Sexual Health Treatment Advisor

Select your primary concerns to see the most appropriate treatment options based on evidence-based medicine.

Recommended Options

Approved Options
Important Safety Note: Always consult with a qualified healthcare provider before starting any treatment. This tool provides information only and does not replace professional medical advice.

Men looking for a solution to both erectile dysfunction and premature ejaculation often come across Extra Super Cialis. It’s a combo pill-tadalafil for erections, dapoxetine for delaying climax. But is it the best option? And are there safer, cheaper, or more effective alternatives out there? Let’s cut through the noise.

What Exactly Is Extra Super Cialis?

Extra Super Cialis isn’t a brand approved by the FDA or EMA. It’s a combination product sold online, often from unregulated suppliers. It contains two active ingredients: tadalafil (the same as Cialis) and dapoxetine (the only pill approved in the EU and elsewhere for premature ejaculation).

Tadalafil works by relaxing blood vessels in the penis, letting more blood flow in. It starts working in about 30 minutes and lasts up to 36 hours. Dapoxetine is a short-acting SSRI that delays ejaculation by affecting serotonin in the brain. It’s taken 1-3 hours before sex and wears off in 6-8 hours.

Together, they promise a one-pill solution for two problems. But here’s the catch: combining them into one tablet means you can’t adjust the dose. If you need more tadalafil but less dapoxetine-or vice versa-you’re stuck. And because it’s not regulated, you don’t know if the pill even contains what it says.

Why People Choose It (And Why They Should Be Careful)

Many men turn to Extra Super Cialis because it’s marketed as a quick fix. Online ads promise “double action,” “maximum performance,” and “no more embarrassment.” For someone who feels ashamed or rushed, that’s powerful.

But real-world experience tells a different story. Users report:

  • Headaches, dizziness, or nausea from too much dapoxetine
  • Low blood pressure when tadalafil interacts with alcohol or nitrates
  • Worsened anxiety because the pill doesn’t work as expected
  • Receiving fake pills with unknown ingredients, including sildenafil analogs or even stimulants

The World Health Organization estimates that over 50% of online sexual health pills are counterfeit. That’s not a risk worth taking.

Approved Alternatives: The Real Options

There are safer, legal, and better-studied ways to handle both erectile dysfunction and premature ejaculation. You don’t need a magic combo pill.

1. Cialis (Tadalafil) + Priligy (Dapoxetine) - Separately

This is the gold standard. Take tadalafil (Cialis) daily or as needed for erections. Take dapoxetine (Priligy) 1-3 hours before sex for ejaculation control. You get full control over dosing. If one doesn’t work well, you adjust just that one.

Studies show this combo works for over 80% of men with both issues. And since both are approved by the EMA and other major regulators, you know exactly what you’re getting.

2. Daily Tadalafil (5mg) + Behavioral Therapy

Many men don’t realize that premature ejaculation often responds better to therapy than pills. Techniques like the “start-stop” method or the “squeeze technique” have been proven in clinical trials to improve control over time.

When paired with low-dose daily tadalafil (5mg), this approach reduces side effects, improves confidence, and builds lasting skills. It’s not instant, but it’s sustainable.

3. SSRIs Like Sertraline or Paroxetine (Off-Label)

Dapoxetine isn’t available everywhere. In places like the U.S., doctors often prescribe other SSRIs-like sertraline (Zoloft) or paroxetine (Paxil)-off-label for premature ejaculation.

These take longer to work (2-4 weeks), but they’re cheaper and more accessible. Some men take them daily. Others take them a few hours before sex. They’re not as fast-acting as dapoxetine, but they’re regulated, studied, and safe when prescribed.

4. Viagra (Sildenafil) or Levitra (Vardenafil) - For ED Only

If premature ejaculation isn’t your main issue, you might not need dapoxetine at all. Sildenafil (Viagra) and vardenafil (Levitra) are cheaper and widely available generics. They work just as well as tadalafil for most men, though they don’t last as long.

Use them with behavioral techniques if needed. You’ll save money and avoid unnecessary medication.

A robotic arm dispenses two labeled capsules in a clinic while a holographic danger warning flashes in the background.

