Extra Super P Force (Sildenafil / Dapoxetine) – Patient Guide (UK)

Extra Super P Force is a combination medicine containing sildenafil and . It is used to help with two common issues in men: erectile dysfunction (ED) and premature ejaculation (PE).

This page explains what the medicine does, how it works, when to take it, possible side effects, and practical tips for safer and more effective use in the United Kingdom.

At a glance

• Medicines in each dose: Sildenafil + Dapoxetine
• Helps with: ED (hardness/maintenance of erection) and PE (early ejaculation)
• Common timing: Typically taken shortly before sex, according to individual response
• Key cautions: Avoid nitrates and be careful with certain heart and blood pressure medicines
• Not suitable for everyone: Especially if you have certain heart problems, very low blood pressure, or use interacting medicines

Basic product information

Note: Strengths can vary between products marketed under the same or similar names. Always check the exact tablet strength on the pack or product label.

How it works (mechanism of action)

Extra Super P Force works by combining two different mechanisms:

Sildenafil

• Sildenafil belongs to a group of medicines called phosphodiesterase type 5 (PDE5) inhibitors.
• It enhances the effects of nitric oxide in penile tissue, which helps relax smooth muscle and improves blood flow to the penis.
• This supports achieving and maintaining an erection when sexual stimulation is present.

Dapoxetine

• Dapoxetine is an SSRI (selective serotonin reuptake inhibitor), used at specific doses for premature ejaculation.
• It increases serotonin activity in the brain, which can help increase control over ejaculation timing.
• It is designed for on-demand use for PE (rather than daily use in most cases).

Together, the medicines may help men who experience both ED and PE, providing coordinated support for erection quality and delayed ejaculation.

Pharmacokinetics (how the body processes it)

Pharmacokinetics (PK) describes absorption, distribution, metabolism and elimination. While individual results vary, the following describes typical patterns for the individual components:

Sildenafil (typical)

• Absorption: Absorbs after oral use; onset often begins within about 30–60 minutes.
• Peak effect: Blood levels typically peak within roughly 30–120 minutes.
• Duration: Effects may last several hours, though the strength and timing vary between people.
• Metabolism: Primarily metabolised by CYP450 enzymes (notably CYP3A4).
• Elimination: Metabolites are removed mainly via bile and the gut; a smaller portion may be via kidneys.

Dapoxetine (typical)

• Absorption: Generally absorbed after oral administration.
• Peak effect: Blood levels typically peak within a few hours.
• Duration: The PE benefit is usually expected for the timeframe of planned sexual activity.
• Metabolism: Broken down mainly via liver processes (including enzymes such as CYP2D6 and CYP3A4).
• Elimination: Excretion occurs via both metabolism and elimination pathways, largely as metabolites.

Because both components interact with enzymes and can be affected by food, the timing of a dose can make a difference to how quickly you feel the effects.

Typical use and timing

Extra Super P Force is generally used before sexual activity. The exact timing and number of tablets depends on the tablet strength, your situation, and how you respond to treatment.

When to take it (general guidance)

• Sildenafil often works best when taken about 30–60 minutes before sex (some people may need longer).
• Dapoxetine is commonly taken with an on-demand approach for PE, often about 1–3 hours before sex, depending on individual response and the product’s instructions.

For a combination medicine, many users aim for a single dose at a time that balances both components. A common approach is taking the tablet around 1 hour before sexual activity, then adjusting based on personal experience and tolerability.

Important: Do not exceed the maximum dose stated on the product packaging or in the accompanying instructions. If you are unsure, check the label for the correct dosing schedule.

Indications (what it is used for)

Extra Super P Force is intended to help with:

• Erectile dysfunction (ED): Trouble achieving and/or maintaining an erection sufficient for satisfactory sexual performance.
• Premature ejaculation (PE): Ejaculation that occurs sooner than desired, causing distress or difficulty in control.
• Combined ED + PE in men who have both conditions and want a single on-demand option.

