The effects of Extra Super Vidalista, which contains a combination of Tadalafil (the same active ingredient as Vidalista) and Dapoxetine, typically vary depending on individual factors, but here’s a general overview:

1. Immediate Effects:

   • Tadalafil generally starts to work within 30 minutes to an hour after taking it, with its peak effect occurring around 2 hours. However, some people may feel the effects sooner, and it can last up to 36 hours.
   • The Dapoxetine (for premature ejaculation) is usually absorbed more quickly, providing effects within about 1 to 3 hours after ingestion.

2. Gradual Effects:

   • While the effects of Tadalafil may be felt sooner, the full benefit of Dapoxetine can take some time, especially for individuals with varying sensitivities to the medication.

In short, you may experience the immediate effects of increased blood flow and improved erectile function, but the full benefits of the combination (especially for managing premature ejaculation) could be more gradual, especially if you're new to the medication or adjusting dosages.