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Precautions

Do not use Dapoxetine if:

• you are allergic to your ingredient in Dapoxetine
• you have been advised because of your doctor to prevent intercourse because of cardiovascular disease
• you consider nitrates (eg, isosorbide, nitroglycerin) of any type (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 health care provider straight away if some of these connect with you.

Some health conditions may communicate with Dapoxetine. Tell a medical expert or pharmacist for those who have any health concerns, especially if the following apply to you:

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

Some medicines may interact with Dapoxetine. Tell your medical provider in case you consider every other medicines, especially any of the following:

• 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
• 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 simply because they may boost the risk of Dapoxetine's unwanted effects
• Bosentan or rifampin because they may decrease Dapoxetine's effectiveness.

This may not be an entire list of all interactions which could occur. Ask your medical provider if Dapoxetine may interact with other medicines that you take. Check with your doctor when you start, stop, or alter the dose associated with a medicine.

Important safety information:

• 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 know how you reply to it.
• Dapoxetine could potentially cause dizziness, lightheadedness, or fainting; alcohol, warm weather, exercise, or fever may increase these effects. To prevent them, sit up or stand slowly, especially inside morning. Sit or lay down at the very first symbol of any of these effects.
• Patients with heart related illnesses taking Dapoxetine may be at increased risk for heart-related unwanted side effects, including cardiac event or stroke. Symptoms of the cardiac arrest can include chest, shoulder, neck, or jaw pain; numbness associated with an arm or leg; 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 doctor or seek medical assistance straight away in case you experience these symptoms.
• Dapoxetine may rarely cause an extended (eg, more than 4 hours) or painful erection. This could happen even if you aren't having sexual intercourse. If this just isn't treated without delay, it could possibly result in permanent sexual problems like impotence. Contact your physician right away if you have an erection that lasts a lot more than 4 hours.
• Dapoxetine won't stop the spread of HIV and other sexually transmitted diseases (STDs) to others through sexual contact. Use barrier methods of birth control method (eg, condoms) for those who have HIV infection or perhaps an STD.
• Dapoxetine is not going to prevent pregnancy. If your partner could become pregnant and you wish in order to avoid pregnancy, be sure to use an effective form of contraceptive.
• 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 treating ED while you are taking Dapoxetine without first checking along with your doctor.
• Use Dapoxetine with caution within the elderly; they might be more sensitive to its effects.
• Dapoxetine is just not suitable for used in patients younger 18 years.