Adverse Effects, Contraindications and Dosage of Dapoxetine
Dapoxetine also cannot be used in patients with heart failure, permanent pacemaker, or other significant ischemic heart disease. Caution is advised in men receiving thioridazine, monoamine oxidase inhibitors, SSRIs, serotonin-norepinephrine reuptake inhibitors, or tricyclic antidepressants. If a patient stops taking one of these drugs, he should wait for 14 days before taking dapoxetine. If a patient stops taking dapoxetine, he should wait for 7 days before receiving these drugs.
- Monitor for any allergic reactions such as rash, swelling, or difficulty breathing.
- Pregnant women or those planning pregnancy should discuss alternatives with their doctor.
- Dapoxetine should be used cautiously in older adults or those with prior medical conditions.
- Always follow the guidance given by a healthcare professional regarding dosage.
The most common effects when taking dapoxetine are nausea, dizziness, dry mouth, headache, diarrhea, and insomnia. [16][17] Discontinuation rates due to adverse effects and costs are very high, as demonstrated in a study in Asia which showed that cumulative discontinuation rates within one year are as high as 87%. [18] Unlike other SSRIs used to treat depression, which have been associated with high incidences of sexual dysfunction,[19] dapoxetine is associated with low rates of sexual dysfunction.
- Dapoxetine 30 mg is often used as part of a broader treatment plan for PE.
- Combining therapy with behavioral techniques may enhance treatment outcomes.
- Immediate effects may vary, but consistent use can improve control over ejaculation.
- Avoid combining with other SSRIs without medical advice to prevent interactions.
Taken as needed, priligy dapoxetine canada dapoxetine has very mild adverse effects of decreased libido (<1%) and erectile dysfunction (<4%).
Additional information
Consult urologist/sexual health specialist in Accra for alternatives. Menarini Group (Italy; original developer and brand holder for Priligy dapoxetine). Marketed/distributed in Ghana by Menarini affiliates or local importers/pharmacies (widely stocked as imported product). Italy (original Priligy manufactured in Italy or EU facilities by Menarini; generics from India commonly imported to Ghana). Verification of drug license & valid prescription is strongly advised for the users before dealing in medicines Exports To: United States Of America United Kingdom Australia Canada France United States Of America United Kingdom Australia Canada France Established in the year of 2021, We “Ditya Pharma” are Trader, Wholesaler, Supplier and Exporter of an ED Medicine, Antibiotic Medicines and Pain Killer Medicines etc.
Who distributes PRILIGY
We direct all our activities to cater the expectations of customers by providing them excellent quality products as per their gratification. Moreover, we follow moral business policies and crystal pure transparency in all our transactions to keep healthy relations with the customers. For our accomplishment story, we are grateful to our Ms. Hem Lata Arya , whose continual backing and direction have been useful to us for attaining exponential development in the current market Dapoxetine, sold under the brand name Priligy among others, is a selective serotonin reuptake inhibitor (SSRI) used for the treatment of premature ejaculation (PE) in men ages 18 to 64 years old. [3][4][5] Dapoxetine works by inhibiting the serotonin transporter, increasing serotonin's action at the postsynaptic cleft, and as a consequence promoting ejaculatory delay.
Dapoxetine 30 mg: What are the common side effects?
[6] As a member of the SSRI family, dapoxetine was initially created as dapoxetine order online an antidepressant. However, unlike other SSRIs, dapoxetine is absorbed and eliminated rapidly in the body. Its fast-acting property makes it suitable for the treatment of PE, but not as an antidepressant. Originally created by Eli Lilly pharmaceutical company, dapoxetine was sold to Johnson & Johnson in 2003 and submitted as a New Drug Application to the US Food and Drug Administration (FDA) for the treatment of PE in 2004. [8] Dapoxetine is sold in several European and Asian countries, and in Mexico. No case of drug overdose has been reported during clinical trials.
