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Extra Super Tadarise is a combination medication that contains two active ingredients: tadalafil (40 mg) and dapoxetine (60 mg). Tadalafil is a phosphodiesterase type 5 (PDE5) inhibitor, similar to sildenafil and vardenafil. It helps men with ED achieve and maintain an erection when sexually aroused by increasing blood flow to the penis. Dapoxetine is a selective serotonin reuptake inhibitor (SSRI) that is used to treat premature ejaculation. It helps delay ejaculation and improves control over when ejaculation occurs.