Extra Super VegaForce 200 mg tablets are a combination medication containing sildenafil citrate and dapoxetine, used to treat erectile dysfunction and premature ejaculation in adult men. The high 200mg dosage suggests a higher concentration of the active ingredients, which can increase the risk of serious side effects like priapism (a painful erection), vision or hearing loss, and a sudden drop in blood pressure. It should be taken as prescribed by a doctor, typically 1 to 3 hours before sexual activity, and not more than once every 24 hours.