| Product | Dosage | Quantity + Bonus | Price | |
|---|---|---|---|---|
| Priligy Generic Dapoxetine | 60mg | 120 + 10 Pills | 341.26€ 325.01€ | |
| Kamagra Gold | 100 mg | 180 + 6 Pills | 436.79€ 415.99€ | |
| Priligy Generic Dapoxetine | 60mg | 60 + 8 Pills | 183.06€ 174.34€ | |
| Priligy Generic Dapoxetine | 60mg | 180 + 10 Pills | 494.76€ 471.20€ | |
| Kamagra Gold | 50 mg | 120 + 6 Pills | 281.13€ 267.74€ | |
| Kamagra Oral Jelly | 100mg | 90 + 8 Sachets | 303.56€ 289.10€ | |
| Priligy Generic Dapoxetine | 60mg | 30 + 6 Pills | 106.65€ 101.57€ | |
| Cialis Generic | 20mg | 20 Pills | 54.72€ 52.11€ | |
| Priligy Generic Dapoxetine | 60mg | 90 + 10 Pills | 265.64€ 252.99€ | |
| Kamagra Effervescent Tablets | 100 mg | 14 Pills | 51.61€ 49.15€ | |
| Kamagra Soft Tabs | 100mg | 32 Pills | 120.11€ 114.39€ | |
| Levitra Soft Tabs | 20mg | 360 + 20 Pills | 682.21€ 649.72€ | |
| Priligy Generic Dapoxetine | 60mg | 10 Pills | 47.63€ 45.36€ | |
| Levitra Professional | 20mg | 20 Pills | 101.00€ 96.19€ | |
| Kamagra Polo | 100 mg | 272 + 12 Pills | 622.94€ 593.28€ | |
| Priligy Generic Dapoxetine | 60mg | 20 + 4 Pills | 77.31€ 73.63€ | |
| Kamagra Polo | 100mg | 20 Pills | 83.56€ 79.58€ |
Many men who have PE also suffer from erectile dysfunction (ED).
Before taking dapoxetine
Storage Advice: Store at room temperature (below 25–30°C) dapoxetine tadalafil tablets in original packaging, protected from moisture and light. Contraindicated with: Potent CYP3A4 inhibitors (e.g., ketoconazole, ritonavir).Thioridazine or other drugs that prolong QT interval.MAO inhibitors (risk of serotonin syndrome).Moderate/severe hepatic impairment, severe renal impairment, or heart failure. Thioridazine or other drugs that prolong QT interval. Moderate/severe hepatic impairment, severe renal impairment, or heart failure. Caution in: History of fainting, low blood pressure, depression, mania, or bleeding disorders.Concurrent use of SSRIs, SNRIs, tramadol, or other serotonergic drugs (serotonin syndrome risk).
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History of fainting, low blood pressure, depression, mania, or bleeding disorders. Concurrent use of SSRIs, SNRIs, tramadol, or other serotonergic drugs (serotonin syndrome risk). Risk of orthostatic hypotension – rise slowly from sitting/lying. Do not take alcohol (increases dizziness, drowsiness, and syncope risk). Stop and seek immediate help for fainting, severe dizziness, mood changes, or prolonged painful erection.
Mechanism of action
Not for use in women or men without PE. Keep out of reach of children (overdose risk). Product Substitutes: Similar dapoxetine 30mg/60mg tablets in Ghana include: Generic dapoxetine 30mg/60mg film-coated tablets (various importers). Priligy (original Menarini brand, higher price if stocked). Alternatives: Off-label SSRIs (e.g., paroxetine, sertraline daily use), topical lidocaine/prilocaine sprays, behavioral therapy, or PDE5 inhibitors (e.g., sildenafil/tadalafil). Treatment for these patients should consider the drug–drug interaction between dapoxetine and PDE5 inhibitors such as tadalafil (Cialis) or sildenafil (Viagra).
About dapoxetine
Selective Serotonin Reuptake Inhibitor (SSRI) / Premature Ejaculation Treatment . Active Ingredients/Composition: Each film-coated tablet contains: Active ingredient: Dapoxetine hydrochloride – equivalent to 30 mg or 60 mg dapoxetine. Priligy 30mg film-coated tablets (starting/lower dose). Priligy 60mg film-coated tablets (higher dose for better efficacy if 30mg insufficient). Common pack size: 3, 6, or 12 tablets per pack (usually 3 or 6 for on-demand use).
Serious side effects
The 30mg is often the initial dose, with 60mg as the alternative. Take 1 tablet (30 mg or 60 mg) 1–3 hours before anticipated sexual activity. Do not take more than 1 dose in 24 hours. Can be taken with or without food (high-fat meals may delay onset slightly). Drink plenty of water when taking to reduce dizziness risk.
Results of the Pivotal Trial
Do not take daily – it is for on-demand use only. Start with 30mg; increase to 60mg only if 30mg is ineffective and side effects are tolerable. Do not use continuously long-term without medical review. Less common/serious (seek help): Fainting/syncope (especially if standing up quickly), mood changes, blurred vision, erectile dysfunction, or severe allergic reactions. Package Type: Blister packs (typically 3 or 6 tablets per pack; 1×3 or 2×3 foil blisters in carton with patient information leaflet and dosing instructions). In Dresser study (2006), plasma concentration of 24 subjects was obtained.
