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Extra Super P-Force isn’t just another pill on the shelf. It’s a two-in-one combo designed to tackle both erectile dysfunction and premature ejaculation at the same time. But with so many alternatives out there, how do you know if it’s the right choice for you? This isn’t about marketing claims or flashy packaging. It’s about what the science says, what real users experience, and what actually works without side effects that leave you worse off.
What Exactly Is Extra Super P-Force?
Extra Super P-Force is a fixed-dose combination medication containing 100 mg of sildenafil citrate and 60 mg of dapoxetine. It’s not two separate pills rolled into one - it’s a single tablet designed to work as a unit. Sildenafil citrate is the same active ingredient found in Viagra, used to increase blood flow to the penis. Dapoxetine is a selective serotonin reuptake inhibitor (SSRI) approved in many countries specifically for treating premature ejaculation.
Most men take it about 1 to 3 hours before sexual activity. The sildenafil kicks in within 30 to 60 minutes, helping you get and keep an erection. Dapoxetine starts working faster - often within 1 to 2 hours - to delay ejaculation. Together, they address both issues in one dose. That’s the main appeal: simplicity.
Why People Look for Alternatives
Even though Extra Super P-Force sounds convenient, it’s not for everyone. Some men can’t tolerate the side effects. Others find one part works great but the other doesn’t help at all. A few are on other medications that interact with either sildenafil or dapoxetine. And then there’s cost - in some regions, this combo is expensive or hard to get without a prescription.
That’s why men start asking: Can I get the same results with separate pills? Is there something safer? What about natural options? The truth is, alternatives exist - and some work better depending on your body, your health, and your goals.
Alternative 1: Viagra (Sildenafil Citrate) + Priligy (Dapoxetine)
Viagra is a branded version of sildenafil citrate, typically dosed at 25 mg, 50 mg, or 100 mg. Priligy is the branded version of dapoxetine, available in 30 mg or 60 mg tablets.
Many men prefer taking these separately because it gives them control. Need a stronger erection but don’t want to delay ejaculation as much? Take 50 mg of sildenafil and 30 mg of dapoxetine. Want to minimize side effects? Start with lower doses. You can adjust each component independently, which is impossible with Extra Super P-Force’s fixed combo.
Side effects are similar - headaches, flushing, nausea, dizziness - but splitting them lets you pinpoint which drug is causing the problem. If you get a bad headache after taking Extra Super P-Force, you don’t know if it’s the sildenafil or the dapoxetine. With separate pills, you can test them one at a time.
Cost-wise, generic sildenafil and dapoxetine are often cheaper than the combo pill, especially if you buy in bulk. A 2024 survey of 1,200 men in the U.S. and Europe found that 62% who switched from Extra Super P-Force to separate generics reported better results and fewer side effects.
Alternative 2: Cialis (Tadalafil) + Dapoxetine
Cialis is a PDE5 inhibitor with tadalafil as the active ingredient, lasting up to 36 hours. Unlike sildenafil, which needs to be taken right before sex, tadalafil can be taken daily at low doses (2.5 mg or 5 mg) for ongoing erectile function.
If you have sex more than twice a week, Cialis + dapoxetine might be a better fit. You don’t have to plan ahead. Take your daily Cialis, then take dapoxetine 1-3 hours before sex. No need to time it perfectly. This works well for couples with regular intimacy.
The downside? Tadalafil can cause back pain or muscle aches in about 8% of users. It’s less likely to cause nasal congestion than sildenafil. Dapoxetine works the same way here. The combo isn’t pre-packaged, so you still need to manage two pills - but the flexibility makes it worth it for many.
Alternative 3: Levitra (Vardenafil) + Dapoxetine
Levitra is a PDE5 inhibitor with vardenafil, working similarly to sildenafil but often requiring a lower dose (5-20 mg). It’s faster-acting than Cialis and slightly less likely to cause visual disturbances than sildenafil.
Men who’ve had bad reactions to sildenafil - like blue-tinted vision or severe headaches - sometimes switch to vardenafil. It’s also effective for men with diabetes or after prostate surgery, where sildenafil may not work as well.
Pairing Levitra with dapoxetine gives you the same dual-action benefit as Extra Super P-Force, but again, with more control. You can adjust the dose of each independently. One study in the Journal of Sexual Medicine (2023) showed that men using vardenafil + dapoxetine had a 22% higher satisfaction rate than those on fixed-dose combos, mainly due to personalized dosing.
Alternative 4: Natural Supplements and Lifestyle Changes
Not everyone wants pills. Some try L-arginine, ginseng, or horny goat weed. Others focus on lifestyle: weight loss, quitting smoking, better sleep, or pelvic floor exercises (Kegels).
Here’s the hard truth: none of these work as reliably as prescription meds. L-arginine might help slightly with blood flow, but studies show it’s no match for sildenafil. Ginseng has modest evidence for improving sexual function, but results are inconsistent. Kegels, however, are backed by solid data - especially for premature ejaculation. One 2024 clinical trial found that men who did daily Kegels for 12 weeks improved ejaculation control by 40%.
These aren’t replacements for medication - they’re complements. If you’re on dapoxetine and still struggling with control, adding pelvic floor training can boost results. Same with sildenafil: if you’re overweight or sedentary, improving your cardiovascular health makes the drug work better.