It’s not intended to treat other conditions, and it does not protect against sexually transmitted infections (STIs). Use appropriate protection (e.g., condoms) if required.

Dosing (how to take it)

Dosing varies by product strength. Follow the directions on the packaging or the leaflet included with your medicine. Below is general, patient-friendly information about how dosing is often approached for combination products:

Common dosing principles

• Start carefully: If you’re new to sildenafil, dapoxetine, or combination therapy, begin at the lowest effective strength.
• On-demand use: Typically taken only when needed for sexual activity.
• Allow time to work: Give the dose enough time; avoid taking multiple doses close together.
• Maximum frequency: Respect the maximum number of doses within 24 hours stated in the instructions.

If you miss a dose

• Because this is taken before sex, “missed dose” usually means you simply take it at the appropriate time for your next planned opportunity, if allowed by instructions.

Do not take it more often than advised, and do not combine with other PDE5 inhibitors (such as tadalafil or additional sildenafil) unless a clinician instructs you to do so.

Food interactions

Food can influence how quickly and how strongly sildenafil and dapoxetine are absorbed.

With sildenafil

• High-fat meals may delay the onset and reduce the peak benefit.
• For many people, taking it on a less heavy meal (or with a light meal) helps the medicine work more predictably.

With dapoxetine

• Dapoxetine can also be affected by meals, and taking it with food may affect onset.
• Some people find it more tolerable with a small snack if stomach upset occurs.

Practical approach

• Try taking it when you have a lighter meal earlier in the day or a smaller snack rather than a heavy, fatty meal right before.
• If you notice consistently delayed effects, adjust timing rather than adding extra tablets.

Alcohol interactions and alcohol safety

Alcohol can increase side effects and may reduce sexual performance. While moderate alcohol may be tolerated by some people, it can also worsen: low blood pressure symptoms, dizziness, and fatigue.

What to be cautious about

• Dizziness or light-headedness (especially when standing up)
• Fainting risk increases in some individuals
• Reduced erection quality due to impaired circulation and arousal response
• Greater nausea or stomach upset
• Reduced judgement and increased impulsive behaviour in some people

If you plan to drink, consider keeping alcohol low to moderate and avoid large amounts. Avoid driving or operating machinery if you feel dizzy or unwell.

Medicine interactions (important)

Extra Super P Force contains medicines that can interact with a variety of drugs. The biggest risks involve dangerous blood pressure drops (with certain heart medicines) and serotonin-related effects (with certain antidepressants). If you take other medicines, read this section carefully.

Do not combine with nitrates

Sildenafil should not be used with nitrates (often used for chest pain/angina), because this can cause a significant and dangerous drop in blood pressure.

• Examples can include glyceryl trinitrate (GTN) and isosorbide medicines
• Also be cautious with “nitric oxide donors” and other nitrate-like therapies

Riociguat and pulmonary hypertension medicines

• Sildenafil may interact with riociguat (used for certain pulmonary hypertension conditions), increasing risk of low blood pressure.

Alpha-blockers

• Medicines such as tamsulosin or other alpha-blockers for prostate symptoms can cause blood pressure lowering. Combining them with sildenafil may increase risk of dizziness, especially at the start of treatment.
• Your prescriber may adjust timing or dose in such cases.

Other PDE5 inhibitors

• Do not take additional sildenafil or other PDE5 inhibitors (e.g., tadalafil, vardenafil) at the same time.

Strong enzyme inhibitors / inducers (CYP450)

• Some medicines can raise sildenafil levels, increasing side effects (e.g., certain antifungals such as ketoconazole; some antibiotics; some HIV medicines).
• Others can reduce levels, making the medicine less effective.

Serotonergic medicines and antidepressants

Dapoxetine can interact with drugs that affect serotonin. Combining with certain medicines increases the risk of serotonin syndrome, a potentially serious condition.

