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  3. Extreme + Tablet DT

Extreme + Tablet DT, Pack of 1 Tablet
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Written By Santoshini Reddy G , M Pharmacy
Reviewed By Bayyarapu Mahesh Kumar , M Pharmacy

Extreme + Tablet DT is used to treat erectile dysfunction (impotence) and benign prostatic hyperplasia (BPH). It contains Tadalafil, which works by relaxing the blood vessels in the penis; this allows the blood to flow into the penis when the person is sexually excited. Thereby, it helps to treat erectile dysfunction. It relaxes the bladder and prostate muscles, thereby reducing enlarged prostate symptoms such as difficulty in urination and urgent need to urinate. In some cases, you may experience common side effects such as headache, back pain, muscle pain, pain in the legs and arms, nasal congestion, indigestion, and facial flushing.

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Composition :

TADALAFIL-5MG

Consume Type :

ORAL

Return Policy :

Not Returnable

About Extreme + Tablet DT

Extreme + Tablet DT belongs to the group of medicines called phosphodiesterase type 5 (PDE 5) inhibitors, primarily used to treat erectile dysfunction (impotence) and benign prostatic hyperplasia (BPH). Erectile dysfunction is the inability to keep a hard and erect penis suitable for sexual activity. Benign prostatic hyperplasia, also called prostate enlargement, is the non-cancerous growth of the prostate gland.

Extreme + Tablet DT contains ‘Tadalafil’, which works by relaxing the blood vessels in the penis; this allows the blood to flow into the penis when the person is sexually excited. Thereby, it helps to treat erectile dysfunction. Extreme + Tablet DT relaxes the bladder and prostate muscles, thereby reducing enlarged prostate symptoms such as difficulty in urination and urgent need to urinate.

You are advised to take Extreme + Tablet DT for as long as your doctor has prescribed it for you, depending on your medical condition. In some cases, you may experience certain common side effects, such as headache, back pain, muscle pain, pain in the legs and arms, nasal congestion, indigestion, and facial flushing. Most of these side effects do not require medical attention and will resolve gradually over time. However, you are advised to talk to your doctor if you experience these side effects persistently.

Do not take Extreme + Tablet DT if you are taking nitrates (used to treat angina), riociguat (used to treat pulmonary hypertension) or alpha-blockers; if you have heart problems or stroke, low blood pressure or uncontrolled high blood pressure. Extreme + Tablet DT is not intended for use in women. Extreme + Tablet DT may cause dizziness, so drive with caution. Avoid consuming alcohol as it might cause increased dizziness. Extreme + Tablet DT should not be given to children as safety and effectiveness have not been established. Keep your doctor informed about your health condition and the medicines you are taking to avoid unpleasant side effects.

Uses of Extreme + Tablet DT

Extreme + Tablet DT is used in the treatment of erectile dysfunction (impotence) and benign prostatic hyperplasia (BPH). The detailed uses of Extreme + Tablet DT are as follows:

  • Treatment for Erectile Dysfunction: Extreme + Tablet DT is frequently prescribed to men in order to help them attain and sustain an erection during intercourse.
  • Treatment of Benign Prostatic Hyperplasia: Extreme + Tablet DT can also be used to reduce the symptoms of benign prostatic hyperplasia (BPH), such as frequent urination and trouble urinating.
  • Treatment of Pulmonary Arterial Hypertension: Extreme + Tablet DT can be used to treat pulmonary arterial hypertension (PAH), which helps affected individuals to exercise more and postpone clinical deterioration.
  • Enhancement of Sexual Performance: Extreme + Tablet DT helps many users feel more confident and satisfied during intimate moments, in addition to treating erectile dysfunction.

Directions for Use

• Take Extreme + Tablet DT with or without food or as advised by a doctor. • Recommended to take the medicine at least 30 minutes before sex or as advised by your doctor. • Keep the medicine in the mouth and allow it to disintegrate. • Do not swallow as a whole.

