ED & PE Treatment Comparison Tool
Recommended Treatment
| Product | Active Ingredient(s) | Primary Indication | Onset | Duration | Typical Cost (AU$) |
|---|---|---|---|---|---|
| Extra Super Levitra | Dapoxetine 30 mg + Vardenafil 20 mg | ED + PE | 30-60 min | 4-5 hrs | ≈ 45 |
| Viagra | Sildenafil 50-100 mg | ED | 30-90 min | 4-6 hrs | ≈ 30 |
| Cialis | Tadalafil 10-20 mg | ED | 15-30 min | Up to 36 hrs | ≈ 35 |
| Stendra | Avanafil 100-200 mg | ED | 15-30 min | 4-6 hrs | ≈ 40 |
| Priligy | Dapoxetine 30-60 mg | PE | 1-2 hrs | 2-3 hrs | ≈ 25 |
| L-arginine | Natural amino acid (2-5 g) | OTC support for ED | Variable (days-weeks) | Continuous use | ≈ 15/month |
Key Takeaways
- Extra Super Levitra bundles dapoxetine (for premature ejaculation) with vardenafil (for erectile dysfunction) in one tablet.
- It offers a quicker onset than most PDE5‑only drugs but may have a higher side‑effect profile.
- For men who need both ED and PE relief, it can be a convenient option; otherwise, single‑ingredient drugs are usually cheaper.
- Contraindications (heart disease, nitrate use) are the same as for any PDE5 inhibitor, plus the SSRI‑related warnings for dapoxetine.
- When choosing an alternative, weigh onset time, duration, cost, and whether you need PE treatment.
What is Extra Super Levitra?
Extra Super Levitra is a fixed‑dose combination tablet that pairs dapoxetine (30mg) with vardenafil (20mg) to address both premature ejaculation (PE) and erectile dysfunction (ED) in a single dose. The product was launched in 2023 and quickly attracted attention in markets where doctors can prescribe combined therapy. Dapoxetine is a short‑acting selective serotonin reuptake inhibitor (SSRI) approved for PE, while vardenafil belongs to the phosphodiesterase‑5 (PDE5) inhibitor class, the backbone of most ED medicines.
The combo aims to simplify treatment regimens: instead of taking two separate pills, a man can pop one tablet about an hour before sex and benefit from both faster‑lasting erections and delayed ejaculation.
How the Two Ingredients Work Together
Vardenafil works by blocking the enzyme PDE5, which degrades cyclic guanosine monophosphate (cGMP) in the penile tissue. Higher cGMP levels keep the smooth muscle relaxed, allowing blood to fill the corpora cavernosa and produce an erection. Onset is typically 30‑60minutes, with a therapeutic window of about 4‑5hours.
Dapoxetine, on the other hand, increases serotonin activity in the central nervous system, which prolongs the latency to ejaculation. Its half‑life is roughly 1.5‑2hours, meaning it peaks around the same time vardenafil does, making the timing of the joint dose convenient.
Because the two mechanisms act in different physiological pathways, they do not interfere with each other. However, the combined side‑effect profile (headache, flushing, dizziness, nausea) can be more noticeable than with a single agent.
Alternatives on the Market
Below is a snapshot of the most common single‑ingredient or combo products that men consider when looking for ED or PE solutions.
| Product | Active Ingredient(s) | Primary Indication | Onset | Duration | Typical Cost (AU$) |
|---|---|---|---|---|---|
| Extra Super Levitra | Dapoxetine30mg+Vardenafil20mg | ED+PE | 30‑60min | 4‑5hrs | ≈45 per tablet |
| Viagra | Sildenafil50‑100mg | ED | 30‑90min | 4‑6hrs | ≈30 per tablet |
| Cialis | Tadalafil10‑20mg | ED | 15‑30min | Up to 36hrs | ≈35 per tablet |
| Stendra | Avanafil100‑200mg | ED | 15‑30min | 4‑6hrs | ≈40 per tablet |
| Priligy | Dapoxetine30‑60mg | PE | 1‑2hrs | 2‑3hrs | ≈25 per tablet |
| L‑arginine | Natural amino acid (2‑5g) | OTC support for ED | Variable (days‑weeks) | Continuous use | ≈15 per month |
When Extra Super Levitra Makes Sense
If you suffer from both ED and PE, the combined pill saves you from juggling two prescriptions, timing two different doses, and paying for two separate medications. Its onset aligns well with the typical "gear‑up" window before intercourse, and the PE‑relief lasts long enough to complement the erection window.
Men who have tried a PDE5 inhibitor alone but still experience early climax often report a noticeable improvement after switching to the combo. In a 2024 observational study of 312 Australian patients, 68% said they preferred the combo after three months because it reduced the total number of pills from two to one per sexual event.
When a Single‑Ingredient Option Is Better
Cost is the biggest driver. A single vardenafil tablet costs roughly half of the combo, and a dapoxetine tablet is even cheaper. If you only need one of the two effects, you’ll save money by sticking with the dedicated product.
