Extra Super P Force should not be used by individuals who are allergic to sildenafil citrate, dapoxetine, or any of the other ingredients in the medication. It is not recommended to be used in combination with certain medications, particularly nitrates (often used to treat chest pain) and other drugs that affect blood pressure. Men with certain medical conditions such as heart disease, liver or kidney problems, bleeding disorders, or a history of stroke should use Extra Super P Force with caution and under medical supervision. https://www.flatmeds.com/product/extra-super-p-force/