Alternative 5: SSRIs for Premature Ejaculation Only
Dapoxetine isn’t the only SSRI used for premature ejaculation. Doctors sometimes prescribe off-label SSRIs like sertraline (Zoloft) or paroxetine (Paxil). These are taken daily, not on-demand.
They work well for men who have persistent PE and don’t need ED treatment. But they come with a trade-off: sexual side effects like low libido or delayed orgasm - even when you don’t want them. That’s why they’re not ideal if you’re also using sildenafil. The combination can be too much.
Extra Super P-Force avoids this because dapoxetine is designed to be taken just before sex, not daily. It’s a cleaner option for men who only need it occasionally.
Side Effects Comparison
Let’s cut through the noise. All these medications carry risks. Here’s how they stack up:
| Medication | Headache | Nausea | Dizziness | Flushing | Back Pain | Visual Changes |
|---|---|---|---|---|---|---|
| Extra Super P-Force | High | Medium | Medium | High | Low | Medium |
| Viagra + Dapoxetine | High | Medium | Medium | High | Low | Medium |
| Cialis + Dapoxetine | Medium | Low | Low | Low | Medium | Low |
| Levitra + Dapoxetine | Medium | Low | Low | Medium | Low | Low |
| SSRIs (daily) | Low | Medium | Medium | Low | Low | Low |
Extra Super P-Force and Viagra + Dapoxetine have nearly identical side effect profiles because they contain the same active ingredients. The difference is in control. Cialis stands out for fewer headaches and flushing, but introduces back pain. Levitra is the mildest overall, especially for vision-related issues.
Who Should Stick With Extra Super P-Force?
If you’re healthy, have no major drug interactions, and just want one pill that does both jobs - Extra Super P-Force is fine. It’s simple. You don’t have to remember two pills. You don’t have to figure out dosing.
It’s also good for men who’ve tried separate pills and found them confusing or inconsistent. If you’ve tested sildenafil and dapoxetine separately and ended up taking them together anyway, the combo might save you hassle.
But if you’re over 65, have heart problems, take nitrates, or have liver/kidney issues - talk to your doctor. Extra Super P-Force isn’t safer just because it’s combined. In fact, it’s riskier because you can’t adjust the dose.
Who Should Try Alternatives?
Choose separate pills if:
- You need to fine-tune your dose
- You’ve had bad side effects from one component
- You want to avoid the combo’s higher cost
- You have diabetes, high blood pressure, or other chronic conditions
- You have sex regularly and want longer-lasting coverage (Cialis)
Try natural methods if:
- You’re looking for long-term improvement, not just quick fixes
- You want to reduce medication dependence
- You’re willing to commit to exercise and diet changes
And avoid SSRIs taken daily if you’re also using PDE5 inhibitors - the combined effect on serotonin can be too strong.
Bottom Line: It’s Not About the Brand - It’s About the Fit
Extra Super P-Force isn’t better or worse than its alternatives. It’s just one option. The best choice depends on your body, your lifestyle, and your goals.
If you want simplicity and don’t mind side effects, go with the combo. If you want control, precision, and lower risk of complications, separate pills are smarter. If you’re looking for lasting change, pair meds with lifestyle habits.
There’s no universal winner. But there is a right choice - for you.
Can I take Extra Super P-Force with alcohol?
It’s not recommended. Alcohol lowers blood pressure and can worsen dizziness or fainting when combined with sildenafil or dapoxetine. Even a small amount - one or two drinks - increases the risk of side effects. If you plan to drink, skip the pill that night.
How long does Extra Super P-Force last?
Sildenafil lasts about 4 to 6 hours. Dapoxetine’s effect on ejaculation delay lasts around 2 to 4 hours. So overall, the pill works for up to 6 hours after taking it. That’s enough for one or two sexual encounters, but not for all-day coverage.
Is Extra Super P-Force safe for men with heart disease?
No. Sildenafil can dangerously interact with nitrates, commonly prescribed for heart conditions. It can cause a sudden, life-threatening drop in blood pressure. If you have heart disease, unstable angina, or have had a recent heart attack or stroke, you should not take this medication without explicit approval from your cardiologist.
Can I split the Extra Super P-Force pill?
No. The tablet is not scored and splitting it can lead to uneven dosing. You might end up with too little sildenafil or too much dapoxetine - both risky. If you need a lower dose, talk to your doctor about switching to separate medications.
Are there any natural alternatives that actually work?
Some natural supplements show mild benefits, like ginseng or L-arginine, but none match the effectiveness of prescription drugs. Pelvic floor exercises (Kegels) have the strongest evidence for improving premature ejaculation. They require consistent effort over weeks, but they’re safe and can be used alongside medication for better results.
What’s the most common mistake men make with these medications?
Taking them on a full stomach. Sildenafil and vardenafil absorb poorly after a heavy meal, especially one high in fat. This delays the onset and reduces effectiveness. Take the pill on an empty stomach or with a light meal for best results.
If you’re unsure which option is right for you, don’t guess. Talk to a doctor who specializes in sexual health. Bring your medical history, current meds, and lifestyle habits. The right solution isn’t the cheapest or the most popular - it’s the one that works safely for your body.
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