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Precautions

Do not use Dapoxetine if:

• you are allergic to the ingredient in Dapoxetine
• you have been advised because of your doctor in order to avoid sexual activity because of heart problems
• you take 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 right away if some of these apply to you.

Some medical ailments may talk with Dapoxetine. Tell your doctor or pharmacist if you have any health conditions, particularly when the following connect with you:

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

Some medicines may communicate with Dapoxetine. Tell your medical provider if you consider another medicines, especially the following:

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

This will not be a complete list of all interactions which could occur. Ask your health care provider if Dapoxetine may connect to other medicines that you take. Check with your doctor before you decide to start, stop, or customize the dose of the medicine.

Important safety information:

• Dapoxetine may cause dizziness, drowsiness, fainting. These effects may be worse should you take it with alcohol or certain medicines. Use Dapoxetine with caution. Do not drive or perform other possible unsafe tasks before you know 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 inside morning. Sit or sleep the night at the 1st manifestation of these effects.
• Patients with heart problems taking Dapoxetine could possibly be at increased risk for heart-related negative effects, including cardiac event or stroke. Symptoms of an heart attack can sometimes 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 might include confusion, vision or speech changes, one-sided weakness, or fainting. Contact your doctor or seek medical attention immediately in the event you experience these symptoms.
• Dapoxetine may rarely cause a prolonged (eg, greater than 4 hours) or painful erection. This could happen even if you usually are not making love. If this is just not treated immediately, it may result in permanent sexual problems like impotence. Contact your doctor straight away if you 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 (eg, condoms) when you have HIV infection or an STD.
• Dapoxetine will not likely prevent pregnancy. If your partner can be pregnant and you wish to avoid 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 may be more understanding of its effects.
• Dapoxetine is just not suited to used in patients younger 18 years.