Super P-force
Super P-force
- You can purchase super p-force from many online pharmacies and international e‑shops and some sellers/retailers may supply it without a prescription; however, in regulated countries it is officially a prescription‑only medicine and legitimate pharmacies will normally require a prescription.
- Super p‑force is used to treat erectile dysfunction (ED) and premature ejaculation (PE): sildenafil is a phosphodiesterase‑5 (PDE5) inhibitor that increases penile blood flow, and dapoxetine is a short‑acting SSRI that delays ejaculation by enhancing serotonin signalling.
- The usual dosage is one tablet containing sildenafil 100 mg and dapoxetine 60 mg taken 1–3 hours before sexual activity; do not take more than one tablet in any 24‑hour period.
- The form of administration is an oral tablet (commonly supplied in blister packs of 4, 8, 12 or 24 tablets).
- Onset: the erectile effect from sildenafil typically begins within 30–60 minutes, while the dapoxetine component is usually given 1–3 hours before intercourse; combined use is therefore recommended about 1–3 hours prior to sex for best combined effect.
- Duration of action: sildenafil’s effect commonly lasts around 4–5 hours and the ejaculation‑delaying effect of dapoxetine can persist for several hours, so the combined practical duration is roughly 4–6 hours.
- Alcohol warning: avoid excessive alcohol—alcohol can worsen dizziness and low blood pressure, reduce erectile response and increase the risk of fainting or other adverse effects when combined with dapoxetine.
- The most common side effect is headache.
- Would you like to try super p‑force without a prescription?
Basic Super P-Force Information
- INN (International Nonproprietary Name): Sildenafil (PDE5 inhibitor); Dapoxetine (Selective Serotonin Reuptake Inhibitor, SSRI).
- Brand Names Available In Australia: Not specified; no widely recognised Australian brands for the fixed combination are listed in the product information and the product is most often encountered via online importers or e‑pharmacies.
- ATC Code: Sildenafil — G04BE03 (Drugs used in erectile dysfunction; phosphodiesterase type-5 inhibitors). Dapoxetine — not officially assigned; often considered under N06BX21 (other antidepressants) in some regulatory databases. Combination products may not have a single ATC code and are referenced by their component substances.
- Forms & Dosages: Tablet; typical dose sold is Sildenafil 100mg + Dapoxetine 60mg, oral administration.
- Manufacturers In Australia: Not specified; the fixed combination is commonly manufactured by Indian companies such as Sunrise Remedies and Centurion Laboratories and distributed globally via e‑pharmacies.
- Registration Status In Australia: Not specified as a registered combination product. The combination is typically unlicensed outside India and is commonly supplied by online importers; individual actives (sildenafil and dapoxetine) are regulated medicines.
- OTC / Rx Classification: Prescription-only (Rx) in regulated markets; legitimate pharmacies do not sell these actives over the counter.
Latest Research Highlights
Research
What does recent evidence say about the combination tablet?
Recent literature from 2022–2025 continues to support sildenafil for erectile dysfunction and dapoxetine for premature ejaculation when used as separate agents.
High-quality systematic reviews support sildenafil’s efficacy for erectile function and dapoxetine’s benefit for delaying ejaculation.
Robust, large randomised controlled trials of the fixed single‑tablet combination are limited.
Much of the direct evidence for the combined tablet comes from small trials, open‑label studies and post‑marketing reports from countries where the combo is marketed.
Reported safety signals generally reflect the known profiles of each drug.
Common adverse effects include headache, flushing and nausea from sildenafil, and insomnia or restlessness from dapoxetine.
Serious events such as priapism, clinically significant hypotension and serotonin syndrome are rare but possible and clinically important.
| Study Type | Population | Efficacy Outcomes | Noted Safety Events |
|---|---|---|---|
| Small RCTs / Open‑label | Men 18–65 with ED and PE | Improved erection quality and longer time to ejaculation vs baseline | Headache, flushing, nausea; rare prolonged erection |
| Post‑marketing reports | Real‑world users via e‑pharmacies | Patient‑reported satisfaction and convenience | Insomnia, dizziness; isolated severe events reported rarely |
| Systematic reviews (components) | Broad ED and PE populations | Strong evidence for sildenafil alone and dapoxetine alone | Adverse effects consistent with each agent |
Cultural And Patient-Centred Aspects
Are Australian patients and prescribers satisfied with the evidence?
Australian clinicians expect TGA‑aligned evidence and active adverse‑event monitoring.
Patients in Australia are often price sensitive and frequently ask pharmacists about imported products and online purchase safety.
Clinicians should clearly explain that combination‑specific large RCT data are limited and offer simple summaries of absolute risks.
