P Force Extra Super should not be taken by individuals who are allergic to sildenafil citrate, dapoxetine, or any of the other ingredients in the medication. It should also be used with caution in individuals with certain medical conditions such as heart disease, low blood pressure, or liver or kidney impairment. Additionally, P Force Extra Super should not be taken concurrently with nitrates or alpha-blockers due to the risk of a severe drop in blood pressure.