Extra Super P Force, which is a combination of Sildenafil (used to treat erectile dysfunction) and Dapoxetine (used for premature ejaculation), can generally be taken either before or after a meal. However, there are a few things to keep in mind for optimal effectiveness:

1. Before a Meal: Taking Extra Super P Force on an empty stomach (about 30 minutes to an hour before eating) might allow the medication to work faster, as food, especially heavy or fatty meals, can slow down the absorption of Sildenafil.

2. After a Meal: You can take it after a meal as well, but be aware that if the meal is particularly large or fatty, it might delay the time it takes for the medication to start working.

For best results, it’s often recommended to take it about 30 minutes to an hour before sexual activity, regardless of when you eat. Just avoid high-fat meals right before taking the pill if you're aiming for quicker effects. If you have specific concerns about how the medication might affect you personally, it's always a good idea to consult with your healthcare provider!