Cenforce D Extra Power is marketed as a combination of sildenafil and dapoxetine, intended for adult men who have both erectile dysfunction (ED) and premature ***** (PE). Product listings are inconsistent about the exact dapoxetine strength, so the actual package/leaflet should be checked. Sildenafil helps improve erectile function by increasing penile blood flow during ***** stimulation. Dapoxetine is used to help delay *****. It is not intended simply for improving ***** performance in men without ED or PE. Because this is a combination of prescription medicines, a clinician should determine whether both ingredients are appropriate. Sildenafil must not be combined with nitrate medicines, while dapoxetine has important interactions with serotonergic medicines and other drugs. One important caution: several current listings describe 100 mg sildenafil + 100 mg dapoxetine, while others list 100 mg sildenafil + 60 mg dapoxetine. That discrepancy makes checking the exact product packaging especially important before use.