Product Name: EXtra Super Tadalast

Active Ingredients:
Each tablet contains Tadalafil 40mg + Dapoxetine 60mg.

Package Size:
10 tablets per box.

Product Introduction

EXtra Super Tadalast is a dual-action medication designed for adult men experiencing erectile dysfunction (ED) and premature ejaculation (PE).

It combines two active ingredients:

• Tadalafil (40mg) — a PDE5 inhibitor used to improve erectile function by increasing blood flow to the penis.

• Dapoxetine (60mg) — an SSRI medication used to help improve ejaculation control.

The average onset time of EXtra Super Tadalast is approximately 60–90 minutes after administration. The plasma concentration generally reaches its peak around 2 hours after taking it, and tadalafil has a long half-life of approximately 18–36 hours, allowing for a longer window of sexual activity.

This medication works only with sexual stimulation and does not automatically cause an erection.

Dosage and Administration

1. Take half a tablet or one tablet approximately 2–3 hours before sexual activity.

2. Drink plenty of water. Sweet water may help reduce discomfort caused by possible side effects.

3. It is recommended to take it before meals or at least 1 hour after eating.

Precautions During Use

• Avoid heavy meals before taking the medication.

• Eat light food and avoid high-fat meals, as fatty foods may affect absorption.

• Do not drink alcohol, as alcohol may increase the risk of side effects.

Suitable Users

EXtra Super Tadalast is intended for adult males (18–64 years old) who experience:

1. Difficulty achieving or maintaining an erection, reduced erection hardness, premature ejaculation, or decreased sexual satisfaction.

2. Loss of erection during sexual activity, insufficient firmness, or difficulty maintaining rigidity.

3. Men with frequent sexual activity or excessive sexual exertion.

4. Middle-aged and older men who spend long periods sitting, have prostate-related concerns, or wish to improve sexual performance.

5. Adult men experiencing fatigue, reduced physical strength, or low energy.

6. Individuals with busy lifestyles, irregular sleep schedules, frequent late nights, or regular alcohol consumption.

7. Men experiencing age-related hormonal changes.

8. People with low immunity, frequent colds, allergies, fatigue, irritability, or feelings of accelerated aging.

Possible Side Effects

Possible side effects may include:

• Headache

• Facial flushing

• Indigestion

• Nausea

• Dizziness

These effects may occur because the medication causes mild blood vessel relaxation. Sensitive individuals may experience these reactions.

Most side effects are generally:

• Mild

• Temporary

• Short-lasting

If side effects occur, they usually improve over time.

Contraindications and Important Warnings

Before taking EXtra Super Tadalast:

1. Avoid high-fat foods, tea, and alcohol before and after administration, as they may affect effectiveness. Alcohol may increase the likelihood of side effects.

2. Avoid combining with strong CYP3A4 inhibitors, such as:

• Ketoconazole

• Itraconazole

• Erythromycin
  These medications may affect tadalafil metabolism.

3. Do not use if you have:

• A history of heart disease or stroke within the past 6 months

• Severe liver impairment

• Severe kidney impairment

• Age over 65 years without medical evaluation

• Current or regular use of nitrate medications (such as nitroglycerin)

Patients taking any form of nitrate medication are strictly prohibited from using this medication due to the risk of severe and potentially life-threatening low blood pressure.

Important Notice Before Purchasing Sexual Health Products

Important: Male oral erectile dysfunction medications require sexual stimulation to work. They do not automatically cause an erection.

When using medications containing sildenafil, vardenafil, tadalafil, avanafil, or dapoxetine, many users are concerned about whether the expected effect will be achieved.

Based on clinical experience and individual differences, response rates may vary among users:

• Sildenafil: Approximately 15–20% of users may not achieve the expected effect.

• Vardenafil: Similar to sildenafil, with approximately 15–22% of users experiencing limited response.

• Tadalafil: Due to its longer half-life, it may suit a slightly wider range of users, with approximately 12–18% experiencing insufficient response.

• Avanafil: Due to its rapid onset and metabolism, approximately 14–19% may experience limited effectiveness.

• Dapoxetine: Because it depends greatly on individual nervous system sensitivity and psychological factors, approximately 20–25% may experience limited improvement.

It is important to understand that reduced effectiveness does not necessarily indicate poor product quality. Medication response depends on many factors, including individual physiology, metabolism, health conditions, and the underlying cause of sexual dysfunction.

Even original branded medications may not work effectively for every user. Different individuals may respond differently to the same medication.

All sexual health products should only guarantee product authenticity and cannot guarantee that every individual will achieve the same results. Please consider your personal situation carefully before purchasing.

Factors Affecting Effectiveness

Sildenafil / Vardenafil / Avanafil

These medications work mainly by improving blood vessel relaxation. Their effectiveness may be affected by:

• Individual metabolism and liver/kidney function

• Conditions such as diabetes or hypertension that damage blood vessels

• Alcohol consumption

• High-fat meals that may delay absorption

If severe vascular problems exist, medication effectiveness may be reduced.

Tadalafil

Although tadalafil works through a similar mechanism, its longer duration in the body does not guarantee effectiveness for everyone.

Results may vary depending on:

• Individual sensitivity to the medication

• Prostate conditions

• Spinal cord-related problems

• Receptor response differences

Dapoxetine

Dapoxetine works by regulating neurotransmitter activity involved in ejaculation control.

Its effectiveness may be influenced by:

• Nervous system sensitivity

• Psychological factors such as anxiety or stress

• Dosage suitability

• Severity of premature ejaculation

Medical Advice

If EXtra Super Tadalast or any other ED/PE medication does not provide the expected results:

• Do not increase the dose yourself.

• Do not switch medications repeatedly without guidance.

• Do not use long-term without medical advice.

It is recommended to consult a urologist or men's health specialist. A doctor can evaluate your health condition and adjust treatment options, including dosage adjustment, alternative medications, psychological support, or behavioral therapy.

Product Specifications

Product Name: Extra Super Tadalast Generic Name: Tadalafil & Dapoxetine Tablets Ingredients:

• Tadalafil 40mg

• Dapoxetine 60mg

Dosage Form: Tablet

Package: 10 tablets per box

Manufacturer: NJM Pharmaceutical

Indications:
For adult men with erectile dysfunction and premature ejaculation.

Directions for Use:

1. Take half a tablet or one tablet approximately 2–3 hours before sexual activity.

2. Drink sufficient water.

3. Take before meals or approximately 1 hour after eating.