Extra Super Tadarise is a high-potency combination medication manufactured by Sunrise Remedies in India. Like other similar "super" generics, it combines Tadalafil (40 mg) and Dapoxetine (60 mg) into a single tablet. The maximum FDA-approved dose of Tadalafil is 20 mg, and Dapoxetine is not FDA-approved for use in the United States. Taking 40 mg of Tadalafil significantly increases the risk of cardiovascular side effects, including dangerous drops in blood pressure and priapism.