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Cenforce D Extra Power is a combination medication used to treat both Erectile Dysfunction and Premature Ejaculation in men. It typically contains sildenafil citrate (a PDE5 inhibitor) along with dapoxetine (a short-acting SSRI). Sildenafil works by increasing blood flow to the penis, helping achieve and maintain a firm erection during sexual stimulation. Dapoxetine helps delay ejaculation by acting on serotonin levels in the brain, improving control over climax and extending sexual duration. Together, they address both erection quality and timing.