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

Extra Super P Force is a combination medicine used to treat two common sexual health concerns: erectile dysfunction (ED) and premature ejaculation (PE). It contains:

• Sildenafil – helps you achieve and maintain an erection
• Dapoxetine – helps delay ejaculation

This page explains how the medicine works, when to take it, important safety information, interactions (including alcohol), and practical tips to get the best results. It is written for customers in the United Kingdom.

Quick overview

• What it’s for: ED and PE
• How it works: sildenafil improves blood flow to the penis; dapoxetine helps reduce early ejaculation reflex
• When it’s taken: usually before planned sexual activity
• How long it takes: many people notice effects within about 30–60 minutes
• Alcohol: may increase dizziness and reduce ability to achieve an erection
• Key safety notes: avoid nitrates; use caution with certain blood pressure/heart medicines

Basic product information

Important: Product strengths can vary depending on brand and supply. Always check the pack for the exact amount of sildenafil and dapoxetine per tablet.

How it works: mechanism of action

Sildenafil (ED component)

Sildenafil is a PDE-5 inhibitor (phosphodiesterase type 5). During sexual stimulation, nitric oxide is released, which increases levels of cyclic GMP in penile tissue. This helps relax blood vessels and improves blood flow, supporting an erection.

Sildenafil works by blocking PDE-5, which helps the body maintain higher cyclic GMP levels for longer. The result is improved ability to achieve and sustain an erection when you are sexually stimulated.

Dapoxetine (PE component)

Dapoxetine is a selective serotonin reuptake inhibitor (SSRI), designed for use in premature ejaculation. By increasing serotonin activity in certain brain pathways, dapoxetine can help reduce the likelihood of ejaculation occurring too quickly.

In simpler terms: sildenafil supports the erection, while dapoxetine helps you delay ejaculation.

Pharmacokinetics (how the body handles it)

Pharmacokinetics describes what happens after a dose: absorption, distribution, metabolism, and elimination.

Sildenafil

• Absorption: typically absorbed within about an hour, but onset can vary.
• Peak effect: often around 30–120 minutes after taking a dose.
• Metabolism: mainly by liver enzymes (notably CYP3A4).
• Duration: effects can last for several hours, but the exact time window varies by person.

Dapoxetine

• Absorption: generally reaches peak levels a few hours after dosing (timing varies).
• Metabolism: processed by the liver and eliminated mainly through metabolism.
• Duration: designed for on-demand use; effects are usually associated with the planned time window.

Note: Individual response varies due to age, other medicines, liver function, and overall health.

What it’s used for (indications)

Extra Super P Force is intended for adults who have:

• Erectile dysfunction (difficulty achieving or maintaining an erection suitable for sexual activity)
• Premature ejaculation (ejaculation that occurs too quickly and with distress)
• Both conditions together, when a combined approach is appropriate

It is not intended for use in women.

Typical dosing and how to take it

Always follow the dosing instructions on your product pack and the dispensing information provided by your online pharmacy. Doses can vary between products and markets.

General on-demand timing

• Take the tablet before planned sexual activity.
• Many people take it about 30–60 minutes beforehand.
• In some cases, guidance may allow use closer to the time of sex (check your specific pack instructions).

Do not exceed the recommended maximum

• Take only as directed.
• Do not take extra tablets to “increase strength”.
• If you miss a dose on a particular day, do not “double up”. Wait for your next planned time window.

Starting approach

Because this is a combination product, your starting strength may be chosen to balance effectiveness and side effects. If you are unsure which tablet strength you have, check the label.

Timing details: what affects when it works

Food and digestion (especially fats)

Heavy or high-fat meals may delay sildenafil absorption and can reduce or slow the onset of erection support.

• If possible, consider taking it with a lighter meal or when your stomach is relatively empty.
• If you eat a large meal, you may need to take the tablet earlier than usual.

Consistency with planned activity

Dapoxetine is intended to be used when you anticipate sexual activity. Planning helps you understand your personal timing and reduces anxiety, which can otherwise worsen PE.

Food interactions

Food doesn’t usually make the medicine unsafe, but it can change how fast it starts working.

• High-fat meals: may delay onset and reduce peak effect timing
• Alcohol and meals together: can increase dizziness and may reduce erection quality
• Grapefruit / grapefruit juice: may interact with sildenafil metabolism in some people; it’s best to avoid or limit

If you have a sensitive stomach, consider using it with water and not on an extremely full stomach.