Medicinal Benefits

Extreme + Tablet DT belongs to the group of medicines called phosphodiesterase type 5 (PDE 5) inhibitors. Extreme + Tablet DT is used to treat erectile dysfunction (impotence) and benign prostatic hyperplasia (BPH). Extreme + Tablet DT works by relaxing the blood vessels in the penis; this allows the blood to flow into the penis when the person is sexually excited. Thereby, it helps to treat erectile dysfunction. Extreme + Tablet DT relaxes the bladder and prostate muscles, thereby reducing enlarged prostate symptoms such as difficulty in urination and urgent need to urinate.

How Extreme + Tablet DT Works

Extreme + Tablet DT contains Tadalafil, which works by relaxing the blood vessels in the penis; this allows the blood to flow into the penis when the person is sexually excited. Thereby, it helps to treat erectile dysfunction. Extreme + Tablet DT relaxes the bladder and prostate muscles, thereby reducing enlarged prostate symptoms such as difficulty in urination and urgent need to urinate.

Storage

• Store in a cool and dry place away from sunlight. • Keep out of sight and reach of children. • Non cold chain - To be stored in cool places at 10ºC to 25ºC or below 30ºC.
Side effects of Extreme + Tablet DT
Managing Medication-Triggered Flushing (Reddening of the skin): A Step-by-Step Guide:
  • Consult your doctor if you experience skin redness, itching, or irritation after taking medication.
  • Your doctor may adjust your treatment plan by changing your medication or providing guidance on managing your erythema symptoms.
  • Your doctor may recommend or prescribe certain medications to help alleviate symptoms.
  • Apply cool compresses or calamine lotion to the affected skin area to reduce redness and itching.
  • Stay hydrated by drinking plenty of water to help alleviate symptoms and keep your skin hydrated.
  • Monitor your skin condition closely and promptly report any changes, worsening symptoms, or concerns to your healthcare provider.
Here are the step-by-step strategies to manage the side effects of "indigestion" caused by medication usage:
  • Take medications with food (if recommended): It can help prevent stomach distress and indigestion.
  • Eat smaller, more frequent meals: Divide daily food intake into smaller, more frequent meals to ease digestion.
  • Avoid trigger foods: Identify and avoid foods that trigger indigestion, such as spicy, fatty, or acidic foods.
  • Stay upright after eating: Sit or stand upright for at least 1-2 hours after eating to prevent stomach acid from flowing into the oesophagus.
  • Avoid carbonated drinks: Avoid drinking carbonated beverages, such as soda or beer, which can worsen indigestion.
  • Manage stress: To alleviate indigestion, engage in stress-reducing activities like deep breathing exercises or meditation.
  • Consult a doctor if needed: If indigestion worsens or persists, consult a healthcare professional to adjust the medication regimen or explore alternative treatments.
Here are the step-by-step strategies to manage the side effects of " Muscle Pain" caused by medication usage:
  • Report to Your Doctor: Inform your doctor about the muscle pain, as they may need to adjust your medication.
  • Stretch Regularly: Gentle stretching can help relieve muscle pain and stiffness.
  • Stay Hydrated: Adequate water intake supports muscle health by removing harmful substances and maintaining proper muscle function.
  • Warm or Cold Compresses: Apply cold or warm compresses to the affected area to reduce pain and inflammation.
  • Rest and Relaxation: Adequate rest helps alleviate muscle strain, while relaxation techniques like deep breathing and meditation can soothe muscle tightness, calm the mind, and promote relief from discomfort.
  • Gentle Exercise: Participate in low-impact activities, such as yoga or short walks, to improve flexibility, reduce muscle tension, and alleviate discomfort.
  • Consult a physician: If your symptoms don't improve or get worse, go to the doctor for help and guidance.
Dealing with Medication-Induced Headache:
  • Hydrate your body: Drink enough water to prevent dehydration and headaches.
  • Calm Your Mind: Deep breathing and meditation can help you relax and relieve stress.
  • Rest and Recharge: Sleep for 7-8 hours to reduce headache triggers.
  • Take rest: lie down in a quiet, dark environment.
  • Cold or warm compresses can help reduce tension.
