Extra Super Cialis isn’t a single drug-it’s a combo pill. It mixes tadalafil a PDE5 inhibitor used to treat erectile dysfunction and dapoxetine a short-acting SSRI approved in some countries to delay ejaculation. This one-pill solution targets both erectile dysfunction and premature ejaculation at once. But it’s not the only option. Many men wonder: is Extra Super Cialis the best choice, or are there safer, more effective, or cheaper alternatives?
How Extra Super Cialis Works
Extra Super Cialis combines two active ingredients with different jobs. Tadalafil relaxes blood vessels in the penis, letting more blood flow in and helping you get and keep an erection. It starts working in about 30 minutes and lasts up to 36 hours-that’s why it’s nicknamed "the weekend pill." Dapoxetine, on the other hand, works on the brain. It slows down the nerve signals that trigger ejaculation, helping men last longer during sex. Taken 1 to 3 hours before sex, it can delay climax by 2 to 4 minutes on average.
This combo sounds perfect for men who struggle with both issues. But it’s not FDA-approved in the U.S. and is mostly sold online or through clinics outside North America. That means quality control, dosage accuracy, and safety aren’t guaranteed. Many pills sold as "Extra Super Cialis" are counterfeit or contain unknown ingredients. The FDA has issued warnings about these products since 2018.
Alternatives: Separate Pills for Better Control
Instead of one pill with two drugs, many doctors recommend taking tadalafil and dapoxetine separately. Why? Because it gives you control over dosing. If you only need help with erections, you skip the dapoxetine. If you’re having a good day and don’t need extra delay, you skip the tadalafil. You can adjust each dose independently.
For tadalafil, the standard dose is 10 mg or 20 mg taken as needed. There’s also a daily version-2.5 mg or 5 mg-that keeps the drug in your system so you don’t have to plan ahead. For dapoxetine, the typical dose is 30 mg or 60 mg, taken 1 to 3 hours before sex. Studies show 60 mg works better for men with severe premature ejaculation, but it also raises the risk of dizziness or nausea.
Separating the drugs also reduces side effects. When taken together in one pill, the combined dose of both drugs can cause headaches, flushing, upset stomach, or low blood pressure more often. Taking them separately lets you find your personal sweet spot.
Other ED Medications Compared
Tadalafil isn’t the only PDE5 inhibitor on the market. Here’s how it stacks up against the others:
| Medication | Active Ingredient | Onset Time | Duration | Food Impact | Common Side Effects |
|---|---|---|---|---|---|
| Tadalafil | Tadalafil | 30-45 minutes | Up to 36 hours | Minimal | Headache, back pain, muscle aches |
| Sildenafil | Sildenafil citrate | 30-60 minutes | 4-5 hours | High (fatty meals delay it) | Flushing, indigestion, vision changes |
| Vardenafil | Vardenafil hydrochloride | 25-60 minutes | 4-5 hours | Moderate | Headache, nasal congestion, dizziness |
| Avanafil | Avanafil | 15-30 minutes | 6 hours | Low | Headache, flushing, runny nose |
Tadalafil wins on duration. If you want flexibility-spontaneity without timing your pill around meals or schedules-it’s the top pick. Sildenafil (Viagra) is cheaper and widely available, but it’s more sensitive to food. Avanafil is the fastest acting, ideal if you need results quickly. Vardenafil is similar to sildenafil but slightly less affected by food.
Alternatives to Dapoxetine for Premature Ejaculation
If you’re using Extra Super Cialis for premature ejaculation, you might not need dapoxetine at all. Other options exist:
- Topical anesthetics like lidocaine-prilocaine spray or cream (e.g., Promescent, Stud 100). These reduce sensitivity on the penis. Applied 10-15 minutes before sex and wiped off, they help delay ejaculation with minimal systemic side effects.
- Behavioral techniques like the start-stop method or squeeze technique. These are free, drug-free, and backed by clinical studies. Men who practice them regularly report lasting improvements in control after 6-8 weeks.
- Other SSRIs like sertraline or paroxetine. These are taken daily, not as needed. They’re used off-label for premature ejaculation and can be very effective, but they come with risks like lowered libido, weight gain, or emotional blunting.
- Psychological counseling. For men whose premature ejaculation is tied to anxiety, performance pressure, or relationship stress, therapy often works better than pills.
Many men don’t realize that premature ejaculation isn’t always a biological issue. Sometimes it’s a learned habit or a response to stress. That’s why behavioral methods often outperform pills in long-term results.