Data highlights: Number needed to treat or harm are not established for the fixed combo due to limited combination trials; individual actives have well‑described absolute risks in their product information.
Clinical Effectiveness In Australia
Research
How effective is the one‑tablet approach in practice?
Systematic reviews confirm sildenafil’s clinical benefit for erectile dysfunction and dapoxetine’s benefit for premature ejaculation when each is used separately.
The clinical effectiveness of a fixed‑dose tablet combining sildenafil 100mg and dapoxetine 60mg is usually inferred from the separate effects rather than robust large combination trials.
There is limited TGA‑level post‑marketing data for branded combos in Australia because the product is most often manufactured in India and imported into regulated markets.
Monitoring therefore relies on local spontaneous adverse‑event reporting systems.
Cultural And Patient-Centred Aspects
What should Australian prescribers and pharmacists tell patients who ask about the combo?
Super P‑Force as a fixed tablet is usually not listed on the PBS and is treated as an unlicensed import in many cases.
GPs and pharmacists should document informed consent when patients pursue imported combination tablets.
Use a short clinician checklist before supplying: confirm cardiac history and nitrate use; review current medicines; explain common side effects; outline what to do for severe reactions.
- Checklist: cardiac screen, medication review, mood disorder screen, explanation of PRN dosing and emergency steps.
Indications And Expanded Uses
Research
Who is the combination intended for?
The primary intended use is for men who have both erectile dysfunction and premature ejaculation occurring together.
Most trial protocols use a single pre‑activity (PRN) dose and report symptomatic benefit on combined endpoints.
Regulatory approvals for the fixed combination are limited internationally.
Off‑label or expanded uses appear occasionally in case series but lack strong supporting evidence.
Cultural And Patient-Centred Aspects
How do Australian clinicians approach indications and consent?
In practice some GPs or sexual health specialists may combine separately prescribed sildenafil and dapoxetine for dual symptoms after careful assessment and documentation.
Patients often prefer a single‑tablet solution for convenience and discretion.
Pharmacists must ask about cardiac history, current nitrate therapy and mood disorders before supplying.
- Indication: Concurrent ED and PE where both conditions are present.
- Typical Use: PRN, 1–3 hours before sexual activity; max one tablet per 24 hours.
- Off‑Label Notes: Other uses are not supported by robust evidence.
- Informed‑Consent Checklist: explain unlicensed status, side effects, interactions (nitrates), and alternatives.
Composition And Brand Landscape
Research
What is in the tablet and how is it branded?
The fixed tablet combines sildenafil, a phosphodiesterase‑5 inhibitor, with dapoxetine, a short‑acting SSRI.
Typical marketed strength is Sildenafil 100mg plus Dapoxetine 60mg in an oral tablet form.
International brand names include Super P‑Force and Extra Super P‑Force, commonly manufactured by Indian companies such as Sunrise Remedies and Centurion Laboratories.
The combination often lacks a dedicated ATC code and is classified by its components.
Cultural And Patient-Centred Aspects
Where do Australians usually see the product and what should pharmacists check?
There are no widely recognised Australian brands for this fixed combination and patients usually encounter it via online importers rather than on local pharmacy shelves.
Pharmacists should check batch number, expiry date and advise against unknown or unverified suppliers.
| Brand | Manufacturer | Typical Pack Sizes |
|---|---|---|
| Super P‑Force | Sunrise Remedies (common manufacturer in India) | 4, 8, 12 or 24 tablets |
| Extra Super P‑Force | Various Indian manufacturers | 4 to 50 tablets |
- Glossary: INN = International Nonproprietary Name; ATC = Anatomical Therapeutic Chemical classification; INN components are sildenafil and dapoxetine.
Contraindications And Special Precautions
Research
Who must not take this combination?
Absolute contraindications include hypersensitivity to sildenafil or dapoxetine and concurrent nitrate use because of the risk of dangerous hypotension.
Other absolute contraindications include recent myocardial infarction, stroke, unstable angina, history of mania or bipolar disorder and severe liver impairment.
Relative contraindications include moderate hepatic or renal impairment, bleeding disorders, epilepsy and anatomical penile deformities.
Cultural And Patient-Centred Aspects
Do special groups need extra care in Australia?
Elderly patients, Indigenous Australians and people in remote communities need tailored counselling due to higher comorbidity burden and sometimes limited emergency access.
Pharmacists should use structured screening questions about cardiac history, nitrate and antihypertensive use, mood disorder history and current medicines.
Document screening results and advice provided.
- Absolute Contraindications: nitrate therapy, severe cardiac disease/recent MI or stroke, hypersensitivity, history of mania, severe liver impairment.
