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• in case you have a deformed penis (eg, Peyronie disease), blood cell problems (eg, leukemia, sickle cell anemia), or other condition that may boost the likelihood of a prolonged erection (priapism)

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• Alpha-blockers (eg, doxazosin), medicines for high blood pressure level, nitrates (eg, isosorbide, nitroglycerin), or nitroprusside because severe low blood pressure levels with dizziness, lightheadedness, and fainting may occur

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• Dapoxetine could cause dizziness, drowsiness, fainting. These effects could be worse should you go with alcohol or certain medicines. Use Dapoxetine with caution. Do not drive or perform other possible unsafe tasks and soon you discover how you reply to it.

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• Patients with heart disease having Dapoxetine could possibly be at increased risk for heart-related negative effects, including cardiac event or stroke. Symptoms of your heart attack may include chest, shoulder, neck, or jaw pain; numbness associated with an arm or; severe dizziness, headache, nausea, stomach pain, or vomiting; fainting; or vision changes. Symptoms of an stroke can include confusion, vision or speech changes, one-sided weakness, or fainting. Contact your physician or seek medical attention without delay in case you experience these symptoms.

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• Dapoxetine may rarely cause an extended (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 right away, it could possibly result in permanent sexual problems for example impotence. Contact a medical expert right away when you have an erection that lasts a lot more than 4 hours.

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