  • Stay Upright: Maintain good posture to keep symptoms from getting worse.
  • To treat headaches naturally, try acupuncture or massage therapy.
  • Over-the-counter pain relievers include acetaminophen and ibuprofen.
  • Prescription Assistance: Speak with your doctor about more substantial drug alternatives.
  • Severe Headaches: Seek emergency medical assistance for sudden, severe headaches.
  • Frequent Headaches: If you get reoccurring headaches, consult your doctor.
  • Headaches with Symptoms: Seek medical attention if your headaches include fever, disorientation, or weakness.
Here are the steps to manage the medication-triggered Common Cold:
  • Inform your doctor about the common cold symptoms you're experiencing due to medication.
  • Your doctor may adjust your treatment plan, which could include changing your medication, adding new medications, or offering advice on managing your symptoms.
  • Practice good hygiene, including frequent handwashing, avoiding close contact with others, and avoiding sharing utensils or personal items.
  • Drink plenty of fluids, such as warm water or soup, to help thin out mucus.
  • Get plenty of rest and engage in stress-reducing activities to help your body recover. If your symptoms don't subside or worsen, consult your doctor for further guidance.
  • Eat fatty fish rich in omega-3 fatty acids to reduce inflammation.
  • Add whole grains such as brown rice, quinoa, and whole wheat bread to your diet for a nutritional boost.
  • Add nuts and seeds like almonds, walnuts, chia seeds for anti-inflammatory benefits.
  • Eat dark leafy greens like spinach, kale, collard greens for antioxidants.
  • Include berries like blueberries, strawberries, raspberries for anti-inflammatory properties.
  • Rest and take a break from usual activities.
  • Apply ice for 15-20 minutes, 3 times a day to reduce pain and inflammation.
  • Use compression with a stretchable bandage or wrap to lessen swelling and provide support.
  • Avoid strenuous activities and rest the affected area.
  • Try light stretching with gentle exercises to maintain flexibility.
  • Consider OTC pain medications like ibuprofen or acetaminophen but consult a doctor before taking any medication.
Managing Medication-Triggered UTIs: A Comprehensive Approach:
  • Inform your doctor about the medication you're taking and the UTI symptoms you're experiencing.
  • Your doctor may adjust your medication regimen or consider alternative medications or dosages that may reduce the risk of UTIs.
  • Drink plenty of water (at least 8-10 glasses a day) to help flush out bacteria. Avoid sugary drinks and caffeine, which can exacerbate UTI symptoms.
  • Urinate when you feel the need rather than holding it in. This can help prevent bacterial growth and reduce the risk of UTIs.
  • Consider cranberry supplements: Cranberry supplements may help prevent UTIs by preventing bacterial adhesion.
  • Monitor UTI symptoms and report any changes to your doctor.
  • If antibiotics are prescribed, take them as directed and complete the full course.

What if I have taken an overdose of Extreme + Tablet DT

Do not take more than the prescribed dose of Extreme + Tablet DT as it may cause overdose, which may worsen common adverse effects such as dizziness, headache, low blood pressure, and in rare cases, priapism (prolonged erection of the penis ). If you suspect you have taken an overdose or notice signs of overdose, please consult a doctor immediately.

Drug Warnings

Do not take Extreme + Tablet DT if you are allergic to any of its contents; if you are taking nitrates (used to treat angina), riociguat (used to treat pulmonary hypertension) or alpha-blockers; if you have heart problems or stroke, low blood pressure or uncontrolled high blood pressure, if you ever had a loss of vision. Inform your doctor if you have sickle cell anaemia (abnormal red blood cells), multiple myeloma (cancer of bone marrow), leukaemia (blood cell cancer), deformation in the penis, severe kidney or liver problems. Consult your doctor immediately if you experience loss of vision or hearing while taking Extreme + Tablet DT. Extreme + Tablet DT may cause dizziness, so drive with caution. Avoid consuming alcohol as it might cause increased dizziness. Extreme + Tablet DT should not be given to children as safety and effectiveness have not been established.

