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extra super tadarise is a combination of tadalafil (40 mg) and dapoxetine (60 mg). Dapoxetine is an ssri inhibitor. It inhibits serotonin reuptake, increases its action at the post-synaptic cleft and helps prevent premature ejaculation. tadalafil is a phosphodiesterase type 5 inhibitor. Its pde5 inhibiting action releases more of cgmp in the corpus cavernosum of a . An increased level of cgmp relaxes the smooth muscles of the arteries and improves blood flow. The improved blood flow helps in an effective erection.