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Precautions

Do not use Dapoxetine if:

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• you happen to be advised from your doctor to stop sexual practice as a result of heart disease

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• you take nitrates (eg, isosorbide, nitroglycerin) in all forms (eg, tablet, capsule, patch, ointment), or nitroprusside

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• you use certain recreational drugs called "poppers" (eg, amyl nitrate or nitrite, butyl nitrate or nitrite).

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Contact your doctor or physician straight away if some of these affect you.

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Some health conditions may communicate with Dapoxetine. Tell a medical expert or pharmacist when you have any medical conditions, especially if one of the following apply to you:

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• should you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement

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• when you have allergies to medicines, foods, or another substances

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

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• when you have a reputation a protracted (over 4 hours) or painful erection (priapism)

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• when you have a reputation liver or kidney problems, high or low blood pressure level, ulcers, bleeding problems, heart related illnesses (eg, heart failure, irregular heartbeat), or circulation problems

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Some medicines may connect to Dapoxetine. Tell your doctor if you consider another medicines, especially one of the following:

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

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• 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 raise the likelihood of Dapoxetine's negative effects

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• Bosentan or rifampin given that they may decrease Dapoxetine's effectiveness.

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This might not be a complete list of all interactions that will occur. Ask your doctor if Dapoxetine may communicate with other medicines that you simply take. Check with your medical provider before you start, stop, or change the dose from a medicine.

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Important safety information:

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

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• Dapoxetine could potentially cause dizziness, lightheadedness, or fainting; alcohol, warm weather, exercise, or fever may increase these effects. To prevent them, crunch or stand slowly, especially inside morning. Sit or take a nap at the very first sign of some of these effects.

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• Patients with heart disease taking Dapoxetine may be at increased risk for heart-related unwanted side effects, including cardiac event or stroke. Symptoms of a cardiac arrest might include chest, shoulder, neck, or jaw pain; numbness of an arm or leg; severe dizziness, headache, nausea, stomach pain, or vomiting; fainting; or vision changes. Symptoms of your stroke can sometimes include confusion, vision or speech changes, one-sided weakness, or fainting. Contact your doctor or seek medical assistance right away in case you experience these symptoms.

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• Dapoxetine may rarely cause an extended (eg, over 4 hours) or painful erection. This could happen even when you aren't having sex. If this just isn't treated right away, it may result in permanent sexual problems including impotence. Contact a medical expert without delay if you have an erection that lasts greater than 4 hours.

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• 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 method (eg, condoms) if you have HIV infection or an STD.

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• Dapoxetine will not likely prevent pregnancy. If your partner can become pregnant and you wish to prevent pregnancy, be sure to work with an effective form of birth control method.

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• 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.

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• Do not use other medicines or control of ED while you take Dapoxetine without first checking with your doctor.

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• Use Dapoxetine with caution within the elderly; they may be more sensitive to its effects.

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• Dapoxetine isn't suited to use within patients younger 18 years.

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