Super Careforce 160 mg

Super Careforce is marketed for men experiencing both erectile dysfunction and premature ejaculation. This describes its marketed purpose rather than a verified approved indication for this particular brand.

The individual ingredients have distinct treatment roles.

• Sildenafil supports the erection response during sexual stimulation in men with erectile dysfunction

• Dapoxetine improves ejaculation control in eligible men with diagnosed premature ejaculation

Erectile dysfunction means repeated difficulty getting or keeping an erection firm enough for sexual activity. Premature ejaculation involves poor control over ejaculation and associated distress. Occasional difficulty does not establish either diagnosis.

The individual ingredients offer different treatment benefits when prescribed appropriately. Sildenafil improves erectile function. Dapoxetine improves ejaculation control and reduces distress associated with diagnosed premature ejaculation.

The treatment goals are the following.

• An erection suitable for sexual activity in men with erectile dysfunction

• Improved ejaculation control in eligible men with premature ejaculation

• A treatment plan that addresses the actual diagnosis

The listed strengths are not the usual starting doses of either ingredient. Do not choose this product on the assumption that a combination is automatically better. Your clinician should discuss suitable alternatives in light of the official combination warning.

Sildenafil blocks an enzyme called PDE5. This helps maintain a chemical signal that relaxes smooth muscle in the penis. During sexual arousal the resulting blood flow supports an erection. Sildenafil does not produce an automatic erection or directly increase sexual desire.

Dapoxetine is a short acting selective serotonin reuptake inhibitor. It increases serotonin activity in pathways involved in ejaculation and helps delay ejaculation in eligible patients.

Adding dapoxetine does not remove sildenafil precautions. Combining the ingredients introduces additional concerns including fainting and interactions with medicines that affect serotonin. A combined tablet also fixes both strengths and prevents independent dose adjustment.

A routine dosing schedule for Super Careforce 160 mg cannot be established from the separate sildenafil and dapoxetine labels. Do not start this combination or copy a dosing schedule from another combination product.

For context standard oral sildenafil for erectile dysfunction usually starts at 50 mg as needed. The usual prescribed range is 25 mg to 100 mg. The standard maximum single dose is 100 mg and the maximum frequency is once in 24 hours. Individual interactions require stricter limits.

Dapoxetine alone is normally started at 30 mg where it is authorised. The 60 mg dose is reserved for selected patients with an inadequate response to 30 mg and acceptable tolerability. 

These facts explain why the listed 100 mg and 60 mg combination is not a routine starting treatment.

Do not split the tablet to estimate two lower doses. Obtain an appropriately selected alternative through your clinician. Do not add separate sildenafil or dapoxetine to this product.

If it has already been prescribed ask the prescriber to review the official warning before the next dose. Taking more than directed requires urgent assessment.

Reported effects of the ingredients include headache and nausea. Sildenafil also causes flushing and indigestion. Dapoxetine causes dizziness and diarrhoea in some patients. A blocked nose and temporary changes in vision occur with sildenafil. Contact a clinician if symptoms persist. Avoid driving or using machinery if you feel dizzy or your vision is affected. Dizziness on standing deserves particular attention with this combination.

Fainting and chest pain need urgent assessment. Stop use and seek urgent help for sudden vision loss or sudden hearing reduction. Breathing difficulty and swelling of the face or throat need emergency care. An erection lasting longer than four hours is an emergency even without pain. Fever with agitation and muscle stiffness requires urgent assessment for serotonin toxicity. If chest pain occurs tell the emergency team when you took the product. Do not take nitrate medicine yourself.

The official dapoxetine warning against use with sildenafil applies to this listed combination. Do not regard it as routine treatment for anyone with both symptoms.

Additional reasons to avoid use or obtain medical review include the following.

• Allergy to either active ingredient or another tablet ingredient

• Nitrate medicine use or nitrite products such as poppers

• Riociguat treatment

• Significant heart disease or advice to avoid sexual activity

• A history of fainting or blood pressure falls on standing

• Moderate or severe liver impairment

• A history of mania or severe depression

• Treatment with interacting antidepressants or other serotonergic medicines

• Use of strong CYP3A4 inhibitors

Dapoxetine is not for children. Its referenced authorisation does not establish safety and effectiveness in people aged 65 or older. Severe kidney impairment also requires particular attention. Tell your doctor about seizures and previous prolonged erections. Previous vision loss and inherited retinal conditions need review because of sildenafil.

Both ingredients have important interactions.

Important medicines and substances include the following.

• Nitrates and nitrites

• Riociguat

• Other erectile dysfunction medicines

• Other products containing sildenafil or dapoxetine

• Antidepressants including SSRIs and SNRIs

• Monoamine oxidase inhibitors

• Tramadol and triptan medicines

• Lithium and linezolid

• St John's wort

• Ketoconazole and itraconazole

• Ritonavir and certain other HIV medicines

• Alpha blockers and blood pressure medicines

• Blood thinning medicines and medicines affecting platelets

Sildenafil with nitrates causes dangerous blood pressure lowering. Dapoxetine with other serotonergic medicines increases the risk of serotonin toxicity. Strong enzyme inhibitors increase medicine exposure. Alcohol adds to dapoxetine related risks including fainting and injury. Avoid alcohol and do not stop prescribed treatment to make room for this combination

Use the storage conditions printed on the actual product pack.

• Keep tablets in their original packaging until use

• Follow the temperature limit stated on the pack

• Protect the pack from moisture and excessive heat

• Keep out of the reach and sight of children

• Check the expiry date before use

• Do not use tablets from damaged packaging

• Ask a pharmacist how to dispose of expired or unwanted medicine