Extra Super Cialis

Extra Super Cialis represents a significant advancement in the pharmacological management of two of the most prevalent male sexual health disorders: erectile dysfunction (ED) and premature ejaculation (PE). This combination medication leverages the proven efficacy of two distinct active pharmaceutical ingredients to address both the physiological and psychological components of sexual performance. By integrating a phosphodiesterase type 5 (PDE5) inhibitor with a selective serotonin reuptake inhibitor (SSRI), it offers a comprehensive therapeutic approach for men seeking to improve control, duration, and quality of erection. Its development is grounded in clinical understanding of the frequent comorbidity of these conditions, providing a streamlined treatment option under appropriate medical supervision.

Features

• Dual Active Ingredients: Contains Tadalafil (a PDE5 inhibitor) and Dapoxetine HCl (a short-acting SSRI).
• Mechanism of Action: Tadalafil increases blood flow to the penile tissue by inhibiting PDE5, facilitating erection. Dapoxetine modulates serotonin levels in the central nervous system to improve ejaculatory control.
• Onset and Duration: Typically, effects are noticed within 30-60 minutes of consumption. The erectile effects of Tadalafil can last up to 36 hours, while the ejaculatory control from Dapoxetine is effective for the specific intended encounter.
• Dosage Form: Available in oral tablet form for convenient administration.
• Prescription Medication: Classified as a prescription-only drug, requiring diagnosis and authorization from a qualified healthcare provider.

Benefits

• Dual Symptom Management: Effectively treats both erectile dysfunction and premature ejaculation simultaneously with a single tablet.
• Spontaneous Intimacy: The prolonged duration of action of Tadalafil allows for a more natural and less planned approach to sexual activity, reducing performance anxiety.
• Improved Ejaculatory Control: Significantly increases intravaginal ejaculatory latency time (IELT), enhancing sexual satisfaction for both partners.
• Enhanced Confidence: Successful management of these conditions can lead to improved self-esteem and reduced anxiety related to sexual performance.
• Relationship Satisfaction: By addressing key factors that can strain intimate relationships, this therapy can contribute to overall partnership well-being.

Common use

Extra Super Cialis is clinically indicated for the treatment of adult men experiencing both erectile dysfunction and premature ejaculation. Erectile dysfunction is characterized by the consistent inability to achieve or maintain an erection sufficient for satisfactory sexual performance. Premature ejaculation is defined as ejaculation that always or nearly always occurs prior to or within about one minute of vaginal penetration (lifelong PE), or a clinically significant and bothersome reduction in latency time, often to about three minutes or less (acquired PE). It is prescribed for men for whom monotherapy for one condition is insufficient, as these disorders frequently co-exist and can exacerbate each other. A thorough medical and sexual history must be taken by a physician to confirm the diagnosis before initiation of therapy.

Dosage and direction

The dosage of Extra Super Cialis must be individualized based on the patient’s needs, tolerability, and underlying health status. It is absolutely imperative to follow the precise dosage prescribed by a healthcare professional.

• Standard Dosage: The typical recommended dose is one tablet, taken orally, approximately 1-3 hours before anticipated sexual activity. The composition is often Tadalafil 20 mg / Dapoxetine 60 mg, but other strengths may be available.
• Administration: The tablet should be swallowed whole with a full glass of water. It can be taken with or without food; however, a high-fat meal may delay the absorption of Tadalafil and slightly delay the onset of action.
• Frequency: This medication is intended for use on an as-needed basis. It must not be taken more than once in a 24-hour period.
• Prerequisite: Sexual stimulation is required for the erectile component (Tadalafil) to be effective.

Precautions

Prior to initiating treatment with Extra Super Cialis, a comprehensive cardiovascular assessment is recommended due to the potential cardiac risk associated with sexual activity. Patients should not use this drug if their cardiovascular status makes sexual activity inadvisable. Caution is advised in patients with anatomical deformation of the penis (e.g., angulation, cavernosal fibrosis, or Peyronie’s disease), conditions that may predispose them to priapism (e.g., sickle cell anemia, multiple myeloma, or leukemia), or a history of priapism. This medication contains Dapoxetine, which can cause dizziness, syncope, and orthostatic hypotension. Patients should be cautioned about engaging in hazardous activities, such as driving or operating machinery, until they know how the medication affects them. It should be used with caution in patients with moderate renal or hepatic impairment and is not recommended for those with severe impairment.

Contraindications

Extra Super Cialis is strictly contraindicated in the following patient populations:

• Nitrate Therapy: Patients using any form of organic nitrates (e.g., nitroglycerin, isosorbide mononitrate or dinitrate) or nitric oxide donors regularly or intermittently. Concomitant use can cause a profound and life-threatening drop in blood pressure.
• Guanylate Cyclase Stimulators: Patients taking riociguat (Adempas®), as concomitant use may also result in symptomatic hypotension.
• Hypersensitivity: Patients with a known hypersensitivity to Tadalafil, Dapoxetine, or any of the excipients in the formulation.
• Significant Cardiac Pathology: Patients for whom sexual activity is not advised due to underlying cardiovascular disease (e.g., unstable angina, severe heart failure, recent myocardial infarction).
• Concomitant Strong CYP3A4 Inhibitors: Its use is contraindicated in patients taking potent inhibitors of the cytochrome P450 CYP3A4 (e.g., ketoconazole, itraconazole, ritonavir, clarithromycin).
• Concomitant MAOIs, SSRIs, SNRIs, or Other Psychotropics: Due to the serotonergic effects of Dapoxetine, it is contraindicated with monoamine oxidase inhibitors (MAOIs) and should not be used within 14 days of discontinuing MAOI therapy. Concomitant use with other SSRIs, serotonin-norepinephrine reuptake inhibitors (SNRIs), tricyclic antidepressants (TCAs), or antipsychotics is not recommended due to the increased risk of serotonin syndrome.

