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Precautions

Do not use Dapoxetine if:

• you are allergic to any ingredient in Dapoxetine
• you have been advised from your doctor to stop sexual practice because of heart disease
• you consider 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 doctor or health care provider straight away if these sign up for you.

Some medical conditions may interact with Dapoxetine. Tell your medical professional or pharmacist if you have any health conditions, in particular when any of the following apply to you:

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

Some medicines may interact with Dapoxetine. Tell your doctor in case you take some other medicines, especially some of the following:

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

This might not be an entire listing of all interactions that could occur. Ask your medical provider if Dapoxetine may communicate with other medicines that you take. Check with your health care provider before you decide to start, stop, or customize the dose of any medicine.

Important safety information:

• Dapoxetine could potentially cause dizziness, drowsiness, fainting. These effects could be worse should you take it with alcohol or certain medicines. Use Dapoxetine with caution. Do not drive or perform other possible unsafe tasks unless you understand how you reply to it.
• Dapoxetine could potentially cause dizziness, lightheadedness, or fainting; alcohol, hot weather, exercise, or fever may increase these effects. To prevent them, crunch or stand slowly, especially in the morning. Sit or lay down at the very first manifestation of these effects.
• Patients with heart related illnesses who take Dapoxetine could possibly be at increased risk for heart-related unwanted side effects, including cardiac arrest or stroke. Symptoms of the 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 sometimes include confusion, vision or speech changes, one-sided weakness, or fainting. Contact your medical professional or seek medical assistance without delay if you experience these symptoms.
• Dapoxetine may rarely cause a protracted (eg, more than 4 hours) or painful erection. This could happen even though you may aren't having sexual intercourse. If this is not treated immediately, it might cause permanent sexual problems including impotence. Contact your doctor without delay for those who have an erection that lasts more than 4 hours.
• Dapoxetine does not stop the spread of HIV or other sexually transmitted diseases (STDs) to others through sexual contact. Use barrier methods of birth control method (eg, condoms) if 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 utilize 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 doctor if vision changes persist or are severe.
• Do not use other medicines or treating ED while you are taking Dapoxetine without first checking together with your doctor.
• Use Dapoxetine with caution inside the elderly; they could possibly be more responsive to its effects.
• Dapoxetine isn't appropriate for use within patients younger 18 years.