Comparison Table: Extra Super Cialis vs. Approved Options

Comparison of Sexual Health Treatments
Option ED Effect PE Effect Duration Regulated? Side Effects Cost (per pill, USD)
Extra Super Cialis (unregulated) Yes (tadalafil) Yes (dapoxetine) Up to 36h (ED), 6-8h (PE) No High risk: unknown ingredients, overdose, interactions $2-$5
Cialis + Priligy (separate) Yes Yes Up to 36h (ED), 6-8h (PE) Yes (EMA, FDA) Mild: headache, nausea, dizziness $8-$12 (Cialis) + $4-$7 (Priligy)
Low-dose Tadalafil (5mg daily) Yes Minimal Continuous Yes Low: back pain, flushing $1-$3
Sertraline (daily for PE) No Yes 2-4 weeks to work Yes Moderate: fatigue, sexual side effects $0.20-$0.50
Viagra (Sildenafil) Yes No 4-6 hours Yes Mild: headache, indigestion $3-$6

Who Should Avoid Extra Super Cialis?

This combo is risky for:

  • Men over 65 or with heart disease
  • Those taking nitrates (for chest pain)
  • People with liver or kidney problems
  • Anyone on antidepressants (risk of serotonin syndrome)
  • Men who drink alcohol regularly

Even if you’re young and healthy, the lack of quality control makes this dangerous. You could end up with a pill containing 100mg of sildenafil instead of 20mg-or worse, a hidden stimulant that spikes your heart rate.

A man in a therapy mech suit trains calmly beside a partner, while another man's dangerous pill mech sparks and fails.

What to Do Instead

Here’s a simple plan:

  1. See a doctor or telehealth provider who specializes in sexual health. Bring up both ED and PE.
  2. Ask for tadalafil (Cialis) and dapoxetine (Priligy) separately. Get prescriptions from a licensed pharmacy.
  3. If cost is an issue, ask about generic tadalafil or daily low-dose options.
  4. Consider behavioral therapy. Many clinics offer online sessions with certified sex therapists.
  5. Never buy pills from websites that don’t ask for a prescription.

There’s no shame in needing help. And there’s no shortcut that beats safety and science.

Common Misconceptions

Let’s clear up a few myths:

  • Myth: Extra Super Cialis is stronger than the real drugs. Truth: It’s often weaker or contains unknown doses. You can’t trust it.
  • Myth: Taking both drugs together is the same as the combo pill. Truth: Taking them separately gives you control. You can skip dapoxetine on days you don’t need it.
  • Myth: Natural supplements like L-arginine or ginseng work as well. Truth: No credible study shows they reliably treat ED or PE. They’re not regulated either.
  • Myth: This is a one-time fix. Truth: Sexual health is about habits, not pills. Therapy, communication, and lifestyle matter more in the long run.

Final Thoughts: Safety Over Speed

Extra Super Cialis might look like the easiest answer. But it’s the riskiest. You’re trading control for convenience-and that’s a bad deal.

The real solution is simple: get the right medications, prescribed by a professional, used correctly. Pair them with therapy if needed. Build confidence, not just performance.

Sexual health isn’t about pills. It’s about feeling good in your body, with your partner, without fear or shame. That’s worth doing right.

Is Extra Super Cialis safe to use?

No. Extra Super Cialis is not approved by any major health authority. It’s sold online without regulation, so you can’t be sure what’s in it. Many contain incorrect doses, fake ingredients, or dangerous additives. Using it risks serious side effects like heart attack, stroke, or serotonin syndrome.

Can I take tadalafil and dapoxetine together safely?

Yes-but only if they’re prescribed separately by a doctor. Taking them as two distinct pills lets you control the dose and timing. Doctors often recommend tadalafil 20mg for erections and dapoxetine 30mg or 60mg 1-3 hours before sex. Never combine them without medical advice.

What’s the best alternative to Extra Super Cialis?

The best alternative is taking tadalafil (Cialis) and dapoxetine (Priligy) separately, under a doctor’s supervision. For a more affordable option, daily low-dose tadalafil (5mg) combined with behavioral therapy for premature ejaculation is highly effective and has fewer side effects.

Are there natural alternatives that work?

No natural supplement has been proven to reliably treat both erectile dysfunction and premature ejaculation. Things like ginseng, L-arginine, or maca may help mild cases, but they don’t match the effectiveness of FDA/EMA-approved medications. Don’t risk your health with unregulated herbs or powders.

Where can I get real tadalafil and dapoxetine?

Get them from a licensed pharmacy with a prescription. In the UK and EU, Priligy (dapoxetine) and Cialis (tadalafil) are available through GPs or online telehealth services that require a medical consultation. In the U.S., dapoxetine isn’t approved, but doctors can prescribe SSRIs like sertraline off-label for premature ejaculation. Avoid websites that sell pills without a prescription.