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Precautions

Do not use Dapoxetine if:

• you are allergic to your ingredient in Dapoxetine
• you are already advised from your doctor to avoid sexual practice as a result of heart related illnesses
• you consider nitrates (eg, isosorbide, nitroglycerin) in any form (eg, tablet, capsule, patch, ointment), or nitroprusside
• you use certain recreational drugs called "poppers" (eg, amyl nitrate or nitrite, butyl nitrate or nitrite).

Contact your medical professional or doctor straight away if any of these connect with you.

Some health conditions may connect to Dapoxetine. Tell your doctor or pharmacist in case you have any health conditions, particularly if the following connect with you:

• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• in case you have allergies to medicines, foods, or any other substances
• for those who have a deformed penis (eg, Peyronie disease), blood cell problems (eg, leukemia, sickle cell anemia), or other condition that could raise the probability of a prolonged erection (priapism)
• when you have a history of an extended (more than 4 hours) or painful erection (priapism)
• in case you have a history of liver or kidney problems, high or low blood pressure level, ulcers, bleeding problems, heart problems (eg, heart failure, irregular heartbeat), or blood vessel problems
• for those who have a reputation heart attack, stroke, or life-threatening irregular heartbeat, especially within the past six months.

Some medicines may connect to Dapoxetine. Tell your health care provider in case you are taking every other medicines, especially the following:

• Alpha-blockers (eg, doxazosin), medicines for high hypertension, nitrates (eg, isosorbide, nitroglycerin), or nitroprusside because severe low blood pressure levels with dizziness, lightheadedness, and fainting may occur
• Azole antifungals (eg, itraconazole, ketoconazole), H₂ antagonists (eg, cimetidine), HIV protease inhibitors (eg, ritonavir, saquinavir), macrolide antibiotics (eg, erythromycin), narcotic analgesics (eg, dihydrocodeine), or telithromycin given that they may improve the probability of Dapoxetine's side effects
• Bosentan or rifampin since they may decrease Dapoxetine's effectiveness.

This is probably not a complete listing of all interactions that could occur. Ask your medical provider if Dapoxetine may connect to other medicines which you take. Check with your doctor when you start, stop, or alter the dose of the medicine.

Important safety information:

• Dapoxetine could cause dizziness, drowsiness, fainting. These effects could be worse should you go on it with alcohol or certain medicines. Use Dapoxetine with caution. Do not drive or perform other possible unsafe tasks and soon you understand how you answer it.
• Dapoxetine could potentially cause dizziness, lightheadedness, or fainting; alcohol, warm weather, exercise, or fever may increase these effects. To prevent them, crunches or stand slowly, especially inside morning. Sit or take a nap at the very first sign of all of these effects.
• Patients with cardiovascular disease having Dapoxetine might be at increased risk for heart-related unwanted side effects, including cardiac arrest or stroke. Symptoms of your heart attack can include chest, shoulder, neck, or jaw pain; numbness of the arm or leg; severe dizziness, headache, nausea, stomach pain, or vomiting; fainting; or vision changes. Symptoms of your stroke might include confusion, vision or speech changes, one-sided weakness, or fainting. Contact your doctor or seek medical attention straight away in case you experience these symptoms.
• Dapoxetine may rarely cause an extended (eg, greater than 4 hours) or painful erection. This could happen even when you are certainly not having sexual intercourse. If this is not treated right away, it may result in permanent sexual problems like impotence. Contact your doctor straight away if you have an erection that lasts greater than 4 hours.
• Dapoxetine will not stop the spread of HIV or other sexually transmitted diseases (STDs) to others through sexual contact. Use barrier methods of contraception (eg, condoms) for those who have HIV infection or perhaps an STD.
• Dapoxetine will not likely prevent pregnancy. If your partner can become pregnant and you wish to avoid pregnancy, be sure to use an effective form of birth control.
• Dapoxetinemay uncommonly cause mild, temporary vision changes (eg, blurred vision, sensitivity to light, blue/green color tint to vision). Contact your physician if vision changes persist or are severe.
• Do not use other medicines or control of ED while you take Dapoxetine without first checking together with your doctor.
• Use Dapoxetine with caution inside elderly; they could possibly be more understanding of its effects.
• Dapoxetine is not suited to used in patients younger 18 years.