- Relative Contraindications: moderate hepatic/renal impairment, bleeding disorders, epilepsy, penile deformities.
Dosage Guidelines
Research
How should the tablet be taken?
The standard marketed formulation is Sildenafil 100mg plus Dapoxetine 60mg taken 1–3 hours before sexual activity.
The regimen is PRN rather than daily therapy, with a maximum of one tablet per 24 hours.
Dose adjustments are advised for patients with hepatic or renal impairment and for older patients; children are contraindicated.
Cultural And Patient-Centred Aspects
What practical advice should pharmacists give to Australian patients?
Explain timing clearly: take one tablet 1–3 hours before sex and do not take more than one in 24 hours.
Advise against doubling doses and explain overdose risks such as priapism, hypotension and serotonin syndrome.
| Patient Group | Advice |
|---|---|
| Adults (standard) | One tablet 1–3 hours before sexual activity. Max one per 24 hours. |
| Elderly | Use caution; review comorbidities and interactions. Consider specialist advice. |
| Hepatic/Renal Impairment | Lower starting dose or avoid; monitor for prolonged effects. |
| Overdose | Seek urgent medical attention for prolonged erection, fainting or severe dizziness. |
Interactions Overview
Research
Which medicines create dangerous interactions?
Concurrent nitrates are an absolute contraindication due to the risk of severe hypotension when taken with sildenafil.
Potent CYP3A4 inhibitors can raise sildenafil plasma levels and increase adverse effects.
Dapoxetine interacts with monoamine oxidase inhibitors and other serotonergic drugs such as SSRIs or some antipsychotics, creating a risk of serotonin syndrome.
Alcohol increases the risk of dizziness and hypotension, while grapefruit juice can increase sildenafil exposure.
Cultural And Patient-Centred Aspects
How do Australian pharmacists manage interaction risks?
Always screen prescription records and ask about over‑the‑counter medicines and supplements like St John’s wort.
Telehealth prescriptions must capture a full medicine list before supply.
| Drug/Class | Interaction | Clinical Action |
|---|---|---|
| Nitrates | Severe hypotension with sildenafil | Do not supply. Absolute contraindication. |
| Potent CYP3A4 inhibitors (e.g. ketoconazole) | Increased sildenafil levels | Consider dose reduction or avoid; monitor for side effects. |
| SSRIs/MAOIs/Triptans | Increased risk serotonin syndrome with dapoxetine | Avoid combination with MAOIs; use caution and specialist advice with other serotonergic drugs. |
| Alcohol | Increased dizziness, hypotension | Advise reduced alcohol intake around dosing. |
Cultural Perceptions And Patient Habits
Research
How do men feel about single‑tablet ED/PE treatments?
Qualitative studies and forum analyses show men value discretion, rapid onset and low cost.
Stigma and embarrassment delay help‑seeking for sexual health issues.
Where the fixed combination is available online, convenience and price often outweigh regulatory clarity for some users.
Growth in telehealth since 2020 has increased remote access to sexual health medicines in Australia.
Cultural And Patient-Centred Aspects
What are typical Australian patient behaviours?
Urban patients commonly use telehealth and e‑pharmacies for privacy and convenience.
Rural patients often rely on a trusted local pharmacist for advice and supply where possible.
Price sensitivity and reliance on the PBS push some Australians towards imported generics.
- Urban Telehealth User: seeks convenience and discretion, uses e‑pharmacy for quick supply.
- Rural Reliance On Pharmacist: prefers face‑to‑face screening, values local emergency planning.
Availability And Pricing Patterns
Research
Where is the fixed combo usually sold and what does regulation say?
Super P‑Force and Extra Super P‑Force are widely available through international online shops and are commonly manufactured in India for export.
In regulated markets the fixed combination is frequently unlicensed and not approved by EMA, FDA or TGA as a single product.
Cultural And Patient-Centred Aspects
How do Australians access these medicines and what are typical costs?
Major pharmacy chains in Australia typically stock registered single agents rather than unapproved fixed combinations.
Patients compare PBS‑eligible alternatives and may choose private purchase or import via online pharmacies to reduce cost.
In our online pharmacy, super p-force is available without a prescription, with discreet delivery to Australia in 5-14 days.
| Medicine | Typical PBS/Private Price (Australia) | Typical Online Import Price |
|---|---|---|
| Sildenafil (generic, private) | Varies; often lower with PBS; check local pharmacy | Low to moderate per tablet from e‑pharmacies |
| Dapoxetine (Priligy) | Private prescription only; variable price | Moderate per tablet from online importers |
| Super P‑Force (fixed combo) | Usually not PBS‑listed | Often cheaper per tablet from international e‑shops |
- Checklist For Safe Online Purchasing: verify manufacturer, check batch/expiry, confirm prescription requirement, prefer suppliers with verifiable contact details and secure payment.
