Extra Super Tadarise, which combines Tadalafil (20 mg) and Dapoxetine (60 mg), is generally considered safe for short-term use under medical supervision. However, its long-term use requires careful consideration and monitoring. Here are some factors to consider:

Medical Supervision: Long-term use of any medication should be under the guidance of a healthcare provider. Regular check-ups are important to monitor for any potential side effects or interactions with other medications.

Potential Side Effects: Both Tadalafil and Dapoxetine have side effects, such as headaches, dizziness, nausea, and potential cardiovascular issues. Long-term use may increase the likelihood of these side effects or cause new issues.

Underlying Health Conditions: Individuals with pre-existing conditions such as heart disease, liver or kidney problems, or mental health disorders should be closely monitored. Adjustments to the dosage or medication might be needed based on their health status.

Effectiveness and Tolerance: Over time, the effectiveness of the medication may change, and tolerance might develop. Your healthcare provider can assess whether the medication continues to be effective and whether any adjustments are needed.

Drug Interactions: If you are on other medications, long-term use of Extra Super Tadarise may interact with them, which could lead to adverse effects or reduced effectiveness of one or more medications.

Psychological Impact: Long-term use of medications for sexual health issues might affect your psychological well-being. It's important to address any underlying issues related to sexual performance with your healthcare provider.

Before using Extra Super Tadarise long-term, discuss your specific situation with your healthcare provider to ensure it is appropriate for your health needs and to develop a plan for monitoring and adjustment.