We are guided by a quality control policy. Super Fildena combines sildenafil citrate and dapoxetine, making it a dual-action medication for treating both erectile dysfunction (ED) and premature ejaculation (PE).

Point	Explanation	Additional Tips
Take as directed	Follow prescribed dose and timing	Do not exceed recommended dose
Avoid alcohol	Can impair effectiveness and increase side effects	Limit or abstain before use
Report adverse effects	Seek medical attention if serious reactions occur	Especially priapism or severe dizziness
Ensure medical consultation	Before starting, especially if on other meds	For personalized advice

Sildenafil citrate, a potent vasodilator, enhances blood flow to the penile to facilitate erections, while dapoxetine prolongs the time to ejaculation, improving control over climax.

What is the satisfaction rate with dapoxetine?

The authors concluded that tadalafil can increase the mean IELT and can be used for treatment of PE in combination with paroxetine. Flushing episodes, as a side effect, were more obvious in group 2 (P = 0.000) [Citation18]. performed a meta-analysis involving 17 trials with 5,739 participants. Seven single medications (paroxetine, fluoxetine, dapoxetine, sertraline, sildenafil, tadalafil and placebo) and five combination therapies were included (tadalafil with sildenafil, tadalafil with fluoxetine, paroxetine with sildenafil, dapoxetine with mirodenafil, and sildenafil with fluoxetine). They concluded that the combination of phosphodiesterase-5 inhibitors and SSRIs were more effective than monotherapy [Citation19].

Warnings for other groups

Elbakary and colleagues evaluated the effectiveness of sildenafil combined with dapoxetine for treating PE. Eighty patients with PE without erectile dysfunction were allocated into 2 groups. The 1st group (40 patients) were given on- demand dapoxetine 30 mg for three months, the 2nd group (40 patients) received an on-demand combination of dapoxetine 30 mg and sildenafil 50 mg for three months. The means of pretreatment and posttreatment IELT among groups were 51.72 ± 12.53 vs 322 ± 24.62 in group 1 and 56.6 ± 10.93 vs 352.5 ± 29.33 in group 2 (P < 0.001). They concluded that combination therapy was associated with better improvement than mono-therapy [Citation20]. This combination offers comprehensive relief for men experiencing both sexual performance issues simultaneously.

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Priligy Generic Dapoxetine	60mg	120 + 10 Pills	341.26€ 325.01€
Priligy Generic Dapoxetine	60mg	10 Pills	47.63€ 45.36€
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Priligy Generic Dapoxetine	60mg	90 + 10 Pills	265.64€ 252.99€
Cialis Generic	60mg	270 + 10 Pills	443.96€ 422.82€
Levitra Generic	40mg	360 + 10 Pills	704.99€ 671.42€

Users often report improved sexual satisfaction and increased confidence.

5.1 Cardiovascular

Participants in group 1 were given tadalafil 5 mg and participants in group 2 were given a combination therapy of dapoxetine 30 mg with tadalafil 5 mg. The means of pretreatment IELT were 1.49 ± 0.51 and 1.47 ± 0.57 minutes in group 1 and 2 respectively. The means of post-treatment IELT were 7.35 ± 4.31 and 9.07 ± 4.2 minutes in groups 1 and 2, respectively, with statistically significant improvements in group 2 (P = 0.045) [Citation21]. Abu El-Hamd M and Abdelhamed A evaluated 150 patients with PE without erectile dysfunction. Five groups of participants, each with 30 patients, were randomly allocated.

Product Sodium Picosulfate Tablets 10 mg

For a six-week period, participants in each group received an on-demand placebo, paroxetine (30 mg), dapoxetine (30 mg), sildenafil (50 mg), and a combination of dapoxetine (30 mg) with sildenafil citrate (50 mg). Each participant was told to record his IELT results. The means of pretreatment IELT were 40.33 ± 8.6, 38.66 ± 9.9, 38.86 ± 10.35, 38.66 ± 9.9, and 38.33 ± 10.02 and the means of posttreatment IELT were 41.33 ± 8.3, 173.86 ± 19.8, 171.83 ± 20.7, 175.5 ± 22.4, 266 ± 36.6 in groups 1, 2, 3, 4, 5, respectively. The combination of dapoxetine and sildenafil had the greatest outcomes (p value < 0.001). Headache, nausea and flushing had been the most prevalent side impacts linked with the combination therapy [Citation22]. Like any medication, Super Fildena may cause side effects such as headaches, nausea, or dizziness, typically mild and temporary.

