Extra Super Cialis: Dual-Action Therapy for Erectile Dysfunction and Premature Ejaculation
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Extra Super Cialis is a clinically-formulated, prescription-only medication designed to address two of the most prevalent male sexual health concerns simultaneously: erectile dysfunction (ED) and premature ejaculation (PE). Combining the proven phosphodiesterase type 5 (PDE5) inhibitor Tadalafil with the selective serotonin reuptake inhibitor (SSRI) Dapoxetine, this advanced therapeutic agent offers a comprehensive approach to improving sexual performance, confidence, and relationship satisfaction. By facilitating robust, sustained erections and significantly delaying ejaculation, Extra Super Cialis enables men to achieve more controlled, satisfying sexual experiences. Its dual-mechanism action is supported by extensive clinical research, making it a trusted option under appropriate medical supervision.
Features
- Active ingredients: Tadalafil (20mg) and Dapoxetine (60mg)
- Formulation: Oral tablet
- Onset of action: Approximately 30–60 minutes post-administration
- Duration of effect: Up to 36 hours for erectile support; acute ejaculatory delay per dose
- Manufacturer compliance: Produced in FDA-approved facilities adhering to Good Manufacturing Practices (GMP)
- Packaging: Blister-packed for stability and patient safety
Benefits
- Achieve and maintain firm erections sufficient for sexual intercourse, enhancing sexual performance reliability.
- Significantly prolong intravaginal ejaculatory latency time (IELT), allowing for greater sexual control and mutual satisfaction.
- Experience extended period of responsiveness to sexual stimulation (up to 36 hours), reducing time-related performance pressure.
- Improve self-confidence and reduce anxiety related to sexual performance through predictable, effective results.
- Support emotional and relational well-being by addressing two common dysfunctions with a single treatment protocol.
Common use
Extra Super Cialis is primarily prescribed for adult men diagnosed with both erectile dysfunction and premature ejaculation. It is suitable for individuals seeking an integrated pharmacological solution rather than managing each condition with separate medications. Typical users include those who have not achieved desired outcomes with monotherapies or who prefer the convenience of a combined formulation. It is intended for use prior to anticipated sexual activity and is not recommended for daily chronic dosing unless specifically advised by a healthcare provider based on individual patient profiles.
Dosage and direction
The standard dosage is one tablet taken orally with a full glass of water, approximately 1–3 hours before anticipated sexual activity. Administration with a high-fat meal may delay onset of action. Do not exceed one dose within a 24-hour period. Dosage adjustments may be necessary for patients with renal or hepatic impairment, elderly patients, or those taking concomitant medications that inhibit CYP3A4. Swallow the tablet whole; do not crush, split, or chew. Always follow the specific dosing instructions provided by your prescribing physician.
Precautions
- Use with caution in patients with cardiovascular risk factors; sexual activity may pose cardiac strain.
- Avoid alcohol consumption, as it may increase the risk of orthostatic hypotension and diminish efficacy.
- Not recommended for men with anatomical penile deformities or conditions predisposing to priapism.
- Monitor for mood changes or emergent suicidal ideation, particularly in patients with a history of depression.
- Regular ophthalmologic exams advised for prolonged users due to potential non-arteritic anterior ischemic optic neuropathy (NAION) risk.
- Inform healthcare providers of all current medications to avoid potentially dangerous interactions.
Contraindications
- Hypersensitivity to Tadalafil, Dapoxetine, or any excipients in the formulation.
- Concurrent use of nitrates or nitric oxide donors for angina pectoris.
- Severe hepatic impairment (Child-Pugh Class C).
- History of unstable angina, recent myocardial infarction, stroke, or life-threatening arrhythmia.
- Concomitant administration with strong CYP3A4 inhibitors (e.g., ketoconazole, ritonavir) or monoamine oxidase inhibitors (MAOIs).
- Patients with hereditary problems of galactose intolerance, Lapp lactase deficiency, or glucose-galactose malabsorption.
Possible side effect
Common side effects may include headache, dizziness, flushing, nasal congestion, dyspepsia, back pain, myalgia, and insomnia. Less frequently, visual disturbances, tinnitus, palpitations, orthostatic hypotension, nausea, diarrhea, or delayed ejaculation may occur. Rare but serious adverse effects include priapism, sudden hearing loss, severe cardiovascular events, syncope, and serotonin syndrome (especially with other serotonergic drugs). Most side effects are mild to moderate and transient in nature.
Drug interaction
- Contraindicated with nitrates and recreational drugs containing nitrites (“poppers”).
- Potent CYP3A4 inhibitors (e.g., clarithromycin, itraconazole) may increase Tadalafil and Dapoxetine exposure.
- Concurrent use with alpha-blockers may potentiate hypotensive effects.
- Other PDE5 inhibitors should not be co-administered.
- Serotonergic drugs (e.g., SSRIs, SNRIs, triptans, tramadol) increase risk of serotonin syndrome.
- Moderate interaction with CYP2D6 inhibitors may elevate Dapoxetine plasma concentrations.
Missed dose
Extra Super Cialis is not intended for regular scheduled dosing; it is taken on an as-needed basis. If a dose is missed, take it as soon as remembered if sufficient time remains before sexual activity. Do not double the dose to make up for a missed one. If sexual activity is not anticipated, the missed dose can be omitted entirely.
Overdose
Symptoms of overdose may include severe headache, profound hypotension, syncope, prolonged erection, arrhythmias, serotonin syndrome (agitation, hyperthermia, tachycardia), or seizures. In case of suspected overdose, seek immediate medical attention. Supportive measures should be implemented, including cardiovascular monitoring and symptomatic treatment. Priapism lasting more than 4 hours requires urgent urological intervention to prevent permanent tissue damage.
Storage
Store below 30°C (86°F), in a dry place, protected from light and moisture. Keep in the original blister packaging until use. Do not store in bathrooms or near kitchen sinks. Keep out of reach of children and pets. Do not use after the expiration date printed on the packaging.
Disclaimer
This product requires a prescription and should be used only under the supervision of a qualified healthcare professional. This information is for educational purposes and does not replace professional medical advice, diagnosis, or treatment. Always consult your physician before starting, changing, or discontinuing any medical treatment. Individual results may vary; not all users will experience the described benefits.
Reviews
“After struggling with both ED and PE for years, my urologist recommended Extra Super Cialis. The difference has been remarkable—I feel like I’ve regained control and confidence. No more anxiety about timing or performance.” – Mark T., 52
“The 36-hour window is a game-changer. My partner and I appreciate the spontaneity it allows. Side effects were minimal—some slight flushing initially, but it subsided.” – James L., 48
“As a clinician, I find the dual-action mechanism scientifically sound. My patients report high satisfaction rates, especially those who had partial response to single-agent therapy.” – Dr. Elena Rossi, Urologist
“I was skeptical about combining two medications, but the convenience is undeniable. Effective for both issues without juggling multiple pills.” – Robert K., 45
“Noticeable improvement in endurance and erection quality. Follow-up with my doctor ensured the dose was right for me. Important to avoid alcohol for best results.” – Derek S., 50