Why Extra Super Cialis Isn’t the Best Choice for Most
Here’s the truth: Extra Super Cialis is marketed as a "two-in-one" solution, but it’s not a medical standard. It’s a compounded product, often made in unregulated labs. The ratio of tadalafil to dapoxetine varies wildly between brands-some pills have too much dapoxetine, increasing the risk of fainting or low blood pressure. Others have too little, making them useless.
There’s also no long-term safety data. Combining a PDE5 inhibitor with an SSRI hasn’t been studied in large, controlled trials. The FDA hasn’t approved this combination. If you have heart disease, high blood pressure, liver or kidney problems, or take nitrates, this combo could be dangerous.
Doctors who treat sexual health don’t routinely prescribe Extra Super Cialis. Instead, they recommend FDA-approved options taken separately. Why? Because they’re safer, predictable, and backed by decades of research.
Real-World Choice: What Works Best?
Let’s say you’re a 42-year-old man who has trouble getting an erection and lasts less than two minutes in bed. You’ve tried Viagra, but it didn’t help with timing. Here’s what actually works:
- Start with 10 mg tadalafil on an empty stomach, taken 1 hour before sex. If that works, stick with it.
- If you still finish too quickly, try a topical anesthetic like Promescent. Apply it, wait 10 minutes, wipe it off, and go.
- If that’s not enough, ask your doctor about dapoxetine. Start with 30 mg, taken 1-2 hours before sex. Don’t combine it with tadalafil unless under medical supervision.
- Pair it with the start-stop technique. Practice it twice a week. You’ll build control faster than any pill.
Men who follow this step-by-step approach report better results than those who just grab a "super pill" off a website. They have fewer side effects, more confidence, and better relationships.
When to Avoid These Medications
Don’t take tadalafil, dapoxetine, or any ED medication if you:
- Take nitrate medications (like nitroglycerin) for chest pain
- Have uncontrolled high blood pressure or recent heart attack/stroke
- Have severe liver or kidney disease
- Are allergic to any PDE5 inhibitor or SSRI
- Have a history of priapism (erection lasting more than 4 hours)
Also avoid mixing these drugs with alcohol. Even one drink can drop your blood pressure dangerously low when combined with tadalafil or dapoxetine.
Final Verdict: Choose Wisely
Extra Super Cialis sounds convenient, but it’s not safer or more effective than using proven, regulated medications separately. The combo pill is a marketing product, not a medical breakthrough. Real progress comes from understanding your body, working with a doctor, and choosing treatments that fit your needs-not your impulse.
If you’re struggling with ED or premature ejaculation, talk to a licensed provider. Get tested. Rule out underlying issues like low testosterone, diabetes, or anxiety. Then build a plan that’s safe, sustainable, and tailored to you.
There’s no magic pill. But there are smart choices-and they don’t come in a mystery capsule labeled "Extra Super Cialis."
Is Extra Super Cialis FDA-approved?
No, Extra Super Cialis is not FDA-approved. It’s a compounded product combining tadalafil and dapoxetine, sold mostly online or through unregulated clinics. The FDA has warned consumers about counterfeit versions that contain unknown or dangerous ingredients.
Can I take tadalafil and dapoxetine together safely?
Some doctors prescribe them separately, but combining them increases the risk of side effects like low blood pressure, dizziness, or fainting. Never take them together without medical supervision. The exact dosage and timing must be carefully managed.
What’s the best alternative to Extra Super Cialis?
For erectile dysfunction, tadalafil (Cialis) or sildenafil (Viagra) are FDA-approved and reliable. For premature ejaculation, dapoxetine (Priligy) is approved in many countries, or try topical anesthetics like Promescent. Behavioral techniques like the start-stop method also work well over time.
Do ED pills help with premature ejaculation?
PDE5 inhibitors like tadalafil don’t directly delay ejaculation. But by improving erection quality and reducing performance anxiety, some men report lasting longer. That’s indirect help. For direct control, you need dapoxetine, SSRIs, or topical numbing agents.
Are there natural alternatives to these pills?
Yes. Lifestyle changes like losing weight, exercising regularly, reducing alcohol, and managing stress improve both erection quality and control. Behavioral methods like the start-stop technique and pelvic floor exercises (Kegels) have strong clinical support. Some men also find L-arginine or ginseng helpful, but evidence is limited.
