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Precautions

Do not use Dapoxetine if:

• you are allergic to your ingredient in Dapoxetine
• you are already advised because of your doctor to stop intercourse due to heart problems
• 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 doctor or physician right away if some of these connect with you.

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

• in the event you consider any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• if 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 some other condition which could boost the chance of a prolonged erection (priapism)
• when you have a good an extended (a lot more than 4 hours) or painful erection (priapism)
• if you have a good reputation for liver or kidney problems, high or low blood pressure level, ulcers, bleeding problems, heart related illnesses (eg, heart failure, irregular heartbeat), or circulation problems
• for those who have a history of cardiac event, stroke, or life-threatening irregular heartbeat, especially within the past six months.

Some medicines may connect to Dapoxetine. Tell your doctor in case you are taking 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 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 chance of Dapoxetine's side effects
• Bosentan or rifampin because they may decrease Dapoxetine's effectiveness.

This is probably not a total list of all interactions that may occur. Ask your health care provider if Dapoxetine may talk with other medicines that you take. Check with your medical provider before you start, stop, or alter the dose of any medicine.

Important safety information:

• Dapoxetine could cause dizziness, drowsiness, fainting. These effects could possibly be worse in the event you take it with alcohol or certain medicines. Use Dapoxetine with caution. Do not drive or perform other possible unsafe tasks before you understand how you respond to it.
• Dapoxetine may cause dizziness, lightheadedness, or fainting; alcohol, warm weather, exercise, or fever may increase these effects. To prevent them, sit up or stand slowly, especially within the morning. Sit or lay down at the very first sign of some of these effects.
• Patients with cardiovascular disease having Dapoxetine might be at increased risk for heart-related negative effects, including heart attack or stroke. Symptoms of a heart attack may include chest, shoulder, neck, or jaw pain; numbness of your branch; 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 physician or seek medical assistance without delay in case you experience these symptoms.
• Dapoxetine may rarely cause a prolonged (eg, a lot more than 4 hours) or painful erection. This could happen even though you may are certainly not making love. If this is just not treated straight away, it could possibly bring about permanent sexual problems such as impotence. Contact your doctor straight away when you have an erection that lasts a lot more than 4 hours.
• Dapoxetine will not stop the spread of HIV and other sexually transmitted diseases (STDs) to others through sexual contact. Use barrier methods of birth control (eg, condoms) when you have HIV infection or even an STD.
• Dapoxetine won't prevent pregnancy. If your partner can become pregnant so you wish to avoid pregnancy, be sure to work with an effective form of contraception.
• 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 using your doctor.
• Use Dapoxetine with caution inside the elderly; they may be more understanding of its effects.
• Dapoxetine just isn't appropriate for use within patients younger 18 years.