Drug-Drug Interactions

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TadalafilAmyl nitrite
Critical
TadalafilIsosorbide mononitrate
Critical

Drug-Drug Interactions

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TadalafilAmyl nitrite
Critical
How does the drug interact with Extreme + Tablet DT:
Taking Extreme + Tablet DT with Amyl Nitrite can increase the risk or severity of low blood pressure.

How to manage the interaction:
Taking Extreme + Tablet DT with Amyl nitrite is generally avoided as it can lead to interaction. They can be taken only when advised by a doctor. Seek immediate medical attention if you experience symptoms like dizziness, or heart palpitations. Do not discontinue any medications without consulting a doctor.
TadalafilIsosorbide mononitrate
Critical
How does the drug interact with Extreme + Tablet DT:
Coadministration of Extreme + Tablet DT with Isosorbide mononitrate can increase the risk or severity of low blood pressure.

How to manage the interaction:
Taking Isosorbide mononitrate with Extreme + Tablet DT is not recommended, but it can be taken together if prescribed by a doctor. However, consult a doctor if you experience dizziness, or heart palpitations. Do not discontinue any medications without consulting a doctor.
TadalafilIsosorbide dinitrate
Critical
How does the drug interact with Extreme + Tablet DT:
Taking Extreme + Tablet DT with Isosorbide dinitrate can increase the risk or severity of low blood pressure.

How to manage the interaction:
Taking Isosorbide dinitrate with Extreme + Tablet DT is not recommended, but it can be taken together if prescribed by a doctor. However, consult a doctor if you experience dizziness, or heart palpitations. Do not discontinue any medications without consulting a doctor.
TadalafilNitroprusside
Critical
How does the drug interact with Extreme + Tablet DT:
Taking Extreme + Tablet DT with Nitroprusside can increase the risk or severity of low blood pressure.

How to manage the interaction:
Taking Extreme + Tablet DT with Nitroprusside is generally avoided as it can lead to an interaction, but it can be taken if prescribed by a doctor. If you experience dizziness, or heart palpitations, seek immediate medical attention. Do not discontinue any medications without consulting a doctor.
TadalafilRiociguat
Critical
How does the drug interact with Extreme + Tablet DT:
Taking Extreme + Tablet DT with Riociguat may increase the risk or severity of lower the blood pressure.

How to manage the interaction:
Taking Riociguat with Extreme + Tablet DT is generally not recommended as it can lead to an interaction, but it can be taken together if prescribed by a doctor. However, if you experience dizziness, headache, and nasal congestion consult a doctor. Do not discontinue any medications without consulting a doctor.
TadalafilCeritinib
Severe
How does the drug interact with Extreme + Tablet DT:
Coadministration of Extreme + Tablet DT with Ceritinib may significantly increase the blood levels and effects of Extreme + Tablet DT.

How to manage the interaction:
Although taking Extreme + Tablet DT with Ceritinib together can cause an interaction, it can be taken if a doctor has suggested it. If you notice trouble breathing, problems with your eyesight, trouble hearing, chest pain, a fast or irregular heartbeat. Do not discontinue any medications without consulting a doctor.
TadalafilMiconazole
Severe
How does the drug interact with Extreme + Tablet DT:
Coadministration of Miconazole with Extreme + Tablet DT may increase blood levels and effects of Extreme + Tablet DT. This can increase the risk or severity of side effects.