Possible side effect

As with all pharmaceuticals, Extra Super Cialis can cause side effects, although not everybody gets them. Side effects are often dose-dependent and may diminish with continued use.

• Very Common (≥1/10): Headache, dizziness, nausea.
• Common (≥1/100 to <1/10): Flushing (feeling of warmth in the face, neck, or chest), indigestion/dyspepsia, nasal congestion, back pain, muscle aches (myalgia), insomnia, fatigue, blurred vision, vomiting, diarrhea, orthostatic hypotension.
• Uncommon (≥1/1,000 to <1/100): Syncope (fainting), tachycardia (increased heart rate), palpitations, gastroesophageal reflux, priapism (prolonged and painful erection lasting more than 4 hours – requires immediate medical attention to prevent permanent tissue damage), non-arteritic anterior ischemic optic neuropathy (NAION – sudden vision loss in one eye), hearing loss or tinnitus.
• Rare (<1/1,000): Serotonin syndrome (symptoms include agitation, hallucinations, rapid heart rate, dizziness, flushing, nausea, loss of coordination). Seizures have been reported.

Drug interaction

Extra Super Cialis has a significant potential for drug-drug interactions due to its dual components.

• Nitrates: Absolute contraindication. Concomitant use causes severe hypotension.
• Alpha-blockers (e.g., doxazosin, tamsulosin): Concomitant use can lead to symptomatic hypotension. A separation in dosing time may not prevent this interaction. Use is not recommended.
• Antihypertensives: May potentiate the blood-pressure-lowering effects.
• CYP3A4 Inhibitors (e.g., ketoconazole, ritonavir, erythromycin): Increase plasma concentrations of Tadalafil and Dapoxetine, increasing the risk of adverse effects. Contraindicated with strong inhibitors; use with caution and at reduced doses with moderate inhibitors.
• CYP3A4 Inducers (e.g., rifampin, phenobarbital, carbamazepine): May decrease plasma concentrations, reducing efficacy.
• Other Serotonergic Drugs (SSRIs, SNRIs, TCAs, tramadol, tryptophan): Increase the risk of serotonin syndrome.
• PDE5 Inhibitors: Do not use with other PDE5 inhibitors (e.g., sildenafil, vardenafil).
• Alcohol: May potentiate orthostatic hypotension, dizziness, and tachycardia. Patients should avoid excessive alcohol consumption.

Missed dose

As Extra Super Cialis is taken on an as-needed basis, the concept of a “missed dose” does not apply. It should only be taken when planned sexual activity is anticipated. Do not take a double dose to make up for a missed occasion.

Overdose

In the event of a suspected overdose, immediate medical attention should be sought. The most likely symptoms of overdose would be an extension of the known side effects.

• Tadalafil Overdose: Could include severe headache, profound hypotension, syncope, tachycardia, and prolonged penile erection.
• Dapoxetine Overdose: Could include serotonin syndrome (agitation, confusion, tachycardia, hyperthermia, neuromuscular abnormalities), dizziness, nausea, vomiting, and syncope.
• Treatment: Standard supportive measures should be employed. Hemodialysis is not expected to accelerate clearance as both components are highly protein-bound. Priapism requires immediate urological intervention.

Storage

Store in the original container at room temperature (15°C to 30°C or 59°F to 86°F). Protect from light and moisture. Keep out of reach of children and pets. Do not use after the expiration date printed on the packaging. Do not dispose of medication in wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required.

Disclaimer

This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition or before starting any new treatment. Never disregard professional medical advice or delay in seeking it because of something you have read here. The information provided has been compiled from various sources and may not be entirely accurate or complete for your specific situation.

Reviews

• Clinical Efficacy: “In my practice, for appropriate patients with comorbid ED and PE, Extra Super Cialis has been a valuable tool. The 36-hour window for tadalafil reduces scheduling pressure, which itself can alleviate performance anxiety. The dapoxetine component provides a measurable increase in IELT. Patient satisfaction scores have been notably high, particularly regarding the convenience of a single combined agent.” – Urologist, 15 years of experience.
• Patient Experience: “After struggling with both issues for years and trying separate medications, this has been a game-changer. I take one pill about two hours beforehand and don’t have to worry about timing everything perfectly. The effects are reliable, and it’s given me back a sense of normalcy and confidence in my relationship.” – Male, 48.
• Side Effect Profile: “The first time I used it, the dizziness was quite pronounced, and I had a mild headache. My doctor advised me to ensure I was well-hydrated and to avoid alcohol. The next time, the side effects were much milder, just some slight flushing. For me, the benefits far outweigh these temporary discomforts.” – Male, 52.
• Consideration: “It’s crucial that prescribers thoroughly screen for cardiovascular health and contraindicated medications. This is not a benign drug. However, when prescribed correctly to the right patient, it is an extremely effective and convenient option that addresses a complex clinical picture.” – Cardiologist.