Extra Super P Force is a combination medication that typically contains two active ingredients: Sildenafil (for treating erectile dysfunction) and Dapoxetine (for treating premature ejaculation). While this medication can be effective for many individuals, there are certain situations and conditions in which Extra Super P Force may not work as expected or may not be suitable for use. Here are some scenarios in which Extra Super P Force may not be effective or appropriate:

1. Underlying Medical Conditions: Extra Super P Force is primarily used to treat erectile dysfunction and premature ejaculation. If your sexual difficulties are caused by underlying medical conditions or hormonal imbalances, this medication may not address the root cause. In such cases, a healthcare provider may need to treat the underlying condition first.
   
2. Psychological Factors: If psychological factors such as severe anxiety, depression, or relationship issues are the primary causes of your sexual difficulties, Extra Super P Force may not provide the desired results. Psychological counseling or therapy may be more appropriate.
   
3. Improper Usage: Extra Super P Force should be used as prescribed by a healthcare provider. Using it incorrectly, such as taking the wrong dosage or not following the instructions for timing of use, can reduce its effectiveness.
   
4. Interactions with Medications: Extra Super P Force can interact with certain medications, including nitrates (often used for heart conditions), other medications for erectile dysfunction or premature ejaculation, and some antidepressants. If you are taking any of these medications, it's important to inform your healthcare provider to avoid potential interactions.
   
5. Alcohol or Substance Abuse: Excessive alcohol or substance abuse can contribute to sexual difficulties. If you are using alcohol or substances excessively, addressing these issues may be necessary to improve your sexual health.
   
6. Allergies or Sensitivity: Some individuals may be allergic or sensitive to the active ingredients (Sildenafil and Dapoxetine) in Extra Super P Force. If you experience severe allergic reactions or side effects, the medication may not be suitable for you.
   
7. Not Suitable for All Men: Extra Super P Force is not recommended for all men, especially those with certain medical conditions, a history of cardiovascular problems, or a risk of priapism (prolonged and painful erections). Your healthcare provider can assess your suitability for the medication.
   

It's crucial to consult with a healthcare provider before using Extra Super P Force or any medication for sexual dysfunction. They can evaluate your specific situation, assess any underlying causes, and determine the most appropriate treatment plan for you. In some cases, alternative treatments or therapies may be recommended.