How to manage the interaction:
Although there is a possible interaction between miconazole and Extreme + Tablet DT, you can take these medicines together if prescribed by a doctor. However, consult a doctor immediately if you experience shortness of breath, dizziness, visual disturbances, or irregular heartbeat. Do not stop using medications without a doctor's advice.
TadalafilTelithromycin
Severe
How does the drug interact with Extreme + Tablet DT:
Using Extreme + Tablet DT with Telithromycin may significantly increase the blood levels and effects of Extreme + Tablet DT. This can increase the risk or severity of side effects.

How to manage the interaction:
Co-administration of Extreme + Tablet DT with Telithromycin can result in an interaction, but it can be taken if a doctor has advised it. Contact a doctor if you experience shortness of breath, visual disturbances, hearing loss, or irregular heartbeat consult a doctor immediately. Do not discontinue any medications without consulting a doctor.
TadalafilSildenafil
Severe
How does the drug interact with Extreme + Tablet DT:
Coadministration of Extreme + Tablet DT and Sildenafil may increase the risk of developing low blood pressure.

How to manage the interaction:
Coadministration of Extreme + Tablet DT and Sildenafil can lead to an interaction, but it can be taken if a doctor advises. However, if you experience dizziness, headache, heart palpitations consult a doctor immediately. Do not stop using any medications without a doctor's advice.
TadalafilKetoconazole
Severe
How does the drug interact with Extreme + Tablet DT:
Coadministration of Ketoconazole with Extreme + Tablet DT may increase the blood levels and effects of Extreme + Tablet DT. This can increase the risk or severity of side effects.

How to manage the interaction:
Although taking Ketoconazole and Extreme + Tablet DT together can result in an interaction, it can be taken if a doctor has prescribed it. However, if your condition worsens or you experience any symptoms like chest pain or tightness, irregular heartbeat, shortness of breath, consult a doctor. Do not stop using any medications without a doctor's advice.

Drug-Food Interactions

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TADALAFIL-5MGGrapefruit and Grapefruit Juice
Moderate

Drug-Food Interactions

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TADALAFIL-5MGGrapefruit and Grapefruit Juice
Moderate
Common Foods to Avoid:
Grapefruit Juice

How to manage the interaction:
Drinking large amounts of grapefruit juice with Extreme + Tablet DT may increase the blood levels and effects of Extreme + Tablet DT. Avoid or limit drinking grapefruit juice while being treated with Extreme + Tablet DT.

Diet & Lifestyle Advise

Erectile dysfunction:

  • Maintaining a healthy weight, eating a balanced diet, and regular exercising may help you manage erectile dysfunction.
  • Avoid alcohol consumption, as it may temporarily impair your ability to get an erection.
  • Avoid the usage of tobacco.
  • Share intimate time with your partner.
  • Stay sexually active to prevent further problems with erectile dysfunction.

Benign prostatic hyperplasia (BPH): 

  • Avoid foods like sugars, carbonated beverages, tea, citrus fruits, tomatoes, spicy foods, chocolate and tea.
  • Limit fluid intake, as excess fluid intake could cause an urge to urinate frequently.
  • Avoid drinking excess alcohol or caffeinated drinks, as they can worsen the symptoms.
  • Maintain a healthy weight and exercise regularly.
  • Quit smoking.
  • Take 6-8 glasses of liquids every day.
  • Avoid processed foods. Instead, choose whole, unprocessed foods.
  • Include fruits, vegetables, and fibre-rich food in your diet.

Habit Forming

No

Therapeutic Class

PDE5-INHIBITORS, BPH AGENTS

Extreme + Tablet DT Substitute

Substitutes safety advice

Product Substitutes

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Alcohol

Unsafe

You are advised not to consume alcohol while taking Extreme + Tablet DT as it may cause increased dizziness.

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Pregnancy

Unsafe

Extreme + Tablet DT is not recommended for use in pregnancy.

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Breast Feeding

Unsafe

Extreme + Tablet DT is not recommended for use during breastfeeding.

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Driving

Caution

Extreme + Tablet DT may cause dizziness. Therefore you are advised to drive and operate machinery only if you are alert.

