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DA Sutra Supermax 4S Tablet

Written By Dr. Lipika Khurana, PGDHHM, BDS
Reviewed By Dr. Rajeev Sharma, MBA, MBBS
Last updated on 09 Apr 2026 | 08:39 PM (IST)
DA Sutra Supermax 4S Tablet is a medicine used in the treatment of erectile dysfunction and premature ejaculation in adult men. DA Sutra Supermax 4S Tablet works by helping to relax the blood vessels in your penis, allowing blood to flow into your penis when you get sexually excited.
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DA Sutra Supermax 4S Tablet image
DA Sutra Supermax 4S Tablet image

Product introduction

DA Sutra Supermax 4S Tablet can be taken with or without food. Take it as advised by your doctor before having sexual activity. It should be used with caution in patients with a history of seizures, depression, and other psychiatric disorders. Inform your doctor if you have any history of heart, kidney, or liver diseases.


Some common side effects of this medicine include nausea, vomiting, indigestion, dry mouth, headache, flushing (sense of warmth in the face, ears, neck, and trunk), and nosebleeds. It even causes dizziness and sleepiness, so do not drive or do anything that requires mental focus until you know how this medicine affects you.

Uses of DA Sutra Tablet

  • Treatment of Erectile dysfunction : DA Sutra Supermax 4S Tablet helps improve blood flow to the penis, helping achieve and maintain an erection during sexual activity.
  • Treatment of Premature ejaculation

Benefits of DA Sutra Tablet

Treatment of Erectile dysfunction
DA Sutra Supermax 4S Tablet relaxes the blood vessels in your penis. This allows blood to flow into the penis and produce an erection when sexually aroused. This medicine will only help get an erection if you are sexually stimulated. Follow your doctor’s instructions carefully to get the most benefit.
Treatment of Premature ejaculation
Premature ejaculation is a condition in which a man ejaculates sooner than desired during sexual activity. DA Sutra Supermax 4S Tablet helps treat premature ejaculation by increasing the level of certain chemicals in the brain that help delay ejaculation. This increases the time taken to ejaculate and improves control over ejaculation. DA Sutra Supermax 4S Tablet may also help maintain an erection by improving blood flow to the penis during sexual stimulation.

Side effects of DA Sutra Tablet

Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them
Common side effects of DA Sutra
  • Indigestion
  • Flatulence
  • Stomach discomfort
  • Abdominal distension
  • Dryness in mouth
  • Nausea
  • Sinus infection
  • Yawning
  • Insomnia (difficulty in sleeping)
  • Abnormal dreams
  • Decreased libido
  • Sweating
  • Diarrhea
  • Vomiting
  • Constipation
  • Abdominal pain
  • Upper abdominal pain
  • Irritability
  • Erectile dysfunction
  • Ringing in ear
  • Flushing (sense of warmth in the face, ears, neck and trunk)
  • Blurred vision
  • Dizziness
  • Headache
  • Anxiety
  • Agitation
  • Restlessness

How to use DA Sutra Tablet

Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. DA Sutra Supermax 4S Tablet may be taken with or without food.

How DA Sutra Tablet works

DA Sutra Supermax 4S Tablet is a combination of two medicines: sildenafil and dapoxetine. It is used to treat erectile dysfunction and premature ejaculation in men. Sildenafil is a phosphodiesterase type 5 (PDE-5) inhibitor. It works by increasing blood flow to the penis during sexual stimulation, helping achieve and maintain an erection. Dapoxetine is a selective serotonin reuptake inhibitor (SSRI). It increases the level of serotonin in the nervous system, which helps delay ejaculation and improve control over ejaculation.

Quick tips

  • DA Sutra Supermax 4S Tablet is prescribed for the treatment of premature ejaculation associated with erectile dysfunction.
  • Take DA Sutra Supermax 4S Tablet about 1–3 hours before anticipated sexual activity as directed by your doctor.
  • Do not take DA Sutra Supermax 4S Tablet more than once in 24 hours.
  • DA Sutra Supermax 4S Tablet may cause dizziness, sleepiness, or fainting, so avoid driving or operating machinery until you know how it affects you.
  • Avoid alcohol while taking DA Sutra Supermax 4S Tablet, as it may increase dizziness or fainting risk.
  • Do not combine DA Sutra Supermax 4S Tablet with nitrates (used for chest pain) or recreational “poppers,” as this may cause a dangerous drop in blood pressure.
  • Avoid using DA Sutra Supermax 4S Tablet with other erectile dysfunction or premature ejaculation medicines unless advised by your doctor.
  • Inform your doctor if you take antidepressants or other medicines that affect serotonin levels.
  • Seek urgent medical attention if you develop chest pain, severe dizziness, fainting, or shortness of breath during sexual activity.
  • Seek immediate medical care if an erection lasts longer than 4 hours (priapism).
  • Tell your doctor if you have heart disease, liver or kidney disease, seizures, or bleeding disorders before using DA Sutra Supermax 4S Tablet.
  • Consult your doctor if symptoms persist despite treatment, as lifestyle factors such as stress, sleep, and overall health may also need attention.
  • Avoid heavy meals before taking DA Sutra Supermax 4S Tablet, as it may delay its effect.
  • DA Sutra Supermax 4S Tablet is not intended for use in women.