Alcohol: effects and safety

Alcohol can affect sexual performance and also increases the likelihood of side effects such as:

• Dizziness and light-headedness
• Low blood pressure feelings (especially if you stand up quickly)
• Reduced ability to maintain erections
• Reduced ability to delay ejaculation for some people due to changes in arousal and control

Practical guidance: If you plan to drink, keep alcohol modest and pace yourself. Avoid heavy drinking. If you feel dizzy, sit or lie down until you feel better.

Medicine interactions (including common UK medications)

Interactions can be important for safety. Below are common categories where caution is needed.

Absolute avoid: nitrates and “nitric oxide donors”

Do not use sildenafil-containing medicines if you take nitrates (e.g., glyceryl trinitrate) for chest pain. This combination can cause a dangerous drop in blood pressure.

Also avoid or seek urgent advice: riociguat

If you take riociguat (for certain types of pulmonary hypertension), the combination with PDE-5 inhibitors can be unsafe.

Alpha-blockers for prostate/blood pressure

Medicines such as tamsulosin, alfuzosin, or other alpha-blockers may interact with sildenafil and can increase the risk of dizziness or low blood pressure.

• Do not start or stop these medicines without medical advice.
• Your prescriber/pharmacist may recommend timing adjustments.

Blood pressure medicines

Sildenafil and dapoxetine can both contribute to dizziness in some people. If you take multiple blood pressure-lowering medicines, you may need extra caution.

Strong liver enzyme inhibitors

Sildenafil is metabolised partly by CYP3A4. Medicines that strongly inhibit this pathway can increase sildenafil levels, raising the risk of side effects.

• Examples may include certain antifungals (azoles), some antibiotics (macrolides), and some HIV medicines.

Other serotonergic medicines (important for dapoxetine)

Dapoxetine affects serotonin. Using it with other medicines that increase serotonin can raise the risk of serotonin syndrome, a rare but serious condition.

• Examples can include some antidepressants (SSRIs/SNRIs), tramadol, linezolid, and other serotonergic agents.

Other PDE-5 inhibitors

Do not combine sildenafil with other PDE-5 inhibitors (e.g., tadalafil, vardenafil) to “boost effect”. Combining increases side effect risk.

Smoking

Smoking can impair blood vessel function and may reduce ED improvement. If you smoke, reducing or stopping can help overall sexual health.

Always inform your pharmacist about all medicines, supplements, and recreational substances you use.

Safety profile: common and serious side effects

Most people tolerate Extra Super P Force well when used correctly. However, side effects can occur.

Common side effects

• Headache
• Flushing (warmth in face/neck)
• Dizziness or light-headedness
• Nausea or indigestion
• Dry mouth (more typical with some PE treatments)
• Fatigue
• Sometimes visual disturbances with PDE-5 inhibitors (e.g., blurred vision or altered colour perception)

Less common but important effects

• Low blood pressure symptoms (especially on standing)
• Back pain or muscle aches can occur in some PDE-5 inhibitor users
• Sleep disturbance or mood changes can occur with SSRIs (including dapoxetine)

Seek urgent help immediately

Contact urgent medical services or seek emergency care if you experience:

• Chest pain or symptoms of a serious heart problem
• Fainting or severe dizziness
• Priapism (erection lasting longer than 4 hours)
• Sudden vision loss or severe eye pain
• Allergic reaction (swelling of face/lips, difficulty breathing, widespread rash)
• Serotonin syndrome symptoms, such as agitation, confusion, fever, sweating, shaking, or diarrhoea (rare)

If you have a heart condition, it’s especially important to ensure sexual activity is medically safe and that your medicines are compatible.

Practical use tips (to improve results)

• Use when you’re planning to be sexually active: take it in your planned window rather than randomly.
• Consider a lighter meal: this can help sildenafil start working sooner.
• Stay hydrated: helps you feel better and may reduce headaches in some people.
• Be cautious with alcohol: keep it modest, as excessive alcohol can worsen both ED and PE.
• Give yourself time: allow 30–60 minutes before sex (or follow your pack timing guidance).
• Use sexual stimulation: sildenafil improves response to stimulation; it doesn’t automatically create erections.
• Manage anxiety: stress is a major driver of premature ejaculation. Relaxation and communication with a partner can help.
• Avoid “trial-and-error” under pressure: your first experience can feel unpredictable; avoid testing when you feel rushed.

Alternative options (if a combination isn’t suitable)

If you only need one treatment or if the combination doesn’t suit you, there are other approaches.

