Super Alexengra jelly Erection support + delay

I. Basic Information

1. Generic Name: Super Orange Dual-Action Oral Jelly

2. Manufacturer: Ps Health Pharma

3. Active Ingredients (per 5g sachet)

Sildenafil Citrate: 100mg (erection-enhancing ingredient, PDE5 inhibitor)

Dapoxetine Hydrochloride: 60mg (delay ingredient, short-acting SSRI)

4. Excipients and Dosage Form

Orange-flavored fruit jelly; individually packaged sachets; standard specification: 7 sachets/box

5. Indications

Adult males suffering from both erectile dysfunction (ED) and primary premature ejaculation (PE);

Function: Aids in achieving an erection and prolongs the time to ejaculation; does not increase libido; requires sexual stimulation to take effect.

II. Pharmacological Action

1. Mechanism of Action: Sildenafil

Inhibits the PDE5 enzyme in penile tissue and dilates penile blood vessels; increases penile blood flow under sexual stimulation to achieve a firm erection; improves blood flow only and does not induce an erection on its own.

2. Mechanism of Action: Dapoxetine

A short-acting serotonin reuptake inhibitor; increases serotonin levels in the brain, raises the threshold for the ejaculatory reflex, reduces ejaculatory sensitivity, and prolongs the duration of sexual intercourse; metabolizes rapidly, posing no risk of accumulation associated with long-acting antidepressants.

3. Synergistic Effect of the Combination

Simultaneously addresses the issues of insufficient erection hardness and premature ejaculation; the jelly dosage form allows for faster absorption compared to conventional tablets.

III. Usage and Dosage

1. Recommended Dosage

Maximum of 1 sachet within 24 hours; do not repeat the dose.

2. Timing of Administration

Take orally 30–60 minutes before planned sexual activity; absorption is fastest on an empty stomach; high-fat meals may delay the onset of action by 1–2 hours.

3. Administration Method

Tear open the sachet, squeeze the jelly directly into the mouth and swallow, followed by a glass of water; no chewing required. 4. Onset & Duration of Action

Onset: Approximately 30 minutes (as fast as 20 minutes on an empty stomach)

Duration: 4–6 hours

Effectiveness diminishes significantly after 6 hours; no additional dose is required.

IV. Contraindications (Must Not Be Taken By)

1. Individuals allergic to sildenafil, dapoxetine, or any excipients in this product;

2. Individuals currently taking nitrates (e.g., nitroglycerin, isosorbide mononitrate, isosorbide dinitrate—emergency medications for coronary heart disease); co-administration can cause shock or fatal hypotension;

3. Individuals with severe heart disease, heart failure, unstable angina, or a history of myocardial infarction/stroke within the past 6 months;

4. Individuals with severe hypotension or refractory hypertension;

5. Individuals with severe cirrhosis or end-stage renal disease;

6. Individuals with retinitis pigmentosa or hereditary retinal disorders;

7. Males under 18 years of age and all females;

8. Individuals currently taking other PDE5 inhibitors (e.g., tadalafil, vardenafil, or sildenafil monotherapy);

9. Individuals with epilepsy, bipolar disorder, or severe mental illness.

V. Populations Requiring Caution (Must Consult a Doctor Before Use)

1. Individuals with mild to moderate hepatic or renal impairment;

2. Elderly males over 65 years of age;

3. Individuals with hypertension (currently taking antihypertensive drugs or alpha-blockers);

4. Individuals with a history of mild heart disease;

5. Individuals with a bleeding tendency or active gastric ulcers;

6. Individuals with glaucoma. VI. Drug Interactions

1. Nitrates: Concomitant use is strictly prohibited (risk of fatal hypotension);

2. Antihypertensives and alpha-blockers (e.g., terazosin): Additive blood pressure-lowering effect; risk of dizziness and fainting;

3. Potent CYP3A4 inhibitors (e.g., ketoconazole, itraconazole, ritonavir): Significantly increase plasma drug concentrations; risk of intensified side effects;

