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Based on article pricing: Extra Super Levitra ($30-45), Viagra ($10-20), Cialis ($12-25), Stendra ($15-30)
Important: Extra Super Levitra is not FDA-approved in the US. Always consult a doctor and verify pharmacy legitimacy.
If you’ve been hunting for a pill that tackles both erectile dysfunction (ED) and premature ejaculation (PE) in one shot, you’ve probably run into Extra Super Levitra. It pairs dapoxetine, a short‑acting SSRI used for PE, with vardenafil, a PDE5 inhibitor for ED. But is that combo worth the hype, or should you look at other options? Below we break down how it works, compare it to the big‑name alternatives, and give you a clear picture of when each choice makes sense.
What is Extra Super Levitra?
Extra Super Levitra (Dapoxetine, Vardenafil) is a dual‑action oral tablet that combines two FDA‑approved drugs: dapoxetine for delaying ejaculation and vardenafil for improving blood flow to the penis. The formulation is designed to be taken about one hour before sexual activity, delivering a window of 4‑6 hours for most men.
Dapoxetine - The PE Component
Dapoxetine is a short‑acting selective serotonin reuptake inhibitor (SSRI) specifically approved in Europe and some Asian markets for treating premature ejaculation. Unlike traditional antidepressant SSRIs, dapoxetine peaks in the bloodstream within 1‑2 hours and clears out after roughly 4‑6 hours, minimizing typical SSRI side effects such as fatigue or mood changes.
Vardenafil - The ED Component
Vardenafil belongs to the PDE5 inhibitor class, the same family as sildenafil (Viagra) and tadalafil (Cialis). It works by blocking the phosphodiesterase‑5 enzyme, which allows cyclic guanosine monophosphate (cGMP) to accumulate and keep penile blood vessels relaxed. Vardenafil’s onset is usually 30‑60 minutes, with a peak effect around 90 minutes and a duration of about 5 hours.
How the Combo Differs From Single‑Ingredient Pills
Most ED drugs focus solely on the vascular side of the equation. If you also struggle with PE, you typically need a second prescription or an off‑label SSRI taken daily. Extra Super Levitra tries to solve both problems with one dose, which can simplify timing and reduce the number of pills you carry.
Popular Alternatives - A Quick Overview
- Sildenafil (brand: Viagra) - First‑generation PDE5 inhibitor; 4‑6 hour window.
- Tadalafil (brand: Cialis) - Long‑acting; up to 36 hours, often called the “weekend pill.”
- Avanafil (brand: Stendra) - Fastest onset (15‑30 minutes) with a relatively short duration.
- Levitra - Vardenafil sold under its own name; same profile as the vardenafil in Extra Super Levitra but without dapoxetine.
- Cialis - Tadalafil’s brand version; same long‑acting profile.
Side‑by‑Side Comparison
| Attribute | Extra Super Levitra (Dapoxetine + Vardenafil) | Sildenafil (Viagra) | Tadalafil (Cialis) | Avanafil (Stendra) |
|---|---|---|---|---|
| Primary indication | ED + PE | ED only | ED only | ED only |
| Onset | 30‑60 min (vardenafil) + 1‑2 hr (dapoxetine) | 30‑60 min | 30‑120 min | 15‑30 min |
| Duration of effect | ~5 hr (ED) + 4‑6 hr (PE) | 4‑6 hr | Up to 36 hr | 6‑12 hr |
| Typical dose | 10 mg dapoxetine + 10 mg vardenafil | 50‑100 mg | 10‑20 mg | 100‑200 mg |
| Food impact | High‑fat meals may delay vardenafil absorption | High‑fat meals reduce effectiveness | Minimal impact | Minimal impact |
| Common side effects | Headache, flushing, nausea (dapoxetine), dizziness | Headache, visual changes, flushing | Back pain, muscle aches, flushing | Headache, nasal congestion, dizziness |
| Prescription status (US) | Not FDA‑approved; available through some online pharmacies | FDA‑approved | FDA‑approved | FDA‑approved |
| Cost (average US price) | $30‑$45 per tablet (online) | $10‑$20 per tablet | $12‑$25 per tablet | $15‑$30 per tablet |
Pros and Cons of Extra Super Levitra
- Pros
- Addresses both ED and PE without needing two separate prescriptions.