Consistent use of sildenafil can help maintain erectile function.
Dapoxetine provides a pharmacological solution for PE.
Both products should be stored in a cool, dry place away from children.
Side effects may diminish with continued use or dose adjustment.
Some patients may require alternative therapies if side effects occur.
Clinical guidelines recommend consultation before combining treatments.
Dapoxetine's short half-life minimizes residual effects.
Patients should inform healthcare providers about all current medications.

Consultation with a healthcare provider is recommended before starting this treatment.

8.7 Hepatic Impairment

Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. Exports To: United States Of America Saudi Arabia Spain The Netherlands Australia United States Of America Saudi Arabia Spain The Netherlands Australia Incorporated in the year 2015, we ASMO, have uniquely positioned ourselves as the prominent wholesaler, exporter, and trader of an exceptional quality assortment of Anti-Cancer Medicines. Offered products range consists of Anti Cancer dapoxetine 60mg tablet price Tablets and Anti Cancer Capsules. To prepare these products, our vendors use quality tested inputs. Also, these products are highly appreciated in the market due to their features like leak free packaging, accurate composition, and high purity.We are guided by a quality control policy.

How sildenafil is used

So, we choose our vendors very strictly. We have a large team of professionally talented chemical engineers and marketing personals which provides a guarantee of high-quality anti-cancer medicines. Together with this, the offered products are available in various packaging options in order to meet the exact requirements of clients. Our customized packaging options and easy payment modes also help us in attaining maximum client satisfaction. Additionally, we export our product to Spain, Italy, China, and USA. The tablet has a bitter taste, so swallow it whole without chewing.

8.1 Pregnancy

In this study, the mean IELT was lower sildenafil and dapoxetine than in other studies as most of our patients did not seek medical advice except if PE is severe and responsible for major negative personal and partnership consequences. In this study headache and flushing, as adverse effects of treatment, were more pronounced in group 3 with a statistically significant variation (P = 0.036, < 0.001). For clinical implications, we recommend to start with a single drug and shift to the combination therapy in patients who are not improved by monotherapy. This work had some limitations including short follow-up period, after therapy was stopped, individuals were not observed, and it was not placebo controlled. Both tadalafil and dapoxetine are effective in the treatment of PE as a single drug, but the combination of both gives more pronounced improvement, however with a slightly increased incidence of side effects.

Product Sertraline Tablets BP 100 mg

The combination of both drugs in cases who are not satisfied with monotherapy can be considered. No potential conflict of interest was reported by the author(s). Efficacy and safety of dapoxetine/sildenafil combination tablets in the treatment of men with premature ejaculation and concomitant erectile dysfunction—DAP-SPEED study. An evidence-based unified definition of lifelong and acquired premature ejaculation: report of the second international society for sexual medicine ad hoc committee for the definition of premature ejaculation. Desk reference to the diagnostic criteria from DSM-5-TR. Dapoxetine is not intended for regular daily use – you should only take it before you anticipate having sex.

Aspect	Details	Recommendations
Abuse potential	Moderate, especially for recreational purposes	Use only as prescribed
Dependence	Rare, but psychological reliance possible	Monitor usage, seek help if needed
Withdrawal symptoms	Not well-documented, but consult doctor if discontinuing	Gradual tapering may be advised

Take them to your local pharmacy which will dispose of them for you.

7.2 Alpha-blockers

Washington, DC: American Psychiatric Association Publishing,; 2022. p. 1. online resource. Shabsigh R, Rowland D.