• MAO inhibitors
• Other SSRIs/SNRIs used for depression or anxiety
• Tramadol and some other pain medicines
• Linezolid (an antibiotic with serotonergic effects)
• St John’s wort (a herbal supplement that can increase serotonin)

Medication for migraine (triptans)

• Triptans may also increase serotonin effects when used alongside SSRIs in some cases.
• Discuss with a healthcare professional before use if you take these.

Antiarrhythmics and blood pressure medicines

• If you take medicines that affect heart rhythm or blood pressure, extra monitoring may be needed.

Always check labels and tell your pharmacist about all medicines and supplements you use, including over-the-counter products.

Safety profile: who should be cautious

Like all medicines, Extra Super P Force can cause side effects. Many are mild and temporary, but some require prompt medical advice.

Common side effects

• Headache
• Flushing or warmth
• Dizziness
• Nausea or stomach upset
• Indigestion
• Fatigue
• Dry mouth
• Back pain or muscle aches (more typical with PDE5 inhibitors)
• Blurred vision or visual disturbance (less common but important)
• Reduced appetite in some people

Less common but urgent concerns

• Chest pain (especially during activity) or symptoms of heart problems
• Fainting or severe dizziness
• Severe allergic reaction (swelling of face/lips, difficulty breathing)
• Prolonged erection lasting longer than advised (seek urgent medical care)
• Sudden vision or hearing changes
• Serotonin syndrome symptoms such as agitation, confusion, fever, sweating, tremor, diarrhoea, or muscle stiffness

If you experience any severe symptoms, seek urgent medical attention.

Special populations

• Heart conditions: People with significant cardiovascular disease need careful assessment before using PDE5 inhibitors.
• Low blood pressure: Increased dizziness/fainting risk.
• Older age: Side effects may occur more easily and tolerability may be lower.
• Liver or kidney impairment: May require dose adjustments or avoidance.
• History of fainting: Dapoxetine can increase risk of dizziness/fainting in susceptible individuals.

Practical use tips (to get the best result)

• Plan timing and reduce heavy meals: A light meal and timing around 1 hour before sex (then adjust) can improve predictability.
• Start with the lowest effective dose: This improves safety and tolerability.
• Allow for the medicine to work: Don’t assume it hasn’t helped if you feel nothing immediately.
• Use sexual stimulation: Sildenafil supports erection in response to stimulation—it doesn’t automatically cause an erection.
• Hydrate: Dehydration can increase headache and dizziness.
• Avoid mixing with other ED medicines: Combining PDE5 inhibitors increases risk.
• Keep a “trial log”: Note timing, food, alcohol, and side effects to fine-tune future use.
• If side effects occur: Reduce alcohol, try lighter food, and consider adjusting timing rather than increasing dose frequency.

Alternative options

If Extra Super P Force isn’t suitable, there are other options for ED and PE, sometimes used separately. Your choice depends on which condition is most troublesome and your health history.

For erectile dysfunction

• Sildenafil alone (PDE5 inhibitor)
• Tadalafil (longer-acting PDE5 inhibitor)
• Other PDE5 inhibitors depending on availability and suitability
• Non-medicine options such as counselling, lifestyle changes, and in some cases devices

For premature ejaculation

• Dapoxetine alone (where appropriate)
• Topical treatments (local anaesthetics for some people)
• Behavioural techniques and sex therapy approaches
• Other prescription medicines depending on individual circumstances

If you have ED and PE together, a combination approach can be convenient, but separate targeted therapies may be considered if side effects occur.

UK market and legal context (patient-friendly overview)

Medicines containing sildenafil and dapoxetine are regulated in the United Kingdom. Availability online may include different brands and formulations, including branded or generic products. In the UK, medicines are supplied through lawful supply chains and must meet relevant standards for quality, safety and legality.

When buying online, it’s important to choose a reputable website and check that:

• The product name and strength are clearly stated
• Labelling includes appropriate information about the ingredients and how to use the medicine
• The site provides transparent returns and customer support
• Any required regulatory and consumer-protection information is provided

Also note that the UK has ongoing guidance on safe use of sexual health medicines, including advice around interacting drugs and appropriate screening for cardiovascular risk.

