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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.
12 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.
Latasha Becker
October 26, 2025 AT 15:26 PMThe pharmacodynamic synergy between a short‑acting SSRI and a PDE5 inhibitor theoretically optimizes both ejaculatory latency and tumescence, yet the absence of FDA endorsement raises pharmacovigilance concerns. Bioavailability of vardenafil is reduced by lipophilic meals, whereas dapoxetine’s hepatic clearance can be modulated by CYP2D6 polymorphisms. Moreover, the combined adverse event profile-headache, flushing, nausea-necessitates diligent monitoring. From a cost‑effectiveness perspective, the per‑tablet premium may be offset by reduced polypharmacy. Clinicians should also assess contraindications such as concurrent nitrate therapy or severe cardiac insufficiency before prescribing.
parth gajjar
October 29, 2025 AT 00:01 AMImagine juggling two pills and hoping they sync perfectly – that’s the gamble here. One misstep and you could be battling nausea and dizziness at the same time. The drama isn’t just in the bedroom, it’s in the pharmacy receipts too.
Madhav Dasari
October 31, 2025 AT 08:35 AMFor guys who dread remembering multiple meds, this single‑tablet option can feel like a win. Just make sure you’ve talked to your doc about liver function before you start. The onset is pretty reliable if you avoid a cheeseburger right before dosing. Some folks report that the dapoxetine component gives them extra confidence without the daily pill burden. Overall, it’s a solid middle ground between convenience and cost.
DHARMENDER BHATHAVAR
November 2, 2025 AT 17:09 PMThe key is matching dose to need; 10 mg of each is standard, but some men benefit from a 20 mg dapoxetine boost. Monitor blood pressure after the first dose.
Kevin Sheehan
November 5, 2025 AT 01:43 AMWe often chase singular solutions for complex problems, yet the body rarely conforms to binary choices. A dual‑action tablet mirrors the intersection of desire and restraint, forcing us to confront both together. If we accept that intimacy is multifaceted, perhaps the compromise of a combo pill is philosophically appropriate. Still, we must weigh the ethical implications of bypassing regulatory oversight.
Jay Kay
November 7, 2025 AT 10:18 AMHonestly, paying $40 for a pill that isn’t even FDA‑approved is just a marketing gimmick. You can get generic vardenafil for a fraction of the price and manage premature ejaculation separately. The hype isn’t worth the extra cash.
Sunil Yathakula
November 9, 2025 AT 18:52 PMi get u man the combo sounds cool but if u got heart issues better stick to the cheap generic stuff lol.
Catherine Viola
November 12, 2025 AT 03:26 AMOne must consider that the unregulated distribution channels for such a compound may conceal undisclosed excipients, thereby introducing unforeseen pharmacodynamic interactions. It is plausible that certain entities profit from the opacity surrounding overseas pharmacies, circumventing established safety protocols. Consequently, a rigorous independent analysis is warranted before any patient adopts this regimen.
sravya rudraraju
November 14, 2025 AT 12:01 PMThe decision to incorporate Extra Super Levitra into one’s therapeutic arsenal should begin with a comprehensive evaluation of sexual health goals, rather than a superficial desire for convenience. First, assess the severity and frequency of both erectile dysfunction and premature ejaculation, as quantifying each component can guide whether a dual‑action agent offers genuine benefit over monotherapy. Second, review cardiovascular status meticulously; any history of ischemic heart disease, uncontrolled hypertension, or recent myocardial infarction constitutes a contraindication to PDE5 inhibition regardless of dosage. Third, consider potential drug‑drug interactions, particularly with nitrates, alpha‑blockers, or certain antifungal agents, because synergistic vasodilation may precipitate hypotension. Fourth, evaluate hepatic and renal function, since dapoxetine undergoes hepatic metabolism via CYP2D6 and CYP3A4, and impaired clearance can amplify serotonin‑related adverse effects. Fifth, discuss with a qualified prescriber the possibility of titrating dapoxetine separately, as some patients achieve satisfactory ejaculatory control with a daily low‑dose regimen that does not require the combined tablet. Sixth, weigh the financial implications: while a single tablet may appear streamlined, the cumulative cost over months often exceeds that of sourcing generic vardenafil and a prescribed dapoxetine course independently. Seventh, verify the legitimacy of the online pharmacy, ensuring it mandates a valid prescription, employs verified pharmacists, and provides transparent third‑party testing certificates. Eighth, recognize that the onset of action for the vardenafil component is typically 30 to 60 minutes, whereas dapoxetine reaches peak plasma levels slightly later; synchronizing sexual activity with this pharmacokinetic window may require personal experimentation. Ninth, be aware of the side‑effect profile, which can include headache, flushing, nasal congestion, mild nausea, and rarely, transient visual disturbances; these symptoms should be reported promptly if they persist. Tenth, maintain open communication with your partner, as mutual expectations and comfort can significantly influence perceived efficacy. Eleventh, document any adverse events in a journal to facilitate informed discussions with your healthcare provider. Twelfth, remain vigilant for rare but serious complications such as priapism or sudden vision loss, which necessitate immediate medical attention. Thirteenth, if at any point the dual formulation feels burdensome, transition back to monotherapy without shame, as individualized treatment remains the cornerstone of sexual medicine. Fourteenth, stay updated on emerging clinical data, as ongoing studies may refine dosage recommendations or reveal new safety signals. Finally, the overarching principle is to prioritize safety, efficacy, and informed consent above the allure of a “one‑pill‑fits‑all” solution.