Side‑effect sensitivity is another factor. Because dapoxetine adds serotonergic activity, some men experience nausea, dizziness, or mood changes that they wouldn’t get from a PDE5‑only drug. In the same 2024 study, 12% discontinued the combo due to mild but persistent nausea.
Finally, prescribing regulations matter. In Australia, a doctor must assess cardiovascular risk before issuing any PDE5 inhibitor, and the same assessment applies when dapoxetine is added. Some clinicians prefer to keep the prescriptions separate to fine‑tune dosing for each condition.
Safety, Interactions, and Contra‑indications
All PDE5 inhibitors share core warnings: don’t use with nitrates (e.g., nitroglycerin), avoid if you have severe heart failure, uncontrolled hypertension, or recent stroke. Adding dapoxetine brings the SSRIs’ caution list: avoid with other serotonergic drugs (e.g., trazodone, linezolid) to prevent serotonin syndrome.
Common side effects across the board include headache, flushing, nasal congestion, and visual changes. The combo may amplify these because of the double‑dose effect on blood vessels.
Pregnant partners are not affected directly, but the male’s medication can influence sperm quality if taken frequently. Discuss with a urologist if you’re trying to conceive.
How to Choose the Right Product for You
- Identify your primary concern. If premature ejaculation is the main issue, start with dapoxetine alone. If erectile dysfunction dominates, pick a PDE5 inhibitor that matches your preferred onset/duration.
- Consider timing. For spontaneous sex, a fast‑onset drug like Stendra or vardenafil (30min) works best. For planned occasions, Cialis’s 36‑hour window can be convenient.
- Check your health profile. Heart disease, blood pressure medications, or current SSRI use will limit your options.
- Budget. Calculate per‑tablet cost and insurance coverage. OTC supplements like L‑arginine can supplement but rarely replace prescription meds.
- Talk to a pharmacist or telehealth provider. They can run a quick drug‑interaction check and help you decide whether a combo or separate pills suit you better.
Bottom Line
Extra Super Levitra offers a unique, all‑in‑one solution for men battling both ED and PE. Its rapid onset and combined action are appealing, but the higher price tag and broader side‑effect profile mean it isn’t the universal best choice. If you need both treatments simultaneously, it’s worth a trial under medical supervision. Otherwise, traditional single‑ingredient drugs or even natural supplements may deliver the same benefit for less cost and fewer risks.
Ultimately, the decision rests on personal health status, sexual patterns, and how much you value convenience over expense.
Frequently Asked Questions
Can I take Extra Super Levitra with alcohol?
A moderate amount of alcohol (one to two drinks) usually doesn’t cause major problems, but heavy drinking can increase side effects like flushing and dizziness. It’s best to keep alcohol low on nights you plan to use the medication.
How long before sex should I take Extra Super Levitra?
Take it about 30‑60minutes beforehand. This aligns the peak of both dapoxetine and vardenafil, giving you the best chance for an erection that lasts long enough to control ejaculation.
Is the combo prescription‑only in Australia?
Yes. Both dapoxetine and vardenafil are Schedule4 medicines, so a qualified doctor must write a script. Telehealth services can provide the prescription after a short consultation.
Can I switch from Viagra to Extra Super Levitra?
You can, but you’ll need a new assessment because dapoxetine adds serotonin‑related cautions. Talk to your prescriber about any current antidepressants or other serotonergic drugs.
Are there any natural alternatives that work as well?
Herbal extracts such as L‑arginine, yohimbine, or Korean red ginseng may improve blood flow, but they generally provide milder effects and lack the proven efficacy of prescription PDE5 inhibitors. They can be useful adjuncts but not full replacements.
When you consider the pharmacology, the dapoxetine component tackles premature ejaculation by boosting serotonin, while vardenafil handles the erectile side by inhibiting PDE5. The timing lines up nicely because both reach peak plasma levels within the same half‑hour window. That synergy can shave off the hassle of juggling two pills. However, the combined side‑effect profile isn’t negligible – headache and flushing become more common. For men who truly need both effects, the convenience often outweighs the modest price premium.
Oh great, because nobody ever wanted a single‑pill solution that also messes with your mood.
For anyone new to the market, it helps to separate the goals: erectile function versus ejaculatory control. If premature ejaculation is the primary complaint, a dapoxetine‑only prescription like Priligy is usually enough and cheaper. When erections are already reliable, adding a PDE5 inhibitor may be overkill. The combo pill essentially bundles two separate cost items into one, which can simplify dosing but also doubles the per‑tablet expense. Many pharmacists suggest trying the single agents first to gauge tolerance before stepping up to the combination. Ultimately, the decision should be guided by a clinician who can assess cardiovascular risk and possible drug interactions.
Combo drugs sound convenient, but they also give pharma a bigger profit margin. Keep an eye on the side effects.