Foreign Names

The diagnostic and Statistical manual of mental disorders, fourth edition, text revision as an appropriate diagnostic for premature ejaculation. doi: 10.1111/j.1743-6109.2007.00557.x Premature ejaculation-emerging concepts and a Novel classification. The premature ejaculation prevalence and attitudes (PEPA) survey: prevalence, comorbidities and professional help-seeking. Help-seeking behaviour for sexual problems: the global study of dapoxetine 30mg tablet sexual attitudes and behaviors. Efficacy of PDE5Is and SSRIs in men with premature ejaculation: a new systematic review and five meta- analyses. If you have any problems with the way your liver works, or if you have any problems with the way your kidneys work.

What to Avoid

Comparison between tadalafil plus paroxetine and paroxetine alone in the treatment of premature ejaculation. Dapoxetine for the treatment of premature ejaculation: a meta-analysis of randomized controlled trials with trial sequential analysis. A prospective randomized study comparing the efficacy and safety of sildenafil with dapoxetine in treatment of premature ejaculation. Which one is the best in premature ejaculation treatment? Comparison of the clinical efficacy and safety of the on-demand use of paroxetine, dapoxetine, sildenafil and combined dapoxetine with sildenafil in treatment of patients with premature ejaculation: a randomised placebo-controlled clinical trial.

CAS registry number (Chemical Abstracts Service)

Dr. Srishti Rastogi is a medical writer and healthcare professional dedicated to high-quality patient education and public health awareness. Leveraging her clinical background, she produces deeply researched, evidence-based content for digital health platforms and medical publications. Dr. Srishti’s unique dual perspective as a clinician and communicator allows her to craft content that builds trust and credibility with readers navigating sensitive health topics. The recommended starting dose is one 30 mg tablet, taken 1 to 3 hours before you anticipate having sex.Each film-coated tablet contains dapoxetine hydrochloride equivalent to 30 mg or 60 mg dapoxetine.

Parameter	Value	Notes
Absorption Rate	Rapid	Peak plasma in 1-2 hours
Half-Life	21 hours	Longer duration for sustained effect
Metabolism	Liver (CYP2D6 and CYP3A4)	Biotransformation process
Excretion	Urine	Main route of elimination

The most common AE was nausea and occurred in %, % and % of subjects with placebo, dapoxetine 60 mg and dapoxetine mg respectively.

Side effects

Guidelines on male sexual dysfunction: Erectile dysfunction and premature ejaculation. doi: 10.1016/j.eururo.2010.02.020 Emerging treatments for premature ejaculation: Focus on dapoxetine. Utility of selective serotonin reuptake inhibitors in premature ejaculation. Phosphodiesterase 5 inhibitors in rapid ejaculation: potential use and possible mechanisms of action. Is there a role for phosphodiesterase type-5 inhibitors in the treatment of premature ejaculation?

Full Text Sources

Development and evaluation of an abridged, 5-item version of the International Index of erectile Function (IIEF-5) as a diagnostic tool for erectile dysfunction. Short-term analysis of the effects of as needed use of sertraline at 5 pm for the treatment of premature ejaculation. doi: 10.1016/S0090-4295(99)00187-9 Gillman N, Gillman M. Premature ejaculation: Aetiology and treatment strategies. Comparison of dapoxetine/tadalafil and paroxetine/tadalafil combination therapies for the treatment of the premature ejaculation: a randomized clinical trial. This medication is used to treat male sexual dysfunction such as premature ejaculation.

Sildenafil is used to treat erectile dysfunction in men.
Dapoxetine is primarily prescribed for premature ejaculation.
Sildenafil increases blood flow to the penis during arousal.
Dapoxetine works by delaying serotonin reuptake, extending ejaculation time.
Both medications require a prescription from a healthcare provider.
Sildenafil usually takes about 30-60 minutes to work.
Dapoxetine is typically taken 1-3 hours before sexual activity.
Combining sildenafil and dapoxetine should only be done under medical guidance.

Efficacy and safety of dapoxetine/sildenafil combination tablets in the treatment of men with premature ejaculation and concomitant erectile dysfunction-DAP-SPEED Study