Super Tadapox 40/60 mg

• Treats erectile dysfunction and premature ejaculation together

• Supports firmer erections during sexual stimulation

• Helps maintain an erection during intercourse

• Improves control over ejaculation

• Helps increase the time before ejaculation

• Combines two active ingredients in one tablet

• Reduces the need to take two separate medicines

• Provides an extended period of erectile support

The tadalafil component can remain active for up to approximately 36 hours. This describes the period during which an erectile response can be supported and does not mean an erection continues for 36 hours.

Super Tadapox works through the separate actions of tadalafil and dapoxetine.

Tadalafil blocks the PDE5 enzyme. This allows a chemical called cGMP to remain active for longer. The blood vessels supplying the penis relax and more blood enters during sexual stimulation. This supports a firm and lasting erection.

Dapoxetine slows the removal of serotonin between nerve cells. Increased serotonin activity helps delay the ejaculation reflex and provides better control over the timing of ejaculation.

Together the two ingredients support erection quality and ejaculation control during the same sexual encounter.

Super Tadapox contains fixed high-strength doses of tadalafil and dapoxetine. Use this exact combination only when it has been selected after an individual medical assessment.

Swallow the prescribed tablet whole with a full glass of water. It is generally taken one to three hours before planned sexual activity. The tablet can be taken with or without food. Do not crush, chew or divide it unless specifically instructed.

Do not take more than one tablet within 24 hours. Super Tadapox is taken when needed and is not intended as a routine daily tablet. Do not repeat the dose if the medicine does not work immediately and do not combine it with another ED or premature ejaculation treatment.

Avoid alcohol because it increases dizziness, low blood pressure and the risk of fainting. There is no missed dose to replace when the medicine is taken only when needed. Seek urgent medical advice if more than the prescribed amount is taken.

Common Side Effects: Super Tadapox can cause headache, nausea, dizziness, facial flushing, indigestion, diarrhoea, dry mouth, tiredness, a blocked nose, back pain and muscle aches. Dapoxetine can also cause sweating, restlessness and difficulty sleeping. These effects normally improve as the medicine leaves the body. Speak with a healthcare professional if they become severe or continue for a long time.

Serious Side Effects: Stop taking the medicine and obtain urgent medical help for fainting, chest pain, an irregular heartbeat, breathing difficulty, seizures, severe confusion, agitation with fever or muscle stiffness, sudden vision changes or sudden hearing loss. A severe allergic reaction or an erection that is painful or lasts longer than four hours also requires immediate medical treatment.

Super Tadapox should be avoided by:

• People allergic to tadalafil or dapoxetine

• People taking nitrate medicines

• People using nitrate-containing poppers

• People taking riociguat

• People taking MAO inhibitors

• People using other antidepressants

• People with a history of fainting

• People with significant heart disease

• People with uncontrolled blood pressure

• People with moderate or severe liver disease

• Men advised to avoid sexual activity

• Women and anyone under 18

Men older than 64 years and people with kidney disease require an individual medical assessment before using a dapoxetine-containing treatment.

Tell the healthcare professional about every medicine and supplement being used.

Important interactions include:

• Nitrate medicines

• Riociguat

• Other ED medicines

• Other tadalafil products

• SSRIs and SNRIs

• MAO inhibitors

• Tricyclic antidepressants

• Tramadol and migraine medicines

• Lithium and linezolid

• St John’s wort

• Alpha-blockers

• Blood-pressure medicines

• Strong antifungal medicines

• Macrolide antibiotics

• HIV protease inhibitors

• Alcohol

Nitrates and riociguat can cause a dangerous fall in blood pressure when combined with tadalafil. Combining dapoxetine with other medicines that increase serotonin can cause a serious reaction called serotonin syndrome.

Do not begin another ED medicine, antidepressant, pain medicine or supplement without checking for interactions.

• Keep the tablets in their original strip.

• Store them in a cool and dry place.

• Protect them from heat and direct sunlight.

• Keep them away from moisture.

• Keep them out of reach of children and pets.

• Do not use damaged or discoloured tablets.

• Do not use the medicine after its expiry date.

• Follow any temperature instructions printed on the pack.