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Dapoxetine

About Dapoxetine

Dapoxetine is used to treat premature ejaculation in adult men aged 18-64 years old. Premature ejaculation is when a man ejaculates (orgasms) more quickly with less sexual stimulation than the man or his partner would like. This could lead to problems in a sexual relationship.

Dapoxetine contains ‘Dapoxetine’, which increases the serotonin level in the nervous system; this increases the time it takes to ejaculate and improves the control over ejaculation. Thus, it helps in decreasing the worry or frustration about fast or premature ejaculation.

You are advised to take Dapoxetine as long as your doctor has prescribed it for you, depending on your medical condition. In some cases, you may experience certain common side effects, such as dizziness, headache, nausea, diarrhoea, dry mouth, and indigestion. Most of these side effects do not require medical attention and will resolve gradually over time.  However, you are advised to talk to your doctor if you experience these side effects persistently.

Dapoxetine should not be used by men below 18 years or above 65 years. Dapoxetine is not intended for use in women. Dapoxetine may cause dizziness, sleepiness, fainting or blurred vision, so drive with caution. Avoid consuming alcohol as it might cause increased dizziness. Dapoxetine is not recommended for use in children below 18 years as the safety and effectiveness have not been established. Keep your doctor informed about your health condition and the medicines you are taking to avoid unpleasant side effects.

Uses of Dapoxetine

Treatment of Premature ejaculation

Medicinal Benefits

Dapoxetine belongs to the group of medicines called selective serotonin reuptake inhibitors. Dapoxetine is used to treat premature ejaculation in adult men aged 18-64 years. Dapoxetine works by increasing the serotonin level in the nervous system; this increases the time it takes to ejaculate and could improve control over ejaculation. Thereby, it helps in decreasing the worry or frustration about fast or premature ejaculation.

Directions for Use

Swallow the medicine as a whole with a glass of water; to avoid a bitter taste, do not crush, break or chew it.

Storage

Store in a cool and dry place away from sunlight

Side Effects of Dapoxetine

  • Dizziness
  • Headache
  • Nausea
  • Diarrhoea
  • Dry mouth
  • Indigestion

Drug Warnings

Do not take Dapoxetine if you are allergic to any of its contents; if you have heart problems such as heart failure or heart rhythm problems, mania or severe depression, moderate to severe liver problems, history of fainting, or if you are taking medicines such as monoamine oxidase inhibitors (MAOI), thioridazine, lithium, linezolid, tryptophan, tramadol, St. John’s wort, anti-depressants, and anti-migraine drugs. Inform your doctor if you have erectile dysfunction, a history of dizziness due to low blood pressure, depression, mania, bipolar disorder, schizophrenia, epilepsy/fits, bleeding or blood clotting problems, glaucoma, or kidney problems. Dapoxetine is not intended for use in women. Dapoxetine may cause dizziness, sleepiness, fainting or blurred vision, so drive with caution. Avoid consuming alcohol as it might cause increased dizziness. Dapoxetine is not recommended for children below 18 years as the safety and effectiveness have not been established. Rise slowly from sitting or lying position as Dapoxetine may cause dizziness on standing up suddenly. Dapoxetine should not be used by men below 18 years or above 65 years.

Drug Interactions

Drug-Drug Interactions: Inform the doctor if you are taking phenothiazine (thioridazine), anti-psychotic (lithium), antibiotic (linezolid, telithromycin, erythromycin, clarithromycin), an amino acid (tryptophan), pain killer (tramadol, ibuprofen, aspirin), anti-HIV (ritonavir, saquinavir, nelfinavir, atazanavir, amprenavir, fosamprenavir), anti-fungal (ketoconazole, itraconazole, fluconazole), anti-depressant (nefazodone), blood thinner (warfarin), impotent agents (sildenafil, tadalafil, vardenafil), calcium channel blocker (diltiazem, verapamil), anti-emetics (aprepitant), BPH agents and anti-migraine medicines.

