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To treat male erectile dysfunction and premature ejaculation, Extra Super P Force combines two medications: duloxetine and sildenafil. Phosphodiesterase type 5 inhibitors like sildenafil operate by boosting blood flow to the penis during and after sexual stimulation, allowing for an erection. By increasing serotonin levels in nerves, duloxetine, a selective serotonin reuptake inhibitor, prolongs the period to ejaculation and enhances control over it. Consume this medication according to your doctor's recommended dosage and schedule. Take it all in one go. Never chew on, break, or crush it. It is best to take the Extra Super P Force Tablet at a set time, however it can be taken with or without food.