- Dapoxetine is designed for on-demand use, not daily administration.
- The medication can improve control over ejaculation and increase sexual satisfaction.
- It is available by prescription only and should be used under medical supervision.
- Pregnancy or breastfeeding women should avoid using dapoxetine without doctor consultation.
Half of the sample pool were treated with dapoxetine 60 mg plus tadalafil 20 mg; the other half were treated with dapoxetine 60 mg plus sildenafil 100 mg. These plasma samples were then analyzed using liquid chromatography-tandem mass spectrometry. The results showed that dapoxetine does not alter the pharmacokinetics of tadalafil or sildenafil. Alcohol does not affect the pharmacokinetics of dapoxetine when taking concurrently. The mechanism through which dapoxetine affects premature ejaculation is still unclear, but dapoxetine is presumed to work by inhibiting serotonin transporter (SERT) and subsequently increasing serotonin's action at pre- and postsynaptic receptors.
Before taking this Medicine
In the US, dapoxetine has been in phase III development. In May 2012, US-based Furiex Pharmaceuticals reached an agreement with ALZA Corp and Janssen Pharmaceuticals to market dapoxetine in the United States, Japan, and Canada, while selling the rights to market the drug in Europe, most of Asia, Africa, Latin America, and the Middle East to Menarini. Randomized, double-blind, placebo-controlled trials have confirmed the efficacy of dapoxetine for the treatment of PE. [10] Different dosages have different impacts on different types of PE. Dapoxetine 60 mg significantly improves the mean intravaginal ejaculation latency time (IELT) compared to that of dapoxetine 30 mg in men with lifelong PE, but no difference is seen in men with acquired PE.
Lactose intolerance
[11] Dapoxetine, given 1–3 hours before sexual episode, prolongs IELT and increases the sense of control and sexual satisfaction in men of 18 to 64 years of age with PE. Since PE is associated with personal distress and interrelationship difficulty, dapoxetine provides help for men with PE to overcome this condition. With no drug approved specifically for treatment for PE in the US and some other countries, other SSRIs such as fluoxetine, paroxetine, sertraline, fluvoxamine, and citalopram have been used off-label to treat PE. Waldinger's meta-analysis shows that the use of these conventional antidepressants increases IELT two- to nine-fold above baseline, compared to three- to eight-fold when dapoxetine is used. [11] However, these SSRIs may need to be taken daily to achieve meaningful efficacy, and their comparatively longer half-lives increase the risk of drug accumulation and a corresponding increase of adverse effects such as reduced libido. [22] Human ejaculation is regulated by various areas in the central nervous system (CNS).
- The medication’s effectiveness varies based on individual health and response.
- Dapoxetine does not increase libido or sexual desire directly.
- Maintain a healthy lifestyle to support the benefits of dapoxetine therapy.
- Always complete the prescribed course unless advised otherwise by a healthcare provider.
These signals are passed on to the brain stem, which then is influenced by a number of nuclei in the brain such as medial preoptic and paraventricular nuclei.
| Country | Average Price (per tablet) | Availability | Purchase Options |
|---|---|---|---|
| USA | $1.50 - $3.00 | Widely available | Online pharmacies, local pharmacies |
| UK | £1.20 - £2.50 | Prescription required | Prescribed by doctor, online options |
| India | ₹50 - ₹150 | Over the counter possible | Online marketplaces, pharmacies |
| Australia | AUD 2.00 - AUD 4.00 | Prescription needed | Through healthcare providers |
[24] Clement's study performed on anaesthetized male rats showed that acute administration of dapoxetine inhibits ejaculatory expulsion reflex at supraspinal level by modulating activity of lateral paragigantocellular nucleus (LPGi) neurons.
How to Order
[13] Dapoxetine, though, is generally categorized as a fast-acting SSRI. It is more rapidly absorbed and mostly eliminated from the body within a few hours. These pharmacokinetics are more favorable in that they might minimize drug accumulation in the body, habituation, and side effects. Dapoxetine was initially considered unsuccessful in its intended use as an antidepressant; however, it has since been investigated as a possible aid to an approach to depression treatment focused on stress reduction, based on an animal model of depression. Dapoxetine should not be used in men with moderate to severe hepatic impairment and in those receiving CYP3A4 inhibitors such as ketoconazole, ritonavir, and telithromycin.