Extra Super Cialis (Dapoxetine, Tadalafil) vs Alternatives: Full Comparison Guide

When it comes to treating erectile dysfunction and premature ejaculation together, Extra Super Cialis is a combined tablet that pairs dapoxetine, a selective serotonin reuptake inhibitor for premature ejaculation, with tadalafil, a PDE5 inhibitor for erectile dysfunction. The idea behind a single pill is simple: give men a one‑stop solution for two common sexual health issues without juggling multiple prescriptions.

Key Takeaways

• Extra Super Cialis mixes dapoxetine (30mg) and tadalafil (10mg) in one dose, targeting both premature ejaculation (PE) and erectile dysfunction (ED).
• Its onset is about 30‑60minutes, and the effect can last up to 36hours, longer than many single‑ingredient pills.
• Alternatives include standard PDE5 inhibitors (sildenafil, vardenafil, avanafil), separate dapoxetine prescriptions, and some herbal supplements.
• Safety profile is similar to taking each drug alone, but combining them raises the importance of medical screening.
• Cost, convenience, and personal health conditions determine whether the combo or an alternative is the better fit.

How Extra Super Cialis Works

To understand the combo, break it down into its two active ingredients.

Dapoxetine (brand name Priligy) is the only SSRI approved specifically for PE. It works by increasing serotonin levels in the brain, which delays ejaculation. Typical doses are 30mg taken 1-3hours before sexual activity.

Tadalafil belongs to the PDE5 inhibitor class (the same family as sildenafil). By blocking the phosphodiesterase‑5 enzyme, it improves blood flow to the penis, allowing an erection to be sustained. The 10mg dose in Extra Super Cialis is a moderate strength, offering a therapeutic window up to 36hours.

When combined, the drugs do not interact negatively; they simply address two different physiological pathways. However, because both affect the cardiovascular system, a doctor should verify that the user has no contraindications such as uncontrolled hypertension or recent heart attack.

Decision Criteria for Choosing a Treatment

Before picking a product, ask yourself these questions:

1. Do you need to treat both PE and ED at the same time? If yes, a combo like Extra Super Cialis saves you from two prescriptions.
2. What is your budget? Single‑ingredient pills are often cheaper per milligram, but the added convenience of a combo can be worth a higher price.
3. How quickly do you want the effect to start? Dapoxetine needs a short lead‑time, while tadalafil’s onset is similar to other PDE5 inhibitors (30‑60minutes).
4. Are there any health concerns? Liver or kidney impairment, nitrate medication use, or severe heart disease require a medical review.
5. Do you prefer a prescription or over‑the‑counter option? In most countries, all ingredients need a prescription, but some online pharmacies may offer “consult‑free” access.

Side‑by‑Side Comparison

Pros and Cons of Extra Super Cialis

Pros

• Convenient single‑pill solution for two problems.
• Long window of effectiveness (up to 36hours) enables spontaneous activity.
• Lower total pill count reduces the risk of missed doses.
• Both ingredients have well‑established safety data when used separately.

Cons

• Higher upfront cost compared to buying each drug individually.
• Fixed dosage - you cannot adjust dapoxetine or tadalafil separately.
• Potential for combined side effects (headache, flushing, dizziness) to be more noticeable.
• May not be suitable for men who only need one of the two treatments.

Who Should Consider the Combo?

If you regularly experience both premature ejaculation and difficulty achieving/maintaining an erection, the combo can simplify your regimen. It works best for men who:

• Are generally healthy and have no contraindications to PDE5 inhibitors.
• Prefer a “take‑once‑per‑day” style rather than timing two separate meds.
• Have tried single‑ingredient options without full satisfaction.

For men with only mild ED or only PE, separate prescriptions may be more cost‑effective.

Alternative Options

Below are the most common alternatives and when they shine.

• Sildenafil - Fast‑acting, good for occasional use. Not effective for PE.
• Vardenafil - Similar to sildenafil but slightly longer duration.
• Avanafil - Quickest onset (as fast as 15minutes). Higher price.
• Dapoxetine alone - Ideal if PE is the only issue. Must be taken 1‑3hours before intercourse.
• Herbal supplements (e.g., Panax ginseng, yohimbine) - Over‑the‑counter, modest evidence, safe for most but less potent.

Choosing the Right Product for You

Follow this quick decision tree:

1. Do you need to treat both PE and ED?
   Yes → Consider Extra Super Cialis.
   No → Skip to step 2.
2. Is cost the top priority?
   Yes → Look at separate sildenafil or dapoxetine prescriptions.
3. Do you need rapid onset (under 20minutes)?
   Yes → Avanafil may be best.
4. Are you avoiding prescription meds?
   Yes → Explore reputable herbal options, but keep expectations realistic.

Always discuss your choice with a healthcare professional to verify safety, especially if you have cardiovascular issues or are on nitrate medication.

Safety and Potential Interactions

Both dapoxetine and tadalafil are metabolized by the liver enzyme CYP3A4. Drugs that inhibit this enzyme (e.g., ketoconazole, erythromycin) can raise blood levels and increase side‑effect risk. Alcohol, heavy meals, and grapefruit juice may also affect absorption.

Common side effects include:

• Headache
• Flushing
• Indigestion
• Dizziness or light‑headedness

Serious but rare events such as prolonged erection (priapism) require immediate medical attention.