Safety advice

Alcohol

Alcohol

UNSAFE
Do not drink alcohol while you are taking this medicine. DA Sutra Supermax 4S Tablet may cause excessive drowsiness when taken with alcohol.
Pregnancy

Pregnancy

UNSAFE
DA Sutra Supermax 4S Tablet is highly unsafe during pregnancy. It can cause serious harm to the unborn baby, including birth defects and pregnancy loss. Do not use this medicine if you are pregnant or planning to become pregnant.
Breast feeding

Breast feeding

CONSULT YOUR DOCTOR
DA Sutra Supermax 4S Tablet may be unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm the baby. It should be used only if the expected benefit outweighs the potential risk. Please consult your doctor.
Driving

Driving

UNSAFE
DA Sutra Supermax 4S Tablet may decrease alertness, affect your vision, or make you feel sleepy and dizzy. Do not drive if these symptoms occur.
Kidney

Kidney

CAUTION
DA Sutra Supermax 4S Tablet should be used with caution in patients with severe kidney disease. Dose adjustment may be needed.
Liver

Liver

UNSAFE
DA Sutra Supermax 4S Tablet is unsafe to use in patients with liver disease and should be avoided.

Frequently asked questions

DA Sutra Supermax 4S Tablet is used to treat premature ejaculation and erectile dysfunction in adult men. It helps improve sexual performance by increasing blood flow to the penis, which helps achieve and maintain an erection, and by delaying ejaculation to improve control during intercourse. The medicine works through its active ingredients that relax blood vessels and influence nerve signals related to ejaculation. It should be used only as prescribed by a doctor.
DA Sutra Supermax 4S Tablet should be taken in the dose and timing advised by your doctor. Swallow it whole with water, with or without food, and do not crush or chew it. It is usually taken before planned sexual activity according to your doctor’s instructions. The effect may last for several hours, but the exact duration can vary between individuals.
No, DA Sutra Supermax 4S Tablet should not be taken more than once in 24 hours. Taking it more frequently than recommended may increase the risk of side effects and complications. Always follow the dosing schedule prescribed by your doctor.
If you miss a planned dose, skip it and take the next dose only before your next planned sexual activity. Do not take extra doses.
Avoid drinking alcohol while taking DA Sutra Supermax 4S Tablet because alcohol may increase side effects such as dizziness or drowsiness. Avoid driving or operating machinery until you know how the medicine affects you. Inform your doctor if you have recently had a heart attack, stroke, or if you experience an erection lasting longer than four hours.
Avoid alcohol while taking DA Sutra Supermax 4S Tablet, as it may increase side effects like dizziness, fainting, and reduced effectiveness.Alcohol may increase side effects such as dizziness, stomach upset, dehydration, or sleepiness.
DA Sutra Supermax 4S Tablet may cause side effects in some people, including stomach upset, dizziness, headache, flushing, sleepiness, or mild digestive discomfort. These effects are usually mild and temporary. Stop using the medicine and seek medical help immediately if you experience breathing difficulty, severe rash, fainting, swelling of the face, or other serious symptoms.
Stop using DA Sutra Supermax 4S Tablet and contact your doctor if you experience severe side effects such as chest pain, breathing difficulty, severe dizziness, fainting, or an erection lasting longer than four hours. Also consult your doctor if the medicine does not improve your symptoms or causes persistent discomfort.
DA Sutra Supermax 4S Tablet should be used cautiously in people with kidney disease and only under medical supervision. Reduced kidney function may affect how the medicine is processed in the body and may increase the risk of side effects. Consult your doctor before using it if you have kidney problems.
DA Sutra Supermax 4S Tablet should be used carefully in people with liver disease because the liver processes many medicines. Liver problems may change how strongly the medicine works or how long it stays in the body. Seek medical advice if you notice symptoms such as yellowing of the eyes or skin, dark urine, severe nausea, or unusual fatigue.
Yes, DA Sutra Supermax 4S Tablet may interact with other medicines. Always inform your doctor about all medicines you are taking, including over-the-counter products and supplements. Certain medicines may increase side effects or reduce the effectiveness of treatment, so always check with your doctor before combining it with other medications.

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Tata 1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover everything about particular health conditions, lab tests, medicines, all possible side effects, drug interactions, warnings, alerts, etc. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.

Marketer details

Name: Hetero Drugs Ltd
Address: 7-2-A2, Hetero Corporate, Industrial Estates, Sanath Nagar, Hyderabad – 500 018. Telangana, INDIA

Vendor Details

Country of origin: India
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