4. Alcohol and grapefruit juice: May exacerbate headache, dizziness, and hypotension; may reduce drug efficacy;

5. Other SSRI antidepressants (e.g., sertraline, paroxetine): Additive serotonergic effect; risk of serotonin syndrome;

6. Anticoagulants (e.g., warfarin): Slight increase in bleeding risk.

VII. Adverse Reactions

1. Common mild side effects (onset 1–3 hours after dosing; resolve spontaneously within 4–6 hours)

Sildenafil-related: Headache, facial flushing, nasal congestion, indigestion, mild visual disturbances (blue-tinted vision, blurred vision);

Dapoxetine-related: Dizziness, nausea, fatigue, dry mouth, mild diarrhea;

Management: Lie down and rest; drink plenty of water; avoid standing up quickly.

2. Moderate adverse reactions (discontinue use and observe; seek medical attention if symptoms persist beyond 24 hours)

Persistent nausea and vomiting, severe vertigo, palpitations, persistent blurred vision, generalized skin rash.

3. Severe adverse reactions (discontinue use immediately and seek emergency medical care)

1. Persistent erection lasting more than 4 hours (priapism; failure to treat may result in permanent damage to the corpus cavernosum);

2. Sudden hearing loss/tinnitus, sudden vision loss;

3. Chest pain, chest tightness, difficulty breathing, sudden drop in blood pressure, fainting;

4. High fever, muscle rigidity, confusion (serotonin syndrome);

5. Extensive allergic urticaria (hives), laryngeal edema. VIII. Dietary & Lifestyle Precautions

1. Alcohol consumption is prohibited (including beer, spirits, and red wine);

2. Do not consume grapefruit juice within 24 hours before or after taking the medication;

3. Avoid high-fat or deep-fried meals, as they may delay the onset of action;

4. Do not drive, operate machinery, or perform work at heights after taking the medication (due to the risk of dizziness).

IX. Special Populations

1. Elderly (over 65): Slower metabolism and increased risk of side effects; medical assessment is required; self-medication is not recommended;

2. Hepatic or renal impairment: Reduce dosage for mild impairment; strictly contraindicated for moderate to severe impairment;

3. Men planning to conceive: Current data indicates no impact on sperm quality, but consultation with an andrologist is recommended prior to conception planning;

4. Women and children: Strictly contraindicated; no approved indications.

X. Storage Conditions

1. Store in a cool, dry place (15–30°C); avoid direct sunlight, high temperatures, and humidity;

2. Keep sealed; consume immediately after opening; do not save a partially used packet;

3. Keep out of reach of children and adolescents.

XI. Important Notes

1. This product does not cure erectile dysfunction or premature ejaculation; it only provides temporary symptom relief;

2. Do not take regularly on a daily basis; use only on an as-needed basis prior to sexual activity;

3. If a single dose is ineffective, do not increase the dosage within 24 hours; instead, try again at a different time (e.g., on an empty stomach);

4. If chest pain occurs after taking the medication, lie down immediately; do not take nitroglycerin for emergency relief; call emergency services directly;

5. For chronic sexual dysfunction, it is recommended to undergo comprehensive hormonal and vascular examinations; do not rely on this product long-term.

Important Preliminary Warnings

1. Intended for adult males only; strictly prohibited for use by women, minors, or individuals without erectile dysfunction or premature ejaculation for recreational purposes;

2. Contraindicated or use with caution in individuals with heart disease, hypertension, or liver/kidney disease;

3. Strictly contraindicated for use with nitrate medications; co-administration can cause fatal hypotension. Important Information Regarding the Purchase of Sexual Health Products:

Note: Oral erection-enhancing medications for men require sexual stimulation to be effective; they do not automatically induce an erection.

When using medications such as sildenafil, vardenafil, tadalafil, avanafil, or Priligy (dapoxetine), many users are concerned about the possibility of not achieving the expected results.

