Ever stared at a shelf of erectile dysfunction (ED) pills and wondered which one actually fits your needs? Extra Super Cialis promises a two‑in‑one solution - dapoxetine for premature ejaculation and tadalafil for lasting erections. But does it live up to the hype, or are there better options? This guide breaks down the science, the side‑effects, the price tags, and the real‑world scenarios so you can decide if this combo is right for you.
What is Extra Super Cialis?
Extra Super Cialis is a patented oral medication that combines dapoxetine, a short‑acting selective serotonin reuptake inhibitor (SSRI) used to treat premature ejaculation, with tadalafil, a phosphodiesterase‑5 (PDE‑5) inhibitor that maintains penile blood flow for up to 36 hours. The product is marketed as a convenience pill for men who experience both ED and premature ejaculation (PE) and want a single dose rather than juggling two different prescriptions.
How dapoxetine works
Dapoxetine belongs to the SSRI family, but it’s designed for rapid onset and short duration - typically 1‑3 hours. By increasing serotonin levels in the central nervous system, it raises the threshold for ejaculation, giving you better control. It’s taken 1-2 hours before sexual activity, and the effect wanes quickly, minimizing the usual SSRI side‑effects like weight gain or persistent sexual dysfunction.
How tadalafil works
Tadalafil inhibits the PDE‑5 enzyme, which normally breaks down cyclic guanosine monophosphate (cGMP). Higher cGMP levels keep smooth muscle in the penis relaxed, allowing more blood to flow in and sustain an erection. Unlike shorter‑acting agents, tadalafil’s effect can last up to 36 hours, earning it the nickname “the weekend pill.” This long window means you don’t need to time the dose precisely before intercourse.
Key criteria for comparing ED and PE medications
- Onset time - How quickly the drug starts working after ingestion.
- Duration of effect - Length of time the therapeutic benefit lasts.
- Dosage flexibility - Whether the medication can be titrated up or down.
- Side‑effect profile - Common and serious adverse events.
- Drug interactions - Compatibility with nitrates, antihypertensives, or other meds.
- Cost per pill - Out‑of‑pocket expense for a typical dose.
- Prescription requirements - Need for a doctor’s note and legal sourcing.
- Special indications - Suitability for men with both ED and PE.
Head‑to‑head comparison
| Feature | Extra Super Cialis (Dapoxetine + Tadalafil) | Viagra (Sildenafil) | Levitra (Vardenafil) | Stendra (Avanafil) | Generic Tadalafil | Herbal Supplements |
|---|---|---|---|---|---|---|
| Primary indication | ED + premature ejaculation | ED only | ED only | ED only | ED only | Often marketed for ED |
| Onset | 30‑60 min (dapoxetine) / 30‑60 min (tadalafil) | 30‑60 min | 25‑60 min | 15‑30 min | 30‑60 min | Variable (usually 30‑90 min) |
| Duration | ~3 hrs (dapoxetine) / up to 36 hrs (tadalafil) | 4‑6 hrs | 4‑5 hrs | 6‑12 hrs | Up to 36 hrs | Typically <12 hrs |
| Dose flexibility | Fixed combo (20 mg dapoxetine + 10 mg tadalafil) | 25‑100 mg | 5‑20 mg | 50‑200 mg | 2.5‑20 mg | Not standardized |
| Common side‑effects | Headache, flushing, nausea, dizziness | Headache, flushing, dyspepsia | Headache, nasal congestion | Headache, back pain | Headache, muscle aches | Rarely documented |
| Serious risks | Priapism, severe hypotension with nitrates | Priapism, vision loss | Priapism, hearing loss | Priapism, cardiovascular events | Priapism, cardiovascular events | Potential contamination, unknown interactions |
| Cost (USD per pill) | $2.50‑$3.00 (online pharmacy) | $1.00‑$2.00 | $1.20‑$2.20 | $1.80‑$2.80 | $0.80‑$1.50 | $0.50‑$1.00 (varies widely) |
| Prescription needed? | Yes (doctor’s script) | Yes | Yes | Yes | Yes | Often sold OTC, but efficacy unproven |
Who should consider Extra Super Cialis?