Recent guidance and safety updates (UK-focused)

Guidance around ED and PE medicines often emphasises:

• Cardiovascular safety: screening for risk factors and avoiding contraindicated combinations (especially nitrates).
• Drug interaction awareness: careful attention to serotonin-related risks with antidepressants and other serotonergic drugs.
• Adherence to dosing: avoiding repeated dosing beyond recommended limits to reduce side effects.
• Recognising serious adverse effects: prompt action if warning signs occur (fainting, chest pain, prolonged erection, sudden vision changes).

Since recommendations can evolve, always follow the latest product leaflet and check with a healthcare professional if you are uncertain.

Delivery and availability in the UK

Availability varies depending on supplier and stock levels. Many online pharmacies offer:

• Secure packaging with discreet delivery
• Tracking for many orders
• Delivery within set timeframes that depend on your location

How to check your order status: Use your dispatch email or customer account details provided by the retailer. If you have not received updates within the expected delivery window, contact customer support.

If you are ordering internationally or through a non-UK supply chain, you may face longer delivery times, customs checks, or product differences. For the safest experience, choose a UK-compliant supplier where the product is clearly labelled and compliant with UK requirements.

FAQ

1) How quickly will Extra Super P Force work?

Many people notice some effects within about 30–60 minutes (from the sildenafil component). The PE benefit (dapoxetine) may also become noticeable over the next 1–3 hours, depending on the person and whether food slows absorption. If you don’t feel the expected effect, avoid taking extra doses too soon—follow the label instructions.

2) Can I take it with food?

You can usually take it by mouth with or without food, but a heavy, high-fat meal may delay sildenafil’s onset. Consider a lighter meal or a small snack if needed.

3) Is it safe to drink alcohol?

Alcohol can increase dizziness and reduce sexual performance. If you drink, keep it low to moderate and avoid large amounts. Do not drive if you feel light-headed or unwell.

4) What medications should I avoid?

Avoid using it with nitrates (for angina/chest pain) and be cautious with riociguat. Also review interactions with: alpha-blockers, other PDE5 inhibitors, and antidepressants/serotonergic medicines because dapoxetine can interact. If you list your medicines, a pharmacist can help check compatibility.

5) Can I take Extra Super P Force every day?

This combination is typically used on-demand for sexual activity. Follow the maximum frequency stated on the packaging/leaflet. Using it too frequently increases the risk of side effects.

6) What if I get side effects like headache or nausea?

These are common. Try taking the dose with a lighter meal, avoid heavy alcohol, and allow more time between meals and dosing if your stomach is sensitive. If side effects are severe or persistent, stop using and seek medical advice.

7) Will it cure erectile dysfunction or premature ejaculation?

It helps improve symptoms around the time of sex, but it doesn’t “cure” the underlying conditions in everyone. Lifestyle factors (stress, smoking, exercise, alcohol intake), relationship dynamics, and ongoing medical assessment may also help.

8) Can women or young people use it?

These active ingredients are intended for use in men with ED/PE. It is not generally suitable for women or children. The medicine should only be used as directed for the intended population.

9) What should I do if I have chest pain or faint?

Stop using the medicine and seek urgent medical help. Chest pain, severe dizziness, or fainting can signal a serious reaction.

10) Are condoms still necessary?

Yes. Extra Super P Force does not protect against STIs. Use condoms if STI protection is needed.

Important reminders

• Check your medicine interactions before use—especially heart medicines and antidepressants.
• Follow the dosing instructions exactly and do not exceed the recommended frequency.
• Stop and seek help for serious symptoms (chest pain, fainting, allergic reaction, prolonged erection, sudden vision changes).
• Consider lifestyle support: reducing smoking, managing stress, improving fitness, and addressing underlying health conditions can improve sexual health.

If you are unsure whether Extra Super P Force is suitable for you, speak to a qualified healthcare professional or pharmacist and share your medical history and current medicines/supplements.