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Precautions

Do not use Dapoxetine if:

• you are allergic to your ingredient in Dapoxetine
• you happen to be advised because of your doctor to avoid sexual practice because of cardiovascular disease
• you consider nitrates (eg, isosorbide, nitroglycerin) of any type (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 physician right away if any of these sign up for you.

Some medical conditions may talk with Dapoxetine. Tell a medical expert or pharmacist in case you have any medical ailments, particularly if some of the following sign up for you:

• in the event you consider any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• when you have allergies to medicines, foods, or another substances
• for those who have a deformed penis (eg, Peyronie disease), blood cell problems (eg, leukemia, sickle cell anemia), or another condition that will increase the likelihood of a prolonged erection (priapism)
• in case you have a history of an extended (more than 4 hours) or painful erection (priapism)
• if you have a good liver or kidney problems, high or low blood pressure level, ulcers, bleeding problems, heart disease (eg, heart failure, irregular heartbeat), or blood vessel problems
• if you have a good reputation for heart attack, stroke, or life-threatening irregular heartbeat, especially within the past 6 months.

Some medicines may connect to Dapoxetine. Tell your medical provider in the event you are taking any other medicines, especially some of the following:

• Alpha-blockers (eg, doxazosin), medicines for high hypertension, 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 since they may increase the probability of Dapoxetine's unwanted side effects
• Bosentan or rifampin since they may decrease Dapoxetine's effectiveness.

This might not be an entire report on all interactions which could occur. Ask your medical provider if Dapoxetine may talk with other medicines which you take. Check with your health care provider when you start, stop, or customize the dose of the medicine.

Important safety information:

• Dapoxetine could potentially cause dizziness, drowsiness, fainting. These effects could possibly be worse if you go on it with alcohol or certain medicines. Use Dapoxetine with caution. Do not drive or perform other possible unsafe tasks unless you understand how you react to it.
• Dapoxetine may cause dizziness, lightheadedness, or fainting; alcohol, warm weather, exercise, or fever may increase these effects. To prevent them, crunches or stand slowly, especially inside the morning. Sit or lay down at the 1st symbol of these effects.
• Patients with heart problems who take Dapoxetine could be at increased risk for heart-related negative effects, including cardiac event or stroke. Symptoms of your heart attack can include chest, shoulder, neck, or jaw pain; numbness of your arm or; severe dizziness, headache, nausea, stomach pain, or vomiting; fainting; or vision changes. Symptoms of the stroke can include confusion, vision or speech changes, one-sided weakness, or fainting. Contact a medical expert or seek medical assistance straight away in case you experience these symptoms.
• Dapoxetine may rarely cause an extended (eg, a lot more than 4 hours) or painful erection. This could happen even when you aren't having sex. If this just isn't treated immediately, it might lead to permanent sexual problems such as impotence. Contact your medical professional immediately if you have an erection that lasts greater than 4 hours.
• Dapoxetine does not stop the spread of HIV and other sexually transmitted diseases (STDs) to others through sexual contact. Use barrier methods of birth control method (eg, condoms) in case you have HIV infection or even an STD.
• Dapoxetine won't prevent pregnancy. If your partner can become pregnant and you also wish to avoid pregnancy, be sure to work with an effective form of birth control method.
• Dapoxetinemay uncommonly cause mild, temporary vision changes (eg, blurred vision, sensitivity to light, blue/green color tint to vision). Contact your medical professional if vision changes persist or are severe.
• Do not use other medicines or treating ED while you take Dapoxetine without first checking with your doctor.
• Use Dapoxetine with caution in the elderly; they may be more understanding of its effects.
• Dapoxetine is not appropriate for use in patients younger 18 years.