Apoxet 60 mg

How Apoxet 60 mg works

• Dapoxetine increases serotonin activity in pathways that help delay ejaculation.
• It acts quickly and leaves the body relatively fast, which is why it is used on demand.
• It does not increase desire. Arousal is still required for an effect.

When and how to take it

• Take one 60 mg tablet with a full glass of water 1 to 3 hours before sexual activity.
• Do not take more than one dose in 24 hours. Do not use it on a continuous daily schedule.
• If 60 mg feels too strong or you notice side effects, ask about stepping down to 30 mg.
• Avoid alcohol around dosing. Alcohol can increase dizziness, nausea, and the risk of fainting.
• If you feel lightheaded, sweaty, or queasy, sit or lie down until it passes.

What to expect

• Many men notice better control from the first few uses, though it can take a little practice to nail the timing.
• Nausea, headache, dry mouth, or trouble sleeping can occur early and often settle with repeat use.
• It helps to keep simple notes on dose time, meals, alcohol, and results so you and your clinician can fine tune your plan.

Who should avoid it or check first

• Do not use MAO inhibitors now or within 14 days, or with thioridazine.
• Do not combine with other serotonergic medicines such as SSRIs, SNRIs, tricyclics, tramadol, linezolid, lithium, St John’s wort, or certain migraine drugs without explicit medical guidance due to serotonin syndrome risk.
• Avoid it if you have significant heart disease, arrhythmias, unexplained fainting, or uncontrolled blood pressure.
• Not for individuals under 18.
• If you have moderate or severe liver disease, you need a personalized plan.

Possible side effects

• Common: nausea, dizziness, headache, dry mouth, sweating, diarrhea, insomnia, fatigue.
• Less common: blurred vision, tremor, anxiety, erectile changes, fainting.
• Rare but serious: serotonin syndrome with agitation, fever, tremor, confusion, rapid heart rate. Seek urgent care if these occur.

Important interactions

• Strong CYP3A4 inhibitors such as ketoconazole, itraconazole, ritonavir, and clarithromycin can raise dapoxetine levels. Your prescriber may advise against use or adjust the plan.
• Moderate CYP3A4 inhibitors and grapefruit products may increase side effects.
• PDE5 inhibitors for ED (sildenafil, tadalafil) can add to blood pressure drops and dizziness. If your clinician recommends using both, they will set safe timing and dose limits.
• Do not mix with recreational nitrites.

Practical tips for better results

• Take with a light snack if nausea is an issue; avoid very heavy or greasy meals right before dosing.
• Hydrate well and rise slowly from sitting or lying positions.
• Build in foreplay and aim for a low pressure setting. Arousal is required for the medicine to work.
• If anxiety plays a role, consider pairing medication with pause squeeze techniques, pelvic floor exercises, or brief counseling.

A note on approval and quality

Available strengths in the market

• Dapoxetine 30 mg tablets
• Dapoxetine 60 mg tablets

Storage and handling

• Store tablets at room temperature in a dry place away from heat and direct sunlight.
• Keep tablets in the original blister or bottle until use.
• Keep out of reach of children and pets.

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FAQs

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