Extra Super P Force is a medication that contains two active ingredients: sildenafil citrate and dapoxetine. Sildenafil is primarily used to treat erectile dysfunction (ED), while dapoxetine is used to treat premature ejaculation. It's important to be aware of cardiovascular conditions that may contraindicate the use of Extra Super P Force due to the potential risks and interactions with these medications. Extra Super P Force, like sildenafil-based medications, can lower blood pressure. Individuals with a history of hypotension, uncontrolled low blood pressure, or who are taking medications that lower blood pressure (antihypertensives) should use these medications cautiously. Hypotension can lead to dizziness, fainting, and other adverse effects. Extra Super P Force should not be used by individuals with unstable angina (chest pain) or recent heart attack. These medications can affect blood flow, and individuals with unstable heart conditions may be at increased risk of complications. Extra Super P Force is generally contraindicated in individuals who have had a recent stroke or heart attack (myocardial infarction). These individuals may have compromised cardiovascular health, and the use of these medications can further stress the cardiovascular system. Individuals with severe heart conditions, such as severe heart failure, arrhythmias (irregular heart rhythms), or valvular heart disease, may be at increased risk when using Extra Super P Force. These conditions can make the heart less able to handle the changes in blood pressure associated with these medications. It's crucial to have a thorough discussion with a healthcare provider before using Extra Super P Force or similar medications. Your healthcare provider can evaluate your medical history, conduct a cardiovascular assessment, and determine whether these medications are safe and appropriate for you. Additionally, they can provide guidance on alternative treatments or strategies for managing sexual health concerns if needed. Never self-medicate with Extra Super P Force or any similar medication without professional medical advice.