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Precautions

Do not use Dapoxetine if:

• you are allergic to the ingredient in Dapoxetine
• you are already advised because of your doctor in order to avoid intercourse because of heart related illnesses
• you take 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 a medical expert or physician straight away if all of these affect you.

Some medical ailments may interact with Dapoxetine. Tell a medical expert or pharmacist for those who have any medical conditions, especially if some of the following apply to you:

• if you take any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• for those who 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 any other condition that may boost the risk of a prolonged erection (priapism)
• for those who have a history of a prolonged (over 4 hours) or painful erection (priapism)
• when you have a good reputation for liver or kidney problems, high or low hypertension, ulcers, bleeding problems, cardiovascular disease (eg, heart failure, irregular heartbeat), or circulation system problems
• for those who have a good reputation for cardiac event, stroke, or life-threatening irregular heartbeat, especially within the past a few months.

Some medicines may talk with Dapoxetine. Tell your health care provider if you take every other medicines, especially some of the following:

• Alpha-blockers (eg, doxazosin), medicines for high blood pressure levels, 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 because they may increase the risk of Dapoxetine's negative effects
• Bosentan or rifampin simply because they may decrease Dapoxetine's effectiveness.

This is probably not an entire list of all interactions that will occur. Ask your medical provider if Dapoxetine may communicate with other medicines which you take. Check with your doctor prior to deciding to start, stop, or alter the dose of the medicine.

Important safety information:

• Dapoxetine might cause dizziness, drowsiness, fainting. These effects could possibly be worse in the event you get it with alcohol or certain medicines. Use Dapoxetine with caution. Do not drive or perform other possible unsafe tasks before you recognize how you reply to it.
• Dapoxetine could cause dizziness, lightheadedness, or fainting; alcohol, hot weather, exercise, or fever may increase these effects. To prevent them, sit up or stand slowly, especially inside morning. Sit or lie down at the very first symbol of all of these effects.
• Patients with heart related illnesses having Dapoxetine might be at increased risk for heart-related side effects, including heart attack or stroke. Symptoms of the cardiac arrest can include chest, shoulder, neck, or jaw pain; numbness associated with an branch; severe dizziness, headache, nausea, stomach pain, or vomiting; fainting; or vision changes. Symptoms of an stroke might include confusion, vision or speech changes, one-sided weakness, or fainting. Contact a medical expert or seek medical help right away 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 not making love. If this is not treated straight away, it could result in permanent sexual problems for example impotence. Contact a medical expert immediately if you have an erection that lasts over 4 hours.
• Dapoxetine does not stop the spread of HIV or another sexually transmitted diseases (STDs) to others through sexual contact. Use barrier methods of birth control (eg, condoms) when you have HIV infection or an STD.
• Dapoxetine will not likely prevent pregnancy. If your partner can become pregnant and also you wish to prevent pregnancy, be sure to make use of 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 along with your doctor.
• Use Dapoxetine with caution in the elderly; they could possibly be more responsive to its effects.
• Dapoxetine is just not recommended for used in patients younger 18 years.