Drug-Food Interactions: Do not take St. John’s wort (herbal supplement used to treat depression) while taking Dapoxetine. Avoid consuming grapefruit juice within 24 hours of taking Dapoxetine as it could lead to an increase in the level of Dapoxetine in the body. 

Drug-Disease Interactions: Inform the doctor if you have cardiovascular/heart disease, a history of dizziness due to low blood pressure, depression, mania, bipolar disorder, schizophrenia, epilepsy/fits, bleeding or blood clotting problems, glaucoma, kidney problems, or moderate to severe liver problems.

Drug-Drug Interactions Checker List:

  • THIORIDAZINE
  • LITHIUM
  • TRAMADOL
  • ASPIRIN
  • IBUPROFEN
  • LINEZOLID
  • CLARITHROMYCIN
  • TELITHROMYCIN
  • ERYTHROMYCIN
  • TRYPTOPHAN
  • RITONAVIR
  • SAQUINAVIR
  • NELFINAVIR
  • ATAZANAVIR
  • AMPRENAVIR
  • FOSAMPRENAVIR
  • KETOCONAZOLE
  • ITRACONAZOLE
  • FLUCONAZOLE
  • NEFAZODONE
  • WARFARIN
  • SILDENAFIL
  • TADALAFIL
  • VARDENAFIL
  • DILTIAZEM
  • VERAMAPIL
  • APREPITANT
  • Safety Advice

    • Safety Warning

      Alcohol

      unsafe

      Avoid consuming alcohol while taking Dapoxetine as it might cause increased dizziness and sleepiness.

    • Safety Warning

      Pregnancy

      unsafe

      Dapoxetine is not intended for use in women.

    • Safety Warning

      Breast Feeding

      unsafe

      Dapoxetine is not intended for use in women.

    • Safety Warning

      Driving

      caution

      Dapoxetine may cause dizziness, sleepiness, fainting or blurred vision. Therefore you are advised to drive and operate machinery only if you are alert.

    • Safety Warning

      Liver

      caution

      Dapoxetine should not be taken if you have moderate to severe liver problems. Please consult your doctor before taking Dapoxetine if you have liver impairment/liver disease or any concerns regarding this.

    • Safety Warning

      Kidney

      caution

      Dose adjustment may be needed. Please consult your doctor before taking Dapoxetine if you have kidney impairment/kidney disease or any concerns regarding this.

    • Safety Warning

      Children

      unsafe

      Dapoxetine is not recommended for use in children below 18 years as safety and effectiveness have not been established.

    Habit Forming

    No

    Diet & Lifestyle Advise

    • Maintaining a healthy weight, eating a balanced diet, and regular exercising may help manage premature ejaculation. 

    • Pelvic floor exercises help in strengthening muscles.

    • Decreasing the sensitivity of the penis by using condoms can be helpful.

    • Share intimate time with your partner.

    • Stay sexually active to prevent further problems.

    • Eat foods that help improve blood flow, such as onions, garlic, bananas, chilli, eggs, omega-3 fatty acids, vitamin B1, and pepper.

    • Exercise regularly as it helps in reducing stress.

    • Avoid smoking and alcohol consumption.

    • Get some sunlight; it helps increase melatonin, increasing sexual desire.

    • Pay attention to your partner. Spend quality time. 

    Special Advise

    • Dapoxetine has a bitter taste, so take Dapoxetine with at least one full glass of water. This also helps in lowering the chance of fainting.

    • Take Dapoxetine 1-3hours before sexual activity. 

    • Do not take more than 1tablet in a day (24hours).

