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Precautions

Do not use Dapoxetine if:

• you are allergic to any ingredient in Dapoxetine
• you have been advised by your doctor to stop sexual activity because of cardiovascular disease
• you consider 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 your medical professional or health care provider straight away if these apply to you.

Some medical conditions may talk with Dapoxetine. Tell your medical professional or pharmacist when you have any health concerns, particularly when any of the following connect with you:

• should you consider any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• if 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 any other condition that may boost the chance of a prolonged erection (priapism)
• when you have a history of a prolonged (greater than 4 hours) or painful erection (priapism)
• for those who have a history of liver or kidney problems, high or low blood pressure, ulcers, bleeding problems, heart disease (eg, heart failure, irregular heartbeat), or circulatory problems
• if you have a history of cardiac arrest, stroke, or life-threatening irregular heartbeat, especially within the past 6 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, 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 given that they may improve the risk of Dapoxetine's negative effects
• Bosentan or rifampin since they may decrease Dapoxetine's effectiveness.

This may not be a whole listing of all interactions that could occur. Ask your doctor if Dapoxetine may communicate with other medicines which you take. Check with your health care provider before you decide to start, stop, or affect the dose of any medicine.

Important safety information:

• Dapoxetine could cause dizziness, drowsiness, fainting. These effects could possibly be worse in the event you go 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, hot weather, exercise, or fever may increase these effects. To prevent them, crunches or stand slowly, especially in the morning. Sit or lie down at the initial sign of all of these effects.
• Patients with heart related illnesses who take Dapoxetine could be at increased risk for heart-related unwanted side effects, including heart attack or stroke. Symptoms of a heart attack can sometimes include chest, shoulder, neck, or jaw pain; numbness of an branch; severe dizziness, headache, nausea, stomach pain, or vomiting; fainting; or vision changes. Symptoms of a stroke may include confusion, vision or speech changes, one-sided weakness, or fainting. Contact your physician or seek medical assistance straight away in case you experience these symptoms.
• Dapoxetine may rarely cause an extended (eg, greater than 4 hours) or painful erection. This could happen even though you may are not making love. If this is just not treated without delay, it might cause permanent sexual problems including impotence. Contact your doctor immediately if you have an erection that lasts more than 4 hours.
• Dapoxetine will 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) if you have HIV infection or even an STD.
• Dapoxetine is not going to prevent pregnancy. If your partner could become pregnant and you also wish in order to avoid pregnancy, be sure to work with 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 a medical expert if vision changes persist or are severe.
• Do not use other medicines or control of ED while you consider Dapoxetine without first checking together with your doctor.
• Use Dapoxetine with caution in the elderly; they may be more responsive to its effects.
• Dapoxetine just isn't appropriate for utilization in patients younger 18 years.