Super Tadalis SX may be advertised by some online pharmacies as available without a prescription, but that does not mean it is safe or legally appropriate to use without medical advice. Super Tadalis SX is commonly marketed as a combination of: Tadalafil: Helps treat erectile dysfunction by improving blood flow to the penis. Dapoxetine: Helps manage premature ejaculation by delaying ejaculation. Do you Super Tadalis SX a prescription? A medical consultation is recommended before using this combination. Both ingredients can cause side effects and interact with other medications. Important precautions Avoid taking it with nitrate medications. Do not combine it with other erectile dysfunction medicines. Avoid alcohol because it may increase dizziness and fainting. Seek medical advice if you have heart or blood pressure problems. My recommendation: Consult a qualified doctor before purchasing or using Super Tadalis SX, and buy only from a licensed pharmacy.