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Precautions

Do not use Dapoxetine if:

• you are allergic to your ingredient in Dapoxetine
• you are actually advised from your doctor to avoid sexual activity as a result of cardiovascular disease
• you take nitrates (eg, isosorbide, nitroglycerin) in all forms (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 physician or physician immediately if some of these affect you.

Some health conditions may connect to Dapoxetine. Tell your physician or pharmacist when you have any health concerns, particularly when some of the following apply to you:

• if you take any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• when you have allergies to medicines, foods, or another substances
• when you have a deformed penis (eg, Peyronie disease), blood cell problems (eg, leukemia, sickle cell anemia), or some 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)
• if you have a reputation liver or kidney problems, high or low blood pressure levels, ulcers, bleeding problems, heart disease (eg, heart failure, irregular heartbeat), or circulation system problems
• when you have a good heart attack, stroke, or life-threatening irregular heartbeat, especially within the past half a year.

Some medicines may connect to Dapoxetine. Tell your doctor in the event you are taking every other medicines, especially the following:

• Alpha-blockers (eg, doxazosin), medicines for high blood pressure, nitrates (eg, isosorbide, nitroglycerin), or nitroprusside because severe low hypertension 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 because they may raise the probability of Dapoxetine's unwanted effects
• Bosentan or rifampin since they may decrease Dapoxetine's effectiveness.

This may not be an entire listing of all interactions that will occur. Ask your doctor if Dapoxetine may talk with other medicines that you just take. Check with your medical provider before you decide to start, stop, or alter the dose from a medicine.

Important safety information:

• Dapoxetine may cause dizziness, drowsiness, fainting. These effects may be worse in case you go on it with alcohol or certain medicines. Use Dapoxetine with caution. Do not drive or perform other possible unsafe tasks until you understand how you answer it.
• Dapoxetine could potentially cause dizziness, lightheadedness, or fainting; alcohol, summer, exercise, or fever may increase these effects. To prevent them, crunches or stand slowly, especially in the morning. Sit or take a nap at the first symbol of some of these effects.
• Patients with heart problems taking Dapoxetine may be at increased risk for heart-related negative effects, including heart attack or stroke. Symptoms of an cardiac arrest can include chest, shoulder, neck, or jaw pain; numbness of your arm or leg; severe dizziness, headache, nausea, stomach pain, or vomiting; fainting; or vision changes. Symptoms of an stroke can include confusion, vision or speech changes, one-sided weakness, or fainting. Contact a medical expert or seek medical help immediately if you experience these symptoms.
• Dapoxetine may rarely cause a prolonged (eg, greater than 4 hours) or painful erection. This could happen even if you are certainly not having sex. If this just isn't treated straight away, it may bring about permanent sexual problems like impotence. Contact your doctor without delay if you have an erection that lasts over 4 hours.
• Dapoxetine won't stop the spread of HIV or any other sexually transmitted diseases (STDs) to others through sexual contact. Use barrier methods of contraception (eg, condoms) for those who have HIV infection or even an STD.
• Dapoxetine won't prevent pregnancy. If your partner could become pregnant so you wish to stop pregnancy, be sure to use an effective form of contraceptive.
• Dapoxetinemay uncommonly cause mild, temporary vision changes (eg, blurred vision, sensitivity to light, blue/green color tint to vision). Contact a medical expert if vision changes persist or are severe.
• Do not use other medicines or treatments for ED while you take Dapoxetine without first checking together with your doctor.
• Use Dapoxetine with caution in the elderly; they may be more understanding of its effects.
• Dapoxetine isn't suitable for use in patients younger 18 years.