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Liver

Caution

Dose adjustment may be needed. Please consult your doctor before taking Extreme + Tablet DT if you have liver impairment/liver disease or any concerns regarding this.

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Kidney

Caution

Dose adjustment may be needed. Please consult your doctor before taking Extreme + Tablet DT if you have kidney impairment/kidney disease or any concerns regarding this.

bannner image

Children

Unsafe

Extreme + Tablet DT should not be given to children as the safety and effectiveness have not been established.

Have a query?

FAQs

Extreme + Tablet DT is used to treat Erectile dysfunction (impotence), benign prostatic hyperplasia (BPH), and Pulmonary arterial hypertension (PAH).

Extreme + Tablet DT relaxes the muscles in the bladder and prostate, thereby reducing the symptoms of benign prostatic hyperplasia (BPH) or enlarged prostate, such as difficulty in urination and urgent need to urinate.

No, do not take Extreme + Tablet DT with nitrates. Taking Extreme + Tablet DT with medicines used to treat angina/chest pain, such as nitrates/nitroglycerin, may cause severe lowering of blood pressure. You are advised not to take Extreme + Tablet DT if you are taking nitrates or have a history of heart attack/stroke.

Extreme + Tablet DT works by relaxing the blood vessels in the penis, thereby allows the blood flow into the penis when the person is sexually excited.

Common side-effects of Extreme + Tablet DT may include headache, back pain, muscle pain, pain in the legs and arms, nasal congestion, indigestion, and facial flushing. Most of these side-effects do not require medical attention and will resolve gradually. However, you are advised to talk to your doctor if you experience these side-effects persistently.

Extreme + Tablet DT taken up to once daily for 18 to 24 months was safe and well tolerated. These findings support the long-term use of Tadalafil in the clinical management of erectile dysfunction. However, it is recommended to take only if prescribed by the doctor.

Extreme + Tablet DT is a safe and effective medication. However, Tadalafil is not suitable for some people. To ensure it's safe for you, tell your doctor if you have ever had an allergic reaction to Tadalafil or any other medicine. are taking medicines or having any underlying medical conditions.

Extreme + Tablet DT contains Tadalafil, which works by relaxing the blood vessels in the penis, thereby allowing the blood to flow into the penis when the person is sexually excited.

There is no evidence that consuming Tadalafil reduces fertility in either women or men. However, consult a doctor before using it if you're trying to conceive.

Alcohol can make it more challenging to get an erection. To get the most out of Tadalafil, avoid excessive drinking before taking it.

If you have a sudden loss of vision or sudden problems with your hearing – stop taking Tadalafil if this happens. You have a prolonged or painful erection, especially if it lasts for more than 2 hours.

No – do not take Extreme + Tablet DT more than once a day.

If you're taking Tadalafil to treat erectile dysfunction, you should be able to get an erection within 30 minutes to 36 hours. You must be sexually excited for it to operate. Your erection should subside after you have sex.

Erectile dysfunction can often be improved if you make changes to your lifestyle, such as maintaining a healthy weight, quitting smoking, cutting down on the amount of alcohol you drink, not taking recreational drugs, exercising and reducing stress.

Country of origin

India
Other Info - EX23078

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Author Details

Santoshini Reddy GDoctor badge

Written By

Santoshini Reddy G

M Pharmacy

Bayyarapu Mahesh KumarDoctor badge

Reviewed By

Bayyarapu Mahesh Kumar

M Pharmacy

Last Updated

Aug 5, 2025 | 12:45 PM IST

Doctor imageWe provide you with authentic, trustworthy and relevant information

Reference

  1. https://www.accessdata.fda.gov/drugsatfda_docs/label/2011/021368s20s21lbl.pdf
  2. https://www.medicines.org.uk/emc/files/pil.10019.pdf
  3. https://www.nhs.uk/medicines/tadalafil/
  4. https://www.drugs.com/tadalafil.html
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