Compare Viagra Extra Dosage (Sildenafil) with Alternatives: What Works Best

Men looking for stronger or longer-lasting relief from erectile dysfunction often hear about Viagra Extra Dosage - a combination pill with 100mg of sildenafil and 60mg of dapoxetine. It promises both better erections and delayed ejaculation. But is it the best option? And are there safer, cheaper, or more effective alternatives? Let’s cut through the noise and compare what actually works.

What is Viagra Extra Dosage?

Viagra Extra Dosage isn’t a single drug - it’s a combo pill. It contains two active ingredients: sildenafil citrate (the same as in regular Viagra) and dapoxetine (an SSRI used off-label to treat premature ejaculation). The 100mg sildenafil dose is the highest available in most countries. The 60mg dapoxetine helps men last longer in bed. This makes it popular among men who struggle with both ED and PE.

But here’s the catch: it’s not approved by the FDA. It’s sold online as a "dietary supplement" or imported from countries with looser regulations. That means quality control is inconsistent. Some pills have too little sildenafil. Others have hidden ingredients like tadalafil or even amphetamines. Buying it without a prescription puts your health at risk.

Alternative #1: Cialis (Tadalafil)

If you want something that lasts longer, Cialis is the clear winner. Its active ingredient, tadalafil, stays active in your body for up to 36 hours. That’s why it’s called "the weekend pill." You don’t need to time it right before sex. One dose can work for two full days.

Compared to Viagra Extra Dosage, Cialis doesn’t include dapoxetine. So if you’re only dealing with ED, it’s simpler and safer. But if you also need help with premature ejaculation, you’d need to take Cialis and a separate SSRI like sertraline - which increases side effects like nausea or drowsiness.

Studies show tadalafil works for about 80% of men with ED, similar to sildenafil. But because it lasts longer, men report higher satisfaction with spontaneity. It also has fewer visual side effects (like blue-tinted vision) than sildenafil.

Alternative #2: Levitra (Vardenafil)

Levitra is less known but just as effective. Vardenafil, its active ingredient, works faster than sildenafil - sometimes in as little as 15 minutes. It’s also more potent on a milligram-to-milligram basis. A 10mg dose of vardenafil equals roughly 50mg of sildenafil.

Levitra is a good choice if you eat a lot of fatty meals. Sildenafil’s effectiveness drops significantly after a heavy meal. Vardenafil doesn’t care. It also has a lower chance of causing headaches or flushing.

But like sildenafil, Levitra only lasts 4-5 hours. It doesn’t help with premature ejaculation. And it’s not available in combo form like Viagra Extra Dosage. You’d need to pair it with another medication if PE is an issue.

Alternative #3: Stendra (Avanafil)

Stendra is the newest FDA-approved PDE5 inhibitor. It starts working in as little as 15 minutes and lasts about 6 hours. It’s designed to be fast and clean - fewer side effects than older drugs.

One study showed that 83% of men with diabetes saw improvement with Stendra, compared to 72% with sildenafil. It also has a lower risk of causing nasal congestion and back pain.

But Stendra doesn’t come in a combo pill with dapoxetine. And it’s more expensive than generic sildenafil. Most insurance plans don’t cover it unless you’ve tried cheaper options first.

Alternative #4: Generic Sildenafil (No Dapoxetine)

Why pay extra for a combo pill when you can get 100mg of pure sildenafil for pennies? Generic sildenafil is FDA-approved, widely available, and sold under brands like Revatio or as unbranded tablets.

It’s the same drug as in Viagra Extra Dosage - just without the dapoxetine. That means you get the same erection power without the added risk of serotonin-related side effects (nausea, dizziness, increased heart rate). You can always take dapoxetine separately if needed, under a doctor’s supervision.

Many men don’t realize they’re paying a 300% markup for the combo version. A 100mg sildenafil tablet costs $1-$3 in bulk. The branded combo pill? Often $15-$25 per tablet online.

Alternative #5: Natural Options and Lifestyle Fixes

Not everyone wants pills. And not everyone needs them. Research from the Journal of Sexual Medicine shows that losing just 5-10% of body weight improves erectile function in 30% of overweight men. Regular exercise - especially cardio and pelvic floor workouts - can be as effective as sildenafil for mild ED.

Some supplements show promise. L-arginine and pomegranate extract may improve blood flow. Ginseng has been shown in small trials to improve erection hardness. But none are as reliable as prescription drugs. And many "natural ED boosters" sold online contain hidden PDE5 inhibitors - the same chemicals found in Viagra, but unregulated and dangerous.

Low testosterone? Get it checked. About 25% of men with ED have low T. Testosterone replacement therapy can help - but only if your levels are truly low. Taking it when they’re normal can cause heart problems or infertility.

What About the Dapoxetine Part?

The real question isn’t just about erections - it’s about control. If premature ejaculation is your main concern, dapoxetine (sold as Priligy) is the only FDA-approved drug for it. But it’s not approved in the U.S. It’s available in Europe, Australia, and Canada.

Viagra Extra Dosage combines it with sildenafil, but that doesn’t mean it’s better. In fact, combining two drugs increases side effects. Dapoxetine can cause dizziness, especially when taken with sildenafil. The combo also raises the risk of low blood pressure.

A better approach: take sildenafil for ED, and if you need help lasting longer, ask your doctor about taking dapoxetine 1-3 hours before sex - separately. This gives you control over dosage and timing. It’s safer than a pre-mixed pill you can’t verify.

Cost, Safety, and Where to Buy

Viagra Extra Dosage is rarely sold in legitimate pharmacies. Most online sellers are based in Asia or Eastern Europe. They don’t require prescriptions. Their pills aren’t tested. The FDA has warned about counterfeit versions containing toxic substances like rat poison or industrial dyes.

Generic sildenafil? Available at Walmart, CVS, or through mail-order pharmacies for under $1 per tablet. Cialis and Levitra are more expensive but covered by most insurance. Stendra is pricier - around $10-$15 per tablet without insurance.

Always get a prescription. Even if you find a site that sells "Viagra Extra Dosage" without one, you’re risking your heart. Sildenafil can interact dangerously with nitrates (used for chest pain), alpha-blockers, or even some antibiotics. A doctor checks your history, your meds, your blood pressure - and tells you what’s safe.

Which One Should You Choose?

Here’s a quick guide:

• Want spontaneity? Go for Cialis. Works for up to 36 hours.
• Need fast results? Try Levitra or Stendra. Start working in 15-30 minutes.
• On a budget? Use generic sildenafil. Same effect, 90% cheaper.
• Struggling with premature ejaculation? Take dapoxetine separately. Don’t trust combo pills.
• Prefer natural fixes? Lose weight, exercise, sleep better. Often works as well as pills.

There’s no "best" pill. Only the best fit for your body, your goals, and your budget. Most men do fine with 50mg or 100mg of generic sildenafil. You don’t need the extra dapoxetine unless you’ve tried it alone and still need help.

Final Warning: Avoid Unregulated Combo Pills

Viagra Extra Dosage sounds appealing - one pill, two problems solved. But it’s not regulated. It’s not tested. It’s not safe. The risks outweigh the convenience.

Real solutions come from doctors, not shady websites. If you’re embarrassed to talk about ED, start with your primary care doctor. They’ve heard it all. They’ll help you find a safe, effective option - without the hidden dangers of unregulated pills.