Based on clinical data and real-world user feedback, there are slight variations in the proportion of users for whom these drugs prove ineffective:

Sildenafil: Approximately 15%–20% of users do not achieve the expected results;

Vardenafil: The rate of ineffectiveness is similar to that of sildenafil, at approximately 15%–22%;

Tadalafil: Due to its longer half-life and slightly broader suitability, the ineffectiveness rate is marginally lower, at approximately 12%–18%;

Avanafil: Known for rapid onset and metabolism; the ineffectiveness rate is approximately 14%–19%;

Priligy (Dapoxetine): Targeted at premature ejaculation; effectiveness is significantly influenced by individual nerve sensitivity and psychological state, resulting in a relatively higher ineffectiveness rate of approximately 20%–25%.

It is important to clarify that suboptimal results for some users are not due to product quality issues, but rather the interplay between the drug's mechanism of action and the individual's physiological and pathological conditions. Even with original brand-name products, a significant number of users may not experience the desired effect; for instance, approximately 20% of men who use Pfizer’s Viagra (sildenafil) do not see results—this is not a quality issue. It is common for the same box of medication to be effective for one person but ineffective for another, or for a different product to work for someone else while failing to work for you. This store guarantees that all sexual health products are 100% authentic, but we cannot guarantee that every user will achieve the expected results. Please consider this carefully before placing an order. The specific reasons vary depending on the medication:

Sildenafil / Vardenafil / Avanafil: These three drugs work by promoting vasodilation. Their efficacy is influenced by individual metabolic capacity (liver and kidney function affecting the rate of drug breakdown), underlying medical conditions (such as diabetes or hypertension, which damage blood vessels and reduce drug efficiency), and the circumstances of use (alcohol consumption can inhibit the drug's effect, while high-fat meals may delay the absorption of sildenafil and vardenafil). Additionally, in cases of severe arterial disease, the drugs struggle to facilitate blood flow, naturally limiting their effectiveness.

Tadalafil: Although its mechanism of action is similar to the three drugs mentioned above, it remains in the body for a longer period. However, its efficacy is still influenced by factors such as individual drug sensitivity and the presence of severe prostate disease or spinal cord injuries; some individuals may experience suboptimal results due to weaker receptor binding affinity.

Priligy (Dapoxetine): This drug improves ejaculation control by inhibiting neurotransmitter reuptake. Its effectiveness is closely linked to individual nerve conduction efficiency, psychological state (anxiety and tension can counteract the drug's effects), and the appropriateness of the dosage relative to body weight and the severity of the condition. If there is abnormal nerve sensitivity or long-standing psychogenic premature ejaculation, the drug's regulatory effect may be limited.

If the results of using any of the aforementioned medications or dual-effect tablets fall short of expectations, do not arbitrarily increase the dosage, switch medications, or continue taking them blindly over the long term; instead, consult a urologist or andrologist promptly. A doctor will assess your physical condition through a detailed consultation and, based on test results, adjust your treatment plan (e.g., optimizing dosage or changing the type of medication) or incorporate psychological interventions and behavioral training to develop a solution better suited to your needs. Specifications

Product Name: Super Alexengra Dual-Action Oral Jelly (7 sachets/box)

Common Name: Super Alexengra Dual-Action Oral Jelly

Ingredients: Sildenafil Citrate (100mg) + Dapoxetine Hydrochloride (60mg)

Dosage Form: Oral gel

Specifications: 7 sachets/box

Manufacturer: Ps Health Pharma

Indications: Adult men suffering from both erectile dysfunction (ED) and primary premature ejaculation (PE).

Functions: Aids in achieving an erection and prolongs the time to ejaculation; does not increase libido; sexual stimulation is required for the product to take effect.

Usage and Dosage: 1. Recommended Dosage

Maximum of 1 sachet within a 24-hour period; do not take additional doses.

2. Timing

Take orally 30–60 minutes before planned sexual activity; absorption is fastest on an empty stomach; a high-fat meal may delay the onset of action by 1–2 hours.

3. Administration

Tear open the sachet, squeeze the jelly directly into the mouth and swallow, followed by a glass of water; no chewing required.

4. Onset and Duration of Action

Onset: Approximately 30 minutes (as fast as 20 minutes on an empty stomach)

Duration: 4–6 hours

Effectiveness diminishes significantly after 6 hours; no additional dose is necessary.