• ED-only options: PDE-5 inhibitors such as sildenafil or tadalafil (depending on suitability)
• PE-only options: dapoxetine (or other PE treatments depending on availability and guidance)
• Psychological strategies: techniques such as “stop-start” or “squeeze” methods can help PE, and counselling can support performance anxiety
• Lifestyle adjustments: exercise, weight management, reducing smoking, and limiting alcohol can improve erections over time

Your pharmacist can advise which option is most appropriate based on your symptoms and other medicines.

Market and legal context in the UK

In the United Kingdom, medicines are supplied under regulatory standards set by the Medicines and Healthcare products Regulatory Agency (MHRA) and additional UK pharmacy standards. Online sale must comply with UK medicines distribution and safety requirements.

For sexual health treatments, consumers are encouraged to purchase from reputable sources that provide:

• clear product labelling and batch/expiry information
• accurate disclosure of active ingredients and strengths
• access to pharmaceutical support (e.g., a pharmacist-led service)
• transparent delivery and returns policies

Quality matters: only use products with authentic packaging and verified supplies to reduce risk of counterfeit medicines.

Recent guidance (high level)

UK sexual health guidance continues to emphasise safe use, screening for contraindications (especially heart-related risks and interactions), and avoiding unsafe combinations. Patients are advised to be cautious with medicines bought online from unverified sellers.

Check the latest advice from NHS and MHRA resources for up-to-date safety information relevant to erectile dysfunction and SSRIs/serotonergic medications.

Delivery and availability (online pharmacy)

Availability of specific brand combinations can vary. When you order from a UK online pharmacy, you can typically expect:

• Discreet packaging for privacy
• Secure payment options
• Delivery estimates based on your location (UK mainland vs. other regions)
• Tracking where offered

Before ordering, review:

• product strength and expiry date
• delivery timeframe and any cutoff times
• cold-chain requirements (most ED/PE tablets do not require refrigeration)
• returns policy and how to report damaged items

If you have urgent concerns about side effects or compatibility with your other medicines, seek medical advice promptly rather than waiting for delivery.

FAQ: Extra Super P Force (sildenafil / dapoxetine)

1) How quickly will Extra Super P Force work?

Many people notice effects within 30–60 minutes. Heavy meals, alcohol, and individual metabolism can shift timing. Follow the pack instructions for your exact strength and dosing schedule.

2) Can I take it with food?

Yes, but high-fat meals may delay sildenafil’s onset. If you want faster results, consider taking it with a lighter meal or when less full.

3) Can I drink alcohol?

It’s best to limit alcohol. Alcohol increases dizziness risk and may reduce erection quality and ejaculatory control. If you drink, keep it modest and avoid heavy drinking.

4) What should I do if I feel dizzy?

Sit or lie down until you feel better. Avoid driving or operating machinery if you feel unwell. If dizziness is severe or persistent, seek medical advice.

5) Is it safe with other medications?

Not always. Avoid combinations with nitrates and be cautious with medicines that affect blood pressure, liver enzymes, and serotonin (for example, other antidepressants or serotonergic drugs). Tell your pharmacist about everything you take.

6) Can I use it every day?

This combination is typically used on-demand around sexual activity. Frequency depends on dosing guidance on the product pack and your individual situation.

7) What if the erection isn’t strong enough?

Ensure there is adequate sexual stimulation, and consider timing with food and alcohol. If ED persists, your pharmacist may suggest alternative dosing, a different medicine, or investigation of underlying causes.

8) What if my ejaculation control isn’t improved?

PE response can vary. Stress, anxiety, and alcohol may reduce effectiveness. If it doesn’t help, ask your pharmacist about alternative PE strategies or different medication options.

9) Can women or teenagers use it?

No. It is intended for adult men and is not for use by women or children.

10) What are signs of a medical emergency?

Seek urgent help for chest pain, fainting, erections lasting longer than 4 hours, severe allergic reactions, sudden vision problems, or symptoms suggesting serotonin syndrome.

Summary

Extra Super P Force (sildenafil / dapoxetine) combines two active ingredients to address erectile dysfunction and premature ejaculation. Sildenafil helps improve blood flow to support erections, while dapoxetine helps delay ejaculation. For many people, it works best when taken before planned sexual activity and with attention to factors such as food timing and alcohol intake.

Because it can interact with other medicines, and because safety depends on your health background, it’s important to review compatibility with your current medicines and follow the dosing instructions on your pack. If you have concerns about side effects or suitability, speak to a qualified healthcare professional or pharmacist.