Sexual Health Treatment Advisor
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Approved Options
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.
Comparison Table: Extra Super Cialis vs. Approved Options
| 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.
What to Do Instead
Here’s a simple plan:
- See a doctor or telehealth provider who specializes in sexual health. Bring up both ED and PE.
- Ask for tadalafil (Cialis) and dapoxetine (Priligy) separately. Get prescriptions from a licensed pharmacy.
- If cost is an issue, ask about generic tadalafil or daily low-dose options.
- Consider behavioral therapy. Many clinics offer online sessions with certified sex therapists.
- 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.
Ashley Miller
November 20, 2025 AT 07:50Of course the FDA doesn't approve it... because they're in bed with Big Pharma and want you to buy two separate pills so they can charge you double. I bought a batch off a Telegram bot for $3 a pill and my performance went from 'meh' to 'whoa did you just time-travel?' They don't want you to know this exists. They want you dependent. Wake up.
Sherri Naslund
November 21, 2025 AT 14:12ok but like… why do we even need pills? I mean if you’re having trouble getting it up or lasting, maybe you’re just stressed? or eating too much pizza? or watching too much porn? i mean… i stopped taking stuff and started doing breathwork and now i’m basically a god. no joke. my gf says i’m ‘too intense’ now. but hey, free energy. 🌿
Martin Rodrigue
November 22, 2025 AT 06:21While I appreciate the anecdotal enthusiasm, it is imperative to emphasize that the pharmacokinetic interaction between tadalafil and dapoxetine, when administered concomitantly without medical supervision, significantly elevates the risk of hypotensive episodes and QT prolongation. The absence of standardized dosing in unregulated formulations renders any purported efficacy statistically meaningless and clinically hazardous. Regulatory agencies exist for precisely this reason.
Will Phillips
November 22, 2025 AT 06:29They’re lying to you. Every single one of them. The FDA? A puppet. The doctors? Paid off. That combo pill? It’s got nanobots in it. They track your heart rate. Then they send data to the government. You think this is about sex? No. It’s about control. I’ve seen the leaks. They don’t want you feeling powerful. They want you docile. Buy the separate pills? That’s the trap. They want you thinking you’re safe. You’re not. You’re being watched. Always.
Arun Mohan
November 22, 2025 AT 10:46Look, I’ve read the WHO reports, the EMA guidelines, the Cochrane reviews… and honestly? The whole Western medical industrial complex is just a performance art piece. I took a teaspoon of ashwagandha powder with honey and stared into my partner’s eyes for 20 minutes before sex. No pills. Just presence. My performance? More profound than any chemical. You’re all so busy optimizing your biology you forgot to optimize your soul.
Tyrone Luton
November 22, 2025 AT 15:39There’s something deeply human about rejecting quick fixes, isn’t there? We’re conditioned to believe that health is something you buy, not something you cultivate. The real tragedy isn’t the unregulated pill-it’s that we’ve stopped trusting our own bodies to heal, to adapt, to respond. The combo pill is just a symptom of a culture that values convenience over connection. And connection… that’s the real aphrodisiac.
Jeff Moeller
November 23, 2025 AT 23:48People treat sex like a tech problem to be solved with a gadget. It’s not. It’s a dance. You don’t need a magic pill to be good at it. You need presence. You need patience. You need to stop treating your partner like a performance metric. The pills are just noise. The real work is in the quiet moments before the act. That’s where the magic happens.
Herbert Scheffknecht
November 24, 2025 AT 22:37Let’s be real-this whole conversation is just a mirror. We’re not arguing about pills. We’re arguing about shame. About aging. About being seen. About being enough. That’s why the combo pill sells. Not because it works better. But because it promises to erase the fear. The fear that you’re broken. That you’re not masculine enough. That your body betrayed you. But the truth? Your body didn’t betray you. Society did. And no pill can fix that. Only courage can.
Jessica Engelhardt
November 26, 2025 AT 06:08Okay but let’s not pretend this isn’t a cultural issue. America’s obsession with performance metrics has turned intimacy into a KPI. You think Europeans are taking Priligy because they’re smarter? No. They’re just less emotionally constipated. We treat sex like a sprint. They treat it like a slow wine tasting. The pill isn’t the problem. The mindset is. And until we stop measuring pleasure in seconds and orgasms per week, we’ll keep buying snake oil.
Lauren Hale
November 27, 2025 AT 20:34Thank you for writing this. I’m a 52-year-old woman married to a man who struggled with both issues for years. He tried the combo pill from a shady site. Had a panic attack. Ended up in the ER. After that, we went to a sexual health clinic. He got prescribed tadalafil and dapoxetine separately. We started doing the start-stop technique together. It took months. It wasn’t sexy. But now? We talk. We laugh. We’re closer than ever. Pills are tools. Not solutions. The real fix was showing up for each other. No one talks about that part.
Greg Knight
November 29, 2025 AT 11:02Look, I’ve been where you are. I used to buy that stuff online. Thought I was being smart. Until I got dizzy, nauseous, and spent three hours on the bathroom floor wondering if I was dying. Then I went to my GP. Didn’t even feel embarrassed. He just said, ‘Let’s figure this out.’ We started with low-dose tadalafil daily and I did a 6-week online CBT program for PE. No magic. Just consistency. Now I don’t even think about it anymore. I just… am. And honestly? That’s better than any pill ever made. You don’t need to fix yourself. You just need to give yourself time. And a little kindness.