diff --git a/packages/django-postgres-cache/django_postgres_cache/backend.py b/packages/django-postgres-cache/django_postgres_cache/backend.py
index 11a269d647..98c864e788 100644
--- a/packages/django-postgres-cache/django_postgres_cache/backend.py
+++ b/packages/django-postgres-cache/django_postgres_cache/backend.py
@@ -1,15 +1,21 @@
+import base64
+import pickle  # nosec
+from datetime import UTC, datetime
 from typing import Any
 
+from django.conf import settings
+from django.core.cache.backends.base import DEFAULT_TIMEOUT
 from django.core.cache.backends.db import DatabaseCache as BaseDatabaseCache
+from django.db import DatabaseError
 from django.db.utils import ProgrammingError
 from django.utils.module_loading import import_string
 from django.utils.timezone import now
+from psqlextra.types import ConflictAction
 
 from django_postgres_cache.models import CacheEntry
 
 
 class DatabaseCache(BaseDatabaseCache):
-
     def __init__(self, table: str, params: dict[str, Any]) -> None:
         super().__init__(table, params)
         self.reverse_key_func = import_string(params["REVERSE_KEY_FUNCTION"])
@@ -49,3 +55,87 @@ class DatabaseCache(BaseDatabaseCache):
         if not entry:
             return None
         return int((entry.expires - now()).total_seconds())
+
+    def _base_set_expiry(self, timeout: float | None) -> datetime:
+        timeout = self.get_backend_timeout(timeout)
+        if timeout is None:
+            exp = datetime.max
+        else:
+            tz = UTC if settings.USE_TZ else None
+            exp = datetime.fromtimestamp(timeout, tz=tz)
+        exp.replace(microsecond=0)
+        return exp
+
+    def _base_set_data(
+        self,
+        key: Any,
+        value: Any,
+        timeout: float | None,
+        version: int | None = None,
+    ) -> tuple[str, str, datetime]:
+        key = self.make_and_validate_key(key, version=version)
+        pickled = pickle.dumps(value, self.pickle_protocol)
+        # The DB column is expecting a string, so make sure the value is a
+        # string, not bytes. Refs #19274.
+        b64encoded = base64.b64encode(pickled).decode("latin1")
+
+        return (key, b64encoded, self._base_set_expiry(timeout))
+
+    def touch(
+        self,
+        key: Any,
+        timeout: float | None = DEFAULT_TIMEOUT,
+        version: int | None = None,
+    ) -> bool:
+        key = self.make_and_validate_key(key, version=version)
+        expiry = self._base_set_expiry(timeout)
+        try:
+            count = CacheEntry.objects.filter(cache_key=key).update(expires=expiry)
+            return bool(count != 0)
+        except DatabaseError:
+            return False
+
+    def add(
+        self,
+        key: Any,
+        value: Any,
+        timeout: float | None = DEFAULT_TIMEOUT,
+        version: int | None = None,
+    ) -> bool:
+        key, value, expiry = self._base_set_data(key, value, timeout, version)
+        try:
+            CacheEntry.objects.on_conflict(
+                ["cache_key"],
+                ConflictAction.UPDATE,
+                update_values=dict(
+                    expires=expiry,
+                ),
+            ).insert(
+                cache_key=key,
+                value=value,
+                expires=expiry,
+            )
+            # We don't know if the row already existed, we just return True for success
+            return True
+        except DatabaseError:
+            return False
+
+    def set(
+        self,
+        key: Any,
+        value: Any,
+        timeout: float | None = DEFAULT_TIMEOUT,
+        version: int | None = None,
+    ) -> None:
+        key, value, expiry = self._base_set_data(key, value, timeout, version)
+        CacheEntry.objects.on_conflict(
+            ["cache_key"],
+            ConflictAction.UPDATE,
+        ).insert(
+            cache_key=key,
+            value=value,
+            expires=expiry,
+        )
+
+    def clear(self) -> None:
+        CacheEntry.objects.truncate()
diff --git a/packages/django-postgres-cache/django_postgres_cache/migrations/0002_alter_cacheentry_managers.py b/packages/django-postgres-cache/django_postgres_cache/migrations/0002_alter_cacheentry_managers.py
new file mode 100644
index 0000000000..46791be8f5
--- /dev/null
+++ b/packages/django-postgres-cache/django_postgres_cache/migrations/0002_alter_cacheentry_managers.py
@@ -0,0 +1,20 @@
+# Generated by Django 5.2.7 on 2025-10-28 14:04
+
+import psqlextra.manager.manager
+from django.db import migrations
+
+
+class Migration(migrations.Migration):
+
+    dependencies = [
+        ("django_postgres_cache", "0001_initial"),
+    ]
+
+    operations = [
+        migrations.AlterModelManagers(
+            name="cacheentry",
+            managers=[
+                ("objects", psqlextra.manager.manager.PostgresManager()),  # type: ignore[no-untyped-call]
+            ],
+        ),
+    ]
diff --git a/packages/django-postgres-cache/django_postgres_cache/models.py b/packages/django-postgres-cache/django_postgres_cache/models.py
index caefe2555c..16d05df744 100644
--- a/packages/django-postgres-cache/django_postgres_cache/models.py
+++ b/packages/django-postgres-cache/django_postgres_cache/models.py
@@ -1,12 +1,14 @@
 from django.db import models
+from psqlextra.manager import PostgresManager
 
 
 class CacheEntry(models.Model):
-
     cache_key = models.TextField(primary_key=True)
     value = models.TextField()
     expires = models.DateTimeField(db_index=True)
 
+    objects = PostgresManager()  # type: ignore[no-untyped-call]
+
     class Meta:
         default_permissions = []
 
diff --git a/packages/django-postgres-cache/pyproject.toml b/packages/django-postgres-cache/pyproject.toml
index 71e8f65ef3..cfb62d1607 100644
--- a/packages/django-postgres-cache/pyproject.toml
+++ b/packages/django-postgres-cache/pyproject.toml
@@ -31,6 +31,7 @@ classifiers = [
 
 dependencies = [
   "django >=4.2,<6.0",
+  "django-postgres-extra >=2.0,<2.1",
 ]
 
 [project.urls]
diff --git a/uv.lock b/uv.lock
index e6c2d428aa..b7cbe95461 100644
--- a/uv.lock
+++ b/uv.lock
@@ -1,5 +1,5 @@
 version = 1
-revision = 3
+revision = 2
 requires-python = "==3.13.*"
 
 [manifest]
@@ -1141,10 +1141,14 @@ version = "0.1.0"
 source = { editable = "packages/django-postgres-cache" }
 dependencies = [
     { name = "django" },
+    { name = "django-postgres-extra" },
 ]
 
 [package.metadata]
-requires-dist = [{ name = "django", specifier = ">=4.2,<6.0" }]
+requires-dist = [
+    { name = "django", specifier = ">=4.2,<6.0" },
+    { name = "django-postgres-extra", specifier = ">=2.0,<2.1" },
+]
 
 [[package]]
 name = "django-postgres-extra"