- Vardenafil’s moderate duration fits most weekend plans.
- Dapoxetine’s short half‑life means fewer mood‑related side effects compared to daily SSRIs.
- Cons
- Not FDA‑approved in the United States; availability relies on overseas pharmacies.
- Potential drug‑drug interactions increase because you’re taking two actives at once.
- Cost per tablet is higher than a single generic PDE5 inhibitor.
When to Choose an Alternative
If you only need ED treatment, a single‑ingredient pill is usually cheaper and simpler. Men who already manage PE with dapoxetine daily may prefer keeping that regimen separate to fine‑tune dosage. Tadalafil shines for couples who want spontaneity over a whole weekend, while avanafil works best when you need a rapid start with minimal food restrictions.
Safety, Side Effects, and Contraindications
All PDE5 inhibitors share a core set of warnings: they’re unsafe with nitrates (e.g., nitroglycerin), severe heart failure, or recent stroke. Dapoxetine adds a few more considerations-avoid if you have uncontrolled hypertension, liver impairment, or are taking monoamine oxidase inhibitors (MAOIs). Common side effects across the board include headache, flushing, and nasal congestion. Rare but serious events, such as sudden vision loss, require immediate medical attention.
Buying Considerations - Online Pharmacies & Legality
Because Extra Super Levitra isn’t FDA‑approved, reputable online pharmacies usually ship under a “research chemical” label. Look for sites that require a valid prescription, use discreet packaging, and have clear return policies. Beware of discount sites that promise “no prescription needed”-those often sell counterfeit products with unknown dosages.
Quick Checklist Before You Order
- Confirm you have no nitrate medication.
- Check liver and kidney function if you’re over 65.
- Discuss dapoxetine dosage with a doctor-10 mg is standard, but some men need 20 mg.
- Compare total monthly cost vs. buying separate vardenafil and dapoxetine.
- Verify the pharmacy’s licensing and prescription requirement.
Bottom Line
Extra Super Levitra offers a convenient way to tackle both ED and PE, but it carries higher price and regulatory uncertainty. If you value a single pill and have no major health flags, it’s worth a trial-just be sure to source it from a vetted pharmacy. Otherwise, a classic combo of generic vardenafil plus a prescribed dapoxetine regimen remains a safe, cost‑effective fallback.
Is Extra Super Levitra legal in the United States?
No. The FDA has not approved the combined formulation. It is available only through overseas online pharmacies, which may require a prescription under foreign regulations.
Can I take Extra Super Levitra with alcohol?
Moderate alcohol (1‑2 drinks) usually doesn’t pose a problem, but heavy drinking can amplify vasodilatory side effects like dizziness and low blood pressure.
How does the effectiveness of vardenafil compare to sildenafil?
Clinical trials show vardenafil’s efficacy is comparable to sildenafil for achieving erections, with a slightly faster onset in some men and fewer visual disturbances.
Should I take dapoxetine daily or only before sex?
Dapoxetine is designed for on‑demand use. Taking it only 1‑2 hours before intercourse provides the best balance of efficacy and minimal side effects.
What are the main side effects to watch for?
Common issues include headache, flushing, nasal congestion, and mild nausea from dapoxetine. Rarely, men may experience priapism (prolonged erection) or sudden vision loss-both require emergency care.
3 Comments
Christian Georg
October 19, 2025 AT 13:43 PMIf you're trying to decide whether Extra Super Levitra is worth it, think about the two mechanisms at play. Dapoxetine tackles premature ejaculation by briefly boosting serotonin, while vardenafil improves blood flow for an erection. The combo can save you the hassle of juggling two separate prescriptions, which many find convenient. Keep an eye on potential interactions, especially if you’re on nitrates or antihypertensives 😊.
Leo Chan
October 21, 2025 AT 22:18 PMThat breakdown makes sense 😊.
jagdish soni
October 24, 2025 AT 06:52 AMDapoxetine is the flashy part but vardenafil does the heavy lifting – you’ll feel the effect in about an hour and it sticks around for several hours – just remember high‑fat meals can throw off the timing.