim for 1–2 hours before sex.
• Keep meals light: avoid very fatty meals around dosing to support predictable onset.
• Use sexual stimulation: sildenafil works best with arousal.
• Hydrate: dehydration can worsen dizziness and headaches.
• Be cautious with alcohol: limit alcohol to reduce risk and improve erections.
• Avoid combining with other ED medicines unless advised by your pharmacist/doctor.
• Review your medication list before ordering—especially antidepressants and heart/blood pressure medicines.

Note on response: If you try once and don’t notice benefit, it may be due to timing, meal size, or arousal level. Give it a couple of attempts (within safe dosing limits) before deciding it doesn’t work for you—unless side effects or safety concerns arise.

Alternative options

If you have ED and PE separately or cannot use a combination product due to interactions or side effects, alternatives include:

• ED-only options: Sildenafil and other PDE5 inhibitors (some people tolerate one brand better than another).
• PE-only options: Dapoxetine-based approaches (sometimes as single-ingredient products) or behavioural strategies.
• Non-medicine approaches:
  • Pelvic floor exercises (e.g., Kegel exercises)
  • Start-stop techniques and other behavioural training
  • Managing anxiety and performance pressure
• Medical evaluation for underlying causes: diabetes, thyroid problems, cardiovascular risk, medication side effects, or psychological factors can contribute to ED/PE.

Your local pharmacy can help you compare options based on your needs and medication history.

Australia market and legal context (what to expect)

In Australia, sexual health medicines may be available through different channels depending on classification, strength, and product type. Medicines containing sildenafil and dapoxetine may be supplied via pharmacy or telehealth pathways where permitted. Availability can vary based on:

• Whether the product is classified as an OTC or pharmacy medicine (or requires supply through a licensed pathway)
• Whether local regulations allow that specific product for sale by the online pharmacy
• Stock and brand variations

Always check: On the product page, confirm the active ingredient amounts and whether your order requires additional checks (for example, identity verification or a medication safety questionnaire).

Recent guidance and responsible use considerations

While specific “recent guidance” can change over time, responsible use in Australia generally includes:

• Safety screening for interactions (especially heart medicines and antidepressants)
• Hydration and meal timing considerations for predictable absorption
• Awareness of serious adverse event signs (priapism, allergic reactions, serotonin syndrome)
• Encouraging medical assessment if ED is new, worsening, or associated with chest pain or other cardiovascular symptoms

If you are unsure whether this medicine is suitable for you, your pharmacy can help clarify based on your age, medical history, and current medications.

Delivery and availability

Online pharmacies in Australia may deliver sexual health products to eligible addresses within standard shipping timeframes. Delivery speed and cost can vary depending on:

• Your state/territory
• Order processing time
• Whether the medicine is in local stock
• Any required safety screening steps

What to expect when ordering:

• Product listing review (active ingredient strength and dosing instructions)
• Possible safety checks to reduce interaction risk
• Packaging suitable for transport and privacy

Storage: Store in a cool, dry place away from direct sunlight. Keep out of reach of children.

FAQ

1) How fast does Extra Super P Force work?

For many people, effects may begin within 30–60 minutes, with peak or more noticeable effect often closer to 1–2 hours. Heavy meals can delay the sildenafil component.

2) How long does it last?

Sildenafil effects may last several hours. Dapoxetine’s benefit for ejaculation timing can be time-limited. Duration varies by person, dose, and context (including arousal and alcohol intake).

3) Can I take it with food?

It may be taken with or without food depending on the product label and your pharmacy’s advice. To support predictable onset, consider a light meal and avoid very fatty foods close to dosing.

4) Is it safe to drink alcohol?

Alcohol can worsen erections and increase dizziness or low blood pressure risk. It’s best to limit or avoid alcohol when using this medicine.

5) What medicines should I avoid?

Do not use with nitrates, riociguat, or interacting antidepressants without safety checks. Also be cautious with strong enzyme inhibitors, other ED medicines, and other serotonin-affecting drugs.

6) What if I get side effects?

Mild side effects like headache, flushing, or nausea may settle. Stop use and seek urgent care for severe symptoms such as chest pain, fainting, prolonged erection, severe allergic reaction, or possible serotonin syndrome.

7) Can women or adolescents use it?

Extra Super P Force is intended for adult men with ED/PE. It is not recommended for women or adolescents, and suitability should be confirmed by a healthcare professional.

8) What if I don’t have ED but only premature ejaculation?

Some people may choose a PE-focused approach rather than a combination product. Your pharmacy can suggest alternatives based on symptom pattern and medication safety.

9) Can I use it every day?

Combination products like this are commonly used as needed. Do not exceed the frequency stated on the pack. If symptoms are frequent, discuss options with a healthcare professional.

10) Will it work if I’m anxious or not fully aroused?

Psychological factors can strongly affect erections and ejaculation timing. Sildenafil supports blood flow but still relies on sexual stimulation. Managing anxiety and using correct timing can improve outcomes.

Comparison and alternative options (at a glance)

Final reminder: This medicine can be effective, but it is not suitable for everyone due to interaction risk and underlying health conditions. If you are unsure about safety, compatibility with your medications, or which dose is right for you, contact your pharmacist for guidance before use.