Comparable Medicines And Preferences
Research
What are evidence‑based alternatives?
Alternatives with evidence include sildenafil alone (Viagra), dapoxetine alone (Priligy) for PE, tadalafil (Cialis) for longer‑acting ED and vardenafil for faster onset.
Extra Super P‑Force is a higher‑dose variant available internationally.
Comparative trials between the fixed combo and single agents are limited, so selection remains symptom‑driven.
Cultural And Patient-Centred Aspects
How do Australians usually decide between options?
Many Australians prefer PBS‑covered or locally available generics for cost and regulatory reassurance.
Use a pros and cons checklist to help shared decision‑making on single‑agent treatment versus a combined tablet.
| Option | Pros | Cons |
|---|---|---|
| Sildenafil Alone | Well supported evidence for ED; widely available locally | No direct effect on premature ejaculation |
| Dapoxetine Alone | Specifically effective for PE | No direct effect on erectile function |
| Fixed Combo (Super P‑Force) | Convenience of one tablet for dual symptoms | Limited large RCT data for the combo; often unlicensed import |
| Tadalafil | Longer duration of action; useful for planned or spontaneous activity | Different side effect and interaction profile |
FAQ
Research
What do patients most commonly ask?
Common questions relate to legal status, safety and where to buy the tablet in Australia.
Cultural And Patient-Centred Answers
Is Super P‑Force legal in Australia?
The active ingredients (sildenafil and dapoxetine) are legal when prescribed in Australia.
The fixed combination tablet is usually not TGA‑approved and is often treated as an unlicensed imported product.
Ask your GP or pharmacist for advice before ordering from overseas.
Can I take it with nitrates?
No. Concurrent use with nitrates is an absolute contraindication because of severe hypotension risk.
Where can I get it locally?
Ask your GP for prescriptions for sildenafil and dapoxetine separately if appropriate.
Major pharmacies stock registered single agents; be cautious with online imports and verify suppliers.
Can women or under‑18s take it?
No. The product is not indicated for women or individuals under 18 years of age.
Guidelines For Proper Use
Research
What are the safest use practices based on product information?
Take one tablet 1–3 hours before intercourse and do not exceed one tablet per 24 hours.
Store tablets below 30°C in original blister packaging and keep them out of reach of children.
Seek urgent care for overdose signs, prolonged erection or symptoms suggestive of serotonin syndrome.
Report adverse events to the TGA or your local pharmacist.
Cultural And Patient-Centred Aspects
How should Australian pharmacists counsel patients?
Offer private screening for cardiac medicines, mood history and current medications before supply.
Explain timing, likely side effects and simple management tips such as avoiding heavy alcohol on dosing days.
Provide emergency advice for prolonged erection (priapism) and keep documentation of informed consent when supplying imported combos.
- Quick Patient Handout Points: one tablet 1–3 hours before sex, do not mix with nitrates, avoid excessive alcohol, seek urgent help for erection lasting >4 hours.
- Pharmacist Counselling Template: confirm meds and allergies, explain dosing and side effects, give emergency instructions, arrange follow‑up.
Delivery Across Australia
| City | Region | Delivery time |
|---|---|---|
| Sydney | New South Wales | 5-7 days |
| Melbourne | Victoria | 5-7 days |
| Brisbane | Queensland | 5-7 days |
| Perth | Western Australia | 5-7 days |
| Adelaide | South Australia | 5-7 days |
| Canberra | Australian Capital Territory | 5-7 days |
| Gold Coast | Queensland | 5-7 days |
| Hobart | Tasmania | 5-9 days |
| Darwin | Northern Territory | 5-9 days |
| Newcastle | New South Wales | 5-9 days |
| Wollongong | New South Wales | 5-9 days |
| Geelong | Victoria | 5-9 days |
| Sunshine Coast | Queensland | 5-9 days |
| Townsville | Queensland | 5-9 days |
| Cairns | Queensland | 5-9 days |
Final Practical Tips
Still unsure which option suits you?
Talk to your GP or local pharmacist about documented cardiac risk, current medicines and mood history before taking any ED/PE medicine.
If you consider an imported fixed combination, ask your pharmacist to verify the supplier and to record informed consent.
Keep a written plan for side effects and an emergency contact if you experience prolonged erection, fainting or severe dizziness.
Pharmacists are available to answer questions about dosing, interactions and safe online purchasing.