    Patients Concern

    Disease/Condition Glossary

    Premature ejaculation: Premature ejaculation is when a man ejaculates (orgasms) more quickly with less sexual stimulation than the man or his partner would like. This could lead to problems in a sexual relationship. Premature ejaculation is also known as rapid ejaculation, premature climax or early ejaculation. Symptoms include regular inability to delay the orgasm or ejaculation for more than a minute after the start of intercourse. Premature ejaculation may be lifelong/primary or acquired/secondary. Lifelong or primary premature ejaculation is when you experience this always or almost always since your first sexual experience. Acquired/secondary premature ejaculation is when you have had longer-lasting orgasms in your life but have developed early ejaculation. The causes of premature ejaculation could be poor self-esteem, depression, history of sexual abuse, worrying about ejaculation, anxiety about limited sexual experience, stress, dissatisfaction or problems in a relationship.

    FAQs

    Dapoxetine is used to treat premature ejaculation in adult men. Premature ejaculation is when a man ejaculates (orgasms) more quickly with less sexual stimulation than the man or his partner would like.

    Dapoxetine works by increasing the time it takes to ejaculate and could improve control over ejaculation. Thereby, helps in decreasing the worry or frustration about fast or premature ejaculation.

    Medicines such as monoamine oxidase inhibitors (MAOI), thioridazine (used to treat schizophrenia), lithium (used to treat mania), linezolid (antibiotic), tryptophan (used to help you sleep), tramadol (used to relieve pain), St. John’s wort (herbal supplement used to treat depression), anti-depressants, and anti-migraine medicines should not be taken along with Dapoxetine. Maintain a gap of 14 days before taking Dapoxetine if you have taken any of the above medicines. After taking Dapoxetine, maintain a gap of 7 days before taking these medicines. Talk to your doctor if you have any concerns regarding this.

    You may experience sleeping problems and may feel dizzy if you stop taking Dapoxetine on your own. Therefore, consult your doctor before discontinuing the medicine.

    Do not take Dapoxetine for longer durations unless prescribed by the doctor. Discuss with your doctor after the first 4weeks or after taking 6doses if you should continue the treatment. If Dapoxetine has been prescribed for longer durations, regular consultation with the doctor is advised for every 6 months.

    Dry mouth could be a side-effect of Dapoxetine. Limiting caffeine intake, avoiding smoking and mouthwashes containing alcohol, drinking water regularly, and chewing sugar-free gum/candy might stimulate saliva and prevent drying of the mouth.

    Orthostatic hypotension could be a side-effect of Dapoxetine. Orthostatic hypotension is a sudden lowering in blood pressure leading to dizziness on standing. If you experience this, do not try to stand up suddenly or start walking, instead, lie down and get up slowly only when you feel better.

    Dapoxetine contains dapoxetine, which increases the serotonin level in the nervous system; this increases the time it takes to ejaculate and improves the control over ejaculation.

    Dapoxetine, the first drug developed for premature ejaculation, is an effective and safe treatment for premature ejaculation and represents a significant advance in sexual medicine.

    Yes, Dapoxetine is a prescription medication. It should be taken if prescribed by the doctor.

    Treatment with Dapoxetine was generally safe and well tolerated across the range of doses. Seek medical attention if you have any concerns.

    Dapoxetine is an effective and safe treatment for premature ejaculation and represents a major advance in sexual medicine.

    No, Dapoxetine usually does not cause any erectile dysfunction. If you experience this, please seek medical attention.

    Yes, you can take it if prescribed by the healthcare professional. The combination is well tolerated.

    Dapoxetine is not recommended for use in children below 18 years as safety and effectiveness have not been established.

    Before using this medication, you should inform your doctor about your medical history, including any ongoing medicines, to avoid potential interactions and minimise side effects.

    A dose adjustment may be needed. Please consult your doctor before taking Dapoxetine if you have kidney impairment or disease or have any concerns regarding this.

    Common side effects of Dapoxetine may include dizziness, headache, nausea, diarrhoea, dry mouth, and indigestion. Most of these side effects do not require medical attention and will resolve gradually over time. However, you are advised to talk to your doctor if you experience these side effects persistently.

    Available Medicines for

    Dapoxetine

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