If you’ve been diagnosed with both erectile dysfunction and premature ejaculation, the convenience of a single pill can be a game‑changer. Men who value a long therapeutic window (up to a full day) and don’t mind a fixed dose may find it preferable to juggling two prescriptions. It’s also handy for spontaneous plans - you’ll have the dapoxetine effect ready within an hour, while the tadalafil stays effective for much of the day.
Best for:
- Couples dealing with mixed ED and PE issues.
- Men who travel often and want a pill that works beyond the typical 4‑hour window.
- Those uncomfortable with taking separate medicines at different times.
Not ideal for:
- Patients on nitrate medication (dangerous interaction with tadalafil).
- Anyone who needs a highly titratable dose of either component.
- Men sensitive to SSRI‑related nausea or dizziness.
Potential risks and precautions
Like any prescription drug, Extra Super Cialis carries warnings. The combination means you inherit the contraindications of both dapoxetine and tadalafil.
Dapoxetine should not be used with other SSRIs, MAO inhibitors, or in men with severe heart disease. Similarly, Tadalafil is contraindicated with nitrates, guanylate cyclase stimulators, and uncontrolled hypertension. Common side‑effects such as headache, flushing, and mild dizziness usually resolve within a few hours, but if an erection lasts longer than 4 hours (priapism), seek emergency care.
Always discuss your full medication list with a healthcare provider. Particular attention should be paid to antihypertensives, alpha‑blockers, and certain antibiotics (e.g., erythromycin) that can raise tadalafil levels.
How to obtain a legitimate product
In Australia, dapoxetine and tadalafil are Schedule 4 drugs, meaning they require a prescription from a qualified doctor. Online pharmacies that operate under the Australian Therapeutic Goods Administration (TGA) can dispense after a telehealth consultation. Look for the TGA's logo, a physical address, and a pharmacist’s contact number. Beware of “no‑prescription” websites promising 24‑hour delivery - they often sell counterfeit pills lacking the correct dosage.
When you receive the medication, check the packaging for batch numbers, expiry dates, and tamper‑evident seals. If anything looks off, contact the pharmacy immediately and consider filing a report with the TGA’s MedSafe portal.
Bottom line: Does Extra Super Cialis beat the competition?
The answer hinges on your personal profile. For men fighting both ED and PE, the one‑pill convenience and long duration give it a distinct edge over single‑action drugs like Viagra or Levitra. However, the fixed‑dose nature means you lose flexibility - if you only need ED relief, a generic tadalafil is cheaper; if you only need PE control, a pure dapoxetine product (brand name Priligy) might be more appropriate.
Cost‑wise, the combo sits in the mid‑range, cheaper than brand‑name Viagra but pricier than bulk generic tadalafil. Safety-wise, it inherits the same cardiovascular cautions that apply to any PDE‑5 inhibitor.
In short, if you’ve tried separate pills and found the timing or pill burden frustrating, Extra Super Cialis is worth a trial under medical supervision. Otherwise, traditional monotherapy options remain solid, cost‑effective choices.
Frequently Asked Questions
Can I take Extra Super Cialis with alcohol?
Moderate alcohol (up to two drinks) usually doesn’t cause major issues, but heavy drinking can amplify dizziness and lower blood pressure, increasing the chance of side‑effects.
How soon should I take the pill before sex?
Take it 1-2 hours prior. Dapoxetine reaches peak levels in about an hour, while tadalafil’s effect begins within 30‑60 minutes and can last for the whole day.
Is there a generic version of Extra Super Cialis?
Not yet. Some pharmacies compound the two ingredients, but branded Extra Super Cialis remains the only FDA‑approved combo product.
What should I do if I experience a painful erection lasting over 4 hours?
Seek emergency medical care immediately. Priapism can cause permanent tissue damage if not treated promptly.
Can I use Extra Super Cialis if I have high blood pressure?
Controlled hypertension isn’t a blanket contraindication, but you must discuss dosage with your doctor, especially if you’re on beta‑blockers or ACE inhibitors.
Mike Hamilton
October 18, 2025 AT 13:31took it on a weeknd i guess